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the Everg�een <br /> ��TYOF CONSTRUCTION everett <br /> +everett PERMIT <br /> eirr�wu avtee; <br /> evcaE�*.wasmrvcron <br /> 99}pl <br /> °E°T °°�°:'�.�°���� BU!E_DING MECHANICAL PLUMBING <br /> ocvr.ivaa+Er�r <br /> OWNE)R !�! ]�/� (M±�AIL ADDRE55 LIP PHONL f4�- �j <br /> �v.wS....4i l.tir.1:[^^ JS� L3: ���..�� .�• V({��{�' <br /> ARCMITECT OF�ESIGNER MAIL ADDRE55 PMONE LICENSE NO. <br /> GEY�E.CRIAL CONTP�F '��� f'M�)AI�1L A��D�RLSS ef PHONE ��C�,F�(�$�N�� <br /> . M:� '. CJ��: ' � . CiW+ LLFSF� � [I � <br /> MECHANICAL CONTRACTOR MAIL AODRE55 PHONE �ICENSE NO. <br /> PLUMBINGCONTFACTOR MAILADOfiESS PHONE LICENSENO. � <br /> W <br /> m <br /> PERMIT CLASS OF WOFK � <br /> Z <br /> Lyu�U1LOING ❑PLUM9ING �MECHANICAL $NEW ❑A�OITION ❑ALTERATION ❑REPAIR ~ <br /> � <br /> VAWATION O}yp�K � <br /> �W ❑DEMOLISM ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> 5 <br /> DESCflIBE WOfiK <br /> c�s�-c�^ 42rr �<� � ^��r, t��.� 576 <br /> PROPOSED USE MECHANICAL <br /> LEGAL DESCFIPTION OF PROPERTY �SHOW BELOW OR ATTACH TYPE OF FUEL �OIL ❑GAS ❑LPG. �ELEC. <br /> FOUF COPIESI <br /> �oT o�ocK_oF NO. 7VPE OF EQUIPMEN7 FEE <br /> AIR CON�.VNITS—H.P. EA. 5 I <br /> REFRIGERATION UNITS-H.P. EA. <br /> �OILEfiS-Ii.P. EA. I <br /> GAS FIqED A.C. UNITS-�TONNAGE EA. <br /> �ORCED AIR SVSTEMS-9.T.LL M EA. I <br /> JOB ADDRE55 1 WALL HEATERS-B.T.U. M <br /> � ���a'���� r�� UNIT HEATERS-�.T.U. M I <br /> EVAPORATIVECOOLEftS <br /> PLUMBING CLOTHESURVLRS I <br /> VENTILATION FAN <br /> RANGEHOOD I <br /> NO. TYPE OF FIXTURE OR ITEM FEE Flfi HANDLING UNIT- C.F.M. � <br /> WATEF CLOSET ITOILETI g �NCINERi1TOR I <br /> BATHTUB <br /> LAVATOFV (WASH BASINI � <br /> SHOW Efi <br /> KITCHENSINK& DISP. SU�TOTAL 5 � <br /> OISHWASHER PERMIT 5 <br /> LAUNDR'lT9AV 7p7ALFEE 5 � <br /> CLOTHES WASHEfl THIS PERMIT 6ECOMES NULI AND VOI� IF WORK OR CONSTRUC- <br /> WATER HEnTEfi TION AUTIiORIZE� IS NO7' COMMENCED WITHIN 120 DAVS, OR IF <br /> VRINAL CONSTRUCTION OR WOPK IS SUSPENDEO OR ABANDONED FOR A <br /> ORINKING FOUNTAIN PERIOD O� 120 DAVS AT ANY TI�.AE AFTER WORK IS GOMMENCED. <br /> FLOOR-SINK OF DFAIN I HEREBV CEftTIFV THAT I HAVE READ AND E%l�MINED THIS AP� <br /> VACUUM1!6REAKERS PLICATION AND KNOW TME SAME TO�E TRUE AND CORRECT. ALL <br /> - PIiOVISIONS OF LAWS AND ORDINl�NCES GOVERNING THIS TVPE <br /> FOOF DRAINS-HAINLEAOEPS OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIE� N[REIN <br /> SINK (SERVICE-9AR, ETC.) OR NOT, THE GRANTING OF A PF.RMIT DOES NOT PRESUME TO <br /> GIVE I�UTHORI7Y TO VIOLATE OR CANCEL TNE PROVISIONS OF <br /> ANV OTHER STATE OF IOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PEf1FORMANCE OF CONSIRUCTION. <br /> SUB TOTAL <br /> PERMIT 5 <br /> TOTALFEE $ j x � �� �� � ti,�A� <br /> i�JL`/(L1 <br /> SIGNATUREOFCONTFlACTOROFAVTH.AGENT DATE <br /> SIDEVl�FD5ET0ACK STREETSETpACK flEARYARDSETRACKPLANCHECKNUM(3ER PLANCHECKFEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCVPANCV GROUP NO.OF OWELLING <br /> UNITS � <br /> SIZE OF BLDG. NO.OF STORIES MAX.00C. LOAD 9UILOING 5 �r-,ry y � <br /> PLUMBING � <br /> FIREZONE f1A5EMENT FIRESVRINKL[PS <br /> R ❑VESED ❑NO MECNAPJICAL I <br /> SP[CIAI CONDITIONS: pTHER � <br /> I <br /> _ PENELTV SEC. 9091a1 � <br /> rorn� � ;�p <br /> PERMIT VALIDA710N <br /> WHLN PROPERLV VALIDATEO UN THIS SPACE)THIS IS YOUP PERMIT <br /> TPPLICAt10N NCCC1'iFO9Y�. PLN�SCIICLI'CO�Y�. APPPOVE�N I�:ANLF IlY , <br /> \. <br /> n <br />