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tire fvergreen <br /> CITY OF CONSTRUCTION everett <br /> everett PERMIT <br /> nrrxaii ryseaes <br /> [V[RET�.WASNINGtON <br /> 96}01 <br /> otrr.ovcaxuuxirv BUILDING MECHANICAL PLUMBING <br /> o[v[ioru[rvi <br /> OWNER MAILAODRE55 ZIP PHONE ��♦ <br /> ".� .��!" 'TIyT✓ .. . �.r /("-II <br /> iA <br /> ARCMITECT OR DESIGNER MAIL AODRESS PMONE LIGENSE NO. <br /> GENEHALCONTRACTOR MAILADORESS PH^O�NME LICENSENO. <br /> . � T �1 i .�i ��5^�!i �r�'���yy� <br /> MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> PLVMBINGCONTkACTOR MAILADDRE55 PHONE LICENSENO. � <br /> W <br /> m <br /> PERMIT CLASSOF WORIi � <br /> � <br /> Z <br /> 'BUIIDING � PLVMBiNG �MECHANICAL H <br /> ❑NEW ❑ADDITION ❑ALTEliATION ❑qEPA1P � <br /> VAlUAT10N�/O�yF W� O/�HK <br /> s fd.'-'a�Y ❑OEMOLI51/ ❑FENCE Q51(iN ❑SWIMMING POOL a <br /> DESCRIBE WORK <br /> �-n-.:. �e:•�- .. :.��»� 2197 <br /> PROPOSED USE MECHANICAL <br /> LEGALDESCRIPTIONOf PROPERTV ISHOW BELOW OR ATTACH TVPE OF f-VEL �OIL �GAns. �LPG. �ELEC. <br /> FOUR COPIES) - <br /> LOT BLOCK_oF NO. TVPEOFE�UIPMENT FEE <br /> AIR COND. UNITS-H.P, EA. S 1 <br /> FEFRIGERATION UN�TS-H.P. EA. <br /> BOILERS-H.P. EA. I <br /> GAS FiRED A.C. UNRS-TONNAGE EA. <br /> FORCEO AIR SVSTEMS-B.T.U. M EA. I <br /> JOB ADOHE55 ���� ;�'�� WALL NEATERS-B.T.V. M <br /> VNIT HEFTERS-B.T.V. M 1 <br /> PLUMBIN� EVAPOFlATIVECOOLERS <br /> CLOTHESORVERS � <br /> VENTILATION FAN <br /> FANGEHOOD - I <br /> NO. TYPE OF FIXTURE OR ITEM FEE A�R HANDLING UNIT- C.F.M. <br /> WATERCLOSETITOILET� g INCINERATOR � <br /> BATHTUB <br /> LAVATORV(WASH BASIN) I <br /> SHOWC:R <br /> KITCM[N SINK b DISP. SUB TOTAL 5 � <br /> OISHWASHEP PERMIT $ <br /> LAUNDRY TRAV — —� TOTAIFF.E 3 � <br /> GLOTHES WASHER . THIS PERMIT BECOMES NUI.� AN� VOID IF WORK OR CONSTRUG <br /> WATEP NCATER TION AUTHOfl12ED IS NOT COMMENCED WITHIN 120 DAVS,OR IF <br /> URINn� CONSTPUCTION OR WORK IS SUSPENDED OR ABANDONE� POR A <br /> DFINKING FOUNTAIN PERIOD OF 12U DAVS AT ANY TINE AFTER WORK IS COMMENCED. <br /> FLOOR-SINK OF DPAIN � �iEREBY CERTIFV THAT I HAVE REAO AND E%AMINE� THIS AP- <br /> VACVVM OREAKERS PL�CATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> qOOF DRAINS-RAIN�EAOERS { P�OVISIONS OF LAWS AND OFDIHANCES GOVEPNING THIS TVPE <br /> _ OF WORK WILL BE COMPLIEO WI7H WHEi"NEF SPECIFIED HEREIN <br /> SINK (SERVICE-BAR,ETC.) OR NOT, THE GRANTING OF A PERMIT [)OES NOT PRESUME TO <br /> — GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LNN REGUTATING CONSTRUCT�ON <br /> OR THE PERFORMANCE OF CONSTP,UCTIOV. <br /> SUBTOTAL <br /> PERMIT $ <br /> TOTAI FEE $ <br /> x 1 � <br /> SIGNATUREOFCONTFACTORORAUTH.AGENT DATE <br /> SIOEVAfiDSETBACK STREETSETOACK REARYARDSETDAC PIANCMECKNUMBER PLANCHECKFEE <br /> FEF pECEIPT NO. <br /> USE 20NE LOT AqEA VACANT SITE <br /> ❑vES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING <br /> UNITS I <br /> 512E OF BLDG. NO.OF STORIES MA%.OCQ LOAD 6UILDING S .�C.'r,ry�� � � <br /> PLVMQING � <br /> FIRE20NE �ASEMENT FIRESPRINKLEfiS <br /> REOUIHED <br /> ❑VES ❑NO MECHANICAL I <br /> SPECIALCONOITIONS: OTHER � <br /> PENELTV SEC.303�0) I <br /> TOTAL � � <br /> PERMIT VAIIDATION <br /> � WHEN PflOPERLV VALIDATED IIN THIS SPACE)THIS IS VOUR PEFMIT <br /> API'LICATIONPCC[PTC�BY: PlANSCHECKEOHY: APPHOVEDfON155VAkCCBY�. <br /> :.:,n�.,n� <br /> 0 <br />