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the Evergreen <br />CITY OF <br />everett <br />CITY HAtt Ess Eus <br />EVENETT, MAEHINGTUN <br />unt <br />GEFI or coMNuNIEY BUILDING <br />G(VELOFMENt <br />CONSTRUCTION <br />PERMIT <br />MLCIIANICAL <br />eNvereti <br />PLUMBING <br />OWNER ' MAIL <br />AE7DDORESS (� ZIP PHONE <br />55-301L- <br />ARCHITECT OR DESIGNER MAIL ADDRESS T )J PHONE LICENSE NO. <br />GENERAL CONTRACIOR MAIL ADDRESS PHONE LICENSE NO. <br />23"aw <br />MECHANICA_ CONTRACTOR MAIL ADDRESS PHONE. LICENSE NO. <br />oc <br />PLUMBING CONTRACTOR MAIL AnORFSS PHONE LICENSE NO. <br />W <br />m <br />PERMIT <br />r <br />p BUILCI7:0 ❑ PLUMBING MECHANICAL <br />CLASS OF WORK <br />SINEW []ADDITION ❑ALTERATION ❑REPAIR <br />Z <br />F <br />VALUATION OF WORK <br />[I DEMOLISH ❑FENCE []SIGN []SWIMMING POOL <br />f AIMP <br />DESCRIBE WORK <br />P1 <br />Cr <br />W <br />a <br />1642 <br />v ((�. <br />PROPOSED USE <br />MECHANICAL <br />YP OF FUEL ❑OIL ❑SAS. ❑LPG. Ll ELEC. <br />LEGAL DESCRIPTION OF PROPERTY SHOW BELOW OR ATTAC14 <br />FOUR COPtESI <br />LOT BLOCK _OF <br />NO. <br />TYPEOF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />S 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-S.T.U. M EA. <br />1 <br />JOB ADDRESS <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />I <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYFRS <br />I <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />AIR HANDLING UNIT- C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />) <br />WATER CLOSET (TOILET) <br />BATHTUB <br />S <br />LAVATORY(WASH BASIN) <br />SHOWER <br />T <br />KITCHEN SINK A DISP. <br />SUB TOTAL S <br />I _ <br />DI811WABIIER <br />PERMIT $ <br />LAUNDRY TRAY <br />TOTAL FEE II <br />_ <br />1 <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 />PLTCATION 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 />_ <br />u 1<� <br />WATER NEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-RAINLEADERS <br />SINK (SERVICE -BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />f <br />TOTAL FEE <br />f <br />SIGNATURE OF CONTRACTOROR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />SETBACK <br />REAR YARDSETBAC <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />A <br />FNO <br />VACANT SITE <br />OYES ONO <br />FFES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />NCY GROUP <br />WO—OFDWELLING <br />BUILDING <br />S <br />slop <br />SIZE OF SLDG. <br />TIArTONE <br />TORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />I <br />T <br />SAS- NT <br />TI REQUIRED KL RS <br />❑YES []NO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS <br />OTHER <br />I <br />PENELTY <br />SEC. 003 (N) <br />I <br />TOTAL <br />dd <br />7 100 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PE HMI I <br />AWLICAIIONACCEETEDRY <br />RLANSCHECKEDRY <br />AMR0VfI)I0 I°UAKERY <br />Fws1f <br />