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dm Fver9reen <br /> =�T��� CONSTRUCTION everett <br /> everett PERMIT <br /> I cirrn�i� t�aeass <br /> EVFPETI,1V4S�IMLLON <br /> 99i01 <br /> °E�, °< <°^°,°'�°� BUILDING MECHANICAL PLUMBING <br /> OLJR�C'dE4i <br /> OWNER MAILA�DIiE55 21P PHONE <br /> :iWy4 � E�J G11� ly��fl 4 ��MG <br /> ARCHITECTAR �ESIGHEfi MAIL ADORE55 PHONE LICENSE NO. �.�+����y <br /> i77��1� <br /> GENERAL CONTRACTOR MAIL AODRESS PHONE IICENSE NO. <br /> � � 1 i �r2 <br /> MECHANICAL CONTRACTOq MAII.ADDRESS PMONE LICENSE NO. <br /> PLUM1I�INGCONTHACTOR MAILADDRE55 PHONE LICENSENO. � <br /> W <br /> m <br /> PERMIT CIASS OF WORK � <br /> $ Z <br /> �]�UIL�IN� ❑ PLUMUING �MECHANICAL � <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR � • <br /> VALUATION OF WORK � <br /> 5 L�w n� ❑DEMOUSH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> i�V.HW <br /> � '�g�W'y� .'� �.:� <br /> 1284 <br /> PFOPOSED USE MECHANICAL <br /> LEGAL OESCRIPTION OF PqOPEfiTY ISHOW UE�OW OR nTTAGH TVPE OF FVHL �OIL ❑Gn5 ❑LPG. �ELEC. <br /> FOU C�Q �I <br /> LOT� o�oCK ��oF �'�'� ��� � NO. TVPE OF E�UIPMENT PEE <br /> AIRCOND.VNITS-H.P. EA, 5 I <br /> REFRIGERATION VNITS-H.P. EA. <br /> FlO1lER5-FI.P. [A. I <br /> Gl�S FIRED A.C. UNITS-TONNAGE EA. <br /> FORCED AI(i SYSTEMS-O.T.U. M EA. I <br /> JOO AI���O.RyE�SS WALL HEATERS-3.T.U. M <br /> �`✓.Ir � UNIT IIEATERS-P.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUM8ING c�orries u�veas i <br /> VENTILATION�AN <br /> PANGEHOOD I <br /> AIR NAN�LING UNIT- GF.M. �— <br /> NO. TVPE OF FIXTURE OR ITEM FEE - <br /> WATER CLOSET ITOILETI g �NCINERATOR I <br /> UATHTU6 <br /> LAVATORY IWASH BASINI -�— I <br /> SNOWEF <br /> KITCHENSINARDISP. SUoTOTAL 5 � <br /> DISHWASHER PEF1+11T 5 <br /> LAU�J�RV TRAV TOTAI. FL[ 5 I <br /> GLOTHES WASHER 71115 PERMIT flECOMES NULL AND VOID IF WORK OF CONSTRUG <br /> WATE(i HEATER TION AUTHORIZE� IS NOT COAIMENCED WITHIN 120 �AVS, OR IF <br /> UFINAL CONSTIiUCTION OR WOflK IS $USP[ND[D Ofi AE7ANDONED FOR A <br /> DFINKING POUNTAIN PERIOD OF 1:0 DAYS !�T ANY TIME Af-TER WONK IS I:OMMENCED. <br /> FLOUF-SINK OR�RAIN —f— � NEREBY CERTII'Y THAT I HAVE READ AND EXAMINEO THIS AP� <br /> VACUUM �REAKEFS PLICAiION ANO KNO\N THE SAME TO OE TRUE AND COFi�ECT. ALL <br /> --' PROVISIONS Of- LAWS AND ORDINANCES GOVEqNING THIS TVPE <br /> FOOF DHA�NS-RAINLF.ADEPS OF WOfiK WILL !3E COMPLIED WITH WH[THER SPE�IFIED HEREIN <br /> SINK (SERVICE-�AR,ETC.) �— OR NOT, iHE GRANTING OF A PERMIT OOES NOT PfiESUME TO <br /> GNE AUTIIORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> AN I OTHER STATE OR IOCAL LAW REGUI�ITING CONSTRUCTION <br /> __ OR THE PERFORMANCE OF CONSTRVCTION. <br /> SU6 TOTAL <br /> PERMIT 5 <br /> TOTALFEE S <br /> X �7� <br /> SIGNATUFEOFCONTRACTORORAUTH.AGENT DATE <br /> SIDE YA(iD SETEIACK STR�ET SEi�ACK FEAR VAR�SET�ACK PLAN CMECK NUM�ER FLAN CNECK FEE <br /> FEE RECEIfT NO. <br /> USE ZONE LOT AREA VACANTSITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF UWELLING <br /> UNITS I <br /> ISIZE OF BLDG. NO. Of STORIES MAX.00C. LOAD DUILOING 5 �� ��� <br /> PIUMBING � <br /> FIRE20NE OASEMENT FIR[SPflINKLEFS � <br /> RCOUIRED <br /> ❑VES ❑NO MECHA�lICAL � <br /> SPECIAL CONOITIONS: pTHER � <br /> '— 1 <br /> T <br /> PENELTY SEC 9C31a1 � <br /> TOTA� g;m <br /> � PERMIT VALIDATIGN <br /> WHEN PROPERLV VALIDATED IIN TIi155PACG)THIS IS Y'OUR PLIah11T <br /> I �PPLICATiONACCEP�E00Y�. PIPN:f.N[CKCOtlY�. APPROy(p�t1NIS5VANC(OY. <br /> V <br /> I � <br />