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the Evergreen <br />CONSTRUCTION <br />everetl <br />CITY OF <br />everett <br />PERMIT <br />City NRLI Of HMS <br />tVIRIti. MASNINGIGN <br />f001 <br />GIH GI°GMMRN.IY BUILDING MECHANICAL <br />PLUMBING <br />CIVIL, MINT <br />OWNEIR�Ly��L <br />MAIL ADDRESS <br />.'IP PHONE <br />AMfR <br />Tit1PRa ��iIJG'• <br />ARCHITECT OR DESIGNER <br />MAIL ADCRESS <br />PHONE LICENSE NO. <br />PHONE LICENSE NO. <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />MECHjLNJgAL CONT[LA FPIT�� <br />WJPPM W1 <br />CL <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />PHnra- LICENSE NO. <br />W <br />m <br />PERMIT <br />CLASS OF WORK <br />Z <br />[]BUILDING ❑PIUMBiNG �J MECHANICAL <br />F <br />9NEW <br />❑ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />cr <br />❑DEMOLISH <br />❑FENCE ❑SIGN ❑SWIMMING POOL <br />W <br />f <br />G' <br />DESCRIBE WORK 20 IV virluf, <br />+ 905 <br />♦ �/ <br />MECHANICAL <br />PROPOSED USE <br />TYPE OFF L OIL NNAAT. LPG. ELEC. <br />L OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPBESIIPTION <br />Na <br />TYPE OF EQUIPMENT <br />FEE <br />LOT BLOCK —OF <br />AIR COND. UNITS-H.P. EA. <br />f I <br />REFRIGERATION UNITS -H.P. EA. <br />BOILERS-H.P. EA. <br />I <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />I <br />JOB ADDRESS j <br />X" *y� <br />no <br />_ <br />WALL HEATERS-B.T.U. M <br />�/ioV <br />UNIT HEATERS-B.T.U. M <br />I <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />1 <br />AIR HANDLING UNIT- C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />f <br />INc'INE RATOR <br />I <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK E1 DISP. <br />SUB TOTAL f <br />I <br />DISHWASHER <br />PERMIT f <br />LAUNDRY TRAY <br />TOTAL FEE S <br />I <br />CLOTHES WASHER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONST RUC <br />WATER HEATER <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />URINAL <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />VACUUM <br />BREAKERS <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />ROOF DRAINS-RAINLEADERS <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />SINK (SERVICE <br />-BAR ETC.) <br />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 <br />S <br />TOTAL FEE <br />f <br />r <br />is wgem <br />SIGNATURE OF CONTRACTOROR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REARYAROSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />UN105F —DWELLING <br />BUILDING <br />6 <br />I <br />SIZE OF BLDG. <br />qo. OF sToRiT <br />lFA_X. OCC. LOAD <br />PLUMBING <br />IRE ZONE <br />AS <br />REQUIRED KLRE <br />❑YES ONO <br />MECHANICAL <br />1 W <br />SPECIAL CONDITIONS! <br />OTHER <br />1 <br />I <br />PENELTY <br />SEC, 003(a) <br />I <br />TOTAL <br />1 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN T141S SPACE) THIS IS YOUR PERMIT <br />=PLANSAPPN°V[°PO <br />15yy AN[E By <br />11_RI^l <br />I <br />I <br />a <br />