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M <br />ON? Evergmen <br />cITY of <br />everett <br />CITY HALL 259.8745 <br />EVERETT. WA 98201 <br />CONSTRUCTION everett <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING ,e) <br />OWNER <br />MAIL ADDRESS <br />ZIP PHONE <br />Benton McCarthy <br />'D <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />PHONE <br />m <br />LICENSE NO, <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />PHONE LICENSE MO. <br />Heath North West <br />z <br />MECHANICAL CONTRACTOR <br />MAIL ADO RESS <br />PHONE <br />C <br />LICENSE NO. <br />ED <br />PLUMBING CONTRACTOR <br />MAIL ADO RESS <br />PHONE <br />.�, <br />m <br />LICENSE NO. <br />PERMIT <br />CLASS OF WORK <br />❑��COMBINATION <br />❑ KUILDING ❑ PLUMBING ❑ MECHANICAL <br />❑NEW <br />❑ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />$ 2,000.00 <br />❑DEMOLISH <br />{�,, <br />❑FENCE OPIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />erect illuminated sign <br />PROPOSED 113E <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR AT <br />TYPE OF ENERGY <br />FOUR COPIES) <br />❑GAS ❑ELEC. <br />LUT BLOCK —OF <br />NO. TYPE OF EQUIPMENT FEE <br />AIR COND. UNITS-H.P. EA. S <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA, <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />JOB ADDRESS <br />1 <br />9610 Evergreen Way <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. <br />PLUMBING <br />EVAPORATIVE COOLERS <br />—�— <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />T <br />RANGE HOOD <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />g <br />I <br />CLOTHES WASHER <br />1 <br />DISH WASHERS <br />1 <br />WATER HEATER <br />DRINKING FOUNTAINS <br />I <br />FAC. BUILT FIREPLACE &CHIMNEY <br />I <br />FLOOR DRAINS <br />1 <br />GAS. SYSTEM: NO OP OUTLETS <br />KITCHEN SINKS & DISP. <br />I <br />SUBTOTAL S <br />I <br />BAR SINKS <br />I <br />PERMIT S <br />ROOF DRAINS -RAIN LEADERS <br />SHOWER BATHS <br />1 <br />TOTAL FEE 5 <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />TION <br />SERVICE SINKS <br />AUTHORIZED IS NOT COMMENCED VVITI4IN 120 DAYS, OR IF <br />SUMPS - SEWAGE PUMP <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 FHAT 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 SPATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />^ <br />v, <br />URINALS <br />I <br />WATER CLOSETS <br />I <br />WATER HEATERS - ELECTRIC <br />1 <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />-1 <br />I <br />—. <br />I <br />SUB TOTAL <br />PERMIT S <br />TOTAL FEE <br />WATER SERVICE SIZE BLDG. <br />SUPPLY SIZE <br />SIGH/NATO RE OF CUNT RACT,WR <br />AUTH. AGENT DATE <br />SIDE YARD SETBACK STREET SETBACK <br />REAP. YARDSETBACK <br />PLAN CIRECK FEE <br />— <br />7PLAN7CHIECKMBER <br />] FEE RECEIPT NO. <br />USEZONE <br />LOT AREAVACANT <br />SITE <br />❑YES ❑NO <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />I <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MA%, OCC. LOAD <br />BUILDING <br />s <br />I <br />2,000.00 <br />PLUMBING <br />I <br />FIRE ZONE <br />BASEMENT <br />FIRE SPgINK LERS <br />REQUIRED <br />MECHANICAL <br />I <br />I <br />❑YES ❑NO <br />SPECIAL CONDITIONS: <br />OTHER <br />PENALTY <br />SEC. 303 (a) <br />I <br />--- <br />TOTAL <br />9 1 00 <br />PERMIT VALIDATION =- - <br />WHENPROPERLYVALIDATED (INf&jjtACE)f08'!f 4PCRMIY, <br />� <br />TNANK lldl)� <br />APPLI CATION ACCEPTED Irv: <br />PLANSCIIECKEORY: <br />APPROVED FOR SSOANU RY. <br />K.C. <br />L.C.eD <br />I <br />ADDRESS FILE <br />2 "O APRJ3 <br />