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U�c EvergreCn I <br /> �,T� �F CONSTRUCTION everett <br /> everett PERMIT � <br /> CIIY Ibtl.l �59[N3'� <br /> EP[Ilkit.Ci�YII11Nf1i19 <br /> ����� BUILDING MECHANICAL PLUMBING � <br /> ncrr.ar ca!+r.mvnv <br /> OEVE101^AHII <br /> OWNER ��11LADDRE55 ZIP PHONE t /� <br /> �'fn• S}er� 7'!'P'� ^ .:i"� 7.:�':.i"'iU <br /> � 4f» �a'�'� . . <br /> AflCHITECT OR DESIGNER MAIL ADDFESS PHONE � LICENSE NO. <br /> GENERA�CONTRACTOR MAILADDRE55 PHONE LICEPiSENO. <br /> !M.11�T")� i���Yn���..4( <br /> MECHANICALCCNTRACTOR MAILADORESS PHONE LICENSENO. <br /> PWMBINGCONTRACTOR MAILADDRESS PHONE LICENSENO. � <br /> W , <br /> m <br /> PERMIT CLA55 OF WORK � <br /> z <br /> �BUILDING [] PLUMBING �MECHANICAL �[, F- <br /> ❑NEW ❑ADOITION ❑ALTERATION �"JFEPAIR � <br /> VALUATION OF WORK � <br /> 5 `^�.V1.� ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> �w.r <br /> DESCRIpE WORK <br /> .'tL!&'�'f;�F i'�t"�.Cr a�.g 7 <br /> PROPOSED USE MECHANICAL <br /> LEGl1L DESCRIPTION OF PFOPFRTY (SHOW BELOW OR ATTACH TVPE OF FUEL �OIL ❑Gn5 ❑LPG. �ELEC. <br /> FOUR COPIESI <br /> Lo7 o�oCK—oF _NO. TV'PE OF EQUIPMEN7 FEE <br /> AIR CONO. UNITS-H.P. EA. $ I <br /> flEFqIGERl�TION UNITS-H.P. EA. —�-- <br /> BOILEFiS-H.P. EA. I <br /> Gl1S FIRED A.C. UNITS-TONNAGE EA. <br /> FORCED AIR SYSTEMS-B.T.U. M EA. I <br /> JOB ADDRESS -.ay.R.1 �� n _ WAL� HEATERS-B.T.U. M <br /> �«��+.,a ���,3� UNITHEATERS-6.T.U. M I <br /> EVPPORATIVECOOLERS � <br /> PLUMBING CLOTHESDRVERS I <br /> VENTILATION FAN <br /> �--- <br /> RANGEHOOD I <br /> NO. TYPE OF FIXTURE OH ITEM FEE �+IR HAN�LING UNIT- QF.M. <br /> WATER CLO:ET(T'ORETI 5 INCINERATOR � <br /> BATHTUB <br /> IAVATOPVIWASHeASIN) I <br /> SHOWER � --i— <br /> _ � <br /> KITCHEN SINK& �ISP. SUB TOTAL $ � <br /> OISHWASHER �_ PERMIT S <br /> LAUN�RVTRAV <br /> TOTAL FEE 5 � <br /> CLOTHES WASHER TNI$ PERMIT �ECOMES NULL AND VOI� IF '.VURK OR CONSTRUC� <br /> WATEfl HEATER TION AVTYORIZED IS NOT COMMENCFD WITHIN 190 DAVS, OR IF <br /> URINAL CONSTRUCTION OR WOHK IS SUSPENDEO OR A�ANDJNED FOR �. <br /> OFINKING FOUNTAIN PERIOD OF- 120 DAVS AT ANV TIME AFTEH VJORK IS COMMcNCED. <br /> FLOOR-SINY. OR DRAIN I HERE�V CERTIPV THAT I HAVE REl�O AND EXAMWED THIS !�P- <br /> VACUUM 6R@;.Y.EFiS i PUCATION ANO KNOW TNE SAME TO BE TRVE AND CORRECT. l�LL <br /> -- PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE <br /> flOOF DR41N5-RAINL'cADEFS OF WOPK WILL BE COMPLI[D WITH WNETHFR SPECIFIED HERhIN <br /> SINK ISERVICE-BAR, ETC.1 —�— OP NOT, THE GRANTING Of- A PER��IT UOES NOT PRESUAIE TO <br /> GIVF. /�VTFIONITV TO VIOLAT[ OR Cl�NCE� THE PROVISIONS OF <br /> ANY OTHER ST/1TE OR I_OCAL LAIN !i[GULAI'IhG Cpf<STRUCTION <br /> OR TH[ pEHFOFn;�1NCE OF CONSTRUCTION. <br /> SUO TOTAL � <br /> PERMIT 5 <br /> TOTAL FLE S_ i _ X ����� <br /> SIGNATU(:[OFCONTR�ICTOROFAUTH.AGENT DATE <br /> SIDEVARDSET6nCK STHEETSET(�ACK ftEARVARDSETBACKPLANCHECKNUM9ER PLANCHECKFEE <br /> FEE RECEIPT NO. <br /> USE20NE LOTAREA VACANTSITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING <br /> UNITS I <br /> SIZE OF BIDG. NO.OF STOFIES MAX.00C. LOAD �UILDING 5 ��� ��� I <br /> —1— <br /> PLUM81 NG � <br /> FIREZONE BASEMENT FIHESPRINI(LERS � <br /> REOUIRED I <br /> ❑YES ❑NO MECHANICAL � <br /> SPECIAL CON�ITIONS: OTHEft � <br /> PENELTV SEC. 303(al I <br /> I <br /> TOTAL � j� <br /> PERMIT VALIDATION <br /> 'VHEN FROPERLV VALIDATED IIN TNIS g?qCEI THIS IS YDUR PERMIT <br /> ArrlJrnimn PCCFrT[D nv� FLnNs b�EcrcEo ov: naPnovEp roN IssqunNc[ov <br /> bi C� I <br /> � I <br />