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�� thc Evcrgrecn <br /> I GTYOF CONSTRUCTION everett <br /> �I everett PERMIT <br /> LiIY NALL E596F85 <br /> EVENEtt.WASNINGION <br /> 4H}p� <br /> ���, �f=�����^� BUILDING MECHANICAL PLUMBIN <br /> oevcioru�xt i <br /> OWNER MAIL ADORES� ZIP PMONE <br /> 7u�^ �cLo�;i 32Z2 Lvcr•�L•t 3ve. 9A'�i Y39-676� 21ii5-77 <br /> AqCliITECT OF DESIGNEH MAIL A�DRESS PHONE IICENSE NO. <br /> GENERALCONTRACTOfl MAIL ADORE55 PHONE LICENSE40. <br /> MECIiANICALCONTPACTOR MAIL ADORE55 PHONE LICENSE NO. <br /> Sstas � <br /> PLUM9ING CONTRACTOfl MAIL ADDRE55 PHONE IICENSE NO. m I <br /> � <br /> PI?RMIT CLASSOFWORK � I <br /> Z <br /> ❑OUILDING ❑PLUMBING LyNECHANICAL ~ <br /> ❑NEW ❑�+ODITION ❑ALTEPATION ❑REPAIR � I <br /> � <br /> VALUATION OF WOflK W � <br /> ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL n I <br /> OESCRIB[WORK /Q�h i <br /> v v �/ <br /> PflOPOSED USE MECHANICAL <br /> TVP@OFFUEL �OIL �CnT. �LPG. �ELEC. <br /> FOUR COPSESIIPTION OF PRONERTV iSHOW BELOW OR ATiAC11 <br /> ryp, TYPE OF EaU1PMENT FEE I <br /> LOT BLOCK—OF ql'1 COND. UNITS-Ii.P. EA. S � <br /> REFRIGERATION UNITS--H.P. EA. <br /> F301LER5-HA EA. � <br /> GAS FIRED A.C. VNITS-TONNAGE EA. <br /> FORCED AIR SVSTGMS-B.T.U. M EA. � <br /> JOB ADDRESS WALL HEATERS-B.7.U. M <br /> zzr� r_vuxQtt nvonno UhilT IICATCii3-B.T.U. A4 � <br /> EVAPOfiATIVE COOLERS <br /> PLUMBING c�oTr+Es onveas � <br /> I VENTILATION FAN _ <br /> FFNGENOOD � <br /> AIR HANOIING UNIT- C.F.M. <br /> NO. TVPE OF FIXTURE OR ITEM FEE INCIN[fiATOR � <br /> WATER ClOSETITOILETI $ - <br /> BATHTU� — � <br /> LAVATORV(WASH BASIN) <br /> SHOWER ^ • � � <br /> KITCNEN SINK& DISP. SUB TOTAL 5 � I � �- <br /> fnSHWASHFP PERMIT 5 <br /> LAVNOFV TRAY TOTAI.FEE 5 ' I � <br /> CLOTHGS WASNER THIS PERMIT �ECOMES NULL AND VOID IF WORK OR CONSTRUG <br /> WATER 11EATEF TION AUTNORI2ED IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br /> URRJAL WNSTNUCTION OR WORK IS SVSPEN�ED OR AOANDONED �JR A <br /> PEfl10O OF 120 DAVS AT ANV TIME AFTER WORK IS COMMENCED. <br /> �R��iKln;� pOUNTAIN <br /> FLOOR-SINK OR DRAIN I HEREf3V CERTIFY THAT I Nl�VE READ AND E%I�MIN[O THIS AP� <br /> PLICATION AND KNOW TIIL 9AhiC TO OL THUE AND CORRECT. ALL <br /> V/1CUUMl3(1EAKEPS PROVISIONS OF LAWS 11ND URDINANCES GOVEfiNING THIS TVPE <br /> ROOF ORAINS-faA1NLEA�ERS OF WORK W�LL BE COMPLIEO WITH WHETH[R SPEGFILD HEREIN <br /> SINK ISERVICE-BAR, ETC.) OR NOT, TME GRANTING OF A PERMIT DOES NOT PRLSUME TU <br /> GIVE AUiHORITV TO VIOLATE OFi CANCEL THE PROVISIONS OF <br /> ANV ftTHER STATE OR LOCAL Ll�W REGULATING CONSTRVCTION <br /> OR T11E PERFOR FYCE OF CONSTRUCTION. <br /> _ SUO TOTAL � <br /> PERMIT 5 a�28�•�,� <br /> TOTAI FEE 8 � . �— <br /> X LL ' <br /> SIGNATUNE F NTRIICTOROPAUTH.AGENT DATE <br /> SIOEVARDSETOACK STREETSETOACK REARYl1RDSET6ACKPLANCHECKNUMfi[R PLANCHECKFEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑vEs ❑ND FEES VALUATION FEE <br /> TVPE OF CONST. OGCUPANCY GROUP UNIT�S DWELLING � <br /> I <br /> SIZE'OF OLDG. NO.OF STOPIES MA%.OCf,. LOAD OUILOING $ I <br /> YLUMOING � <br /> FIREPONE �ASEMENT FIRESPRINKLEPS <br /> � <br /> RfOVIFEO MECHANICAL � <br /> ❑Y@5 ❑NO <br /> I <br /> SPECIAI CONDIT�ONS: OTHER I <br /> PENELT� SEC.3031a) � <br /> I � � <br /> TOTAL � <br /> PERMIT VALIDATION <br /> WHLN PROP�FIY VALIDATED (IN THISSPACE)TH151$VOUR PERMIT I <br /> qVPIICATION M1CCLPTFDBV' >LPNSCN[lK(f�flY' �C'NOVFD fOF 6SU�NCC�Y. <br /> I I.. . •l��_._1 � I <br />