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,- <br /> [he Evcrgrcen - . .__.'�—_._. . , _ --_" '___ <br /> CITYOF CUNSTRUCTION T� <br /> everett everett <br /> �,,,„,,, ,,,BeAs PERMIT <br /> fVEqEit lVp5�11Nf�I1N <br /> 98:91 <br /> °`°' °"°""'°"°� gUILDING MECHANICAL PLUMBING <br /> o[vRuoMtrvr <br /> OWNER MAIL.9UDRESS <br /> Z�P PHONE <br /> Fr�`T, :�,�p+_:L^.� �jy��� <br /> , <br /> ARCHITECTOROESIGNER MAILAOCqESS �'j��=.iT� <br /> PHONE LICENSENO. �^+�'+ !� <br /> GENERAL CONTqqCTOR MAIL ADORESS <br /> �;� PHONE LICENSE NO. <br /> MECNANICALCONTRACTOR MAILqDDRESS <br /> PHONE LICENSE NO. <br /> PLUMOINGCONTflqCTOR MAI�ADDRESS <br /> PHONE LICENSE NO. � <br /> W <br /> PERMIT m <br /> CLASS OF WORK � <br /> � <br /> �BUILDING � pLUMBING �MECHANICAL S z <br /> ❑NEW �]ADDITION ❑qLTERATION ❑pEpn�q ~ <br /> VAWATION O�F!�Wpq�Ky� � <br /> S .TJ�I�;Yy ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL W <br /> DESCRIBE WORI( a <br /> ).rn�; -=z� ���z«'� 2959 <br /> PAOPOSED USE <br /> MECHANICAL <br /> LEGALDESCRIPTIpNOFPqOPERTVISHOWBELOWORATTACH T�PEOFFUEL �OIL ❑GAS ��PC'' [IELEC. <br /> FOVR COPIE5) <br /> Lor �LOCK_OF NO. TVPE OF E�UIPMENT FEE <br /> /11R COND. UNITS-H.P. Eq, 5 I <br /> REFHIGERl�TION UNIT$-H.P. EA. <br /> UOILERS-H.P. EA. � <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> JOB ADDqESS FpqCED AIR SYSTEMS-B.T.U. M El�. � <br /> �e C^'��� WALL HEATERS-B.T.U. M <br /> UNIT HEATEPS-�.T.U. M I <br /> PLUMBING EVA 7qqTIVECOOLERS <br /> CLO(HES !I�YERS � <br /> VENTILATION FAN <br /> RANGEHOOD 1 <br /> NO. TVPE OF FIXTURE OR ITEM FEE �+�A HANOLING UNIT- C.F.M. <br /> WATER CLOSET�TOILETI 5 INCINERATOR <br /> BATHTVB � <br /> LAVATORY�WqSHBA51N) — <br /> SHOWER � <br /> KITCHEN SINK& DISP. <br /> �ISHWqSHEq SUBTOTAL 5 � <br /> LAUNDRV TRAY PERMIT 5 <br /> CLOTHESWASHER TOTALFEE 5 � <br /> WATER HEATER THIS PERMIT DECOMES NULL AND VOID IF WORK OR CONSTRUC- <br /> URINAL TION 11UTHORI2ED IS NOT COMMENCED INITHIN 120 DAVS, OR IF <br /> DRIN�ING FOUNTAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br /> PERIOO OF 170 DAVS AT ANV 71ME AFTER WORK IS COAIMENCED. <br /> FLOOR-SINK OR DRAIN I IIEREBY CERTIFV THAT I HAVE READ AND E%AMINED THIS l�P� <br /> VACUUM OREAKERS � PLICATIpN ANO KNOW THE SAME TO DE TFUE qND CORRECT. ALL <br /> ROOF ORAINS-RAIN�EAOEFS PROVISIONS OF LAWS qN� Op�INANCES GOVERNING THIS TYPE <br /> SINK (SERVICE-OAR, ETC.) OF WORK WILL BE COMPLIED WITH WHETMLR SPECIFIED tiEREIN <br /> OR NOT, THE GRANTING OF q PERMIT OOES NOT PRESUM1tE TO <br /> GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTHER STATE OF LOCAL LAW qEGULATWG CONSTRUCTION <br /> SUB TOTA� OR TNE PERFpRMANCF OF CONSiRUCTION. <br /> PERMIT 5 <br /> TOTALFEE $ <br /> x � <br /> SIGNATUREOFCONTRACTORORAUTM.AGENT OATE <br /> SIDEVARDSETOACK STREETSETBACK FEAqyqRDSET�/�CKPLANCHECKNUM�ER <br /> PLAN CHECK fEE <br /> USE20NE LOTAREA VACANTSITE �,/��3 FEE �p� qECEmIP_ T (�Jp, <br /> ,� 4� <br /> ❑VES ❑NO FEES VALUATION <br /> TYPE OF CONST. OCCUPANCY GROVP NO.OF OWEI.�ING FEE <br /> UNITS — <br /> 1 <br /> 512E OF OLDG. NO. OF STORIES MAX.OCC. LOAD BUIL�ING ��� �'M � <br /> 5 6V <br /> FIRE20NE BASEMENT FIRESPqINKLERS PLUMBING � <br /> REOUIRED <br /> G�'ES ❑NO MECHANICAL <br /> SPECIAL CONDITIONS: <br /> I <br /> OTHER � <br /> 1 <br /> PENELTY SEC.3031a1 � <br /> TOTAL � yy� <br /> I'^� <br /> PEFMIT VALIDATION <br /> WHEN PqOPERLY VALIDATED(IN THISSPACEI THI515 VOUR PERM1IIT <br /> nPPLIUTION/.CCEPi[DBY� PLANSCIIEIXEDOV'. pPpflOVEDfQfV:SUANC[�Y. <br /> j� <br /> � <br /> �Rir�. _ <br />