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the Eve{qreen r <br /> =�T� �F CONSTRUCTION everett <br /> everett PERMIT <br /> urrHaii esseaes <br /> fVEFEii,WqSNINLiOH <br /> 98101 <br /> °"' °o��°E�ooM�N, BUILDING MECHANICAL PLUMBING <br /> OWNER MAILADDRE55 ZIP PHONE <br /> J:�..."t 41�Li`L 2L'-2 '_'.' '-t;L' 97Ir76 <br /> ARCHITECT OR DESIGNER MAIL ADDRE55 PHONE LICENSE NO. <br /> �� <br /> GENERA�LyC�ONTRACT.�OFe�� MAILADDRESS PI10NE LICENSENO. <br /> .�.ub� C'.3� iMaV�J� <br /> MECHANICALCONTRACTOR MAILADDRESS PHONE LICENSENO. <br /> PLUMBING CONTRACTOP MAIL ADDRE55 PHONE LICENSE NO. � <br /> W <br /> m <br /> PENMIT CLASSOP WORK ? <br /> Z <br /> �6UILDING ❑ PLUMOING �MECNANICAL � <br /> ❑NEW ❑ADDITION ❑ALTERATION �i1EPAIF � <br /> VA�UATION OF WORK <br /> 5 ,��� ❑�EMOLISH ❑FENCE ❑S�GN ❑SWIMMING POOL W <br /> a <br /> DESCRIU[WOfiK <br /> ]'!r-�';� (i'^'a+) 8 8 8 <br /> PROPOSED USE � <br /> MECHANICAL <br /> TVPEOFFUEL ��OIL �NAT. �LPG. �ELEC. <br /> LEGAL DESCRIPTION OF PRpPERTV �SHOW pEIOW Ofi ATTACH GAS <br /> FOURCOPIESI � <br /> � LO7 o�oCK_oF NO. TYPE OF EDUIPMENT FEE <br /> � AIR CON�. UNITS-H.P. EA. 5 I <br /> � —_ <br /> REFRIGERATION UNITS-Ii.P. [A. <br /> �OILERS-N,P. [q. � <br /> G115 FIqED A.C. UNITS-TONNAGE EA. <br /> fORCED AIR SVSTEMS-�.T.V. M EA. � <br /> JOB A�DRE55 1NALL HEATERS-O.T.U. M <br /> � ��L� VNIT HEATERS-13.T.U. M � <br /> GVl�POAATIVE COOLERS � <br /> PLUMBING CLOTH@SDRVCR$ � <br /> VENTILATION PAN <br /> RANGEHOOD � <br /> NO. TYPE OF PIXTURE OR ITEM FEE A�A ��nNDLING UNIT— C.P.M. <br /> WATER CLOSET(TOILETI 5 INCINERATOR � <br /> BATHTUB � <br /> LAVATORY(WASH BASIN) � <br /> SHOWER <br /> KITCNEN SINK& OISP. SU�TOTAL 5 � <br /> OISHWASI/ER <br /> LAUNDRVTRAV _ PERMIT S <br /> GLOTNES WASHER TOTAL FEE 5 � <br /> WATER HEATEf1 THIS PEHMIT �ECOMES NULL ANO �OID IF WORK OR CON51 RUC- <br /> TION AUTHOHIZED IS NOT COMM1IENCED WItHIN 720 OA`IS, OR IF <br /> URINqL CONSTRVCTION OP WORK IS SUSPEN�EO OR !.l3ANOONED FOR A <br /> DFINKING FOVNTAIN ^ERIOO OF 120 OAVS AT I�NY TIML AFTER K'ORK IS GOMMENCEO. <br /> FLOOH-SINK OR ORAIN I HEREUV CERTIFV THAT I HAVE READ AND E%AIdINED THIS AP� <br /> VACUUM t3REAKEF$ PLICATION i1N� KNOW THE SA41E TO IlE THVE AND CORRECT. ALL <br /> FOOF DfiAINS-RAINLEAOEPS P�OVISIUNS Of- LAWS AhD OfiDINANCES GOVERNING THIS TVPE <br /> - OF WORK WILL BE COh1PLIED WITH WHETHEF SPECIFIED HEREIN <br /> SINK (SERVICE-DAR, ETC.1 OR NOT, THE CRANTING OP A PERMIT DOES NOT PRESUME TO <br /> GNB AUTHORITY TO VIOLATE OF CANCEL THE PliOVI510N5 OF <br /> ANV OTNER STI�TE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OFi THE PERFOFMANCL OF CON51'RUCTION. <br /> SV� TOTAL <br /> P[RMIT 5 <br /> TOTA� f-EE $ <br /> X � b <br /> 31GNATUFEOFCONTf1ACTORORAUTH.AGENT DATE <br /> SIDEYAIiDSET�ACK STREHTSETUACK R[AqVARD5ET6AC PLANCHECKNUM�ER PLANCHECKFEE <br /> FEE RECEIPT NO. <br /> USE 20NE LOT AREA VACANT SITE <br /> ❑vEs ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROVP NO.CF OWELLING <br /> UNIT$ � <br /> 512E OF OLDG. NO.OF STOHIES MAX.00C. LOA� BUILDING 5 � IJI d I <br /> --t <br /> PLUMDING I <br /> fIHEZONE BASEMENT FIHESPFINKL=RS <br /> Rf�UIRE� � <br /> ❑YES ❑NO MECHA�JICAL � <br /> 1 <br /> SPECIAL CONDITIONS: OTHER � <br /> 1 <br /> PENELTY SEf. �071a) I <br /> TOiAL � <br /> Y� . <br /> PERMIT VALIDATION <br /> WHEN PROPERL�VALIDATE�(IN THIS SPACE) THIS IS VOUR P[RMII <br /> /+1'1'IILnT:Ot�nCCIPI[��v �L�NSCHCIXCDBV�. pPPqOVL�FOFI55UI.NGEPY <br /> 3.a <br /> � <br />