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the Eve�nreen I <br /> ��T,-aF CONSTRUCTION everett � <br /> everett PERMI�" <br /> Li1Y NALL 113fi6A1 <br /> FVEPfti.NASIIINf.iOH <br /> 99'GI <br /> °�P' °' °°°'^°��:° BUILDING MECHANICAL PLUMBING <br /> nEVROvxEHi <br /> OWNER p� r� MAIL ADORE55 LP PHON[ <br /> �,T lr �i !:l..'{�-.. 'n�-. {r' � e�. n <br /> • 3�y+�..:t ..�3-r7 <br /> l�RCHITECT OR DESIGNEF MAIL AODNESS PHONE LICENSE NO. <br /> GENERAL CONTRACTOR MAII AODflESS PMONE LICENSE NO. <br /> v�.l: <br /> MECHANICAL CONTriACTOR MAIL ADUHESS PHONE LICENSE NO. <br /> PLUMDING CONTRACTOR MAIL ADORE55 PNONE LICENSE NO. � <br /> W <br /> m <br /> � <br /> PERMIT CLASS OF WOIiK � . <br /> Z <br /> � DUILDING �PWM�IIlG �MECHANICAL �NEW ��1DOITION ❑AITEFiATION ❑REPAIR ~ <br /> , � <br /> VALUATIO� yWy��R�Kry � <br /> 5 �^� �+�/ ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL � <br /> DESCRIBC WORK /� ] y! !y��� ^^ w� <br /> ♦4+�' ��Tl��G C'.l'.F:iA! i�l� '1��y <br /> �.\�N <br /> PROPOSE�VSE ^ <br /> :?•�;. �,�;-i-hj p��.-,y,.� P.IECHANICAL <br /> LEGAL OESCRIFTION OF PFOPERTY ISHpW pELOW OR ATTACH TVPE OF FUEL �OIL �GAns. �LPG. �ELEG. <br /> FOUR IE5) _ � � ` _K� <br /> Lor BLOCK—oF ^ '� �"t" r . .�� NO. TVPEOF E(]UIPMENT FEE <br /> AIR CONO.VNITS-H.P. EA. 5 I <br /> fiEFRIGERATION UNITS-H.P. EA. <br /> 601LER5-H.P. EA. I <br /> GAS FIREO A.C.UNITS-TONNAGE EA. <br /> FORCED AIR oY$TEMS-0.T.U. M El�. I <br /> JO� AODRF55 �.�. � .,.� WALL HEATERS-�.T.LL M <br /> 3oz� �.� _ _:. M�.�.a�.� —-- <br /> UNIT HEATCHS-B."LV. M I <br /> EVAPGRATIVECOOLERS <br /> PLUMBING CIOTNGS DRVEFS i <br /> VENTILATION fAN <br /> RANGE IIOOD I <br /> AIR HANDUNG VNIT- QF.M. <br /> NO. TYPE OF FIXTURE OR ITEM FEE — <br /> WATER CLOSETITOILETI 5 INCINERATOR I <br /> BATHTUB J_ <br /> IAVATORY (WASHBASIN) � <br /> SHOWER �— �— <br /> KIiCHEN SINK & OISP. SUB TOTAL 5 I <br /> DISMWASHER PEFMIT 5 <br /> LAUNDFY T'iAY TOTAL FE[ 5 � <br /> CLOTMES W\SHER TNIS PERMIT �[COMES NULL .1NO VOID IF WORK OR CONSTRUC- <br /> WATER NE/ iER TIpN /1UTNOFi1ZED IS NOT COMMENCEU N9THIN 120 DAVS, Ofi IF <br /> URINAL CONSTRUCTION OR WORK I$ SUSPENDED OH A6ANOONED fOfl A <br /> DRINKING FOUNiAM --�— PEflIOD OF 12J DAVS nT ANV TIME AFTER WOPK IS COM1IMENCED. <br /> FLOOR-SINA OR f)IiP'N � �iERE[3Y CERTIFY THAT I HAVE READ ANO Lkl��91N[� THIS AP- <br /> VACVUM BREAKERS PLICATIDN ANO KNOIY THE SAME TO f3E TRUE AND CORRECT. ALL <br /> ROOF ORAIN�_qA1NlEA0EiiS �-- ��OVISIONS O( LAWS AN� OFiDIN.1kC[5 GOVEIi1JING THIS TYPG <br /> OF WORK N'ILl DE COMP�IED WIiN WHETHER SP[CIFIE� HEREIN <br /> SINK ISERVICE-�AR, ETC.) OP NOT, TFIF GHANTING OF !� PEHMIT DOES NO� PRESUME TO <br /> — --I GIVG AUTHOhITY TO VIOLATE OR CANCEL THL PROVISIONS OF <br /> ANV OTHER STATE Oli LOCnL LAW qEGVLATING CONSTRUCTI04 <br /> OR THE PEPFORMANCE OF CONSTRUCTION. <br /> SI1B TOTAL <br /> PERMIT { <br /> TOTAL FEE S <br /> x <br /> SIGNATUREOFCONTRACTORORAUTH.AGENI' Ol1TE <br /> SIDE YARD SET[tACK STAEET SETBAGK PEAfl VAFIDSET�ACK PIAN CHECK NVMOER PLAN CHECK FEE <br /> FEE FECEIPT NO. <br /> USEZONE LOfAREA VACANi51TE <br /> ❑vE5 ❑NO FEES VALUATION I FEE <br /> TVPE OF CONST. OCCUPANCV GROUP UNIOS DWELLING � <br /> SIZEOF (31.OG. NO. OFSTORIES MA%. 00C. LOAD 13VILOING itINJ�W yY�W <br /> PLUM�ING � <br /> ��Rf- ZON[ [3AS1-M1IENT RRESPP�.NKLEfiS <br /> HEOUIfiEO � <br /> ❑YES ❑NO MECHANICAL � <br /> SPECIAL CONDITIONS: OTHER � <br /> I <br /> PtNC-LTv SEC.3031a1 � <br /> I <br /> - TOTAL �'�I� <br /> P[RMIT VALIDATIOM1 <br /> - WH[N PfiOPERLV VALIDATED(IN THIS SPACE)THIS 151'OUft PCRMIT <br /> APGIIC4TION(�QFPTEDBV- PL4N:OILIXE�CY�. MPPO�D�O11155U��NilOY <br /> L � <br /> I q <br />