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The Evergreen <br /> CITY OF CONSTRUCTION evereti <br /> everett PERMIT <br /> CITY NAIL 119 LIR <br /> EVERITT.IYASNiN010N <br /> ND01 <br /> OFPI.OF C0110VM[IY BUILDING MECHANICAL PLUMBING <br /> OFVIIOPNI <br /> OWNER MAIL ADDRESS ZIP PHONE <br /> vidA am xt 1" "1111" 9m l5 7w rY '7r <br /> ARCHITECT OR DESIGNER MAIL ADDRESS FH-O-N= LICENSE NO. <br /> I <br /> GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> yqwl oomft mm _ 5m ftdb fad s2 " tt*abaS <br /> MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. UJ <br /> W <br /> D) <br /> --- <br /> PERMIT CLASS OF WORK � <br /> Z <br /> X��FF.. <br /> BUILDING ❑PLUMBING []MECHANICAL F_ <br /> ❑NEWADDITION ❑ALTERATION ❑REPAIR <br /> 2 <br /> VALUATION OF WORK CL <br /> f ❑DEMOLISH []FENCE []SIGN []SWIMMING POOL UJ <br /> DESCRIBE WORK <br /> to 552 <br /> soma sumimit � N1 L <br /> PROPOSED USE MECHANICAL <br /> TYPE OF FUEL ❑OILNAT. LPC. ELEC. <br /> LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH GAS <br /> FOUXCOPIESI <br /> LOT BLOCK_oF N0. TYPE OF FEE <br /> AIR COND.UNITB-H.P.H.P.EA.EA. S I <br /> REFRIGERATION UNITS-H.P.EA. <br /> BOILERS-H.P. EA. I <br /> OAS FIRED A.C.UNITS-TONNAGE EA. <br /> FORCED AIR SYSTEMS-B.T.U. M EA. I <br /> JOB ADDRESS <br /> R.E� `S�S � I,� WALL HEATERS-B.T.U. M <br /> im fA E UNIT HEATERS-B.T.U. M I <br /> EVAPORATIVE COOLERS <br /> PLUMBING CLOTHES DRYERS 1 <br /> VENTILATION FAN <br /> RANGE HOOD I <br /> NO. TYPE OF FIXTURE OR ITEM_ _ FEE AIR HANDLING UNIT- C.F.M. <br /> WATER CLOSET(TOILET) S INCINERATOR I T' <br /> BATHTUB p <br /> LAVATORY(WASH BASIN) I '� <br /> SHOWER _ <br /> KITCHEN SINK b DISP. SUB TOTAL f <br /> DISHWASHER PERMIT f <br /> LAUNDRY TRAY _ TOTAL FEE f I <br /> CLOTHES WASHER THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br /> WATER HEATER TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF <br /> URINAL CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br /> _ DRINKING FOUNTAIN PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br /> FLOOR-SINK OR DRAIN I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP <br /> VACUUM BREAKERS PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> ROOF DRAINS-RAINLEADERS PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> BINK(SERVICE-BAR ETC.) OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SUBTOTAL <br /> PERMIT f <br /> TOTALFEE f <br /> x <br /> SIGNATURE OFCONTRACTORORAUTH.AGENT DATE <br /> SIDE VARDSETBACK STREETSETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> OYES ONO FEES VALUATION FEE <br /> I "I OF CONST. OCCUPANCY GROUP NO.OF DWE LUNG �T <br /> UNITS <br /> .'I OF BLDG. NO.OF STORIES MAX.OCC. LOAD BUILDING <br /> PLUMBING <br /> rIRE- NE- BAS NT I RINK RS -. <br /> RFGUIRED <br /> ❑YES ONO MECHANICAL I <br /> SPECIAL CONDITIONSOTHER 1 <br /> I <br /> PENELTY SEC. JOJ(A) 1 <br /> TOTAL <br /> PERMIT VALIDATION <br /> ---- WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT <br /> nnin'AHONACCFPHOBY PLANSCHFCKEDNV APPROVEDFO ISSIIAMJFAY. <br /> 0 <br />