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tlre Everyreen <br /> =�T, o� CONSTRUrTION everett <br /> everett PERMIT <br /> ❑LY NALL 1598685 <br /> CVFPELt,1V�5NINftOY <br /> 98141 <br /> °`"` °"°�"°"°' BUILDING MECHANICAL PLUMBING <br /> n[veiovr.•rxr <br /> 0��::FR MAIL ADDRESS ZIP PNONE <br /> «'PLKltt ,���71 �'G1 <br /> ARCNITECT OR DESIGNER MFII ADORESS PMONE LICENS[ NO. ��,�s� <br /> GENERAL CONTRACTOR MAIL ADDRESS PHONE L�CENSE NO. <br /> � �.� <br /> MECHANICAL CONTRACTOq MAIL ADDRESS PHONE LICENSE NO. <br /> PIVMBING CONTRACTOR MAIL ADORE55 PHONE LICENSE NO. a <br /> W <br /> m IPERMIT CLASS OF WORK ? <br /> Z <br /> ❑BUIL�ING ❑ PLUMOING �MECHANICAL �.. <br /> ❑NEW ❑AODITION ❑ALTEFATION ❑REPAIR � <br /> VALUATION OF WOflK <br /> S ❑DEMOLISN ❑F[NCE �IGN ❑SWIMMING POpI. aW <br /> DESCRIBE WO.RK <br /> ss� �a��im ae"x��a ��,sa. a�. 2147 <br /> PROPOSED VSE <br /> MECHANICAL <br /> IEGAL OESCRIPTION OF PROPERTV �SNOW BELOW OR MTACN TVPE OF FUEL �OIL ❑GAS ❑LPG. �ELEC. <br /> FOV R COPIE5) <br /> Lo7 OLOCK—OF NO. TVPE OF E�UIPMENT FEE <br /> AIR COND. UNITS-N.P. EA. $ I <br /> REFRIGERI�TION VNITS-N,P. EA. <br /> DOILERS-H.P. EA. � <br /> GAS FIRED A.Q UNITS-TONNAGE EA. <br /> fORCLD AIR SVSTEMS-�.T.U. S1 EA. � <br /> !OB ADDRESS ��� Wq�L HEATEFS-U.T.V. M � � <br /> � c1q�ry�i'Q ���� VNITIiEATERS-B.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTHESOFVERS � <br /> VENTILATION FAN <br /> RANGEMOOD I ' <br /> NO. TVPE OF FI%TURE�R ITEM FEE ��R HANDLING UNIT- C.F.M. <br /> WATERCLOSEi1TOILETI g INCINERATOR � <br /> BATHTUB <br /> LAVATORV IWASH DASINI � <br /> SNOWEH --� <br /> KITCHENSINK& DISP. SUBTOTAL 5 <br /> I <br /> DISHWASl1ER PEFMIT 5 <br /> LAUNDHVTRAV TOTA�FEE 5 � <br /> CLOTHES WASHER THIS PERMIT 6Ef.OMES NULL AND VOID If WORK OR CONSTRVC- <br /> KATER HEATER TION AUTHOPIZED IS NOT COMMENCED WITMIN 120 DAVS, OR IP <br /> URINAL CONSTHUCTIDN OR WORK IS SUSPENDEO Oft ABANDONED FOR A � <br /> ORINKING FOUNTAIN PERI00 OF 120 Df�VS AT ANV TIM11E AFTER WORK ISCOMMENCED. <br /> FLOOR-SINK OR ORAIN I HEREBV CERiIFV TMAT 1 HAVE REAf] AND E%AMINE� TMIS AP� <br /> VACVUM BREAKERS P�ICATION /�ND KNOW Tl1E SAME TO�E TRUE ANO CORRECT. A�I. <br /> FOOF DRAINS-RAINLEAD[RS �— PROVISIONS OF �AWS AND OROINANCES GOVERNING THIS TVPE <br /> OF WORK WILL BE COMPLIED WIT11 WHETHEft SPECIFIED NEFEIN <br /> SINK (SEFVICE-DAR,ETC.) OR NOT, THE GRANTING OF A PERAIIT DOES NOT PPESUME TO <br /> GIVE AVTHORITV TO VIOLATE Ofi CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OH LOCAL LAW REGULATING CONSTRUCTION <br /> OR T1iE PEFFORMANCE OF CONSTRUCTION. <br /> SUB TOTAL <br /> PERM1IIT 5—� <br /> TOTAL FEE 5 t1/y7_IM <br /> X G�i�. (f <br /> SIGNATUREOFCONTRACTORORAUTH.AGENT DATE <br /> SI�E YARD Sf:TOACK STHEET SET�ACK REAii YARDSETeACK PLl�N CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE 1.0T AREA VACANT SITE <br /> ❑vES ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV !a'ROVP NO.OF DWELLING <br /> UNITS I <br /> SIZE OF l3LDG. NO.OF STORIES MA%.OCC. LOAD OUILDING � 5 Q� � � <br /> PLUMpING � <br /> FIRE ZONE OASEMENT FIitESPRINKLEPS <br /> FE�UIRED <br /> ❑VES ❑NO MECHANICAL � <br /> SPECIl�L CON�ITIONS: OTIiEfl � <br /> PENELTV SEC. 3071n1 I <br /> TOTAL 3i � <br /> PERMIT VALIOATION <br /> WHEN PROPERLV VFLIDATED IIN THISSPACE) THI515 YOUq PERMIT <br /> A4M�l�f.AT10N�CCCPTCOlIV'. 1'L�NSCIIECNCOpY. F�PflOVEUiONI55UPNG[OY. <br /> rsa <br /> a <br />