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thc Evorgrcen <br /> ��T,.aF CONS3'RUCTION everett <br /> everett PERIV�IT <br /> [IIY NAU 15if8Y! <br /> EVEPCTi,1V45111Hf lOH <br /> 98101 <br /> °`"' °"°","°""" gUILDI�JG MECHANICAL PLUMBING <br /> oEvciurn�Exr <br /> �try'•x�A,Y a ��ITyI��A IyA i �.� �ODRE55'� �Fi �I_rM ZIP PHONE �q���[ <br /> -�.t.. y� �} �+ 1�11V�R7 <br /> .. t.4:1�f �.h�-'7� <br /> ARCHITECT OR Oh51GNER h1A1L AL�RE55 PHONE LICENSE NO. <br /> GENERALCONTRACTOR MAILADDRESS PHONE LICENSENO. <br /> �iW <br /> M.E�CHtlANICAL CONTRAITOR IqIL ADDFiESS PIIONE LICENSE NO. <br /> .a''1� <br /> PLUM�ING CONTRACTOR MAIL AnDHESS F'HONE LIC[NSE NO. � <br /> :��;i� W <br /> m <br /> PERMIT L'LASSOf-WORK � <br /> 7 <br /> Z <br /> • DUILDING �PLUMBING �MECHANICAL � <br /> ❑NEW ❑ADDITION �ALTERATION ❑REPAIF <br /> VALVATIONO fiK � <br /> 5 ❑DEAIO�ISH ❑FENCE ❑SIGN ❑SWIMMING POOL W <br /> DESCRIB[WORK a <br /> :�.�.�a�: ��•� 6 3 S <br /> PROPOSE�USE <br /> MECHANICAL - <br /> LEGAL OESCflIPT10N OF PROPERTY ISHOW 6ELOW OR ATTACH T�PE OF FUEL �OIL ❑GAS ❑LPG. �ELEC. <br /> FOU�R CO'P•IE51 <br /> �ori� 6LOCK��p� i'�t��"'�� NO. TY'PE OF E�UIPMENT FEE <br /> AIR CON�. UNITS-H.P. EA. 5 I <br /> REFRIGERATION UNITS-H.P. EA. <br /> BOILERS-H.P. EA. � <br /> GAS FIRED A.G. UNITS-TONNAGG EA. <br /> FORCED AIR SYSTEM5-0.T.U. M EA. � <br /> JOB AD�RE55 — <br /> ,p INALL HEATLflS-B.T.U. h1 <br /> � �ry`� UNIT H[ATERS-B.T.U. M � <br /> PLUMBING EVAPORATIVE COOI_EFS <br /> CLOTHES DRYERS � <br /> VENTILATION FAN ' <br /> RANGEH�OD � <br /> TVPE OF FIXTURE OR ITEM FEE nIR HAND�ING UNIT- C,F.M11. <br /> WATER CLOSET (TOILET) 5 INCINERATOFl � <br /> BATHTU6 — --- <br /> LAVATORY�WASMBASIN) <br /> 5110WER � <br /> KITCHEN SINK E. �ISP. <br /> DISHWASHER SUB TOTAI. 5 - <br /> LAUNDFV TRAY F PEflM1T 5 <br /> CLOTMES WASHER TOTAL FEE 5 <br /> WATEIi HEATER THIS PERMIT BECOMES NULL AND VOID IF Y:ORK OR CONSTRUC <br /> — TION AUTHOH12E0 IS NOT CO�"MENCEO WITHIN 120 DAVS, OR IF <br /> URINAI _ CONSTFUCTION OR WOPK IS SUSPENDED OR ABANOONED FJR A <br /> DRINKING FOUNTAIN � PERIOD OF 120 DAYS AT ANY TiME AFTER WORK IS COMMENCL�. <br /> FLOOP-SINK OR DRAIN T— � ryERFRV CERTIFV THAT I HAVE REAO AND EXAMINED THIS l�P� <br /> VACUUM AqEAKEHS —f-- PIICATION AN� KNOW THE SAME TO BE TRUE AND CORFiECT. ALL <br /> ROOF �RAINS-RAINLEADERS PROVISIONS OF LAWS ANU CHDINANCES GOVERNING THIS TVPE <br /> SINK (SERVICE-�AR,ETC.) ��— �F W�A^ W�LL DE COMPLIEO WITFI �YHETHER SPECIFIEfJ HERGIN <br /> — _ _ Ofl NOT, TIIE GRANTING OF A PERMIT DOES NOT PHESUME TO <br /> GIVE AUTHOHITY TO VIOLATE OR CANCEL THE PIiOVIS10N5 OF <br /> ANY OTNER STATE OR LOCAL LAW REGULATING CONSiflUCTION <br /> SUB TOTAL OR THE PEFf-ORMANCE OF CONSTRUCTION. <br /> PERMIT 5 <br /> TOTAI.FEE 5 <br /> x ��J��/� <br /> 4/�-(/ �V <br /> SIGNATUREOFCONTRACTORORAUT'H.AGENT �ATE <br /> SIDE VARD SETBACK STflEET SETDACK REAR YARO SETBACK PLI1N CHECK NUMBEfl PLAN CHECK FEE <br /> FEE FECEIPT NO. <br /> USEZONE LOTAREA VACAM1TSITE <br /> ❑YES ❑No F[ES VALUATION FEE <br /> TYPE OF CONST. OCCVPANCV GROUP NO.OF OWELIING ' <br /> UNITS <br /> I <br /> SI2E OF �LDG. NO. OF STOqIES MA%.00C. LOAO AUILI)ING $ �>�� �;� <br /> _ � <br /> FIfiEZONE E3ASEMENT �FIRESPR{NKLERS PLUMBING ��� <br /> R@OUIRED <br /> ❑YLS ❑NO MECHANICAL ryl/y� <br /> 1 NJ <br /> SPECIAL CONOITIONS: OTHER I <br /> I <br /> PENELTV SEC.3031n1 � <br /> TOTAL <br /> �Q�� <br /> PERMIT VALIDATION <br /> WMEN PROPtRLY VALIDATED (IN THIS SPACE)THIS IS VOUR PERMIT <br /> nPP�ICqt�ONACCCVTEOBV�. PLANSLMECFCOl�Y pPPIi0l10(OV1155W�kCCOV. <br /> �� C • <br /> I 3 <br />