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� the Ever9reen , <br /> CITY OF CONSTR UCTION everett � <br /> everett PERMIT <br /> ❑tTNFIL I*9Ei,CS <br /> EVEP[II.t5a9UN61nN <br /> 99IDI <br /> °`°' °`�°'"°""" gUILDING MECHANICAL PLUMBING <br /> oEVElavuEni <br /> OWNER MAILADDRESS 21P FMONE <br /> Cookbook ItuatesranC 1216 3roxiway 1117-77 <br /> ARCHITECT OR DESIGNEfl MAIL ADDRE55 PHGNE LICENSE NO. <br /> GENERALCONTRACTOR MAILAD�FE55 PMONF: LICENSENO. <br /> MECHANICAL CONTRACTOF MAIL ADDRE55 PNONE LIGENSE NO. <br /> xaaurn! Gas �rtuiimmant � <br /> PLUMOING CONTRACTOR MAIL AODRE55 PHONE LICENSE NO. � <br /> W <br /> lll <br /> PERMIT CLASS OF WORK � <br /> Z <br /> ❑CUILDING ❑PLUM6ING �MECHANICAL I"' <br /> ❑NEW ❑A�OITION ❑ALTERATION ❑REPAtq � <br /> VALUATION OF WORK � fL <br /> S ❑OEMOLISN ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> DESCPIBE WORK. ^A w O <br /> .V V <br /> PHOPOSED USE <br /> MECHANICAL <br /> IEGAL�ESCRIPTION OF PROPERTV(SHOW BELOW OR ATTACN TVPE OF FUEL �OIL ❑GAS ❑LPG. �ELEC. <br /> FOUq COPIESI <br /> Lo7 oLOCK_oF NO. TVPEOFEDUIPMENT FEE � <br /> AIR CON�. UNITS-H.P. EA. $ I <br /> REFRIGERATION UNITS-H.P. EA. <br /> UOILERS-H.P. EA. I <br /> GAS FIRED A.C.UNITS-TONNAGE EA. <br /> FOIiCEOl�IR SVSTEMS-D.T.U. M EA. I <br /> JOB ADDRESS WALL HEATERS-B.T.V. M <br /> - 121fi fliOti3tiay UNITNEAf@�5-B.T.U. M t <br /> EVAPORAiIVECOOLERS <br /> PLUMBING c�orHEs onvEias i <br /> VENTILATION FAN <br /> RFNGENO00 I <br /> NO. TYPE OF FIXTUHE OR I7EM FEE A�q ~nN�LING VNIT- C.F.M. <br /> WATERCLOSETITOIIEII g 1 CWE O� I , <br /> BATIiTUO � <br /> �AVATORV(WASHBASIN) � <br /> � 9H0ANER , <br /> h:ITCMEN SINK ft DISP. SUA TOTAL $ � <br /> UISHWASHER PERMIT 5 <br /> LIUNDRVTRAY TOTALFEE 5 I <br /> �CIOTHES WASHER THIS PERMIT OBCOhIES NUIL AND VOID IF WOflK OR GONSTRUC- <br /> WATEIi 11EAT[R TION AUTHORI2ED IS NOT COMMENCED WITIiIN 120 DAVS, OR IF <br /> URINn� CONSTRUCTION OR WORK IS SUSPENDED OR A�ANDONEU FOR A <br /> URINKINC FOUNTAW PERIOD Of- 12U DAYS AT ANY TIM[ AFTER WOFiK IS COMMENCEO. <br /> FLOOR-,^.INK OR �RAIN I IIEREOV CERTIFY THAT I HAVE READ 11ND L%AMINED THIS AP- <br /> VACUUM OiiEAKERS PLICATION AND KNOW Tf1E SAM[TO UE l RUE l�ND COHFECT. I�LL <br /> PNOVISIONS OF LAWS ANO OfibINANCES GOVERNING THIS TYPE <br /> ROOF OHAINS-RAWLEADERS OF WORK WILL DE COMPLIEO \VITH bYHETM[!i SPECIFIEO HEREIN � <br /> SINK (SERVICE-UAR, ETC.) OR NOT, THE GRANTING OF !� PEflMIT DOES NOT PRL>UM[ TO <br /> GNE A�THORITV TO VIOIAT@ OR CANGEL TIIE PROVISIONS OP <br /> — ANV OTHER STATE OR LOCAL LAW REGULATING CONST�UCTION <br /> _ OR THE PEHFORMANCE OF CONSTFVCTION. . <br /> SUBTOTAL <br /> PERMIT S <br /> iOTALFEE $ y +� 1 <br /> x /,l.F/7� <br /> SIGNATUflEOFCONTRACTORORAUTN.l�GENT DATE <br /> 510[ YAiiD5ET0ACK STREETSETOACK REARVAROSETOAC FLANCHECKNUMBER PLNNCHECKFEE I <br /> ' FEE flECEIPT NO. � <br /> USE ZONG LOT AFEA VACANT SITE , <br /> ❑vES ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCGUPANCY GROUP uN+Os DWELUNG � � <br /> SIZEOF �L�G. NO.OFSTOFIES MA%.00C. LOAO BUILDING S � <br /> I <br /> PWMBING � I <br /> FIfiEZONE BASEMENT FIRESP(i�NKLEflS <br /> RC(O]VE ED ❑NO MECHANICAL �I �ry"� � <br /> SPELIAL CONDITIONS: OTHER � <br /> I <br /> PENELTY SEC.3031e) � ', <br /> TOTAL � �� <br /> PERMIT VALI�ATION <br /> WHEN PROPERLY VALIDATED UN THIS SPACE)THIS IS VOUR PERA�IT I <br /> APCLIC�TIO4ACC[PTE08V' PLRHSCNEIXC��V�. /FPPOVCOFORISSUN�LEfiY�. <br /> r..1.. <br /> 0 <br />