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the Evergreen <br />CITY OF CONSTRUCTION everett <br />everett PERMIT <br />1 1A 9a,1'J AAl1 <br />f VF RliI hRSRiRLI04 <br />AANI <br />IIFRi OfC(IYMURpY BUILDING MECHANICAL PLUMBING <br />O'VEAOAYINI <br />�e� <br />NER MAIL ADDRESS ZIP PHONE <br />NEd <br />L <br />PLUMBING CONTRACTOR MAIL ADDRESS <br />PHOIIE LICENSE NO. <br />cr <br />W <br />m <br />PERMIT <br />CLASS OF WORK <br />� <br />z <br />BUILDING ❑PLUMFING ❑MECHANICAL <br />11NEW <br />❑ADDITION ❑ALTERATION ❑REPAIR <br />F- <br />L <br />VALUATION OF WORK <br />❑DEMOLISH <br />❑FENCE ❑SIGN ❑SWIMMONO POOL <br />cc <br />LU <br />S <br />DE ampit WO6 cow _- <br />-- <br />440 <br />PROPOSED USE <br />MECHANICAL <br />T�PL OF FUEL QOIL NAT. ❑LPG. <br />GAS <br />ELEC. <br />1-EGAL OESCRIPIlON OF PIAOPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />I.O7 BLCCK_OF <br />NO. <br />TYPE OF EOUIPMENT <br />------ <br />FEE <br />AIR CONO. UNITS-H.P. EA. <br />S <br />_ <br />REFRIGERATION UNITS-H.P. EA. <br />_ <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 />JOB ADDRESS <br />1.1117iF5 <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 />_-I <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />1 <br />WATER CLOSET TOILET) <br />S <br />BATHTUB <br />_ <br />LAVA70RY (WASH BASIN) <br />SHOWER <br />I <br />KITCHEN SINK A O16P. <br />SUBTOTAL <br />I <br />DISHWASHER _ <br />PERMIT S <br />LAUNDRY TRAY <br />TOTAL FEE S <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 1 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 CONSTAIUCTION. <br />x <br />—__ <br />WATER HEATER <br />_ <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR URAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-RAINLEADE RS <br />SINK (SERVICE -BAR ETC.) <br />SUBTOTAL <br />_ <br />PERMIT S <br />TOTAL FEE $ <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDEYARDSETBACK <br />STREETSETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />I VALUATION 11 <br />FEE <br />SIZE OF BLDG. NO. OF STORIES MAX. OCC. LOAD BUILDING S illlllrqv� >Iw <br />PLUMBING ) <br />FIRE ZON.. BASEMENT RrOU1RED KL <br />❑YES ONO MECHANICAL I <br />SPECIAL CONDITIONS: OTHER <br />_ _ 1 <br />-- PENELTY SEC. 3001H I <br />TOTAL j <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERM(( <br />xcfr <br />