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thc Evcrgreerr <br /> =�T� �� CONSTRUCTION everett <br /> everett PERMIT <br /> LIIYNAII ]SVAPPI <br /> [VCP[11,1'id$MINf111N <br /> 98)01 <br /> °`°, °oE°",o�M°„, 3U11_DING MECHANICAL PLUMBING <br /> OWNEF .�p !� Ml�li.ApDHL55 ZIP �ry���p�ryp�ryE �ry T <br /> [�' 1 ./� i�t'�'� t.]i�LGyl� r.'./G...�fi <br /> APCNITECTOftOESIGNER MAILqDDflE55 PHONE LICENSENO. <br /> GENERAL�CMONTRACTOF MAI�ADDFE55 PHONE LICENSENO. <br /> :¢'•� <br /> MECHANICAL CONTRACTOR MAIL ADOFE55 �PNONE LICENSE NO. <br /> PLUMDING CONTRACTOfl MAIL ADDHESS PIiONE LICENSE NO. ¢ <br /> W <br /> m <br /> PERMIT CLASG Of WORK ? <br /> `�,pUILO1NG � Z <br /> C'J �fLUMBING MECHANICnL ,y F <br /> ❑NEW ❑l�DDITION ❑ALTERATION {�qEPAIR � <br /> VALVATIONq�NqWC � <br /> M��W ❑DEMOUSH ❑FENCE ❑SIGN ❑$WIMMING POCL W <br /> $ a <br /> DESCRIUF.WORK <br /> �����, ;��� �r 2835 <br /> PROPOSED USE <br /> MECHANICAL � <br /> _ TVPEOFfUFL QOIL �NAT. �LPG. �ELEC. <br /> IEGAL�ESCFIPTIOtJ OF PfiOPERTV (SHOW 6[L�IW Oq ATTACH GAS <br /> fOUR yCO�PIE51 �+� <br /> �or JiY_ OLOCK120F NO. TYPE OF EDUIPMENT FEE <br /> AIR COND. UNITS-H.P. EA. g � <br /> REFRIGEiiA110N UNITS-H.P. LA. <br /> OOILERS- I/.P. EA. � <br /> GAS FIRED n.C.UNITS-TONNAGE EA. <br /> _ FORCEO AIF SVSTEMS-O.T.U. M EA. I <br /> JOB ADORE55 x� �Y WALL HEMEiiS-6.T.U. M <br /> _+�� �"�� UNIT 11EATEPS-B.T.U. M I <br /> PLUMBING EVAPORAIIVECOOLERS <br /> CLOTHESDRV[RS � <br /> � VENTILATION FAN <br /> RANGEHOOD � <br /> NO. TYPE OF FIXTURE OR ITEM FEE A�R ��nNDLING UNIT- C.F.M. <br /> WATEFCLOSET(TOILET) g WCINERATOR � <br /> �ATHTV6 <br /> _ LAVAi'ORY (WASH BASIN) _ � � <br /> SHOWER <br /> KITCMEN SINK& DISP. __ SUp TOTAL $ � <br /> UISMWASHER _ _ { PEfiMIT 5 <br /> LAUNORV TRqY <br /> CLOTHESVJASHER TOTALFEE 5 � <br /> WATER HEATER THIS PERAIIT OECOMES NUIL ANO VOIU IF \NORK OR CONSTRVC� <br /> TION AUTHORIZED IS NOT COMM[NCED WITHIN 110 DAVS, OF IF <br /> URINAL —� CONSTPUCTION OR WORK IS SUSPENDED OR A�ANDGN[D FON A <br /> DPINKING FOUNTAW �[RIOD OF 120 OAVS AT ANY TIME l�FTER WORK ISCJMMENCED. <br /> FLOOR-SINK OR DRAIN I MEREPY CEflTIFY THAT I MAVE fiEAD ANO E%(1MWEp THIS AP� <br /> VA�UUM f3qEAKERS PLICATION ANO KNOIti rh�E SAM[TO PE TRUE AND CORRECT. t1LL <br /> fi00F ORAINS-qAINLCFOERS - - �'=������n�� OF LAWS AND OFOINANCES GOVEfiNIYG 1H15 TVVE <br /> OF \NCRK WILL UE COM1IPLIED WITH WHET�IER SPHCIFIED HEFEIN <br /> SINK (SERVICE-9AR, FTC.) Ofi NOT, THE GRANTING OF A PERMIT pOFS NUT Pq[SUM[ TO <br /> GIVE AUTHORITV TO VIOLAT[ OR CANCLL TH[ P(iOVI51pHS OF <br /> qryY OTH[fi STAT[ OR LOCAL ��W RLGULi�TiNG CON9Tf1UCTION <br /> OH THE P[RFOHM/�Nr�OF CONSTHUCTipN. <br /> SV8 TOTAL � <br /> PEqMiT S —� <br /> TOTAI. FE[ $ <br /> x 7/<'/7l <br /> SIGNATUflEOFCONTRACTORORAUTM.AGENT UATE <br /> i1DEVAqOSETAACK STREETSETOACK REARVARDSET6l�CY. PLANCHEf,KNUM11pER PLANCHKKFE[ <br /> I�EE qECE1PTN0. <br /> USE 20NE LOC AqEil VACANT SITE I <br /> ❑vty ❑N� FEES I VALUA710N FEE <br /> TVP[ OF CONST. OCCUPANCV GROUP 40.OF pW[LLING —�- <br /> VNITS � <br /> SIZE OF 6LDG. NO.OF STOfilES MAX.pCL. LOAD dUILDING 5 ���� L' '�jp� <br /> � wv <br /> P W MBI NG I <br /> FIRFZONE pASEMENT FIRESPRINKLERS <br /> RE�VIRED � <br /> �y�g �ry� MECIIANICAL � <br /> SPECIAL CONDITIONS: OTNER � <br /> -- PFN6Ll'V SEC.�03ia) I <br /> rorn� 5 � <br /> I PERMIT VAIIDATION <br /> \NH[N PflOP[IiLY VALiDATED IIN THIS SPACE; THi515 YOUR PLRMII� <br /> nreucnnonncc[nrrom ci,;r,-���i���i�i.� enr�uornml�issvnrvcrov <br /> z. r. <br /> ' � , <br />