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rhe Ever�reen <br /> ��TYo� CONSTRUCTION everett <br /> everett PERMIT <br /> LI1Y IIAIL I59BBB5 <br /> [1'1 NRI,Y14511iNGI0N <br /> 98101 <br /> "`"„'o�`°�,�;„�„, BUILDING MECHANICAL PLUMBING <br /> OWVEF MAILADDRESS 21P PNONE <br /> ��tti:s SiiiPluy 2q17. �iae �95-77 <br /> ARCHITECT Ofl OESIGNER h1A1L AODRE55 PHONE LICENSE NO. <br /> GENERALCONTRACTOR MAILA�DRESS PHONE LICENSENO. <br /> �vcsrett Buildera 5SOG �.vgr�raen icay 353-7161 ??.3-i11-LV-kR <br /> MECHANICALCONTqACTOFi MAIL ADDRESS PHONE LICENSENO. <br /> 3�ZL�f� <br /> PLUMBING CONTRACTOR MAILADDRESS PHONE LICENSENO. W <br /> m <br /> PERMIT CLASS OF WORK ? <br /> m OUIL�ING �PLUMOING �MECHANICAL Z <br /> ❑NEW ❑ADDIT�ON ❑ALTENATION ❑REPAIR ~ <br /> VALUATION OF WORK <br /> � <br /> 5 S�•;70.00 ❑DEMOL�SH ❑FENCE ❑SIGN ❑SWIMMING POOL W <br /> DESCRIO[WORK a <br /> fosndation aad ro-scfre� 2TO$ <br /> PROPOSEO VSE <br /> MECHANICAL <br /> TYPEOFFUEL QOIL QNAT. �LPG. �ELEC. <br /> LEGAL OESCHIPTION OF PFOPF.RTV ISHOW 9ELOW OR ATTACH GAS <br /> FOUR Cc�7PiES1,27 �91 �nrrier rk�id. NO. 7VPE OF E�UIPMEN7 FEE <br /> L S <br /> LOT aLOCK_OF <br /> AIR CON�. UNITS-H.P. EA. 5 I <br /> REFRIGERATION UNITS-�H.P. EA. <br /> �OILERS-H.P. EA � <br /> •{ld7-�A1-�J26-OOJ9 GPS FIfiED A.C. UNITS-TONNAGE EA. <br /> FORCED AIR SVSTEMS-B.T.U. M EA. � <br /> JO� f�DDRESS WALL HEATERS-B.T.U. M <br /> ZR�? P�T10 UNIT HEATERS-B.T.U. M � <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTHES DRYERS � <br /> VENTILATIONFAN � <br /> RANGEHOO� � � <br /> NO. TVPE OF FIXTURE OR ITEM FEE �11F HANDI.ING VNIT- C.F.M. <br /> WqTERCLOSET (TOIL[TI g �NCINEPATOR � , <br /> pATHTUB { <br /> �AVATORV(WASHBASIN) � <br /> SHOWER �- — <br /> KITCHEN SINK& DISP. SUB TOTA� 5 I <br /> OISHWASI1Efl <br /> LAUNDRV TRAY PERMIT 5 <br /> TOTAI FEE 5 —� <br /> CLOTH[SWASHER � <br /> INATER HEATEP THIS PEHMIT BECOMES NULL AND VOID IF WORK OF CONSTFVC� <br /> TION AUTMOfi12ED IS NOT COMAIENCED WITHIN 120 DAVS, OR IF <br /> URINAL CONSTRUCTION OR WORK IS SUSPENDED OR A01N�ONED FOfi A <br /> DRINY.ING FOUNTAIN PERIO� OF 120 DAVS AT ANV TIM11E AFTER WOFK IS COMAIENCEO. <br /> FLOOF-SINK OR DRAIN I HEREUY CEFTIFY THAT I FIAVE READ ANO EXAMINED THIS !1P- <br /> VACUUM �REAKERS PLICATION AND KNOW THE SAME TO�E TRUE AND CORRECT. Al.� <br /> ROOF DRAINS-qAINLEA0ER5 P�OVI$IONS OF �AWS AND ORDINANCES GOV[RNING THIS TVPE � <br /> OF WORK WILL BE C0�IPLIED WITH WHETHER SPECIFIED HEREIN <br /> SINK ISERVICE-BAR, ETCJ OR NOT, TNE GRANTING OF A P@RMIT DOES NOT PqESUME TO <br /> GIVE AUTHORITV TO VIOLATE OR CnNCEL THE Pl10V1510NS OF <br /> ANV OTHER STATE Ofi LOCAL LAW REGULqTING CONSTFlUCTION <br /> OR Tl1E PERFOfiMANCE OF CONSTRUCfION. <br /> SU[3 TOTA� <br /> PERMIT 5 I <br /> TOTALFEE $ bJ�4/'� <br /> x r <br /> SIGNATVREGFCONTfiACTOFOFAVTH.AGENT DATE <br /> SIOE YARD SE�pACK STREET SETdACK REAR VARDSET9ACK PLAN CNECK NUh16[R PLl�N Cl1ECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑vES ❑Nc) FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROVP NO.OF�WELLIN(� <br /> UNITS � <br /> 512EOFdLDG. NO.OFSTOfl1E5 N�AX.00C. LOAD �UILDING 5 S� OQ�OO i <br /> I PlUM01NG I <br /> fIflEZONE BASEM[NT FIRESPRINKLERS <br /> RfOVIflEO <br /> ❑VES ❑NO MECHA�JICAL � <br /> SPECIAL CONDITIONS: Ol'HER � <br /> I <br /> - — PENELTY SEC.J031a1 i <br /> _ � <br /> TOTAL 36i 0� <br /> PERMIT VALIDATION <br /> � — WNEN PROPLRLY VALIDATED IIN THISSPACE)TFII515 VOUR PLRM1LT <br /> I __"._— ._ ...._ . . ; _ . . _.'_."" _ _ _'_ <br />