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tlre Everyreen I <br /> ��TYOF CONST"RUCTION evereri <br /> everett PERMIT <br /> ❑rv ��au vs�eeas <br /> cv�nt*r,�ensuer,ioN <br /> semi <br /> °`°, °"°"'"°""" gUILDING MECHANICAL PLUMBING <br /> oEVE�avracHr <br /> OWNER \1AILAOORESS 21P Pl10NE <br /> FSG]r st L�1 I.C.'1 tk�kcs /3�-�' � <br /> AFCMITECI'OR DESIGNER MAIL ADDRE55 PHONE LICFNSE NO. ]wnw �j1: <br /> a�I'{� <br /> i <br /> GENERAL CONI'RACTOR M11AIL ADORESS PHONE LICENSE NO. <br /> I�t1x81 t�z3 '�'ctniP• 1412 �'� Cts�B 2n�-.?�.i�� <br /> MECNANICAL CONTRACTOfl MAIL AODf1E55 PHONE ` LICENSE NO. <br /> PLUMBING CONTRAGTOR MAIL A�OHESS PHONE LICENSE NO. � <br /> W <br /> m <br /> PERM.IT C1A55 OF WORK � ' <br /> ❑9UILDING � PLVM�ING �MECHANICAL Z <br /> �NEW ❑ADDITION ❑ALTERATION ❑iiEPAIR ~ <br /> VALUATION OF WORK <br /> � <br /> S ❑DEMOLISH ❑PGNCE ❑SIGN ❑SWIMMING POOL W <br /> _ d <br /> DESCRIBE WORK - <br /> 124Q <br /> PROFOSEO USE <br /> MECHANICAL <br /> TYPEOFFUEL QUIL �NAT. �LPG. �ELEC. <br /> IEGAL DESCRIPTION OF PROPERTY (SHOW 9ELOW OR ATTACH GAS <br /> FOUft COPIE51 <br /> Lo7_— ULOCK_OF N�• TF'PLOf- E�UIPMENT FEE <br /> AIR COND. UNII'S-H.P. EA. 5 � <br /> REFFiIGERATION UNITS-H.P. EA. <br /> �OILERS-H.P. EF�. � <br /> GAS FIFED A.C. UNITS-TONNAGE EA. <br /> FORCED AIA S�'gTEMS-D.T.V. M EA. I <br /> J06 AD�O(�REfSS Wl�LL HEATER$-f.T.U. M <br /> ^` �II VNITHEATERS-�.T.U. M I <br /> � '_VAPORATIVECOOLERS <br /> PLUMBING CIOTHES ORVERS i <br /> VENTILATION FAN <br /> FANGEHOOD � <br /> NO. TVPE OF FIXTURE OR ITEM FEE nlft HANDLING UNIT- C.F.M. <br /> WAiEiiCLOSETITOILET) g I I ERA P , � <br /> BATHTVB <br /> LAVATORY�WASHBASIN) � <br /> SNOWER <br /> KITCHEN SINK & DISP. SUO TOTAL 5 � <br /> DISHWASHEH PERMIT 5 <br /> LAUNDRVTRAY <br /> CLOTHESWASHER — TOTALFEE 5 � <br /> WATER MEATER — THIS PERMIT UECOMES NULL ANU VOID If- WORK O!i CONSTRVG <br /> TION AUTHOR12E0 IS NOT COMIAENCL� WITHIN 120 DAYS. OR IF <br /> UqINAL CONSTRUCTION OR WORK IS SUSPENDEO OR AUANDONEO FOR A <br /> ORINKING FOUNTAIN — PtRIOD OF 110 D11V5 AT ANV TIMG AFiER 1VORK IS COMMENCED. <br /> FLOOR-SINK OR DRAIN I HERE�V CEftTIFV THAT I HAVE READ AND EXAM11INED THIS qP� <br /> VACVUM OftEAKERS �— PLIC/1TION ANO KNOW TME SAMG'f0 �E TRVE AND CORRECT. qLL <br /> ROOF DRAINS-RAINLEADERS PROVISIONS OF L11W5 AND ORDINANCES GOVERNING TNIS TVpE <br /> - OF WORK WILL �E COMPLIED WIIH WNETHFIi SPECIFIED HEREIN <br /> SINK (SEHVICE-F3AR, ETC.1 pR NOT, THE GflA�1TING OF q PERMIT �OES NOT PRESUME TO <br /> I GIVE AUTHOflITY TO VIOLATE OF CANCEL THL PROVISIONS OF <br /> ANY OTHER STATE OR LOC�1L I_hW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE Of- CON;7�RUCTION. <br /> SUO TOTAI. <br /> PENMIT S <br /> TOTALFEE S <br /> X t3�I3���• <br /> SIGNATUREOFCONTlIACTORORAUTH.AGENT DATE <br /> SIDE VARO SETOACK STREET SETOACK REAR VAR�SETOI�C PLAN CHECK NUh7BER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE 20N[ LOT AREA VACANTSITE <br /> ❑VES ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCGUPANCV GflOUP NO.OF OWELLING <br /> UNITS � <br /> 512E OF OLDG. NO. OF STORIES MA%.00C. L011n 6UILDING $ � <br /> I <br /> _y <br /> FIREZONE OASEMENT FIRESPHINK�ERS P�UM�ING i <br /> Ff�UIRED /� <br /> ❑VES ❑NO MECHANICAL 5 I yy <br /> SPEGIAI CONOITIONS: pTHER � <br /> I <br /> PENELTY SEC. 3071a1 I <br /> TOTAL t� I � <br /> a <br /> PERMIT VALIDATION <br /> — WHGN PROP[RLY VALIDATED (IN THIS SFh�,:E)THIS IS VUUfl PERM1IIT <br /> PPO�IC�11pN�GCti'TEO'- ClqN5C11CCKED�V: pPPPOVCDFOliU'UpNCC11T <br /> 1`O T <br /> 1 <br /> a I <br />