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the fvergreen � <br /> CITV OF CONSTRUCTION everett <br /> evereqtt PERMIT � <br /> [venen �vas�unr,mx <br /> 9B101 <br /> °`°, °"°""°""r gUILDING MECHANICAL PLUMBING <br /> bEVEIOPM[NL <br /> OWwNE�R. ♦ MAILADOPE55 ZIP PHUNE <br /> L'�1 tMl1+f1Oi" l-nliK� � �► l�l'T�:34a��� l.�li•+�r �7•�•, ��� tf�i� 1,���a.�ma <br /> ARCHITECT OR DESIGN[R Mql�ADDRE55 PHONE ` LICENSE NO. 1R[Y1_'r� <br /> i.)J V•• <br /> GENERALCONTRACTOR MAIIADOFESS PHONE LICENSENO. <br /> MECHANICAL CONTRACTOR MAII AOORESS PHONE LICENSE NO. <br /> ,:�"?tt� '"f.�G:�C 3�"i7T t�ypet• 2���'•9Y +'�02 <br /> PLUMBING CONTqACTOR MAIL AOORESS PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASS OF WORK � <br /> � z <br /> ❑�UII.DING � PLUMBING �MECH/1NICAL F <br /> ❑NEW ❑ADDITION []ALTERATION ❑REPAIR � <br /> VALUATION OF WORK � <br /> 5 ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> DESCRIOE WORK <br /> 1316 <br /> PROPOSE�USE <br /> MECHANICAL <br /> TVPEOFFUEL �OIL �NAT. �LPG. �ELEC. <br /> FOUR COPSESIIPTION OP PpOPERTV ISHOW BELOW OfY ATTACH GAS <br /> Lo7 OLOCK_oF NO. TVPE OF E�UIPMENT FEE <br /> AIR CON�. UNITS–H,P. E11. 5 I <br /> fiEFRIGERATION UNITS–H.P. EA. <br /> OOILERS–H.P. EA. I <br /> GAS FIFED A.C. UNITS–TONNAGE EA. <br /> FOPCE�AIR SVST[MS–B.T.U. M EA. 1 <br /> J0�3 A FE55 WALL HEATERS–B.T.U. M <br /> '�VC':'CE�l AOO• UNITNEATERS–B.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING CI.OTHFA f�R V ER5 i <br /> VEIJTILATION FAN <br /> RANGEHOO� I <br /> NO. TVPE OF FIXTURE OR ITEM FEE AIR HANOLING UNIT– C.F.M. <br /> WAT[R CLOSET (TOILETI g C TOR I <br /> BATHTUB � <br /> LAVqTORV(WASHBASINI � <br /> SHOWER <br /> KITCHEN SINK R DISP. SUU TOTAL $ I <br /> DISHWASHER – <br /> _ PCRMIT 5 <br /> LAUN�RV TRAV TOTAL FEE 5 I <br /> GLOTHES WASMER THIS PEFMIT [3ECOMES NUI.L AN� VOI� IF VJOPK OR CONSTRUC- <br /> � WATER HEATER TION AVTh10fiIZEO IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br /> UfiINAL CONSTRUCiIOh JR 1YO(iK IS SUSPENDED OR AO/�NOONEO FOR A <br /> ORINKING FOUNTAIN PERIOD OF 120 JAVS AT ANV TIME AF'fER WORK IS COMMENCED. <br /> FLOOH–SINK Ofl DRAIN I /1EREDY CEfiTIFV TNAT I NAVE RE�1� ArlD [%AMINED THIS AP� <br /> VACUUM1I fiREAKERS PLICNTION AND KNOW THE SAA1E TO �E TRUE AND CORRECT. ALL <br /> FOOF DRAINS–f�A1NLEADERS PnOVI510NS OF LAWS ANO ORDINANCCS GOVERNING THIS TVPE <br /> OF WORK WILL BE COMPLIE� WITH WIiETHEF SPECIFIED HEREIN <br /> SINK (SERVICE–�AR, ETC.) OR NOT, THE GRANTING Of A PERAIIT DOES NOT PRESUME TO <br /> GIVE AUTHOR1IY TO VIOLATE OR CANCEL TIIE PROVISIONS OP <br /> — ANV OTHER STATE OR LOCAL LAW REGULATINGCONSTRVCTION <br /> OR THE PEFFORMANCE OF CONSTRUCTION. <br /> SUU TOTAL <br /> PERMIT $ <br /> TOTALFEE $ n ^r�� <br /> X lJKC7� <br /> SIGNATUREOFCONTRqCTORORAUTN.AGENT DATE <br /> SIOE VAR�SET6ACK STREET SETOACK REAR Vl�ROSETBACK PLAN CNECK NUMBER P�AN CHECK FEE <br /> FEE FECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑vES ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF OWELLING <br /> UNITS � <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. lOAO OUILDING S � <br /> I <br /> PL'JMOING � <br /> FIFEZONE 6ASEMENT FIRESPRINKLERS I <br /> RCOVIREO ��/y� <br /> ❑VES ❑NO Mf.CHANICAI �� <br /> SPECIAL CONDITIONS: OTHLR � <br /> I <br /> PENELTY SEC. J031a1 I <br /> TOTAL �j1� <br /> PERMIT\�ALIDATIQN <br /> WH[N PROPERLY VALIDATED (IN THIS SPAC[1 THIS IS YOUR PLRA9IT <br /> APPLIC�iiON�CCCPTC00Y� PL�NSCNECK[DOY�. M�HOV[Of0(lISSUnNCC�Y <br /> r,: <br /> I � I <br /> . <br />