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� the Evcr9reen <br /> CITVOF CONSTRUC�'ION everett <br /> everett PERMIT <br /> urr a>u �syesss <br /> cv[F[�r.r:asmvr,tov <br /> 9ft111 <br /> °`°' °"°°"'°�°` BUILDING MECHANICAL PLUMBING <br /> u[�ciavvcrvt <br /> OWNER MAIL ADDRESS Z�P �'!�ONE <br /> J'='•sl Y�C$C �3�q COs$dtS =3' 9E3�'s 3�'a3+9Ps9'i ��?���6 <br /> APCIi1TECT Ofl DESIGNER MAIL AOORE55 PHONE UCENSL NO. <br /> GENEM1R�AL CONTqqCTOfi MAI�AODRESS PHONE LICENSE NO. <br /> V9�i� <br /> MECHANICAL CONTRACTOp MAIL ADDRE55 PIIONE LICENSE NO. <br /> PLUMOING CONTRACTOR MAIL ADDRESS �HONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASS OF WORK � <br /> z <br /> [��UILDING � PLUM6ING ❑MECIiANIC.iL f" <br /> ❑NEW ❑ADOITION ��1LTERATION ❑REPAIR � <br /> Vl�LVATION OF WOFK � <br /> S ❑�EMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> DESCRI GWORK 474 <br /> (`•a�vis�'b �a .',.�.0 bollorm� <br /> PRJPOSE�USE MECHANICAL <br /> �:� � <br /> 1ypEOFPUEL �OIL �NAT. �LPG. �ELEC. <br /> IEGAL DESCFIPTION OF PROPERTY (SHOW BELOW OR ATTACN Gf�S <br /> FOUR COPI[SI <br /> Lo7 uLOCK—of- C� B O. TYPE OF EQUIPMEN7 FEE <br /> AIR COND. UNITS-Ii.P. EA. 5 I <br /> '_�' <br /> �i � •d M p�„�f�., yiw ny�.� iy,�y. FEFRIGERATION UNITS-H.P. EA. <br /> •� svµ ba a'v�isiLi �M� 1sa:Y 'a:W BOIlERS-H.P. EA. I <br /> GAS FIRED A.C. UNITS-TONNAGE EA. �— <br /> FORC[D AIR SVSTEMS-6.T.U. M EA. I <br /> JOB ADDRESS WALL HEATERS-B.T.U. M <br /> �� �' r�'�� UNIT HEAT[FS-B.T.U. M I <br /> EVAPORATIVECOOLEftS <br /> PLUMBING CLOTHES DflYERS I <br /> VENTILATION FAN <br /> RANGEHOOD I <br /> AIR MAN�LING UNIT- C.F.M. <br /> NO. TVPEOFFIXTUREORITEM FEE — iNCiNERA7oR I <br /> WATER CLOSET ITOILET) 5 <br /> BATHTV� <br /> LAVATOliV �WASH�ASIN) I <br /> SHOWER <br /> KITCHENSINK& OISP. SUf7T0T41 5 � <br /> DISHWASHER PERMIT 5 <br /> LAUNDHY TRAV TOTAL FEE 5 <br /> I <br /> CLOTHES WASHER THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUG <br /> WATER HEATER TION AUTHORI2ED IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br /> IRINAL CONSTRUCTION OR WOPK IS SUSPENDED OR AUANDONEO FOR A <br /> DHINKING FOUNTAIN PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. <br /> �LOOF-SINK OR DRAIN I HEREUI' CERTIF�' THAT I Hl�VE READ ANO EXAMWED THIS AP- <br /> VACUUM RREAKERS PLICATION ANO KNOW THE SAME TO DE TRUE AND COflRECT. ALL <br /> ROOF DR.11N5-R�1INLEADERS PROVISIONS OF IAWS AND ORDINANCES GOVEPNING THIS TYPE <br /> OF WORK WILL �E CO�SPLIEO WITN WHETHEIi SPECIFIED HEREIN <br /> SINK fSERVIC[-6AR, ETC.) —�I— OH NOT, THE GRANTING OF l� PERMIT DOES NOT PFESUME TO <br /> — GIVE AUTHORITV TO VIOLATE OR CANCEL TH[ PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SUBTOTAL <br /> PERMIT 5 <br /> TOTALFEE S <br /> x <br /> SIGNATUREOFCONTRACTORORAUTH.AGENT DATL <br /> SIDE �ARD SETE3ACK STREET SET�ACK REqR VAR�SETDACK PLAN CHECK NUMAER PLAN CNECK FEE <br /> FEE RECEIPT NO. <br /> USE 20NE LOT AREA VACANT SITE <br /> ❑VES IYNO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING <br /> � � UNITS � <br /> SIZE OF BL�G. NO.OF STORIES MA%.OCG LOAD BUILDING $ � � � <br /> PLUM�ING � <br /> FIREZONE 6i15LMENT FIRESPRINKL[RS <br /> +� Rf�UIREO <br /> d ❑VES �NO MECHAPLCAL � <br /> SPECIA�CONDITIONS: OTHER � <br /> . :� c '.;c�. ,crr !.�� °reri to ixH - � <br /> �• PENE�TV SEC.7071a1 I <br /> —�m�'a«-�is-L`"a' tlL+u Crs o0lC <br /> — TOTAL � � <br /> PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED IIN THISSPACE)TH�S IS VOUR FERP9IT <br /> I pPPLIC�T1pNACCEPTEDOY' FlAN5C11CCN[JIIY�. FPVROVCOfOX1:SUPNCEOY. <br /> a� � t�c <br /> II n <br />