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t c vergreen <br /> CITY OF COfVSTRUCTION everett <br /> everett PERMIT <br /> cnn�au nseees <br /> EV[REtI.N45NINL10N <br /> 9B)01 <br /> °�°� °��°�M°�"� gUILDING MECHANICAL PLUMBING <br /> ocv[ioru[xr <br /> OWNER MAILAOOflESS ZIP PMONE <br /> AHCHITECT OR DE NEft MAIL ADDRESS PMONE LICENSE NO. <br /> '��l�i i <br /> GENEFALCONTRACTOR MAILADDRE55 PHONE UCENSENO. <br /> MECHANICAL GONTRACTOR MAIL AODFE55 PIiONE LICENSE NO. <br /> PLUMBING CONTRACTOfl MAIL AODFESS PHONE LICENSE NO. � <br /> �y�� W <br /> .•La�t{� e L.G.43Yi � <br /> PERMIT CLASSOf WORK � <br /> Z <br /> ❑BUILOING �PLUMBING �MECHANICAL �NEW ❑AODITION ❑ALTERA'�ION ❑HEPAIR ~ <br /> � <br /> VALUATION OF WORK � <br /> $ ❑OEMOLIShI ❑FENCE ❑SIGN ❑SW�MMING POOL a <br /> DESCRIBE WORK /�^O/� <br /> � 1�4G0 �Ct :�LQ!' f S�l7lSRC[3: +.'1p C� 1AiLc1r L 3 L <br /> PROPOSED USE MECHANICAL � �� �IaY• <br /> IEGAL�ESCRIPTION OF fROPERTY �SHOW BELOW OR ATTACII TVPE OF FUEL �OIL �GA^S. �LPG. QELEC. <br /> FOUR COPIE5) <br /> �07 BLOCK_OF NO. TVPEOFEUUIPMENT FEE <br /> AIR CONJ. UNITS-H.P. EA. 5 I <br /> PEFRIGERATION UNITS-N.P. EA. <br /> 601LER5-H.P. EA. I <br /> GAS FIFED A.C.UNITS-TONNAGE EA. <br /> FORGED AIR SVSTEMS-6.T.V. M EA. I <br /> JO�B�AyD�DR*�E55 ` /� YVALL HEATERS-B.T.U. M <br /> Y7Li uwRYL A�i'� l•'.�IiR O� r.�la�i:sy C UNIT HEATERS-B.T.U. M 1 <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTHESDRYERS 1 <br /> VENTILFTION FAN <br /> HANGENOOD � <br /> NO. TYPE OF FIXTURE OR ITEM FEE �+�R HANDLING VNIT- C.F.A7. <br /> WATER CLOSETITOILETI 5 �NCINEFATOR I <br /> BATHTUB <br /> LAVATORY(WASM BASIN) � <br /> SHOWER <br /> KITCHEN SINK&DISP. SVB TOTAL 5 I <br /> OISHWASHEH PEFMIT 5 <br /> LAVNDPV TRAY TOTAL FEE 5 � <br /> GLUTHES WASHER THIS PERMIT B[CDM11E5 NVLL AND VOID IF WORK OR CONSTRUC� <br /> WATER MEATER TION AUTIiOR12LD IS NOT COMM1tENCEO WITHIN 120 DAVS, OR IF <br /> URINAL CONSTFVCTION OR WOFK IS SVSPEtJ�ED OR AOANDONED FOF A <br /> DPINKING FOUNTAIN PERIOD OF 120 OAY$ AT ANV TIME AFTER WORK IS COMMENCED. <br /> FLOOR-SINK OR ORAIN I HEPFHV CEftTIFY TNAT I HAVE REAO AND E%AMINED THIS AP� <br /> VACUUM BREAKERS PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAlVS AND ORDINANCES GOVERNING THIS TVPE <br /> ROOF �RAINS-RAINLEADERS OF WOflK W�LL BE COMP�IED WITIi WHETMEP SPEGIFIEO HEREIN <br /> SINK (SEflV�CE-BAR,ETC.1 OR NOT, TNE �RANTING OF A PEflMIT �OES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL TME PROVISIONS OF <br /> ANV OT'HEF STATE OR LOCAL l AW REGULATING CONSTRUCTION <br /> OF TI1E PERFORMFNCE OF CONiTRUCTION. <br /> SUB TOTAL <br /> PEpMiT $ <br /> TOTALFEE S <br /> X <br /> SIGNATUREOFCONTfiACTORORAU?H.AGENT OATE <br /> SIDFYAFDSETBACK STREETSET�ACK REAqYARDSETBAG PLANCIIECKNUMBER PIANCHECKFEE <br /> FEE �ECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TYP[OF CONST. OCCUPANCV GqOUP NO.OF OWELLING <br /> UNITS � <br /> SI].E OF 13LDG. NO.OF STORIES MAX.OCC. LOAO DUILDING 5 I <br /> I <br /> PLVMBING � <br /> FIFE20NE OASEMENT FIRE51'RINKLERS <br /> NfOVIRE� <br /> ❑YES ❑NO MECHA�JICAL I <br /> SPECIAL CONDITIONS� OTHER � <br /> I <br /> . PENE�TV SEC. 9031a) � <br /> TOTAL �I(� <br /> PERMIT VALIDATION <br /> Wl1EN PROPEALV VAIIDATED IIN ili1S SPACEI THIS IS�OUR PERMIT <br /> APVLICATIONAttEPiE00V�. VLANSCNEIXEDBV: I.�PROVCOfOPI55U�NCE9Y. <br /> � <br /> Q <br />