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the Ever9reen <br /> CITYOF CONSTRUCTION ever�tt <br /> everett PERMIT w <br /> CIiY HFtL 259NBt5 � <br /> EV EflLii.1445111NG�04 <br /> 9010� <br /> °`"' °oE�E�'�;M�„, BUILDING MECHANICAL PLUMBING <br /> OWNFR MAILAODRESS ZIP PHONE <br /> -_ 'r., _.__i` fj31I�'�l <br /> ARCHITECT ORLDESIGNEF 4 M411. AnDRESS ?HONE LICf:NS[ NO. <br /> GENERALCONTRACTOR MAILAOORESS PHONE LICENSENO. <br /> .i��� <br /> MECHANICALCONTRACTOR MAILADDRE55 PHONE LICENSENO. <br /> PIUMBING CONTRI�CTOR MAIL ADDRESS PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASS OF WOftK � <br /> � <br /> '^ G <br /> .uBUILDING �PWMBING ��AECHANICAL F <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑'i[PAIR � <br /> VALUATION�O�FyWy�OR�K �y � <br /> S .TMi�t+V ❑OEMOLISIi ❑FENCE LJ+ SIGN ❑$WIMMING POOL a <br /> DESCRIBE WORK <br /> r,�� =:a;� �-, �-��=�� 24�9 <br /> PROPOSED USE <br /> MECHANICAL � <br /> LEGAL DESCRIPTION OF PROPEFlTV (SHOW 6ELOW OR ATTACH TYPE OF FUEL �OIL ❑GnS. ❑LPG. nELEC. <br /> FOUR COPIES) <br /> �oT n�OCK_oF— NU. TVPEOFEQUIPMENT Ff:E <br /> AIF COND. UNITS-H.P. EA. 5 I <br /> REFRIGEFiATION UNITS-H.P. EA. —1 <br /> BOILEliS-H.P. EA. I <br /> GAS FIREDl�.C. VNITS-TONNAGE EA. <br /> FORCED AIR SYSTLMS-6.T.U. M EA I <br /> JOB ADDRE55 ��y.y�p WALL HEATERS-B.T.U. M <br /> ii.I�lµJ .���W� �1'�v�I; �':33� UNITHEATERS-p.T.U. M I <br /> EVAPORATIVECOOLERS <br /> .i PLUMBING CLOTHESDRVF.tiS I <br /> VENTILA710N FAN <br /> I (iANC[ HOOD I <br /> I NO. TVPE OF FIXTURE OR ITEM FEE ���N HANDLING UNIT- 0.F.M. <br /> ' WATEflCLOSETITOILET) 5 —� INGNERATOR � <br /> j BATHTVB � <br /> IAVATORYIWASHBASIN) j <br /> SHOWEF __�i <br /> KITCHEN SINK& DISP. SUB TOTAL 5 � <br /> DISHWASHER PERMIT 'a <br /> LAUNDRY TRAY <br /> CLOTHES WASHER TOTAL FEE 5 � <br /> WAT[R HEATEfl THIS PERMIT �ECOMES NVLL AND VOIO IF WOflK OR CONSTFUC� <br /> TION AUTMORIZED IS NOT COMMENCcD 4NITHID: 120 CAYS, OF IF <br /> URINAL � CONSTqUCTIOfJ OR WORK IS SUSPENDED OR A6ANDOiVED FOR A <br /> ORINKING FOUN'fAIN PERIOD OF 120 DAVS AT ANV TIME AFTER WORK IS COMMENCED. <br /> FLOOfl-SINK OP ORAIN ' I HEREBY CERTIFY THAT I HAVE REA� AN� EXAMINED THIS AP� <br /> VACUUM BRGAKERS PI.�CATION AND KNONJ THE SAME TO DE TRVE AND CORRECT. ALL <br /> ROOF DRAINS-RAINIEADERS PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE <br /> Of- WORK 1YILL BE COMPLIED WITH WHETHER SPECIFIEU IiERE�N <br /> SINK ISERVi�'E-BAq, ETC.) Oft NOT, TNE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHUHIIV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTHER STATE OR LOCAL LAW REGULATING CONSTfiUCTION <br /> OR THE PERFORMF?10E OF CONSTRUCTION. <br /> SUB TOTAL <br /> PC-RMIT <br /> TOTALFEE 5 <br /> x r� <br /> SIGNATUREOFCONTqACTORORAUTH.AG[NT O4TE <br /> SIOF YARD SETBACK STREET SETBACK REAR Yl1RDSETBAC PLAN CHECK NUMBER PLAN CHEGK FEE <br /> FEE RECEIPT NO. <br /> USE 20NE LOT AREq VACANT SITE <br /> [fVEs ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING <br /> UNITS I <br /> _� <br /> SIZE OF �LDG. NO.OF STOFIES MA%.00C. LOAD BUILDING 5 ��� �� �' <br /> PLUMBING � <br /> FIflEZONE BASEMENT FIRESPRINKLERS I <br /> REQUIR[D I <br /> ❑VES ❑NO ��ECHAtJICAL � <br /> SPECIAL CON�ITIONS OTHER ' � <br /> I <br /> PENELTV SEC. 3031a1 I <br /> TOTAL �ijr� <br /> PERMIT VALIDATION <br /> WHEN PROPEftLY VALIDATED (IN THIS SPACEI THIS IS VOUR PERMIT <br /> nPPUCAT1ONaCf.EPT[OQY: PLANSCNECK[DdY�. APPqOV[�FOqISSU�NCC�V. <br /> ( � t• <br /> .� <br /> �4'w'6�.. <br />