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tlrc Evergroen <br /> CITYOF CONSTRUCTION everett <br /> everett PERMIT � <br /> cnr�wu 159BBC5 <br /> reEnerr,rvnsnixctox <br /> 991�1 <br /> °«` °"°""'°""` BUILDING MECHANICAL PLUMBING <br /> on�uaw.iext <br /> OWNER MNLAUORESS ZIP FHONE <br /> A�ITE�R OESIGNER �qAl`ADD� fi�--3y �' PHONE LICENSE NO. G�.7�� <br /> GENERAL CONTRACTOR MAIL ADDfiE55 PHONE LICENSE NO. <br /> �I�l9i � a.ei�es 21� �7oas 3S3 5�0 <br /> MECHANICALCONTRACTOR MAILAUOfiESS PHONE LICENSENO. <br /> PLUM�ING CONTFACTOR MAIL AUORESS PNONE LICENSE NO. � <br /> W <br /> m <br /> PEflMIT CLASS OF WORK � <br /> Z <br /> �DUILDING ❑ PLUMUING �MECHANICAL �- <br /> ❑NEW ❑ADDITION ❑ALTEFATION ❑REPAIR � <br /> VALUATION OF WOfiK � <br /> 5 ❑DEA70LIS11 ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> DESC IBE WORK <br /> 114 <br /> PROPOSED USE MECHANICAL <br /> �� � <br /> IEGt1qALL DESCRIPTION OF PROPERTV ISHO\N f3ELOW OR l�TTACH TVPE OF FUEL �OIL ❑GAS� ❑LPG. �ELEC. <br /> LOT`-�oP�OLOCK�oF� �� NO. TVPE OF EQUIPMEN7 FEE <br /> A�R COND. UNIiS-H.P. EA. § I <br /> REFRIGERATION VNITS-HP. EA. <br /> DOILERS-H.P. EA. � <br /> GAS FIRED A.C. UNITS-TONNAG[ EA. <br /> FORCED AIR SVSTEMS-6.T.U. M EA. 1 <br /> JOU ADORES � �• WALL HEATERS-O.T.U. M <br /> VNIT HEATEHS-�.T.U. M I <br /> EVAPOIiATIVE COOLERS <br /> PLUMBING 'CLOTHESORVERS I <br /> VENTILATION FAN <br /> RANGEHOOD I <br /> NO. TYPE OF FIXTURE OR ITEM FEE n�� NnNDLiNG UNI7- C.F.M. <br /> WATE{iCLOSETITOILET) g �NCINERATOR � <br /> pATHTU� <br /> LAVATORYIWASHUASIN) � <br /> SHOWER <br /> KITCliEN SINK& DISP. SUB TOTAL 5 <br /> I <br /> DISHWASHER PE(iM1T 5 <br /> LAUNDFV TRAV TOTAL FEE 5 � <br /> CLOTHES WASNER THIS PEFMIT �[COMES NUL� ANO VO10 IF WORK OR CONSTRUC- <br /> 1NATER HEATER TION AVTHOPIZED IS NOT COh1A4ENCED WITHIN 120 DAYS, OR IF <br /> URINAL --� CONSTPUCTION OR WORK IS SUSPENDED OR ADANOONEO FOq A <br /> ORINKING FOUNTAIN PERIOD OF 120 DAVS AT ANV TIME AFTER WORK IS COMMENCED. <br /> FLOOR-SINK Oq DRAIN I MERE�Y CLftTIFV THAT I NAVE (iEAD AND E%AMINED THIS AP- <br /> VACWM1I OREAKERS PLICATIOIJ AND KNOW THE SAME TO �E TFUE l�ND CORFiECT. AI.L <br /> ROOF ORAINS-RAINLEADERS PROVISIONS OF LAWS AND OR�INANC[S GOV[FiNING THIS TYPE <br /> OF WORK WILL DE COAIPLIED WITH WFIETHER SP[CIFIED H[REIN <br /> SINK (SEflVICE-�AR, ETC.) OR NOT, THE GRANTING OF A PERAIIT DO[5 NOT PRGSUME TO <br /> GIVE AU�HOftITY TO VIOLATE OR CANCEL THE PRO\'ISIONS OF <br /> ANV OTHER STr\T[ OR LOCAL LAW REGULATING CONSTRUCTIOlJ <br /> OR THE PEFf-OR�IANCE OF CONSiRUCT10N. <br /> SUBTOTAL <br /> PERMIT $ I <br /> TOTAL FEE 5 �� /�,� <br /> X ���' <br /> SIGNATUREOFCONTRACTOFORAUTH.AGENT DATE <br /> 510[ YAROSET�ACK STqEETSET�ACK REARVARDSET6ACKP�ANCHECKNUM1IBER P�ANCHECKFEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT S�TE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GPOUP NO.OF OWELLING <br /> UNITS I <br /> SI2E OF BLOG. NO.OF STOFIES MA%.00C. IOAD BUILDING S I�yV�qW ��yy <br /> 1'LUMDING I <br /> FIREZONE OASEMENT FIHESPIiINK�ERS <br /> Rf�UIRED I <br /> ❑VES ❑NO MECHANICAL � <br /> 1 <br /> SPECIAL CONDITIONS: OTHER � <br /> I <br /> PENELTV SEC. 3031a) I <br /> TOTA L �,V j�I <br /> PERMIT VALIDATION <br /> WHEN PqOPBRLV Vl�LI�ATED IIN THIS SPACE)THIS IS �OUR PERMIi <br /> I A%'LIC�IOjlFCCEPT[OBY: PL/NSCHECKCD9Y: APPFOVEDfOP155URNCEBY. <br /> ti�S:r AM�• <br /> �i <br /> � � � <br />