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1lre Evergrecn <br /> CITYOF - CONSTRUCTION everett <br /> everett PERMIT <br /> [nv�w�� A9Poes <br /> R'fPE11.144\NitiGfON <br /> eA)01 <br /> °"' °o���,o;M„; BUILDING MECHANICAL PLUMBING <br /> OWNER p1AIL ADDIiE55 21P PMONF <br /> e�.L:�At BRQI p�jD i�i ITi r'�K. � <br /> AFCHITECTOADESIGNER MAILADDfiE55 PHONE LICENSENO. <br /> GENENI��ONTflACTOF MAILADOPESS PNONE LICENSE ?!O. <br /> MECHANICAL CONTqACTOR MAIL ADJFESS PNONE LICENSE NO. <br /> PLUI.qBINGCONTRACTOR MAILAODFESS PHONE LICENSEN(�. � <br /> W <br /> m <br /> PERMIT CLASS OF WORK � <br /> � <br /> Z <br /> DUILDING �PLVMOING �MECHANICl�L F <br /> ❑NEW ❑ADDITION ❑ALT[RATION ❑qEPAIR C <br /> VALUATION OF VYV�( �� C <br /> g �71�� ❑DEMOL6N �FENCE ❑SIGN ❑SWIMMING PDOL W <br /> DESCRIBG WORK '— <br /> a <br /> �r � c�u.:+a tr.at , J . 119 <br /> PROPOSED USE <br /> MECHANICAL <br /> LEGAL DESCRIPTION OP PqOCLHTv ISHOW f3ELOW OR A7TACN TYPE O� FUEL OOIL �NnT. QI.PG. �ELEC. <br /> FOV•q1t�O,�P IE51 �w� GAS <br /> �oTL�G oLOCK�Z+� ��•' i! NO. TVPEOF EQUIPMENT FEE <br /> AIR COND. UNITS-H.P. EA. 5 � <br /> RlFRIGERMION UNRS-H.P. �n. <br /> (301LEF5-H.P. EA. � <br /> GAS PIR[D A.C. JNITS-TONNAGE E�. <br /> FORCLD AIR SVSTEMS-F3.T.U. M EA. � <br /> JOB ADORE55 � j� WALL HEATERS-(i.T.U. M <br /> UMT HEATERS-�.T.U. M � <br /> PLUMBING EVl�PORATIVE COOLERS <br /> CI.OTHES DRVERS � <br /> VENTILATIpN FAN <br /> RIINGE MOOD � <br /> NO. TypE OF FIXTURE OR ITEM FEE Alq IiANDLING VNIT- C.F.M. <br /> WATEft CLOSETITOILETI g �NCIIVERAiOR � <br /> BATHTU� —�— <br /> LAVATORVIWASHBASINI � ' <br /> SHOWEq <br /> _ KITCMEN SINK & OISP. SUB TOTAL 5' I <br /> _ OISHWASIiEF PERMIT � <br /> LAUNDRV TRAV � <br /> TOTALF[E $ � <br /> CLOTH@5 WASHER THIS PERAIIT gECOMES NULL AN� VOIp IF V10RK OR CONSTRUC- <br /> _ WATER MEAT@q —� TION AVTNOF',12EO IS NOT �OMh1[NCEO 4VITHIN 120 �AVS, OR IF <br /> l'RINAL CONSTRUCTION OR WORK IS SUSPEN�ED Oq qpAN�ONED FOR A <br /> OfiINKING FOUNTAIN PERIOD OP 120 DAVS !�i ANV TIME nf-TER WORK IS COMMENCE�, <br /> f-IOON-SINY. OR Dfl/11N I HEREUV CERTIFV THAT 1 IIAVE !i[AU AIJp [XAMINEU TI115 AP� <br /> VACUUM BREAKERS PL�CATION AND KNOW TME 5�1ME TO pE THUE At�D COFRECT. ALL <br /> ROOF DRAINS-RAINLEADEliS I— P�nVI510N5 OF L�WS AND OfiDIN�1NCE5 GOVEPNING lM1S TVPE <br /> OF WORK WIL� (i[ COMP�IED WITH WHETHEfi SPECIFIEU HEIiEIN <br /> S�NK (SEPVI]E-9AR, ETC.) OH NDT, THE GRANTING OF A °EflMIT DOES NOT PRESUME TO <br /> GIVE AUTHpFITY TO VIOLATE OR CANCEL THE PpOVIS10N5 OF <br /> ANV OTNER STATE Oq LOCl.L LAW RLGULATING CONSTRUCTION <br /> ORTHEPERFOPMANCEOFCONSTRUCTION. <br /> SU9TOTAL <br /> PERMIT 5__� <br /> TOTALFFE 5 <br /> x � <br /> SIGNATVfl[OFCONTRACTOROFAUTH.AGENT DATE <br /> SIOE YAqO5ET0ACK STFiELT SET0.ICK REAR VARDSET�ACK PLAN CHECY. NUM9ER PLAN CNECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREn VACANT Sll e <br /> ❑vE5 ONo FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROVP NO.OF DWELLING <br /> UNIT$ � <br /> SRE OF BLOG. NO.Of STORIES A,tq%.00C. LOAD OUILDING 5 C` � <br /> PLUMBING <br /> FIREZONE OASEMENT FIIiESPRINKLERS <br /> FEOUIqEO <br /> ❑VES ❑NO MECIIANICAL � <br /> SPECIAL CON�ITIONS: OTHER � <br /> I <br /> 1_'__ <br /> — PFNELTY SE0.7071a1 I <br /> TOTAL � � <br /> .r� <br /> PERMIT VALIDATIUN <br /> WNEN PROPE RLV VALIp.1T[O IIN THIS SVAC[I THIS IS YOUR PEIiM1T <br /> N`I'LICAl10ryTCC[PTE�BY' I'L/�NSCNELKCOflY: ApPflOVCII�OhI$�UANC[9T <br /> T• C� y� �� <br /> a <br />