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lhe £vcrgrcen <br /> =�TYOF CONSTRUCTION everett <br /> everett PERMIT <br /> ciivxnii isyecas <br /> EV[flEii.lVASHINGION <br /> 9R0; <br /> °"`°"'","°'°`� gUILDING MECHANICAL PLUMBING <br /> oev[inv�arxt <br /> OWNER MAILADDRESS ZIP PHONE <br /> �t70�TlA} �TC�pC�3� £:: rJ4� <br /> ,aRCHITECT OR D[SIGNER MAIL ADDRESS PHONE LICENSE NO. <br /> j�'( ' �� ) <br /> GENERAL COPITRACTOR MAIL ADDRE55 PHOME LICENSE NO. <br /> n��S <br /> MECHANICALCOIJTRACTOF MAILAODRESS Ph10NE LICENSENO. <br /> F�LLyy� <br /> Nui <br /> PLUMBINGCONTRACTOR MqILA��RESS PHONE LICENSENO. � <br /> �� m <br /> PERMIT CLASS OF VJORK ? <br /> �BVIL7ING z <br /> ❑ PLUMtlING �MECHANICAL � � <br /> ❑NEVI ❑AOOITION ❑ALTERATION ❑FEPAIR � <br /> VALUATION OF WnRK <br /> 5 '� � ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL w <br /> a <br /> DESCRI9E WORK <br /> � 2.�. -�,. 216 5 <br /> PROPOSED USE <br /> ��• MECHANICAL <br /> TVPEOFf-UEL �OIL �NAI. �LPG. �ELEC. <br /> LEGAL DESCFiIPTIJN OF PROPERTY ISHOW BELOW OR ATTACH GAS <br /> FOUR CqYlE5) � <br /> LOT A B�oGK�pF �t �'�` R�� 'T�`� NO. TYPE OF EQUIPMEN7 FEE <br /> AIR(:OND. VNITS-H.P. EA. 5 I <br /> REFRIGEFATION UNITS-H.P. EA. <br /> BOIL'_:�S-H.P. EA. � <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> _ FORCED AIR SVSTEMS-B.T.U. M EA. I <br /> JOB/�A{�DDRESS WALL HEATEFS-B.T.U. M <br /> v�7 �� � UP�IT HEATERS-O.T.U. M I <br /> FVAFORATIVECOOLERS <br /> PLUMBING CLOTHES DRYERS <br /> VENTILATIOPJ FAN <br /> RANGEHOOD <br /> TYPE OF FIXTURE OR ITEM EE AIR HANDLING UNIT- C.F.M. <br /> WATEfl CLOSETITOILET) g INCINERATOft <br /> BATHTVB {'+ <br /> LAVATORV(WASH BASIN) � <br /> SHOWEfl <br /> KITCHEN SINK& DISP. SUO TOTAL 5 <br /> DISHWASHER { PERMIT 5 <br /> LAUNDRVTRAY - <br /> � TOTALFEE 5 ' <br /> � CLOTHES WASHER THIS PERM1IIT BECOMES NULL APoD VOID IF WORK OR CONSTRUC- <br /> WATER HEATER TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, Oft IF <br /> URINAL CGNSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A <br /> DRINKING FOUNTAIN PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMEIJCED. <br /> fLOOR-SINK OR �RAIN I HEFE�Y CERTIFY THAT I HAVE READ ANp EXAMINED THIS AP- <br /> VACUUM BfiEAKERS PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> ROOF DRAINS-ftAINLEAOERS PAOVISIONS OF LAWS AND ORDIN/�NCES GOVERNING THIS TVPE <br /> OF WOHK WILL BE COM11I��IE� WITIi WHETHER SPECIFIED HEFiEIN <br /> SINK (SEFlVICE-BAfl, ETC.) OR NOT, THE GRANTING OF A PERMIT DOES NO7' PRESVME TO <br /> GIVE AUTI10fiITV TO VIOLATE Ofl CANCEL THE PROVISIONS nF <br /> ANV OTHER STATE OF LOCAL LAW REGULATING CONSTfiUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SVB TOTAL <br /> PERMIT 5 <br /> TOTALFEE $ <br /> X �i�� <br /> SIGNATUREOFCONtRACTORORAUTFi.AGENT DATE <br /> SIDE VARD SET�ACK STREE7 SETAACK REAR VARDSETRACK P�AN CHECK NUMRER PLAN CHECK FEE <br /> 'Kf��y FEE tf..,.�Q RECEIPTNO. <br /> USEZONE LOTAPEA VACANTSITE II +day.4 <br /> I ❑ves ❑r�o FEES VALUATION FEE <br /> TYPE OF CUNST. UCCUP4NCV GROUP NO.OF DWELLING <br /> UNITS � <br /> SIZE GF �LDG. NO.Of STORIES MAX.OCC. LOAD BUILDING 5 '��{��� 3'� � <br /> w� <br /> PLUMBING .�r� ry� <br /> FIHE2lJNE 6ASEMENT FIFESPP.INKLEFS �+j M` <br /> REQUIRED <br /> ❑YES ❑NO MECHAMIGAL ,,,� �J <br /> ; SPECIALCONDITIONS: OTHER � <br /> _ � <br /> - - PENELTY SEC. 3081m I <br /> TOTAL � � <br /> PERMIT VALIDATION <br /> WfiEN PROPERLV VALIDATED IIN TIiI55FACE) THI515 VOUP PEPMIT <br /> �PPLIL4TIONACCEPTEpBV' PL�NSpICpCK�E.ppY: FPPqOVEDFOPI55U4tvC[DY. <br /> lM� <br /> .� <br /> ���i:. <br />