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I� 7he Evergiann � - - i <br /> =�i� oF CONSTRUCTION everett <br /> everett PERMIT , <br /> UtY1141f T.➢BCP.S <br /> f1'EFIIi.W4iXiNCfOY <br /> 98101 <br /> °`'° °` `°""°""` BUILDING MECHANICAL PLUMBING <br /> OFP[iOPM[Ni <br /> OWNEcRq MAIL ADDliESS ZIP PHONE <br /> A CH TEC U�IC�NER MAi�AO�PESS PHONE LiCENSE NO. ��r� <br /> GENERALCONTRACTOR MAILADDRE55 PHONE LICENSENO. <br /> ACq9 CtttMLp. c�j2�r.� <br /> MECMANICAL CONTRACTOR MAIL ADDRE55 PMONE LICENSE NO. <br /> PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. � <br /> W <br /> m <br /> P�R'��T CLA55OF WORK � <br /> � <br /> �UILDING �FLUMBING �MECHANICAL z <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑RCPAIR ~ <br /> VAWATION OF WJRK � <br /> S �{� ❑DEMOLISII ❑FENCE ❑SIGN ❑SWIMMING POOL W ' <br /> DE$CFIBE WOi1K <br /> a <br /> =L�-��• 2245 � <br /> PFOPOSEO USE <br /> MECHANICAL <br /> TYPGOPFUL� �OiL QNAL �LPG. �ELEC. <br /> LEGAL OfSCRIPTION OF PROPERTV ISHOW OELOW OR ATTACH GAS <br /> fOUR OPIE51 <br /> Lor� BLOCK�oF � �.'�iC Atl NO. T\'PE OF EDUIPMEN7 FEE <br /> AIR COND. UNITS-H.R EA. S I <br /> REFqIGEP4TION UNITS-H.P. EA. �— <br /> 60LLER5-H.P. EA � <br /> GAS FIRGD A.C. UNITS-TONNAGE EA. <br /> 1'OAC[D 41R SYSTEMS-B.T.U. M EA. � <br /> JOD ADOR[55 — <br /> ��^ � WAIL MEATERS-�.T.U. M <br /> ML �' UNITliEATERS-l1.T.U. M I <br /> PLUMBING EVAPORAtIVECOOLERS <br /> CLOTMESDRVERS � <br /> �ENTII.ATION FAN <br /> HANGEHOOO � <br /> NO. TVPE OF FIXTURE OR ITEM FEE AIA IiANOLING UNIT- C.F.M. <br /> WATERCLOS[TITOIL[TI y INGNFRATOR � <br /> �ATHTV� <br /> _ LAVATORY IWASN BASIN) _ - � <br /> SHOWEfi <br /> KITCH[NSINK R OISP. SUp TOTAL $ � <br /> UISHWASHFli - <br /> LAVNORV TFnV <br /> PEqMIT $ <br /> CLOTHESWnSHEa TOTAIFEE 5 � <br /> WATER HEATER THIS PERMIT DECOMES KVLL AND VOIO IF WONK OR CONSTRUG <br /> TION AUTNORIZ@D IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br />� URINN� CONSTRUCTION OR WORK IS SUSPENDEO OR ApANDONED FOR A <br /> Dfi1NKING FOUNTAIN FER100 OF 120 DAVS AT ANV 71ME APTER WORK IS CDMMENCEU. <br /> �LOOR-SIIJK OR DFAIN I H[RE[3V CERTIFV TNAT 1 HAVE READ AND EXqh11NF_D THIS AP� <br /> _ VACUUM FififAKEflS PLICATION ANO KNOW THE SAidE TO BE TRUE AND COPRECT. ALL <br /> ROO� DRAINS-FAINIEADERS —"�— PROVISIONS OF LAWS ANO ORDINANC[5 GOVERNING TNIS TVPE <br /> — — OF WOfiK WILL 0E COMPLIE� WITH WNETHER SPEGFIEf] HEREIN <br /> SINK ISERVICE-9AR, ETC.1 O(1 NOT, TfiE GRANtIKG OF !� PERMIT OOE$ NnT Pq[SUME TO � <br /> — GIVE AUt'IiORITV TO VIOLATE OF CnNCEL TH[ PROVISIONS OF <br /> ANV OTHER STATE OR LOCAL LAW REGU�qTING CONSTRUCTION <br /> OR T41E PERFORM4NCE OF CONSTRUCTIOIJ. <br /> SUOTOTAL <br /> PERMIT $ <br /> _ TnTAL F[E $ � �--i �/ / ��� <br /> /I'i//_ <br /> x � �� GC�t2SL/�� <br /> SI ATV OFCONTRACTORORAUTM.qGENT DATG <br /> SIDE VAPD SETBACK STREET 5[TCIACK REAR VqRDS[TOAC PLAN CHECK NUM9[q PLAN CNECK FEE <br /> FF.E qECEIPT Na. <br /> VSE20NE LOTAREA VACANTSITE <br /> ❑�E' VNo FEES VALUATION FEE <br /> TVPE OF CONi�T. OCGUPANCY�ROUV NO.OF OWELLING <br /> UIJITS � <br /> 512E OF BL�G. NO.Oi STORIES MAX. OCG. LOAD DUIlDINO $ -• � <br /> I <br /> PLUM�ING I <br /> FIqE20NE BASEMENT FIRESPRINKLERS <br /> RE�UIREU <br /> ❑YES ❑NO MECHANICAL � <br /> SPBCIAL CONOITIONS: pTHEq ; <br /> PENELTV SEQ3071a) I <br /> TOTAL ��� <br /> PERMIT VALIDATION <br /> WHEN PROP[RLY VALIDAI'EO IIN THIS SPACEI TMIS IS VOUR PER/dIT <br /> n�plifnl�uHnccll9�nm' fl.�li;tn[cx[I�Ov�. nPOPOVIJ�uq�f:,U,AM1C[bY <br /> _�1 <br /> � <br />