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\ <br /> thc Evcrgreci: ' <br /> ��TYo� CONSTRUCTION everett � <br /> everett PERMIT � <br /> f' .; IIALL 1518PP5 <br /> C1'1�II1 i.WASIIINGiJN <br /> 9Blnl � <br /> ���^� °;�°°;a�,�„ BUILDING MECHANICAL PLUMBING <br /> OWNER q /�MARADDFE55 21P VHONE \�� �ry <br /> ^1":l".' a'; Y'^^......af... F`.,G.i �.:5....i.�""„i..�l ""�.r7/ <br /> AFCMITECT Orl DESIGNER MAIL ADORESS PNONE LICENS[ NO. � <br /> GENERAL CONTRACTOR MAII ADDftE55 PHONE LICEIVSE NO. <br /> 1+i:.1::"'i?� ',yL��i��`.1 <br /> MECHA*N^�ICAL CON-T,�RrA�wCTOR MAIL ADDFE55 PHONE LICENSE NO <br /> �..;1= �r_S� ' W <br /> � � <br /> PLUMDINGCONTfiACTOR �dA1LADDRESS PHONE LICENSENO. W <br /> m <br /> � <br /> PERMIT CLA55 OP WORK � <br /> z <br /> ❑OUILDING �PLUM�ING �MECHANICAL ~ <br /> �NEW ❑ADDITION ❑ALTERATION ❑REPAIfl � <br /> VALUATION OF WORK � <br /> ❑OEMOLISH ❑FENCE ❑SIGN ❑SW�M1�MING POOL W <br /> s a <br /> DESCRIB[WORK � ' 1 Q�� <br /> :1�.�i+�^;'I+ '.��i�: . . ._ . �. �•r F� ._ � '��'�'t'�. j�J <br /> :� <br /> PliOPOSED USE MECHANICAL <br /> TVPEOFFUEL nOIL �Nn'. �LPG. �ELEC. <br /> LEGAL DESCRIPTION OF PROPEfiTY (SHOW BELOW OR nTTllCli <br /> FOUq COPIE51 <br /> NO. TVPE OF E�UIPMENT F�_ <br /> LOT 6LOCK_OF_ AIR COND.UNITS—II.P. EA. 3 [Si(Ti7 <br /> REFRIGERATION UryITS-H.P. EA. —�- <br /> � <br /> ❑DILERS-N.P. EA. � <br /> GAS FIRED A.C.UNITS-TONNAGE EA. r <br /> FORCED AIR SVSTEMS-B.T.U. M EA. I <br /> JOB AODRESS WALI HEAT[RS-B.T.U. M <br /> fiS� • � - '-���'� '�� UNIT HEATERS-�.T.V. M _ I <br /> EVAPORATIVECOOLEflS <br /> PLUMBING CLOTHES DPVERS � <br /> VENTILATION FAN V <br /> RANGEHOOD � <br /> NO. TYPE OF FIXTURE OR ITEM FEE _ QIR HANOLING UNIT- C.F.M. � <br /> WATER CLOSET (TOILET) 5 INCINERATOR � <br /> B/1THTUH + <br /> LAVATORYIWASHBASINI � <br /> SHOWER _��y� <br /> KITCHENSINK& DISP. i SUBTOTAL 5 j�� <br /> DISHWASHEF PERMIT 5 +. <br /> LAUNDPVTRAV TOTALFEE 5 I <br /> CLOTHES WASHER THIS PERMIT 6ECOh1ES NULL AND VOID IF WORK OR CDNSTRUG <br /> WATER HEATER TION AUTHORI2ED IS NOT COMM[NCED WITHIN 120 �AVS, OR IF <br /> URINAL GONSTftUCTION OR WORK IS SUSPENDED OF ABANDONED FOFi A <br /> PERIO� OF 120 DA15 l�T ANV TIME P.FTEft WOFK IS COMMENCE�. <br /> DRINKING FOUNTAIN <br /> fLOOR-SINK OR DRAIN I HERE9Y CERTIFY �HAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO �E TRUE AND COFRECT. ALL <br /> VACVUtd OREAKERS PqOVISICfJS OF LAWS AND ORDINANCES GOVEftNING THIS TYPE <br /> ROOF ORAINS-RAINLEADERS OF WORK WILL eE COA1PLIE0 WITN WHETH@R SPECIFIED HEFiEIN <br /> SINK (SER'JICE-BAR,ETC.) OR NCT, THE GRANTING OF A PERMIT DOES NOT PRESVME TO <br /> GIVE AUTHOftITV TO VIOLATE On CANCEL THE PROVISIONS OF <br /> ANV OTHEft STATE OR LOCAL LAW REGULATING CON6TRUCTION <br /> OP THE PEFFORMANCE OF COf�STRUCTION. <br /> SUBTOTAL <br /> PERMIT 5 <br /> I TOTAL FEE 5 � — X S� (�t�^�s M/�y�h t:� �i� �I�t,u'� <br /> .y .1F71.x,t�: <br /> ISIGNATVR[OFCl�NTRACTORORAUTH.AGENT DATE <br /> SIOE VARD SETOACK STREFT SET�ACK REAR VAF�SET�ACK PLAN CHErK NUMBER PIAN CHECK FEE <br /> FEE RECEIPT NO. � <br /> USE 20NE LOT AFEI� VACANT SITE <br /> ❑YES ❑NO FEES VALUATlON FEE I <br /> TVPE OF CONST. OCCUPANCV GROUP NO.Of DWELLING � <br /> UNITS <br /> � I <br /> 512E OF dLDG. NO.OF STORiES MAX.00C. LOAD F3UILOING � � <br /> PLUMBING � <br /> � FIFEZONE BASEMENT FIR[SPRINKLEFS � <br /> Rf�UIREO � <br /> � ❑VES ❑NO MECHANICAL � � <br /> I <br /> SPECIAL CONDITIONS: OTHEF � <br /> PENELTV SEC.303fn1 '. yy <br /> TOTAL ?AI� <br /> — PERMIT VALIDATION <br /> WHEN PROPERLV VALIDATED IIN THIS SPACEI TIiIS IS YOUF PERMIT <br /> I <br /> IAPVLIC/.TIONM1CCEPtEDOY�� F�AIlSOIECecp�Y'. HVPFOV[�FONLSIIN:LEOY I <br /> �� �� I <br /> I n <br /> Y + <br /> ♦ <br />