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. <br /> � fhe fvergrcen I � <br /> � CONSTRUCTION everett <br /> ��,��F <br /> everett PERMiT � <br /> � <br /> c9v r�etl .^'AtcYs � <br /> IvlPEit :!M'MIFSIOY <br /> IGC)fil <br /> °`°' °o;��;o;M�;;; BUILDING MECHANICAL PLUMBING <br /> ��'�'NEA MAIL ADORE55 Zlv PHONE � <br /> L'nitsd yctyr�:ist ;:i�ura� 3530 �ol!;� 71 ;-77 <br /> ARCNITECT OH DESIGNER MI�IL ADDRESS PHONE LICENSE NO. I <br /> GENERAL CONTRACTOR MAIL ADDRE55 PHONE LICENSE NO. � <br /> yoLro;.o2ltan Const. 1G�8 Brosdvay 259-5191 ' <br /> MECNANICAL CONTRACTOR MAI�ADDRE55 PHONE LICENSE NO. I <br /> PLVMqINGCONTRACTOR MAIIADDRESS PHONE I.ICEN5EN0. � <br /> W <br /> QJ <br /> VERMIT CLA55 OF WOqK � <br /> � <br /> z <br /> ❑BUILDING ❑PIUMBING �MECHANICAL ,Y, r <br /> ❑NEW ❑ADDITION ❑ALTERATION []PCPAIH � <br /> VALUATION nOF sW�ORK <br /> I5 1/yOY�OO ❑DEYIOLISH ❑FENCE ❑SIGN ❑$WIMMING POOL � I <br /> DESCFIB[WORK <br /> rnnow nn� replacc atairwaXg 2 7 5 9 <br /> PROPOSEO VSE MECNANICAI <br /> LEGALOFSCRIPTIONOFPROPERTYISHOWBELDWORATTACH TYPF. pFI'UEL �OiL ❑GAS ❑LPG. �ELEC. <br /> FOUR OPIEJ5 1d <br /> LOT ���"�LOCK 5 OF �i�ip�E �'6L MLI NO. TVPE OF EOUIPMENT fEE <br /> AIRCONO. VNITS-H.P. EA. $ I <br /> REFRIGEHATION UNITS-M.P. EA. <br /> BOILEHS-H.R EA. � <br /> GAS FIFED A.C.VNI?$-TONNAGE EA. <br /> FORCED AIR SVSTEMS-B.T.U. M EA. 1 <br /> JOH ApOfiESS WA�_L HEATERS-B.t.U. M <br /> 2�� � L'C���'2 VNITHEMEPS-�.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING CIOTNES DfiVERS i <br /> VENTILATION FAN <br /> RANGEHOOD I <br /> ND. TYPEOFFIXTUREORITEM FEE AIRNANDLINGUNIT- C.F.M. <br /> WATER CLOSET ITOI�ET) ` �NC�fJERfiTOR � <br /> �ATHTVB <br /> LAVATOflVIWA5HBA51N) I <br /> SHpW[fi <br /> KITCHENSINK b DISP. SUB TOTAL S � <br /> OISHWASHER PERMIT 4 <br /> LAL NORY TFAV <br /> --- TOTAL FEE 5 � <br /> CLOTHFS WASHEH TNIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTPUG <br /> WATCfi HEATER TION AUTHORIZED IS NOT LOMMENGE�WITHIN /20 DAVS, OR If- <br /> URINAL CONSiAUCtiON OR WONK IS SUSPENDED OP A6AIJDONED FOH A <br /> DfiINKING FOVNTNN PERIO� OF 1^0 DAVS AT ANV TIME AFTER WOFY. IS COMMENCED. <br /> FLDOR-SINK Ofi DRAIN � ��EREBY CERTIFY THAT I HAVE REA� PNO EXAMIHED THIS /+.P� <br /> VACVVM CREAK[RS PUCAI ION AND KNOW TNE SAME TO BE TqUE ANO CORRECT. ALl <br /> RODF pqAINS-RhINIEADEAS �ROVISIONS OF LAWS AN� OR�INANCES GOVEHNIla6 TNIS TYPE <br /> _ OF WORK WIIL 6E COMPLIEO WITH WHETHEO SPECIFIED HERE'N <br /> SINK (SEHVICE-FAR,ETG) Ofl NOT. T�iE GRANTING OF A PERMIi bOES NOT PNESUME TO <br /> GIVE AUTHOFITv TO VIOLATE Oq CANCEL THE PROVISIDNS OF <br /> AN'v OTHER STATE OA LOCAL LAW REGUTATING CONSTRt/CTION <br /> Oq TI1E PERfORMANCE Of CONSTqUGTION. <br /> SUBTOTAL <br /> PERMIT i <br /> TOTAL FEE a fi�22/77 <br /> x <br /> SIGNA7UREOfCONTFACTORORAUTH.AGENT UATE <br /> SIDEYARDSETBACK STREETSETOACK REARVAFDSETBACKPLANLHECY. NUM9Efi FLANCHF.CKFEE <br /> FEE RECEIPT NO. <br /> USE ZONL LOT AREA VACANT SITE <br /> ❑vE5 ❑No FEES VALUATtON FEE <br /> SVPE OF CONST. OCCUPANCV GFOUP NO.OF DWELLING <br /> UNIT6 1 <br /> SIZE OF ALDG. NO.JF STOPIES MA%.00C. IOAD BUILDING S � � � <br /> I <br /> VWMBING � <br /> FIRE ZONE BASEMENT FIPESPqINKLEF5 <br /> HEOUIRED <br /> � ❑YES ❑NO MECHANICAL � <br /> SPECIAI CONDITIONS: OTH[R � <br /> PENELTV SEC.3031e1 I <br /> TOTAL � <br /> I <br /> PENMIT VALIUATION <br /> WHEN PROPEALV VALIDATED(IN Tf1155PAGE)THI515 VOUR PERMIT <br /> nvPlRnlIONACCFFiE�BY: FLqNSCNECkEOBY: /NHOVCOf0AL5VANCEBV. <br /> T�.(�. r.,.., <br /> 3 <br />