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� tAe Evcr9reen <br /> ��TyoF CONSTRUCTION everett <br /> everett PERMIT <br /> ULV IIAII 1f9R885 <br /> f VE PL I l,1VA5111NG10N <br /> 98t01 <br /> °�°' °o�°E,^o;;�„ BUILDING MECHANICAL PLUMBING <br /> OWNCR MAILADOflESS 21P PHONE <br /> *F'.''�3 *'�iF�3 2(T22 -�G. s_.;..:�,_. 2a2-GG39 T7�''�Tb <br /> ARCIiITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br /> GENERALCONTRACTOR MAILA�DRESS PHONE L!CENSENO. /y,� <br /> 1�!'� -. . �'^"'�#� �12f� `"'r�; . ''. �rY1.i6c .�'s.�"(7�1"��a0 t� �-Tj �v� <br /> MECHANICAICONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> PLUMBING CONTRACTOR MAIL A�DRE55 P�iONE UCENSE NO. � <br /> W <br /> m <br /> � <br /> PERMIT CLASS OF WORK � ' <br /> Z <br /> �BUILDING ❑PLUM8ING �M[CHANICAL ~ <br /> ❑NEW ❑ADDITION I-]ALTERATION QAEPAIF � <br /> VALUATION OF WORK � <br /> 5 �^ � ❑OEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL W <br /> v�v�/ a <br /> DESCRIBEWORK Q Q�Q <br /> �`W..�� •.��:�a��.'.� �:�� ^�. ��n� �c�.t�� j0 0 <br /> PROPOSEU USE MECHANICAL <br /> TYPEOfPUEL �UIL ❑GAS ❑LPG. �ELEC. <br /> LEGAL DESCRIPTION OF 1'ROPERTV ISliOW �ELOW OF ATTACH <br /> FOVR COPIES) q <br /> LOT� OLOCK�OF ���t�-� �� ��� II NO. TVPE OF EDUIPMENT FEE <br /> AtR COND. UNITS-H.P. EA. $ I <br /> R[FRIG@RATION UNITS-N.P. EA. ---�� <br /> ❑OILERS-H.R EA. I <br /> GAS FI(3[D A.C. UNITS-TONNAGE [A. <br /> POFiCLD AlI15V5TEMS-�U.T.U. M EA. I <br /> JO� �DDFESS _w ��.������� _ �^1ALL HE/1TEf15-6.T.U. M <br /> �f�� UNIT HEAiERS-B.T.U. M � <br /> [V APORATI V E COOI.E RS <br /> PLUMBING CLOTH[5 DRVERS i <br /> ' V[NTILATION FAN <br /> RANGEHOOD � <br /> AIR HANDLING UNIT- C.F.M. <br /> NO. TVPE OF FIXTURE OR ITEM FEE INCINERn7oR � <br /> WATER CLOSET ITOILETI 5 <br /> PATI ITUB — <br /> �AVATORYIWASHOASIN) � <br /> SN7W6R t __ <br /> KITCHEN S�VK R DISP. SUB TOTAL S I <br /> DISHWASIiEF PLRMIT S <br /> LAVNDRV TRAV I TOTALfEE 5 I <br /> C�OTHES WASHER TIIIS PEfiM1T 6ECOMLS NVLL AND VOIU IF WONK OR CONSTRUG <br /> WATER HEATER I 710N AUTIiORIZEO IS NOT COMA7ENCE0 WITHIN 120 OAVS, OR IF <br /> URINAL CONSTPUCTION OR WORK IS SUSPENDED OR l�BANOONED FOR A <br /> P[RIOD Of- 120 DAVS 11i ANV TIME AFT[R WORK IS COMMENCED. <br /> DRINKING FOUNTAIN <br /> FLOOR-SINK OR URAIN I HEPE�V CEATIFV THAT I "'.�.: READ AND EXAMINFD THIS AP� <br /> VACVVM BREAKERS —�— �'LICATION AND KN01N THC SAME TO �[TRUE AND CORRECT. A�l. <br /> PROVISIONS OF LAWS ANO ORDINANCES GOVEFNING THIS TVPE <br /> ROOF DRAINS-RAINLEADERS pF WORN WILL UE COMPLIED WITH WHETHEfi SPLpF1ED HEREIN <br /> SINK �SERVICE-BAR, ETC.) O(i NOL TIIE GRAMING OF 4 PFRMIT DOES NOT PRESUME TO <br /> GIVL AUTHORITY TO VIOLATE OR CANrEL THE PROVISIONS OF <br /> ANY OTNEF STAT[ OR LOCAL lAW REGULATING CONSTftUCTION <br /> - _ {_ OR THE PERFORMANCE OF CONSTRVCTION. <br /> SU� TOTAL <br /> PERMII 5 f <br /> TOTAL FEE 5 �/p� <br /> . )( � iN <br /> SIGNATUREOFCONTRACTOFOR/1UTH.AGENT DATE <br /> SIOEVAR�SET(3ACK STREETSET6ACK REl�RVAR�SCTHACY. PLANCMFCKNUMOER PIANCHECKFEE <br /> FEE RECEIPT NO. <br /> USEZONE �OTl�FEA VACANTSIT[ <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TVPE OF COYST. OCCUPANCV GROVP NO.OF DWELLING � <br /> UNITS <br /> �� Iq' <br /> SIZE OF OLOG. NO. OF STORIES MA%.00C. IOAD l3UIL�ING 5 � 4:: �W <br /> Pl.UA901NG � <br /> FIflEZONE BASEMENT FIRESPRINKLERS � <br /> Ff�UIf1ED � <br /> ❑YES ❑NO MECHANICAI � <br /> 1 SPECIAL CONDITIONS: ---- OTHER I <br /> I <br /> — PENELTY SEC. �OJIo) � <br /> 1 <br /> I <br /> - TOTAL �} I(� <br /> - PERMIT VALIDATION <br /> WNLN PROP[RLY VALIDATED (IN TH�S SPACEI THIS IS VOUR�'ERMIT <br /> amllL4tIONACLCPTWOP 1'�ANSCNECKCOBV. APPIIOY[DiOPISSUANCC�Y <br /> �1 <br /> 3 <br />