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Ills Evergreen <br />CITY OF <br />everett <br />CITY MALL AT OBS <br />FVF AIII <br />, WASHINGTON <br />NMI <br />OGI OF CONIAMITY BUILDING <br />OEVEt OMIENI <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />evereH <br />PLUMBING .e <br />OWNER MAIL ADDRESS ZIP PHONE <br />Sam" cam. MAIL <br />X <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERALLA ONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MECHANICAL CONTRACTOR MAIL ADDRL!. PHONE LICENSE NO. <br />am <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />w <br />rn <br />PERMIT <br />NBUILDING SPLUM13ING MMECHANICAL <br />CLASS OF WORK <br />�1 <br />SINEW ❑ .DOITION ❑ALTERATION ❑REPAIR <br />7 <br />Z <br />F- <br />VALUATION OF WORK <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMFEING POOL <br />w <br />DEFICRIBE WORKi <br />ct,mu ,.:M= ax?= amrraM <br />5 7 4 <br />PROPOSED USE <br />MECHANICAL <br />TYP OFF EL OOIL HAT. LPG. ELEC. <br />DAti <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR C(IIESI <br />LOT BLOCK —OF <br />I'� VIrYIAM I I�{+�B .Aw <br />F <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />f I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS--H.P.H.P. EA. <br />I <br />OAS FIRED A.C. UNITS-TONNAGEEA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />I <br />JOB ADDRESS B�BBI� <br />171W G B <br />WALL HEATERS--B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />I <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />HANDLING UNIT- C.F.M. <br />O. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />FAIR <br />INCINERATOR <br />I <br />WATER CLOSET(TOILETI <br />f <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 6015P. <br />SUBTOTAL f <br />1 _ <br />DISHWASHER <br />PERMIT f <br />LAUNDRY TRAY <br />TOTAL FEE f <br />1 <br />CLOTHES WASHER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />I TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />ICONSTRUCTION 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 1 HAVE FEAD 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 10 VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />x �n <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DPAINS-RAINLEADERS_ <br />SINK (SERVICE -BAR ETC.) <br />SUB TOTAL <br />PERMIT <br />f <br />TOTAL FEE <br />SIGNATURE OF CONTRACTOROR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACI <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />DWELLING <br />UNITS <br />I <br />BUILDING <br />f <br />I� <br />SIZE OF BLDG. <br />NO. OF STORIES <br />VAX. OCC. LOAD <br />PLUMBING <br />IR ON <br />BASEM T <br />LERS <br />RrOUIREDK <br />OYES ONO <br />MECHANICAL <br />IM <br />SPECIAL CONDITIONS: <br />OTHER <br />PENELTY <br />SEC. 303(.1 <br />1 <br />TOTAL <br />I <br />-- <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />0 <br />nwI0.MIONACCF7TEO BY <br />MANS CNF.ito <br />AAPPOV[U NI ABUANCE BY. <br />s. <br />