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� thc Evargrcen <br /> � =�T� �F CONSTRIJCTIGN everett <br /> � everett PERMIT <br /> � ��,. ,,,�, „���:s <br /> Evcan� aavuuc�nr: <br /> �+im <br /> ' "`"` °"°"""'"'" gUILDiNG MECHANICAL PLUMBING I <br /> ocveiavetta <br /> OWNER MAILADDflESS ZIP u� PHONE <br /> I v.�''T'`f� `'• "'vi�� .., _,_ ._ . y.'."�r 7.%r���.y �s��.:: T�, <br /> si. �� <br /> I ARCHITECT OR DESIGNEfl MAIL AODFESS PHONE LICENSE NO. <br /> GENERAL CONTRACTOR MAIL AD�RESS PHONE LICEN,^�E NO. <br /> r.xn <br /> MECHANI:;AL CONTRACTON Ml�IL AODRESS PHONE LICENS[ NO. <br /> PLUMBING CONTRqCTOF MAIL AOORE55 PHqNE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CIPSSOF WOAK � � <br /> Z <br /> �BUILDING ❑ PLUMBING �MECHANICAL � <br /> —'❑NEW �A�DITIDN ❑AI.T[FMIUN ❑R[PAIH � <br /> VALVATION Oe�F WryOR�K — � <br /> 5 E4�n-yW ❑DEMOIJSH ❑FENCE ❑SIGN ❑SNIMA4ING POOL W <br /> n. <br /> DESCR161P WORK � - <br /> r�C�,'���': I�Ai�C �.10� � <br /> PROPOSEO USE <br /> MECHANICAL <br /> _ rvre oF FUE i. �ai� �nnr. p�vc. �e�ec. <br /> LEGAL DESCFIPTION OF PROPERTY (SHOW BELOVJ Ofi ATT�CH GAS <br /> FOUR COPIES) <br /> �or OLOCK_OF NO. TVPEOFE�UIPMEN7 FEE <br /> AIR COND. UNITS-�H.P. EA. 5 I I <br /> R:FRIGERATION UNITS-H.P. EA. <br /> _ OOIL[RS-H.P. El�. � I <br /> GAS FIREn q,C. UNITS� 1'ONNAGE EA. <br /> FORCED Alq S�STEMS-6.T.U. M EA. � <br /> JOB ADDRL;S Jy }�p�ry� IVALL HEATERS-FS.T.U. M -� <br /> ay �4=���'�k � UNITHEATERS-B.T.U. M I <br /> EVAPORATIVECOOLEFS <br /> PLUMBING CLOTHES DP.VEliS � <br /> VENTILATIONfAN � —T— <br /> RqNGEHOOD � <br /> NO. TVP[OF FIXTURE OR ITEM FEE A�R HANDLING UNIT- C.F.M. <br /> I WAT[R CLOSET�TOILETI § INCINEflATOq � <br /> pATHTUB <br /> �AVATORY IWASH BASINI � <br /> I --- SHOWER -- --� — — — <br /> � KITCHENSINK9� DISP. —�— �-- SUBTOTAL 5 <br /> 1 <br /> DISHWASHER PERMIT 5 <br /> LAUNORYTRAV <br /> CLOTHES WASHER TOTALFEE B � <br /> —�— THIS PEFMIT �ECOMES �ULL ANG '�CIC 'P N'OHK OR CONSTfiUC- <br /> IVATEF HEATER TION AUTIIOfiIZED IS NGT COAIMEkCEO \b'ITHIN 120 OAVS, OR IF <br /> URINAL CONSTRUCTION OR WOFiK �5 SVSPEN!J[[J OR AplaNOONED FOfi A <br /> UHINKING FOUNTAIN PERIOD OF 120 OAVS AY AN Y TIME AFTER WORK IS COPAMENCEO. <br /> fLOOR-SINK Op OPAIN I HEFiEBV f,ERTIfV �HAT I `1AVE READ ANO E%AMWED THIS AP� <br /> VnCUUM BREAkER$ PLICATION AND KNOW TNE iAME TO 9E TRUE A�D COHHECT. ALL <br /> FROVISIOf�S OF LAN'S A:J C?DINAN�ES GOVGpNING THIS TYPE <br /> POOF DqAINS-RAIN�EAOEFS OF N'OFK \'�II.L BE CO'dPLIED K�T11 WHETHEF SPECIPIED HEREIN <br /> FIftlK ISEFVICE-ISAR,ETC.) OH NOT, TME GqANT.NG OF A i�EHLtir DOES NOT PHESUME TO <br /> GIVL nUTHOF:TY TO VIOLATE O!` GnNCEL THE PROVISIONS OF <br /> � AIJV OTMER STATE Oli LOCAL LAW REGULATI�lG CONSTqUCT10N <br /> ORTHEPERPORMhNCI OFCONSTRUCTION. <br /> SUB TOTAL <br /> -- PERMIT $ <br /> TOTALFEE $ � qFMf/.i! <br /> i�GCj �N <br /> x <br /> SIGNATUfiEOFCONTflNCTOftORAUTN.AGENT DATE <br /> [iIDE VARD 5[T6ACK STR�ET SETUACK REAR YARDSET��CK PLAN CH@CK NUAI6ER VLFN CHLCK FEE <br /> FEE RECEIPT NO. <br /> USE 70NE LOT AREA VACANT SITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> T VFE OF CONST. OCCUPANGV GROUP NO.OF DWELLING T , <br /> UNI15 I I <br /> MniN�r �(� � <br /> SIZ[ OF BLDG. NO.OF STORIES MAX.00C. LOAO 6U!LDING 5 I <br /> __Y— <br /> PLVMpING I <br /> FIIiEZONE OASEMEfJT FIFESPRIM1KLERS I <br /> REQUIRED � <br /> ❑VES ❑NO ��ECHANICAL � <br /> � <br /> iSPECIAL CONDITIONS' OTHER � I <br /> � _�_ I <br /> — P[f1ELTV SEC.3091a1 I -- I <br /> TOTAL � <br /> I <br /> PFRhiIT VALIDATION <br /> � N/HEN PROPERLV VALIOAT[D IIN THi;SPACEI THIti I5 VOUP. V[PMIi <br /> I <br /> I I <br /> "�'IIQ.Ii�':ACCIPi(OPY 1'(qNvC11ECKEDBY pPpqOVCD.'OhI55W�NCECV I <br /> � _— � � �_��� .^, � <br /> �� <br />