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�he Everqreen <br /> CITY OF CONSTR UCTIOP� � <br /> everett everett <br /> �,,,,,A,, ,5v9„9, PERMIT <br /> [v[a[r[�vnvnncrox <br /> 98}01 <br /> �FVLO'[OA`OPYEHI BUILDING MECHANICAL Pi t ini <br /> �r.��,,,c <br /> OWMER <br /> y.�MAIL ADDRESS <br /> .�l 'u'l.C.l1'� � �<L`Y ZIP PHOh� <br /> ARCHITECT Oq DESIGNER MAIL ADOqESS �f�� <br /> PHONE LICENSE NO. <br /> GENERALCONTRqCTOR MAILADDRESS - <br /> �^• ��A?'.--� R PHONE LICENSE NO. <br /> ��3 `vct. _?'�,`3 <br /> MECHANICALCONTqACTOR MqILADDRESS <br /> PHONE LICENSE NO. <br /> PLUMBING CONTRACTOR MAILA�DRESS <br /> PHONE LICENSE NO. � <br /> W <br /> PERMIT m <br /> CLASS OF WOflK � <br /> �OUILDING �pLUMBING �MECHANICAL Z <br /> ❑NEW ❑qDDITION ❑qLTERATION �AEPq�R F— <br /> VALUATIO/N��C1F V/�/ORK _ � <br /> S •n�AVI! ❑DEMOLISN ❑FENCE ❑SIGN ❑SWIh1MIIVG POOL � <br /> DESCRIBE WpqK a <br /> �:'�cx,F t`, �) 16 8 9 <br /> ('fiOPOSED VSE <br /> MECHANICAL - <br /> LEGAL�ESCRIPTION OF PROPERTY �SHON'BELOW OR ATTACH TYPE Of FUEL �OIL GGAS ��PC'' ❑ELEC. <br /> FOUR COPIESI - <br /> LO7 ULOCK_OF NO. TYPEOFEDUIPMENT <br /> AIR COND. VNITS-H.P. EA. FEE <br /> 5 I <br /> REPRIGERATION UNITS-H.P. EA. <br /> OOILEqS-H.P. Eq. � <br /> GAS FIqED A.C. UNITS-TONNAGE EA. <br /> I �U�ADDRESS .— FORCED AIR SYSTEMS-B.T.U. ;.� EA. I <br /> � ��� WALL HEATERS-�.T.U. M --r'-- <br /> UNIT FIEATERS-e.T.U. M � <br /> PIUMBING EVAPpqqTIVECOOLERS <br /> CLOTHESDRV�q$ I <br /> VENTILATIJN FAN <br /> RANfEHOOD -- � <br /> NO. TYPE OF FIXTURE OR ITEM FEE A�R HANDLING UNIT- CF.M. <br /> WATER CLOSET(TOILET) g INCINERATOF <br /> �ATNTUB � <br /> LAVq70RV(Wl�SH BASIN) — <br /> SHOW EFi <br /> I <br /> KITCHEN SINK b DISP. <br /> DISHWqSHER SUB TOTAL 5 � <br /> IAUNDflY Tqqy �-� PERMIT $ <br /> CLOTHESWASHER TOTALFEE 5 � <br /> WATER HEATER TNIS PEFM�T BECOMES NULL AND VOID IF WORK OR CONSTFlUG <br /> URINA� TION AUTHORIZED IS NOT CO`AMENCED WITHIN 120 GAVS, OR IF <br /> _ DRINKINC FOUNTAIN CONSTRUCTION OR WORK IS SUSPENDED Ofi A�ANDONED FOR A <br /> PERIOD OF 720 DAYS AT ANY TIME I�FTER WORK IS COMMENCED. <br /> FLOOR-SINK OR DRq�N 1 IiERE(3V CERTIFY THAT 1 HAVE READ AND EXAMINEO THIS AP� <br /> VACUUM BREAKERS PI.ICATION AND KNOW THE SAME TO OE TRUE AND CORRECT, qLL <br /> ROOF ORAINS-FlAINLEADERS PAOVISIONS OF LAWS AND OROINl�NC[5 GOVERNINu THIS TYPE <br /> SINK (SERVICE-OAR, ETC.1 OF WpqK WILL PE COMPLIE� INITH WHETHER SPECIFIEO HEREIN <br /> OR NOT, THE GRANTING OF q PERRIIT OOES NOT PRESVM[ TO <br /> GIVE AUTHORITY i0 VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTIiER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> SUB TOTAL OR THE PERFORMANCE OF CONSTRUCTION. <br /> PERMIT g <br /> TOT��L FEE 5 <br /> SIGNATUREOFCONTRI�CTORORAUTH.AGENT DATE � <br /> SIDEYAROSET�ACK STREETSETBACK REARVqRDSETUACKPL/1NCHECKNUM�ER <br /> PLAN CHECK FEE <br /> USE 20NE F�E RECEIPT NO. <br /> IOTAPEA VACANTSITE <br /> ❑�ES ❑NO FEES VALUqT10N <br /> TVPE OF CUNST. OCCUPANCV GflOUP NO.OF DWELLING FEE <br /> UNITS <br /> I <br /> SIZE OF BLDG. NO. OF STORIES MA%.OCC. LOAD �UII.DING �('� <br /> 5 C:i OD <br /> FIREZONE BASEMENT FIfiESPRINKLERS PLUMBING I <br /> REOVIRED _— I <br /> ❑�'ES ❑NO MECHANICAL T— <br /> SPECIAL CONDITIONS: <br /> I <br /> OTHER � <br /> I <br /> PENELTV SEC. 3031a) � <br /> TOTAL <br /> �I� <br /> PERMIT VALIDATION <br /> WHEN PROPERLV VALIDATE�(IN THIS SPnCE)THIS IS YOUR PERMIT <br /> �PFlIC4ii0NACCCVTCOBV: OLANSCIICIXIOOV: APPFOVEDFOFInSUANClOV <br /> '' `R I <br /> � I <br /> -.� -- <br />