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Ihe F_vergreen I <br /> CITV UF CONSTRUGTION everett <br /> everett PERMIT <br /> CIIY NA�I }59BPB5 <br /> fVCPEii,WASNIHGi11N <br /> 99101 <br /> ""°"°"'"'°"'" BUILDING MECHANICAL PLUMBING <br /> JCVEIOPM(Ni <br /> OWNER �p� r MAIL ADDRE55 ZIP PHONE <br /> � ���T �7 Q��� ��� <br /> ARCHITECTORDESIGNER MAILADDRESS PIiONE LICENSENO. <br /> GENERALCONTRACTOR MAILAODrlESS PHONE LICENSC- NO. <br /> � �� <br /> MECH.�NICALCONTRACTOR MAIL A�DRESS PHONE LICENSE NO. <br /> PLUMBING CONTRACTOF MAIL ADDRESS PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASSOFWORK ? <br /> ,�/BUILDING � Z <br /> 13 ❑PLUMBING M[CHANICAL q� � <br /> PJNEW ❑ADDITION ❑ALTBRATION ❑qEPAIR � <br /> I \'ALUATION OF�yWyOyR�K�y� <br /> 5 7�M�{R/ ❑�EMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL Wa <br /> DESCRIBEWORK ry�.� �?�y� �� �� �S� <br /> uiti� w a <br /> PROPOSED VSE <br /> MECHANICAL <br /> TYPE OF FUEL QOIL QNAT. f�1 ^G. �ELEC. <br /> LEGAL�ESCRIPTION OF PROPEfiTV �SHOW UELOW OR ATTACH GAS <br /> FOUR f�O�lES) � <br /> LOT �~� RLOCK—aF ��'��� `�� �"��� N�• n'PEOFEOUi?MENT FEE <br /> AIR COND. UNITS-H.P. EA. 5 I <br /> _ REFRIGERA?ION VNITS-H.P. EA. ' <br /> �OILEPS-H.P. EA. � <br /> GAS FIfiED AC. UNITS-TONNAGE EA. <br /> �ORCE�AIR SVSTEMS-B.T.V. M EA. � <br /> JOB AOOFESS �,„t !u WqLL I1EAT[RS-O.T.U. M <br /> �J�47 w{� <br /> UNIT HEATEHS-A.T.V. M � <br /> EVAPORATIVECDOLERS <br /> PLUMBING CLOTHES DRYERS � <br /> VENTILATION FAN <br /> RANGEHOOO � ' <br /> NO. TVPE OF FIXTURE OR ITEM FEE �+�R HANDLING UNIT- C.F.�I. <br /> WATER CLOS@TITOILC-TI 5 �NCINERATOIi � <br /> BATHTUB <br /> � <br /> LAV4TORYIWASHBASIN) � <br /> SHOWER <br /> KITCHEN SINK &DISP. SUB TOTAL 5 � <br /> DISHlYASNER —{ <br /> LAUNDRVTRAY PEFMIT $ <br /> CLOTHES WASHER TOiAL FEE 5 j <br /> WATER HEATER THIS °ERMIT BEC01dE5 NULL t1N0 VOID IF WURK OR CONSTRVC- <br /> TION 4UTHOR�ZED IS NOT COMMENCED WITHIN 120 DAYS, OF IF <br /> URINAL CON57 RUCTION OR WORK IS SUSPENDEO OR A�ANDONEO FON A <br /> DRINKING FOUNTAIN � PERIOD OP 120 �AVS AT ANV TIME AFTERYJOViK ISCOMMENCED. <br /> FLOOR-SINK nq OflAIN I HEFE�Y CERTIFV THA7 I HAVF READ AND E%AMINEU TFI15 t�P� <br /> VACUUM bREAKERS �'L�CATION AND KNOW THE SAME TO 13[ THVE AND CORRECL ALL <br /> FOOF DRAIN$-RAINLEADEfiS �'ROVISIOkS OF LAWS A�JD ORpINANCES GOVERNING THI$ TVPE <br /> Of N'ORK WILL �E COh1PLIED WITH WN@THER SPECIfIED HEREIN <br /> SINK ISERVICE-l7AR, ETC.) OR NOT, THE GRANTING OF A PERMIT OOES NOT PNESUME TO <br /> GIVE AUTHORITV TO VIOLATE O9 CANCEL THF PROVISIONS OF <br /> ANY OTHER STATE Ofi LOCAL LAW REGULATING CONSTRUCTIOY <br /> OR TIiE PF.RfORMAPJCE OF CONSTRUCTION. <br /> SUBTOTAL <br /> PERMIT 5—� <br /> TOTALFEE $ <br /> x �✓.'K�/`I� <br /> SIGNATUREOFCONTRACTORORAUTH.AGENT DATE <br /> SIDEVAR�SETBACK STREFTSET�ACK REARVqROSETBACKPLANCHECKNUMBER PLANCHECKFEE <br /> �y_�� FEE ��� RE�Ip.�JO. <br /> USE 20NE LOT AqEA VACANT SITE «��� a«� <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TVPEOFCONST. OCCUPPNCYGROUP NO.OFDW[LLING <br /> UNITS � <br /> SIZE OF BLOG. NO. OF STOFIES MA%. OGC. LOAD BUILOING 5 �{��� � <br /> _� <br /> PLUMBING I <br /> FIqEZONE BASEMENT FIRESPqINKLERS � <br /> REOUIRED � <br /> ❑�'ES ❑NO MECHANICAL � <br /> SPECIAL CONDITIONS OTHER � <br /> I <br /> PENELTV SEC. 3031a) I <br /> TOTAL �,? � <br /> PERMIT VALIDATION <br /> WMEN PqOPERLY VALIOATED IIN THIS SPACE)THIS IS VOUR PERM19IT <br /> pPYlIC.1T10NACG[%CODY� PLANSp1EfKE0BY'. AP�POVCOGO(115511ANL[OV. <br /> M C� <br /> Q <br />