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flre Evr!rgreen � - <br /> =�TYo� CONSTRUCTION everett <br /> everett PERMIT <br /> cnr ruu vsveee5 <br /> tvtntn w>sHinr,�nv <br /> 981111 <br /> °`°, „�`°"�;;;,� BUILDING MECHANICAL PLUMBING <br /> OWNER � MAIL AOONE55 ZIP f'I/JNE <br /> �� S�t 1L�'?9(T. fl',YA. �6 <br /> ARCNITECT OR OESIGNEq MAIL AODRESS VMOAE LICENSE NO. <br /> GENENAL CUNTRACTOR MAIL ADDRESS PMONE LIGENSE NO. <br /> MECHANICAL CONTRACTOR IAAIL AODRE55 PHONE LICENSE NO. <br /> PLUM0ING CONTRACTOR MNL ADDRE55 PHONE LICENSE NO. � <br /> � �� m <br /> PERMIT CLASS OF WORIi � <br /> � <br /> ❑UUILDING r]PLUMBING �MECNANICAL Z <br /> �EW ❑ADDITION ❑ALTEPATION ❑REPAIR ~ <br /> VALUATION OF WORK <br /> � <br /> s []DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL W <br /> DESCRIBE WOAK a <br /> zss <br /> PROPOSEU USE <br /> MECHANICAL <br /> TVPEOFfU[L QpIL �NAT. QLPG. �ELEC. <br /> FOUR COPSESI�PTION OF PROPERTV ISHOW DELOW Oq ATTACH [a4S <br /> �oi BLOCK—OF NU. TVPE OF EOUIPMENT FEE <br /> AIR COND. UNITS-H.P, EA. S I <br /> fiEFRIGERATInN UNITS�-M.P. FA. r <br /> _ � <br /> — — OOII.ERS -H.P. EA. � <br /> G4,FIRED F.C. UNITS -TONNAGE EA. <br /> ______ FORCEDAIRSYSTEMS-B.LU. MEA. � <br /> JOB AODRE55 ry� l•� WnLL MEMEP&-O.T.LL M <br /> �M �1NCr,". .� �r�ii� T— <br /> UNIT MEATERS-B.T.U. M 1 <br /> EVAPORA7IVECOOLERS <br /> PLUMBING CLOTHES OFVEPS � <br /> VENTILATIDN FAN <br /> RANGEHOOD � <br /> TVPE OF FIXTURE OR ITEM F E A�R HANOLING UNIT- C.F.M. <br /> WATERCLOSETITOILETI _ j INCINERATOR _ � <br /> BATHTUB <br /> LAVATOHV(WASH BASIN) � <br /> SHOWER — <br /> KITCHEN SINK M1 DISP. _ � SUB TOTAL S <br /> DISHWASHER - --- � <br /> LAUNDHV TRAV �-- __ PEHMIi § 1 <br /> � — TOTALFEE 5 � <br /> CLOTHES WASHEP THIS PEIiMIT OECOMES NVLL AND VO10 I OPK OR CONSTRUC- <br /> WATEF HEATER TION A�IiHORIZCD IS NOT COIdMENCED WITHIN 120 OAVS, OP IF <br /> VRINAL ---f- CONSTiIUCTION OF WOFK IS SUSPENOED OR ABANOONEO FOR A <br /> ORINKING FOUNTAIN � PERIOO OF 170 D�lVS !�T ANV 11ME AFTER WOFK ISCOMMENCED. <br /> F�OOR-SIAK OFl DHAIN 1 NEREHV CEHTIFV THAi I HAVE READ AND EN.i.MIf:ED THIS AP- <br /> VAGUUM IiREAKEFS PLICATION AND KNOW T11E SAME TO BE TRUc AND fpqRECT. ALL <br /> ROOF DPAINS-RAINLEA�ERS --� P�nV1510NE OF LAWS AND OfiDINnNCES GOV6RY.II:G iHIS TVPE <br /> OF tYONK WILL OE COMPLIEO WITM WMEtHER SPEGIFIEO MEREIN <br /> SINK ISERVICE� OAR, ETC.I �— OR NOT, TME Gf1ANTING OF A Y@qMIT UOES NOT PHESVME TO <br /> GIVE AUTHUPITV TO ��IOLATE OH G�NCEL iHl: PROVISIONS OF <br /> — ANV OTHER STME OR IOCAL LAW R[GULATINQ CONSTFVCTION <br /> Ofl THE PERFORMANCE OF CONSTRUCTION. <br /> SUB fOTAL <br /> PERMIT S <br /> TOTALFEE $ <br /> x Oe otiot !� <br /> SIGNATUREOFCONTRACTOROPAUTH.AGENi DATE <br /> SIOEVARDSETOACK SfHEET5ET0ACK FEARVAq�SET�AC PLANCHECKNUM�ER PLANCHECKFEE <br /> FEE FECEIPT NO. <br /> USEZONE LOTAREA VACANTSITE <br /> ❑rEs ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUY NO.OF UWELUNG <br /> UNITS � <br /> 512E OF BLOG. NO.Of STORIES MA%.00Q LOAO Ol/1LDIIJG S � <br /> 1 <br /> PLUMBING I/M <br /> FIREZONE 13ASEMENT FIRESPRINKL RS W <br /> FE(]UIFED <br /> ❑VES ❑NO MECHANICAL � <br /> SPECIAL CONDITIONS: OTHER � <br /> - I <br /> - -- PENlLIY SEC.70,1101 I <br /> � TOTAL *��� <br /> 17 <br /> PERMIT VALIDATION <br /> WHEN YROPE RLV VALIDATED IIN THIS SY4CE1 TMIS I$VOUR PEflM�T <br /> ♦YVLiUtI04PttfPTFUBY v�qrySG�[LRCORY. �PPNOVF050 ISSUaNCEev <br /> 2� C� <br /> 0 <br />