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� the Evu�reen <br /> =��,�o� CONSTRUCTION everett <br /> everett PERMIT <br /> nrr�au tsseaes <br /> EV[NRT,NASNIHGiON <br /> 9A}01 <br /> °"` °"°""°""" BUILDING MECHANICAL PLUMBING <br /> OEVEIOPM[HI <br /> OWNER �y �tAILADDREgS 21P �y P"�H/OyN�E �(�,����y{ <br /> �is :Ci7�..�� � �1.��•'�. �JL:yyy iYIiP�IV <br /> ARGHITECT OR�ESIGNER A1AIL ADDRE55 PHONE LICENSE NO. <br /> GENEFAL CONTRAC�TOWR.� �tAiL AODRESS PHONE LICENSE NO. <br /> �t�A•7u11:4/ �w1'.al.s• L� <br /> MECHANICAL CONTqACTOR �1AIL ADCIRESS PHONE LICENSE NO. <br /> PWMBINGCONTRACTOq AIAILADORESS PHONE LICENSENO. � <br /> W <br /> m <br /> PERMIT CLASS OF WORK � <br /> Z <br /> � BUILDING � PLUMBING ❑MECHANICAL H <br /> ❑NEW ❑AD�ITION �LTERATION ❑REPAiq � <br /> VALUATION OF WORK � <br /> g I?� ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> DESCRIBE WORK �_ � _� ��. ���� <br /> PqOPOSED USE MECHANICAL <br /> TYPEOFFUEI. �OIL �NAT. �LPG. �ELEC. <br /> LEGAL DESCFi1PTION OF PROPERTY �SHOW 6ELOW OF ATTACH GAS <br /> FOU 1 <br /> G� � +1�:�..:�5 L�. NO. TVPE OF EQUIPMENT FEE <br /> LOT �LOCK_ F q�R COND. UNIiS-H.P. EA. S I <br /> REFFIGERATION UNITS-H.P. EA. <br /> �OILERS-H.P. EA. I <br /> GAS FIPEU A.C. UNITS-TONNAGE EA. <br /> FORCED AIR SYSTEMS-B.T.U. M EA. I <br /> JOB ADDRESS � � ,�1�� WqLL HEATENS-D.T.U. M <br /> UNIT HEATERS-B.T.U. M 1 <br /> � PLUMBING EVl�POFiATIVE COOLERS <br /> CLOTHES ORVEiiS I <br /> VENTILATION FAN <br /> FANGENOOD I <br /> NO. TYPE OF FIxTURE OR ITEM FEE �+�A HANOLING UNIT- C.F.M. <br /> WATER CLOSET�TOILETI g INCINERATOR I <br /> BATHTUD <br /> LAVATORYIWASHBASINI I <br /> SHOWER <br /> KITCHEN SINK &OISP. SV�TOTAL 5 I <br /> DISHWASHER PERMIT 5 <br /> IAUNDRVTRAV TOTALFE[ S I <br /> CLOTHES WASMER THIS PERMIT OECOMES NULL AND VOID IF WppK OH CONSTRUC- <br /> WATER HEATER TION AUTHORI2ED IS NOT COMMENCEO WITHIN 120 DAVS, OP IF <br /> UPINAL CONSTRUCTION OR WORK IS SUSPENDED OR A�ANDONED POR !� <br /> DRINKING FOUNTAIN PERIOD UF 120 DAYS f�T AMV TIME AFTER WORK IS COMMENCED. <br /> FLOOR-SINK OR DRAIN I HEREA� CERTIFV THAT I NAVE REA7 ANC E%l�MINEO TNIS AP� <br /> VACUUM BREAKERS PLICM�ON AND KNOW THE SFME TO iiE TRJE AND CORPECT. ALL <br /> ROOF DRAINS-RAINLEADERS — I P�7�VISIONS OF �AWS AND OHOINANCBS GOVERNING THIS TVPE <br /> OF \NORK WILL UE COMPLIED VJITH WMETHEF SPECIFIE[] NEREIN <br /> SINK (SERVICE-DAR, ETC.) OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> —I-- GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV qTHER STATE OR LOCAL LAW REGVIATING CONSTFUCTION <br /> ON THE PERFOFMANCE OF CONSTRUCTION. <br /> SURTOTAL <br /> PERMIT 5 -�-. <br /> TOTALFEE S 71A�lAlC <br /> aY ii��i V <br /> x <br /> 513NATUREOFGONTRACTORORAUTH.AGENT DATE <br /> SIDE YAqDSET�ACK STREtT SETOACK REAR YARDSETOACK PLAN CHECK NUMAER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREn VACANT SITE <br /> ❑vEs ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV Gf10UP NO.OF OWELLING <br /> UNITS 1 <br /> SI2E OF OLDG. NO.OF STOR�ES MAX.00C. LOAD L'�UILOING 5 � <br /> PLUM�ING � <br /> FIREZONE BASEMENT FIqES"RINKLERS <br /> RE��iRED I <br /> ❑YES ❑NO MECNANICAL I <br /> SPECIAL CONLiITIONS: OTHEfl � <br /> I <br /> PENELTV SEC.30J(a) I <br /> TOTAL Tj <br /> PERMIT VALIDATION <br /> WHEN PROP[ftLV VALIDATED (IN TIi15 SPACEI TIiIS 15 YOUR PLRMIT <br /> MPLILATIONPCC[PTF�BY�. PIFNSLHECKFOOY', �PPMOVEOPof1155URNL[BV. I <br /> �� C� I <br /> .� <br />