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the Evnr9recn <br /> =�T� �F CQNSTRUCTION ever�ett <br /> everett PERMIT <br /> ❑IYHA1t )59EE35 <br /> EVLP[1�,C;ASN1!IGi04 <br /> 96101 <br /> °`°' °"°•,"°""� BUILDING MECHANICAL PLUMBING <br /> ocvciooMExr <br /> OWNER MAIL ADD�iE55 ZIV PHONE <br /> ',Y';,t :,s;,-n <br /> AflCHITECT OP DESIGNER MAl(.ADOFiESS PHONE LIGENSE NO. �mYr� <br /> GENERALCONTRACTOR MAILADORESS PHONE LICENSENO. <br /> ,�7� <br /> MECHANICAL CONTRACTOR MAIL ADURESS PHONE LICENSE NO. <br /> PLUM�ING CONTFACTOR MAIL AOORESS PHONE LICCNSE NO. � <br /> W <br /> m <br /> � <br /> PERMIT ' ClA55OPWORK � <br /> z <br /> �DUILDING [,I PLUMBWG ❑MECHANICAI F' <br /> ❑NEN' ❑ADDIT�ON ❑ALTERATION �REPAIR � <br /> VALVATION OF WORK � <br /> 5 j(��'r�'� ❑DEMJLISH ❑FEF�F ❑SIGN ❑SWIMMING POOL a <br /> :7� <br /> DESCRIB[WORK <br /> w � (r,".;,) 21�0 <br /> rROPoseo use MECHAN!CAL <br /> TYPEOFFVlL �OIL �NAT. �LPG. �EIEC. <br /> LEGAL DESCRIPTION OF PqOPERTY ISHOW BELO\V Ofi ATTACII GAS <br /> fUUft CO�PeI�ESI <br /> �oi�I._ ULOCK�-OF ��'�"'� �� ��' NO. TVPE OF EaU1PMEN7 FEE <br /> AIR COND.UNiTS-H.P. EA. $ I <br /> FEFFIGE(iATION UNITS-N.P. EA. <br /> BOILERS-N F.EA. I <br /> GAS FIR[D A.C. UNITS- TONNAGE EA. <br /> FORCED AIR SVSTEMS-D.T.U. M EA. I <br /> JOB AODRESS WALL HEATEftS-B.T.U. M <br /> .y� �, t <br /> ��X m' �� �'=���� UNITHEATERS-B.T.U. M 1 <br /> EVAPORATIVECOOLERS <br /> PLUMBING CIOTIiES OR vERS i <br /> VENTILATION FAN <br /> RANGEHO00 1 <br /> AIR HANDLING UNIT- C.F.M. <br /> NO. TVPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET ITOILETI g �NCINERATOfi � <br /> �ATHTU� <br /> LAVATORV(WASH BASIN) I <br /> SHOW[R <br /> KITCHENS�NKE. DISP. SUOTOTAL 5 � <br /> OISHWASHER PERMIT 5 <br /> LAUNDRVTRAV TOTALFEE 5 � <br /> CLOTHES WASHER THIS PERMIT BECOMES NVLL AND VOID IF WO(3K OR CONSTRUC <br /> WATER HEATER TION AUTHORI2ED IS NOT COMMENCED WITMIN 120 Ol1V5, OR If- <br /> URINAL CONSTRUCTION OR WORK IS SUSPENDED OR A6ANDONED FOR A <br /> ORINKING 1=0UNTAIN PERIOD OF 170 DAVS AT ANV TIME 11FTER WORK IS COMMENCED. <br /> FLOOFi-SINK O(i DRAIN I HERE6V CERTIFY THAT I MAVE REAO ANO E%A'NINEO THIS AP- <br /> VACUUM Of1EAK[RS PLICATION AND KNOW THE SAME TO UE TRUE AND COIiPECL ALL <br /> ROOF DHAINS-RAINLEADERS Pf10VI510NG Of LAV:S AND ORDINANCBS GOVERNING THIS TVPE <br /> _ Of- W019K WII.L BE COA1Pl.lED WIiH WHETHER SPEC�FIEU HEREIN <br /> SINK ISERVICE-E1AR, ETC.1 OR NOT, THE GRANTING OF A PEPMIT OOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTH[fl STATE Ofi LOCAI LAVJ R[GULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRVCTION. <br /> SUB TOTAL � <br /> PERMIT 5 <br /> TOTALFEE 5 <br /> X � <br /> SIGNATUREOFCONTiiACTORORAUTH.AGENT DATE <br /> SIDE VARD SET�ACK STREET SETdACK REAR VARDSETOACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GPOUP NO.OF DWELIING <br /> UNITS I <br /> SIZE OF 6LOG. NO.OF STORIES MAX.OCC LOAD �UIL�ING 5 ���j,,-.'p � <br /> PLUMUING � <br /> FIRE EONE UASEh1ENT FIRESPRINKLERS <br /> FCOUIRED I <br /> ❑VF.S ❑NO MECHANICAL I <br /> SPECIAL CONDITIONS: OTNER � <br /> 1 <br /> PENELTY SEC. 30�lal � <br /> TOTAL � <br /> ��� <br /> PERMIT VALIDATION <br /> - WHEN PROPERLV VALIDATED (IN THIS SPACEI THIS IS YOUF PERMIT <br /> APPLICATIONACCEPTEOBY' CL�NSCIICCREDOV'. APP�OV[UFphI55LAN;.lOY. <br /> �. r.. <br /> n <br />