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!he Eve�green <br /> CITY OF CONSTR UCTION everett <br /> everett PERMIT <br /> CIiV 1�4LL ]SOEA25 <br /> EVEPEi1.P:pS1iH:dOG � <br /> 9'i:Bl <br /> °`°' °"°'""°""' BUILDING MECHANICAL PLUMBING <br /> otv[iovm.[n* <br /> OWNEq MAIL ADDRE55 ZIP PHONE <br /> -'t.'�3 5,9� li.''� �tS •"r"'..7'�q' �£t'2lt3 25�3� ''�`�,r�76 <br /> ARCHITECT OR OESIGNER MAIL AODRE55 PHONE LICENSE NO. <br /> GENERALCONTFAC-T�eO�ft .[ 1n �M;yAILA�D.eD�R�ES+S� PMONE LICENSENO. <br /> ?Y•^�'h`�? n..ft'?!1t.ir�3 FY.P?� 4J�N b5s,�:�L� <br /> MECHANICALCONTRACTOR MAILAODRE55 PHONE LICENSENO. <br /> PLUMpING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. � <br /> W <br /> m <br /> PEqMIT GLASS OF WORK � <br /> � <br /> Z <br /> �6UILOING �PLUM9ING �MECHANICAL y� F- <br /> �yNEW ❑ApGITION ❑ALTEFATION ❑REPAIR � <br /> VALUATION OF WORK � <br /> 5 ��� ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> DESCRIUE WOf1K +.�r�q -Ma s�y� eeai��y �y� y� ��� <br /> �..'�[n..3i.�� �1 �{[N{� � C�+�tit.I. S�:�y:IdY <br /> PRONOSED USE MECHANICAL <br /> L[GALDHSCFIPTIONOFPROPERTVISHOWBELOWORATTACFI T�PEOFFUEI �OIL �Gns. �LFG. �ELEC. <br /> FOU OPI 51 <br /> Lo7 sLOCK—oF � �r�'� NO. TYPE OF E�UIPMEN7 FEE <br /> Alft COND. UNITS—H.P. EA. 5 I <br /> fi[�pIGERATION UNITS-H.P. EA. <br /> BOILE{i5-H.P. EA. � <br /> GOa FIPED A.C. UNITS-TONNAGE EA. <br /> FORCEO Alfl SYSTEMS-"�T.U. M EA. I <br /> JO� FDDRESS WALL HEATEPS-B.T.U. M <br /> � � �� UNIT HEATEFS--�.T.U. M I <br /> EVAPOflATIVECOOL[RS <br /> PLUMBING CI.OTHES DRYERS i <br /> VENTILATION FAN <br /> RANGEHDOD I <br /> NO. TVPE OF FIXTURE OR ITEM FEE �+Iq HANDLING UNIT— C.F.M. <br /> WATER CLOSET ITOILETI 5 INCWERATOR � <br /> 3ATHTUB <br /> LAVI�TORY(WASH BASIM I <br /> SIIOWEq � <br /> _ KITCHLN SINK& OISP. SUB TOTAL $ � <br /> DISHWnSHER <br /> PEfiMIT 5 <br /> LAUN�RVTFAY TOTALFEE 5 � ` <br /> CLOTHES Wl15HER THIS PERMIT BECOMES NULL ANO VOID IF WORK ON CONSTRUC� <br /> WA"Fq 4iEATER TION AUTHORI7ED IS NOT COMMENCED YJITHIN 12U CAVS, OR IF <br /> UPINAL CONSTRUCTION OR WORK IS SUSPENOEO OR AEiANDONED FOR A <br /> OPINKING FOUNTAIN PEFilO� OF 120 UAYS AT ANY TIA1E l�FTER WORK IS COMMENCED. <br /> FLOOR-SINK OR ORAIN � HERE�Y CERTIFV THAT I h{qVE READ AND E%AMINED THIS AP� <br /> V 4CUUM pfl[AKER$ PLICATION AND KNOW THE SAM11E i0 6E TRUE AND CGRRECT. All_ <br /> ROOF ORAINS-RAINLEADEF$ —� P������ONS OF LAlNS ANO OPDINANCES GOVFRNING THIS TYPE <br /> OF WORK WILL pE COMPLIED WITH WHGTHER SPECIFIED H[FEIN <br /> SINK (SERVICE-BAfl. ETC.) OF NOT, THE GRANTING OF A PEqMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> AN'/ OTHER STATE OR IOCAL LAW FEGULATING CONSTPUCTION <br /> OR THE PERFORMANCG OF CONSTRUCTION. <br /> SU�TOTAL <br /> PERMIT 5 <br /> TOTALFEE $ <br /> x .�� <br /> SIGNATUREOFCONTRACTORORAUTH.AGENT DATE <br /> SIOE VARD SET�l�CK STRELT SET6ACK FEAR VARDSET6ACK PLAN CFIECK NUM6ER PLAN CMECK FE[ <br /> !, _� FEE �.l,� PECEIPT�� <br /> USE ZONE LOT AREA VACANT SITE ���Z '�`� d� <br /> ❑vE5 ❑nto FEES VALUATION FE[ <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING <br /> UNITS � <br /> SIZE OF BLOG. NO.OF S70RIE5 MAX.OCC. LOAD eU1LDING 5 ���� � � <br /> PLUMBING I <br /> FIRE 20NE pASEMENT FIflESPqINK�EflS 1 <br /> ' RF�UIRED � <br /> ❑VES ❑NO MECHA�JICAL � <br /> SPECIALCONDITIONS: OTHER � <br /> I <br /> PENtLTV SF.C. �p�:al I <br /> 1 <br /> TOTAL � <br /> y <br /> � PERMIT VAL!OAYION <br /> — WH[N PROPEFLY VALIDATEO IIN THI$SPACE)T1115 IS VOl1R PERAIIT <br /> APPLICqiIONl�ttEPTC��Y�. GLANSCNECKC�6Y'. APVPOVEp�155^ANClIIY. . <br /> w <br /> _.3 <br />