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nc� Evcrgreen �r <br /> =�T� �F CONSTRUCTION everett <br /> everett PERMIT <br /> (iiY MALL }598P85 <br /> fVEFEi1.N5Y NGLON <br /> exioi <br /> "`°, °` `°'""°""" gUiLDING MECHANICAL PLUMBING <br /> o.vnorrncxr <br /> OWNER MAILAODRB55 ZIP PHONL <br /> � �. � � � � � � �� <br /> APCHITECi OR DESIGNER MAIL AODFE55 PHONE LICENSE NO. <br /> GENEAAL CONTRACTOR MAIL AODRE55 PHONE LICENSE NO. <br /> � <br /> MF_CMANICAL CONTflACTOR MAIL ADDRE55 PHONE LICEf�:SE NO. <br /> PLUMBING CONTRACTOR MAIL ADORESS PHONE �ICENSE NO. � <br /> W <br /> m <br /> PERMIT CLA55OF WORK � <br /> Z <br /> �BVILDING ❑ PLVMBING �MECHANICA� f- <br /> �NEW ❑A�OITION ❑ALTERATION ❑REPAIR � <br /> VALUATION_ OF VlORK � <br /> s T��M. ❑DEMf�LISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> OESCRI��� a � � �70 <br /> PROPOSED USE <br /> MECHANICAL <br /> LVPGOFPUEL �OI� �NnT. �LPG. �ELEC. <br /> LEGAL OESCRIPTION OF PROPEFiTV ISHOW�ELOW OP l�T7ACH GAS <br /> Fouq��Sl � ra.� NO. TVPE OF EOUIPMENT FEE <br /> LOT �,� BLOC OF u�^ <br /> Alli COND.UNITS-N.P. EA. $ I <br /> REFRIGEFATION UNITS-H.P. E��. <br /> � BOILERS--M.�'. EA. � <br /> GAS FIqED A.0 VNITS-TONNAGE EA. <br /> FORCEO AIR SVSTEMS--6.T.U. M EA. I <br /> JOR ADORESS WALL HEATERS-B.T.V. M <br /> � � � UNIT H@AT[RS-B.T.U. M I <br /> EVAPI,qATIV�COOLERS <br /> PLUMBING c�orHEsoAVERs i <br /> VENTILATION FAN <br /> fiFNGE HOOO 1 <br /> NO. TYPEOFFIXTUREORITEM FEE A�� HANDLINGVNIT- C.F.M. 1 <br /> WATER CLOSETITOILET) g INCINERATOR � <br /> BATfiTUA <br /> IAVATORV IWASH 9ASIN1 I <br /> SY.OW[R <br /> KITCHEN SIHK & DISP. SUf3 TOTAL 5 � <br /> UISHWASHEP PERMIi S <br /> IAUNOHYTFAV _ TOT/�LFEE 5 I <br /> CLOiHES WASHEq THIS PcRMIT OECOMFS NULI_ ANO VOID IF WORK OR CONSTRUG <br /> WATER 11EATFfi TION AUTHORI2E� IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br /> URINAL CONSTRUCTIOY OR WORK IS SUSPENDED OR AUANDONED FOR A <br /> DRINKING FOUNTAIN PERIOD OF 120 Dl�VS AT l�NY TIME AF1ER WORK IS COMMENCED. <br /> FLOOii-SINK OR�RAIN I H[RE�Y CERTIFY TNAi I NAVE f1EAD AND E%AMWED THIS AP- <br /> VACUUM BREAKERS — 7LICATION ANO KNOW THE SAME TO f3E TRUE AND CORftECL ALL <br /> PftOV1510NS OF LnW; AND OROINANCES GOVERNING THIS TVPE <br /> ROOF UHAINS-RAINLEA�ERS _ OF WORK WIL� 6E COMPLIED WITM WNCTHBR SP[CIFIEO H@REIN <br /> SINK (SERVICE-DAR,ETC.) OR NOT. THF CRANTING Of t1 PF.RN�IT DO[5 NOT PRESVME TO <br /> GIVE AUTHOPITV TO VIOLATE UR f.ANCEL THE PROVISIONS OF <br /> ANV UTHER ST4iC OR LOCAL LA1V REGULATING CONSTIiUCTION <br /> OR TfiE PERFO�aMFNCE OF CONSTFUCTION. <br /> SUATOTAL <br /> PERMIT $ <br /> TOTALFEE $ ��f <br /> x �t •� <br /> SIGNATUfiEOFCONTRACTOIiOPAUTH.AGENT DATE <br /> SIOE VARD SETOACK STFC-ET SETDACK FEAR�'ARD&3TUACK PIAN CH(:CK NUM�[q PLAN CHECK FEE <br /> FEE REC[IPT NO. <br /> VSE ZONE LOT AREA VACANT SITE <br /> ❑vEs ❑No F[ES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING <br /> UNITS 1 <br /> SIZE OF BIOG. NO. OF 570FIE5 MA%.00C. LOAO BUILDING 5 �w <br /> PLUMBING � <br /> fIPL ZONE BASEMENT FIRESPRINK. ERS I <br /> i RfQVIRE� MECHANICAL I <br /> ❑VES ❑NO <br /> SPECIA�CON�ITIONS: OTHER � <br /> - I <br /> PENELTV SEC. 3031ai I <br /> TOTAL 51� <br /> PERMIT VALIDATION <br /> WHEN PROPEFLV VALIOhTLD (iN 1H15 SPACEI THIS IS VOUR PGRMIT <br /> A�I`�iL�1�y1ONPCC[PTCOBY� PLFNSCMECKEDBY. /PPNOVEO(OBISSUPNC(tIY � <br /> 1�� �W <br /> � <br />