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- -_- �-- _ _ <br /> the Evergrer.n <br /> ��T�o� CONSTRUCTION everett <br />� everett PERMIT <br /> cnv��au :sserss <br /> [vcxen.rinsur�crar+ <br />, �e�oi <br /> °E°T °°�°M^`°°"r BUILDING MECHANICAL PLUMBING <br /> oEVELovn•Eqi <br /> OWNER MAIL ADDflE55 ZIP �HONE <br /> '[.;,.r�l,»1 t'�QE'$ j1:�:7�a`i,t'j1c �:��� <br /> ARCHI'.ECT OR OESIGNf:R MAIL ADDRE55 PHONE LICENSE NO. <br /> GENE 9AL CONTRACTOR MAIL AD�RESS PHONE LICENcc NO. <br /> n. a <br /> MECHANICAL CONTRACTOR MAIL ADDRE55 PHONE LICENSE NO <br /> PlUA1�ING CONTF ACTOR MAIL ADORESS PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASS OF WOfil: � <br /> z <br /> �JOUIL�ING ❑PLUM�ING �MECHANICAL Z'. � <br /> ❑NEW LJ/�DDITION ❑ALTERATION ❑FEPAIR � <br /> VA!UATION OF WOHK I — W <br /> S �.�.'•� []DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POO� a <br /> UC.^+C416E WORK 2317 <br /> Ni'jltli'�. �LL•�'?r•7CyS:XS <br /> PROPOSEO USE MECH.4NICAL <br /> �'G•� TVPEOFFUEL �OIL �NAT �LPG. �ELEC. <br /> LEG/1L DESCRIPTION OF PROPEFTY ISHOW�ELOW Ofi ATTACH GAS <br /> FOUFC PI <br /> � ��7]q:'�'t1 I�Qqu 7i� NO. TYPEOFEQUIPMENT FEE <br /> LOT � �LOCK--OF AIH COND. VNITS-H.P. EH. 5 I <br /> 1iEFRIGERATION UNITS-H.P. EA. ��— <br /> BOIL'cR5-H.P. EA. I <br /> GAS FINED A.C.UNITS-TONNAGE El�. <br /> PORCED AIR SVSTEM11S-D.T.U. M EA. I <br /> JOB ADDRESS WnLL IiEATERS-B.T.U. M <br /> 1� '�� UNIT HE/1TER5-�.T.U. M I <br /> EVAPORAiIVECOOLERS <br /> PLUMBING CLOTNES DRVER: I <br /> VENTILATION FAN <br /> RANGENOOD � <br /> NO. TVPE OF FIXTURE OR ITEM FEE �+IR HANDLING UNIT- C.F.M. <br /> WATER CLOS[T (TOI�ETI 5 INCINERATOR I <br /> BATHTUp <br /> LAVATORYIWASH�ASIN) - � � <br /> SHOWER <br /> ':ITCIiEN S�NK R DISP. SUp TOTAL 5 � <br /> DISHWASNER PEFMIT 5 <br />' LAUNDR" T{iAV _ TOTAL FEC 5 I <br /> CLOTHES WASHER THIS PGR'.IR CLCOMES NULL nND VOID IF WOFK OR CONSTRUC <br /> WATER HEATEA TION AUl HORI.(EO IS NOT COA141EYCE� IVITHIN 120 �A\'S, OR IF <br /> URINAL CONSTRUCTION OR WORK IS SUSPENDED OR A�ANOONED FOR A <br /> OHINKING FOUNTAIN PERIOO OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCEO. <br /> FLOOR-SINK OR ORAIN � �iEREBV CERTIFV THAT I HAVE FEAD AND [xAMINE� THIS AV- <br /> VACWM ISR[AKENS P����+T�ON l�IKD KNOW TNE SAME TO UE TfiUE AND CORFECT. ALL <br /> P90VISIONS OF LAWS AND OFDINANCES GOVERNING THIS TYPE <br /> ROOF ORAINS-RAINLEADERS � OF WORK WIIL E3E COM1IPLI[D WITH WHGTHGR SPECIFIED NENEIN <br /> SINA ISERVICE-liAR, ETC.) �� NOT, THE GFANTING OP A PERM1IIT DOES NOT PIiESUME TO <br /> I— GIVE AUTHOFITV TO VIOLATE OR CANCEL THE PPOVISIONS OF <br /> ANY OTNEti STATE O(i IOCAL Ll�W R[GULl�TING CONSTflUCTION <br /> OR TI1E PERFOFiMANCE OF CONSTIiUCTION. <br /> SU9TOTAL <br /> PEPMIT S <br /> TOTALFEE 3 L /J/ +rt <br />. x �, C-___`"-'t/L� ���f I <br /> �IGNATUREOFCONTFACIORORAUTH.AGENI DATE <br /> SIOE vqRC SETOACK STREET SET9ACK REAR VAPOSET�ACK PLAN CHECK NUMAER PLAN CNECR FEE <br /> FEE FECEIPT NO. <br /> USEZONE LOTAREA VACAN751TE <br /> ❑VES ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF �WELLING <br /> 11NIT$ � <br />' SIZE OF BLDG. ' NO.OF STOR�ES MA%.00G LOA� [3UILDING S �fM� { � <br /> PLVMBING � <br />� fIRE20NE DASEMCNT FIHESPRINKIEFS � <br /> RE�UIRED � <br /> i ❑VES ❑NO MECHANICAL I <br /> SPECIAL CONDITIONS: UTHER � <br /> I <br /> . PENELTV SEC.JOJ la) I <br /> — TOTAL , j-'� <br /> PERMIT VALIDATION <br />� WHGN PROPERLV V(�LIDMED (IN THIS SPACE) THIS 15 YOUR PERM1IIT <br /> 1PPUCATIOY�LC[Pi{UIIY CLAtl;CMCCKEOflY: AP�BOVCD�OFISSIIr1NCEBY�. <br /> .s> <br /> I <br /> i ^ <br /> l <br /> l _ _ _ <br />