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the Evr,rgreen � <br /> =�T� oF CONSTR UCTION everett <br /> everett PERMIT <br /> ❑iY NA�� ]5968B5 <br /> CJ[flLit,lYqSNIN�i11N <br /> sami <br /> °`"' °oE`�,"a;M„, BUI�.DING MECHANICAL PLUMBING <br /> OWNER AIAILADDqESS 21P PHONE <br /> 7,1t�yJ i;naseles 210:i Grxn;i 9;{ZRZ Aa0��7 <br /> ARCMITECTOR �ESIGNEP MAILA�ORESS PNONE �ICENSENO. <br /> GENERAL CONTRACTOR MAIL ADDRE55 PHONE LICENSE NO. <br /> Acac Cor.atruction Co. 1�On Rrorvtway 2:^.-29;1 <br /> MECHANICAL CONT(iACTOR MAIL ADURESS PHONE LICENSE NO. <br /> PLUMBING GONTFACTOH MAIL ADDRE55 PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASS OF WORK � <br /> � <br /> �BUILD�NG �PLUMOING �MECHANICAL Z <br /> ❑NEW ❑AO�ITION ❑ALTERATION dElEPA1R ~ <br /> l'ALUATION OF WOFK � <br /> $3VL'•�r7 ❑DEMOlISN ❑FENCE ❑SIGN ❑SWIMMING POGL W <br /> DESCRIBF WORK a <br /> s±wke zc-roof 2703 <br /> PfiOPOSED L�SE <br /> MECHANICAL <br /> LEGALDESCRIPTIONOF PROPERTY ISHOW BEIOW pF AT7qCH T�PE Of- FUEL �OIL �NAT. ��_PG. �ELEC. <br /> FOUp COP Ii5` GAS <br /> 31 � !� Ci1u SV(i2Ot� NO. TVPEOFEDUIPMENT FEE <br /> LOT OLOCK_OF <br /> AIR CON�. UNITS-H.P. EA. 5 � <br /> - REFRIGEiiATION UNITS-H.R EA. <br /> pOILERS-N.P. Eq, � <br /> GAS PIRED A.C. UNITS-TONt�AGE EA. <br /> FORCEU AIR SVSTEMS-�.T.U. M EA. � <br /> JOB ADORE55 — <br /> WALL HEATERS-B.T.U. M <br /> ;+�; `�ran� UNIT HEATERS-l3.T.U. M I <br /> PLUMBING �V�+PORATIVE COOLERS <br /> CIOTHESDRV[R$ � <br /> VENTILATION FAN <br /> RANGENOOD � <br /> NO. TVPE OF FIXTURE OR ITEM FEE �+IR IIANOLING UN�T— 0.F.M. <br /> WATEfl CLOSETITOILETI g INCINERHTOP � <br /> BATHTUD <br /> LAVATOHV(WASH BASINI <br /> SMOWEF � <br /> KITCNEN SINK& OISP. <br /> DISHWASHEq SU�TOTA� 5 � <br /> LAUNORYTqAV PERMIT 5 <br /> CLOTNESWASHER TOTALFEE 5 � <br /> WATEA HEATER THIS PEFMIT B[COMES NULL ANfJ VOIO IF WORK OF CONSTRUC- <br /> TION AUTNORIZ[D IS NOT COM11M[NCED WITHIN 120 DAVS, OR IF <br /> VRINAL CONSTRUCTION OF WORK IS SUSPENDEO OR ADl�NDONED FOR A <br /> DRINKING fOUNTAIN PEq;OD OF 120 DAVS AT ANV TIM6 qFTER WORK IS COMMENCED. <br /> F�OOR—SINK OR DRAIN �� I HEREBV CEPTIF V THAT I HAVE READ AND EXAMINED THIS AP- <br /> VACVUM fiREAKERS �LICATI�N AND KNOW THE SAME TO OE TRUE l�ND CORRECT. ALL <br /> ROOF DRAINS—RAINLEADERS �'� FROVISIONS OF I AlVS AND ORDINAIlCES GOVERNING THIS TVPE <br /> SINK (SEPVICE—DAN, GTC.) OF WpqK WILL [3E COMPLIEO WITH WH[TNEIi SP[CIFI[D HEREIN <br /> OR NOT, THE GRANTING OF n PERMIT OO[S NOT PRESUME TO <br /> GIVE AUTHORITV TO VIOLATE OR C/1NCEL THE PqOVIS10NS OF <br /> ANV OTHER STATE OR LOCAL �AW REGVLATING CONSTRVCTION <br /> SUB TOTAL �R THE FERFORMANCE OF WNSTfiUCTION. <br /> PERMIT $ � <br /> TOTALFEE A ,// —� � � �/1�/77 <br /> X ; � _ /, � . LC�tL <br /> SIGN URE - ONTRA�TOflOfiAU i.l�GENT DATE <br /> SIDE VAHD SFT6ACY. STREET SET9ACK REAR VApO5ET0ACK PLAN�CHECK NUMI3ER PLAN CHECK FEE <br /> FEE R@CJPTN6. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑No FEES VALUATION FEE <br /> TYPE OF CONST. OCCVPANCV GFOUP NO.OF DWELLING <br /> UNITS <br /> I <br /> 512E OF BLDG. NO.OF STORIES MAX.00C. l.OAD AUILDING $ ' ' ' -I <br /> FIREZONE OASEMENT FIHES�RINKIERS PLUM6ING � <br /> RE�UIRED � <br /> � ❑VES ❑NO MLCNAfJICAL � <br /> SPECIAL COND�TIONS: OTHEq I <br /> I <br /> AENELTY SEC.3031a) I <br /> TOTAL - ` <br /> I <br /> PERMIT VALIDATION <br /> WHEN PqOPERLV VA�IDATEO IIN THIS SPACE)THIS IS YOUft PLRMIT <br /> APPLIGTIONACCCPT[pBP. PLFNSCHECKEOOV� qPl'POVE�FTORISSl1ANCEBY. <br /> AJ� � . <br /> � <br />