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thc Evergn�Cn <br /> GTYOF CONSTRUCTION e����rett <br /> everett PERMIT <br /> mv nau 1;sr�Fas <br /> [v[x[rr,�vnsmvc�a�� <br /> 991m <br /> °�°' °�°°^'�°�^� BUILDING MECHANICAL PLUMBING <br /> oE�ciovM[xr <br /> OWNER MAILAOORESS ZIF' PHONt <br /> +lm'?'`3 Jt13`'�'..F.� S�t7.2 P:?�.^' aJ`1�iTCA 7�?"l'�7� <br /> ARCHITECT OP DESIGNER MAIL ADORE55 PHONE �ICENSE NO. <br /> GENERAL CONTRACTON MAI�ADD(iE55 PNONE LICENSE NO. <br /> �� <br /> MECHANICAL CJNTFACTOR MAIL ADD(iESS PHONE LICENSE NO. <br /> PLUM�ING CONTFACTOfl MAIL ADORESS PHONE LICENSE NO. � <br /> W <br /> m <br /> � <br /> PERMIT CLASS OF WOPK � <br /> z <br /> ��VILDING ❑ PLUh1�ING ❑MECNANICAL R F- <br /> ❑NEW ❑A�DITION ❑ALTERATION �9H[PAIR � <br /> VALUATION OF WOFK � <br /> 5 �� ❑DEMOLISH ❑P[NCE ❑SIGN ❑SWIh1MING POOL a . <br /> DESCNIAE WOFK <br /> ��r.�:�, ,���sr:, ,��:; G�n��� 6 3 0 <br /> PROPOSED USE MEChiANICAL <br /> TVPEOFFUEL �OR �NAT. �LPG. �ELEC. <br /> LEGAL OESCRIPTION OF PROPERTV ISNOW�ELOW OR ATTACH GAS <br /> FOUR COPIESI <br /> LOT oLocK—oF NO. TYPE OF EDUIPMENT__ FEE <br /> AIR CONO. UNITS—H.P. EA. $ � <br /> qEFRIGERATION UNITS-H.P. EA i <br /> l301LEfiS-H.P. EA. I <br /> GAS FIfiED A.C.UNITS-TONNAGE EA. <br /> FOFCEU AIR SYSTEMS-B.T.U. M EA. I <br /> JO8 APDRESS wn WALL HEATERS-D.T.U. M <br /> �u ��'T' VNIT H'ATERS-B.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTHES ORVER$ I <br /> VENTILATION FAN <br /> RANGEHOOD I <br /> NO. TYPE OP FIX7URE OR ITEM FEE n�R HANOLING UNIT— C.F.M. <br /> WATER CLOSETITOILETI S INCINERATOR I <br /> dAfNTVB <br /> LAVATORY(WASHBASIN) � <br /> SHOWER <br /> KITCNEN SINK& DISP. SU6 TOTAL 5 � <br /> DISHWASHER PE(iMIT 5 <br /> LAUNDRY TFiAV TOl'AL FEE 5 I <br /> CLOTHES WASHER THIS PERtdIT 6EC01AE5 NULL AND VDID IF WDRK OR CONSTRVC� <br /> WATER HEATER TION 11VTHORI2ED IS NOT COMM[NCED WITHIN 12a DAVS, OR IF <br /> VR'VA� —I— CONSTRUCTION OR 1YOHK IS SUSPENDED OR Af3ANDONED FOfl A <br /> DRINKING FOUNTAIN � PERIOD OF 120 DAYS nT ANY TIME AFTER 1NORK IS COMMENCED. <br /> FLOOR-SINK OR ORAIN �— � NERE6Y CERTIFV THAT I kIAVE READ AN� E%AA�;WED THIS AP� <br /> VACUUM �qEAKEflS -� PLICATION AND KNOW TNE SAME TO BE TRUL ANf] CORRECT. ALL <br /> HOOF DRNNS-RAINLEA�ERS —I-- �ROVISIONS OF LAWS AND ORDINANCES GOVLflNING THIS TVPE <br /> OF WURK WILL 6[ COA4PLIEC l".'ITH WHLTHEft SPECIFIED HEREIN <br /> SINK ISERVICE-OAR,ETC.) CR NOT, THE GRANTING OF A PERAtIT DOES NOT PRESUME TO <br /> GIVE AUTHORITV TO VIOLATE OR CANCEL iHE PROVISIONS OF <br /> ANV OTIIE(i STATE Ofl LOCAL L:::! REGULATING CONSTfiUCTION <br /> OR THE PERFORMANCE OF CONSTRUC110Po. <br /> SUB TOTAL <br /> PERMIT S <br /> TOTALFEE 5 <br /> X ! ..7 <br /> SIGN.>TUREOFCONTRACTORORAUTH.AGENT DATE <br /> SIDE YARD SET6ACK STREET SET�ACK REAR VARDSETBACK PLAN CHECK NUhiREfi PL11N CHECK FEE <br /> FEE RECEIPT NO. <br /> USEZONE LOTAR[A VACl�NTSITE <br /> ❑VES ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP UNI7�S OWELLING I <br /> SIZE OF BLDG. NO.OF STOHIES MAX.00C. LOAD DUILDING 5 ���f�' � � <br /> PLUMfiING � <br /> FIRE mNE F3ASEMENT FIFESPRINKLERS � <br /> RCOUIRED I <br /> ❑VES ❑NO MECHANICAL I <br /> SPECIAL CONDITIONS: OTNER � <br /> _ I <br /> - — PENERV SEQ JOJ(al � <br /> TOTAL j j '[� <br /> PERMIT VALIDATION <br /> WH@N PIlOPLRLY VALIOATED 11N THIS SPI�CE)T1115 IS YOUR PEflMIT <br /> �fPUCNIONACC[PTEDflY' PLANSCHELNEO�Y: AFPqOVFUfOBI55OAtlLIOv <br /> }. µ <br /> �i <br />