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, <br /> the Evcrgrecn <br /> =�r� �, CONSTRUCTION everett <br /> everett PERMIT <br /> OiY 4A4 }59flFFi <br /> �� R'(H111.1VAtNIYG10N <br /> 9B)AI <br /> °"` °' �°^"^°�"' BUILDING MECHANICAL PLUMBING <br /> orvnuvu[r�t <br /> OWN[1i MAIL ADOFL55 ZIP PHONE <br /> �trs. itilson �5:�1 Ru;:Y.er 9r3201 ?5z-:35� 1"ilI-77 <br /> APCHITECT Oq GESIGNER MAIL A�ORESS PMONE LICENSL NO. <br /> GENERALCONTRf�CTOR MAILAOORESS PHONE UC[NSENO. <br /> 3totir�ll LuseUes 259-5539 2.1 223-01-S.'-i7:7 :';.:-i'7:7'�� <br /> MECNANICAL CONTRACTOR MAIL ADDRESS PHONE IICENSE NO. <br /> PLUM6ING CONTFACTOR MAIL ADD(iE55 PNONE LICENSE NO. � <br /> W <br /> m <br /> PFPMIT CLASSOf WORk � <br /> Z <br /> ❑OUILDING �PLUM�ING �MECHANICAL {- <br /> ❑NEW ❑AUDIl1UIJ �ALTLfiATION ❑f1EPAIH � <br /> VALUATION OF WOfiK � � <br /> $ 1 �1'�;� �t'� ❑�EMOLISH ❑FENC[ ❑SIGN ❑SWIMMING POOI a <br /> DESCPI�!WONK <br /> Fire rrtarczent on 3p�rs :,nd cloae off €tairs to meet firc code 2�2� <br /> vaoaoseo use <br /> MECHANICAL .. <br /> L[G�L DESCHIPTION OF PPOPERTV ISHOIY E3ELOW OR ATTACH r��E OP FU[I. �OLL �CAnT. QL�G. �ELEC. <br /> �OUR OPIE517 <br /> �OT � � f3LOCK SS�F Ruckers .Z8t PI.iY NO. TVPEOFEQUIPMENT FEE <br /> AIRCONO. UNITS-H.P. EA. S I <br /> REFRIG[RMION VNITS--HP. EA. <br /> - �OILERS-H.P. [A. I <br /> GAS FIliED A.C. UNITS-TONNAGE EA. <br /> FORC[O AIR SVSTEMS-D.T.U. M EA. 1 <br /> JOO ADDPESS 1ynLL IIEhTEPS-6.T.U. M <br /> i 2b01 t'2t7cY.e!Y _ uNiri�enreas-e.r.0 nn i <br /> PLUMBING evr.aonnr�ve coo�eRs <br /> CLOTHESDFY[RS I <br /> VENTILATION FAN <br /> RANGEMOOD I <br /> NO. TYPE OF FIXTURE OR ITEM FEE _ nIR HANOL�N�UNIT- C.P.M. <br /> WATERC�OSETITOI�LTI § f INCWEPATOR � <br /> pATHTU9 <br /> LPVl�TORV(WASH BASIN) I <br /> SHOWflR <br /> KITCI{[NSINK& DISP. SUBTOTAL b � <br /> _ DISHWASHER PERMIT S <br /> LAUNDqV TRA\' I <br /> TOTALFEE 5 I <br /> CLOTHES W(�SHER _ THIS PERMIT RKOMES NULL AND VOID IF WORK OR CONSTRUC- <br /> WAT[p HEATER TION AVTHOfiIZ[O IS NOT COAIMENC[D WRHIN 120 DAVS, Oq IF <br /> URINAL � CONSTRUCTION Ofl WOHK IS SUSPENDEO OR A[3ANOONE� FOR A <br /> ORINKING FOUNTAIN PEq10D OF 120 L)AYS !�T ANY TIME AFTER WOFK IS COMM[NCED. <br /> FLOO(i-SINK OR DRAIN I HEfiEBV CEf1TIFV THl.T I Hl�VE READ FNO EXAMWEO THIS AP� <br /> VANUM pREAKERS PLICAT�ON ANO KNOW THE SAMf TO pE TRUE AND CORRECT'. ALL <br /> ROOF ORMhS-qAINLEADERS I— PRn���510NS OF LAWS AND OROWANC[5 GOVERNING THIS TVPE <br /> - OF WORK W�LL �E COMPLIE� WIIM WMETM[R SPECIFIEO HEREIN <br /> SINKISERVICE-ftAP,ETC.1 OP NOL THE GRANTING OF A PEfiMIT DOES NOT PR[SUME TO <br /> GIV[ AUTHORITV TO VIOIAT[ OR fANCEL THE PROVISIONS OF <br /> �NV OTHEfi ST�TE Ofi LOCAL LAW FEGULATING CONSTPUCTION <br /> OR THE PERFOFMANCE OF CONSTRUCTION. <br /> SUHTOTAL <br /> PERMIT S <br /> _ rorn� reE_ s _L 7/�/J7 <br /> X <br /> SIGNATUREOFCONTRACTORORAUTH.AGENT DATE <br /> SIDE YARD SETRACK SIPEET SETf3ACK REAR VAFO SETItACY, PLAN CHECK NVMO[ti P�AN CHECK FEE <br /> fEE RECEIPT NO. <br /> USE 20NE LOT AREA VACANT>ItE <br /> ❑YES ❑No fEES VALUATION FEE <br /> TVPId OF CONST. OCCUPANCY CiPOVP NO.OF DWELLING <br /> UNITS I <br /> —L <br /> SIZ[OFI3LOG. NO.OFSTORIES MAX.00C. lOAO OUILOING S1,�OQ�O.n .�0� '�R <br /> � <br /> FIfiE20NE OASEMENT RRESPRINKLERS ���-UMBING � <br /> RCOUIREO I <br /> ❑V[5 ❑NO MECHANICAL � <br /> SPECIALCONDITIONS: OTHEP � I <br /> - I <br /> I — - PF3NCLl V — 5[C 3031a1 � <br /> I <br /> I TOTAI ��'j �1 <br /> PERAl1T VALIDATION <br /> WI�[ :PfiOP[RI.Y Vl�LIDAT[O (IN THIS SPl.C[) THIS I:VOUR PENMIT <br /> !�M'LICNION/�CCEPiEUBY. PIN:3O�IiY.IDL•v ePPnCp{,hl.�p [,:��nNCCbY <br /> � <br />