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the Evergreen <br />CITY OF <br />everett <br />CITY KATE 1S91115 <br />EVEN IF. WASHINGTON <br />91"1 <br />OEq'°F commu'lliv <br />°FVtL°N9RNT BUILDSNG <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />evere" <br />PLUMBING �.e <br />OWNER�F��MAIL ADDRESS ZIP PHONE <br />MGM 0 <br />.�.9 <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LI— CYNSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MECHI1AA11N�•IIC.�CAA�L NCNOONNNF1�TTR9A1�CC1.T�O�R�1�1� MAIL ADDRESS PHONE LICENSE NO. <br />1N l" to n A!'Aaa11FN <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />m <br />PERMIT <br />❑ BUILDING ❑ PLUMBING [MECHANICAL <br />CLASS OF WORK <br />ANEW []ADDITION ❑ALTERATION ❑REPAIR <br />Z <br />F' <br />2 <br />VALUATION OF WORK <br />§ <br />❑DEMOLISH OFFENCE ❑SIGN ❑SWIMMING POOL <br />D: <br />1 <br />DESCRIBE WORK 36 IV <br />1907 <br />PROPOSED USE <br />MECHANICAL <br />TYPEOFFLUEL ❑OIL ONAT. ❑LPG. ELEC. <br />GAS <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />f 1 <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />_ <br />I <br />OAS FIRED A.C. UNITS -TONNAGE EA. <br />_ <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />I <br />JOB ADDRESS �9�I 2 99ut n q FD <br />iTi� {NYi �fo �1 <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />1 <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />AIR HANDLING UNIT- C.F.M. <br />— <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET ITOILET) <br />§ <br />INCINERATOR <br />1 <br />BATHTUB <br />T- <br />LAVATORY (WASH BASIN) <br />I _ <br />SHOWER <br />KITCHEN SINK G DISP. <br />SUBTOTAL f <br />I <br />DISHWASHER <br />PERMIT $ <br />LAUNDRYTRAV <br />TOTAL FEE $1 <br />wiw <br />CLOTHES WASHER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <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 />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <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 />�y <br />u Cho* <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-RAINLEADERS <br />SINK (SERVICE -BAR ETC.) <br />SUBTOTAL <br />PERMIT <br />f <br />TOTAL FEE <br />f <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YAROSETRACK <br />STREETSETBACK <br />REARYAROSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANTSITE <br />❑YES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY G OUP <br />UNITS DWELLING <br />I <br />L— <br />BUILDING <br />E <br />I <br />SIZE OF EILDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />1 <br />Tint ZONE <br />BAS N <br />I S RINK RS <br />REQUIRED <br />OYES ONO <br />_. <br />MECHANICAL <br />41� <br />SPECIAL CONDITIONS: <br />OTHER <br />PENELTY <br />SEC. 3071A1 <br />TOTAL ----- <br />7 <br />- — <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED TIN THIS SPACE) THIS IS YOUR PERMIT <br />A <br />n PPUCAI MN ACCVTTO RY <br />P LANS CIIFCXFO NV APVNOVFOFO <br />ISSIIAN°F NY <br />