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4 <br /> thc Evergrecn <br /> ���YOF CUNSTRUCTION everett <br /> everett P�RMIT <br /> b1YN>�� }59AFC5 <br /> EVENCIi,I'IASNi4G1pK <br /> 99I111 <br /> °"' ""°'"'°""" BUILDING MECHANICAL PLUMBING <br /> o[veiava.u�r <br /> OWNER MAIL ADOftE55 21P {'110NE <br /> � � �� � � � � � � <br /> ARCHITECT OR DESIGNER MAIL A�Dft@SS PNONE <br /> LICCNSE NO. <br /> GENERALCONTflACTOR M1IAILAOUR[SS PHONE LICENiENO. <br /> 8101�A1 L1��a! � � � �� DO <br /> MECHANICAI.CONTRACTOR �ILADORESS PHONE �ICENSENO. <br /> PLUMBING CONTRACTOR MAIL AODRE55 PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASS Of WOFK � <br /> � <br /> Z <br /> BUILDING � P�UMOING �MECIIANICAL F <br /> ❑NEW ❑ADDITION �qLTERATION ❑REPAIR <br /> VALUATION OF WORK - � <br /> s � ❑DEMOLISH ❑FBNCE ❑SIGN ❑SWIRIMING POOL W <br /> DESCRIBE WORK a <br /> � �■t� aoe o�er � 4�e1t Z 5 8 <br /> PROPOSED USE <br /> MECHANICAL <br /> FLOGA�DESES IPTION OF PROPERTY ISHOW�ELOW UR ATTACH TYPE OF FUEL �pIL �NAT. �LPG. �ELEC. <br /> GAS <br /> LO B�oC�oF � NO. TYPE OF E�UIPMENT FEE <br /> AIR CONO. UNITS-Ii.P. EA. 5 � <br /> REFRIG[RATION UNITS-H.P. EA. <br /> AOILERS--H.P. EA. � <br /> 1:A5 FIflED A.C. UNITS-TONNAGE EA. <br /> �� SS _ FORCED AIR SYSTEMS-[3.T.U. M EA. � <br /> WtLIHEATERS-��.T.U. M <br /> UNIT HEATEfiS-P.T,U. h1 I <br /> PLUMBING EVAPORATIVECOOLERS <br /> CLOTHESDRYER$ � <br /> VENTILAiION FAN <br /> RANGEHOOD � <br /> N�• TVPE OF FIXTURE OR ITEM FEE A�R 41ANDLING UN�T- C.F,M. <br /> WATER CLOSET �TOII.ET) _ g INCINERATpq �— <br /> BATHTUB — <br /> LAVATORY IN'ASH BASIN) <br /> SHOWER — -- � <br /> KITCHEN SINK& DISP. — <br /> DISNWASHER SU[I TOTAL 5 � <br /> LAUNDR\ TRAY PERMIT $ <br /> CLOTHES WASHER TOTAL FEE S � <br /> WATE3 HEATER 'I'HIS PERM1IIT 6ECOMES NUl L AND VOID IF WORK UR CONSTRVC- <br /> 710N nUTHORIZE� IS NOT COMIdENCEO WITHIN 120 DAVS, 6R IF <br /> UFIYAL CONSTRUCTION OR WOPK IS SUSPENDFD OR ABANDONEO FOR A <br /> DFINKIN(: FOVNTAIN �}-- PEflIOD OF 120 OAVS AT ANV TIh1F_ AFTER WOR1: IS COMMENCED. <br /> FLOOR-SINK OR DRAIN I HERE[3Y CERTIFV THAT I HAVE RE4D ANII EXl�M111NED THIS AP� <br /> VACUVM RREAKERS � PLICATIDN ANU KNOW TME SAM[ TO QE TRUE AND CORRECT. ALL <br /> FOOF �RAINS-RAINLEADERS F-- PROVISION; OF LAWS AND ORDINANCES GOVERNING TNIS TYPE <br /> SINK (SERVICE-UAR, ETC) ��-- OF WORK WILL GE COI'PLIED VJIThI WHETHEFl SPECIFIED HEREIN <br /> OR NOT, THE GRl�NTING OF l� PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLAT[ OR CANCEL THE PROVISIONS OF <br /> ANl' OTNER STATE OR LOCAL LAW FEGULATING CONSTRUCTION <br /> SUB TOTAL OR THE PERFOR�tANCE OP CONSTRUCTION. <br /> PERMIT 5 —� <br /> TOTALFEE 5 `_`' <br /> _"— x "�_7 .- <br /> SIGNATUREOFCONTfiACTORORAUTH.AGENT �ATE <br /> SIDE YARO SET�ACK STPF@T SLT�ACK REAR VqRDSET�ACK PLAN CHECK NUMBEF P�AN CHLCK FEE <br /> FEE qECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑�ES ❑No FEES VALUAT�ON FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING <br /> UNITS <br /> I <br /> SIZE OF BLDG. NO.OF STORIES MqX. 000. l.OAD FIUILOING 5 � <br /> I <br /> PWh1�ING � <br /> FIRE20NG dASEh1ENT FIRESPqINKLERS � <br /> RCOUIRED — <br /> ❑YES [�NO MECHANICAL � <br /> I <br /> SPEGAL CONDITIONS: <br /> OTHER I <br /> I <br /> NENELTv SEC. J091u1 I <br /> TOTAL ��� <br /> � PERMIT VALIDAIION <br /> WHEN PROPERLV VALIOATED IIN THISSPA�;E) TIIIS IS YpUP.PLflA11T <br /> nl•P�IfAiipN^PCC[PiFU(lY VLANySCH}C�CREDBY: qPPqOVFOPo�yFIS/S�UANCCOY <br /> �N+f llWi (yl�s� <br /> .� I <br />