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thc Evcrgrcen <br /> ��T� �F CONSTRUCTION everett <br /> everett PERMIT <br /> fllY IIALL }590P95 <br /> EV(flE ii.1VA511iNITOH <br /> �a:oi <br /> °`°' °oE�E°,op�;�'„", BUILDING MECHANICAL PLUMBING <br /> � � <br /> OWN4NEqp�}y�� (�.�e� �w MrAI�yADDRESS ZIP PHONE <br /> YT: Ltnl:i':f: �yyt 5'lJc�:'`-Yl �+� I <br /> A{iCHITECTORDESIGNEH MAILADORESS PHONE LICENSENO. <br /> GENERAL CONTRACTOR MAIL AODqESS PHOfJE LICENSE NO. <br /> MEC�fy�CQL CONTRACTOR MAIL AODHESS PHONE LICENSE NO. <br /> �� 1 <br /> PLUMBING CONTRACTOR MAIL ADORESS PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASS OF WORK ? <br /> � "_ _"'.' z <br /> ❑�UIL�ING � PLUMBING �]MECHANICAL <br /> ❑NEW ❑ADDITION ❑ALTERATION �REPAIR ~ <br /> VALUATION OF WORK � <br /> S ❑OGMOLISM ❑FENCE ❑SIGN ❑SWIMMING POOL W <br /> DESCRI6E WORK <br /> a <br /> ���� <br /> PROPOSED USE <br /> MECHANICAL <br /> TYPEOFFUEL �OIL �NAT. �LPG. �ELEC. <br /> LEGA�pESCRIPTION OF PROPEIiTV ISHOW BELOW OR ATTACH GAS <br /> FOUR COPIESI <br /> LOT oLOCK_oF N�• T�PE OF E�UIPMENT FEE <br /> AIR COND. UNITS–H.P. EA. 5 I <br /> REFRIGEFATION UNITS–H.P. EA. <br /> �OILERS–H.P. EA. � <br /> GAS FIRED A.C. VNITS–TONNAGE EA. <br /> FORCED Alli SVSTEMS–�.T.U. M EA. � <br /> JOB ADDRESS WALL HEATERS–B.T.U. M <br /> �.��9 Y`7[{� <br /> � UNIT IiEATERS–�.T.U. M � <br /> PLUMBING EVAPORATIVE COOLEPS <br /> CLOTHES ORVERS � <br /> VEN7ILATION FAN <br /> qANGEHOOD � <br /> NO. TVPE OF FIXTURE OR ITEM FEE AIR IIANDLING UNIT– C.F.M1', <br /> WATER CLOSET ITOILET) S WCI EFiA OR � <br /> BATHTU� <br /> LAVATORY (WASH BASIN) �_.� �Q <br /> SHOWER <br /> KITCHEN SINK & DISP. <br /> SUBTOTAL 5 � <br /> nISHWASHEF <br /> LAUNDRY TRAY PERMIT 5 <br /> CLOTNES WASHER � TOTAL FEE 5 � <br /> WATER HEATER THIS PERMIT BECOMES NULL AND VOIO IF WpRK OR CONSTRUC� <br /> TION AUTHOFIZED IS NOT COMMENCED WITHIN 720 DAVS, Oq IF <br /> URINAL �-- CONSTRUCTION OR 1VORK IS SUSPSNDED OR AgANDONED FOR A <br /> ORINKING POUNTAIN PERIOD OF 120 OAVS AT ANV TIME AFTER WORK IS COAIAIENCEO. <br /> FLOOR–SINK OR DPAIN I HERE�V CERTIFY THAT I HA'/E READ AND E%AM1/1NE� THIS AP- <br /> VACUUM OREAKEFS PLICATION AND KNOW THE SA��E TO E3E TRUE AND CORFECT. ALL <br /> ROOF ORAIhS–RAINLEADERS �— PROVISIONS OF LAWS AND ORDINANCES GOVE�iNING THIS TYPE <br /> OF WORK WILL UE COMPLIED WITH WHETHLR SPECIFIED HEREIN <br /> SiNK (SERVICE–�AR, ETC.) OR NOT, THE GRl�NTING OF A PERMIT �OES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OF CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAK' REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRVCTION. <br /> SUB TOTAL <br /> PERMIT S <br /> TOTAL FEE $ � <br /> X 7/a.�z.'�� <br /> SIGNATURFOFCONTRACTORORAUTH.,>GENT DATE <br /> SIDEVARDSETDACK STREETSETBACK REARYARDSETDACKPLANCHECKNUA1f3ER PLANCMECKFEE <br /> FEE RECEIPT NO. <br /> USE 20NE lOT AREA VACANTSITE <br /> ❑vES ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OGCUPANCY GRDUP NO.OF DWGLUNG T— <br /> UNITS � <br /> SIZE OF BLOG. NO.OF STORIES MAX.00C. LOAD UUILDING 5 I <br /> I <br /> PLUM9ING � <br /> FIREZONE BASEMENT PIRESPqINKLERS � <br /> REOUIRED � � <br /> ❑V[S ❑NO MECHANICAL �Ri <br /> SPECIAL CONOITIONS: OTHER I <br /> 1 <br /> F'ENELTY SEC.7031a) I <br /> TOTAL <br /> � <br /> PERMIT VqLIDATION <br /> WHFN PROPERLV VALIDATED IIN THIS SPACE)THIS IS VOV R PERM1IIT <br /> n�PliCniiONACC(PICOOV�. PL�M1.^.CII(IXEUtlY: q>PflOVEI]fOFI5511ANf.E11V. <br /> ?• C� <br /> a <br /> ��"'-. .�_S. <br />