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___ �._:._.� :�:._-_._ - <br />, the Evcrgrcen I, <br /> ��TYo� CONSTRUCTIOIN everett <br /> everett PERMIT <br /> LITV HALL 1599AA5 <br /> EVEAEii,WASNINGiON I <br /> 9d$01 � <br /> �EP� �F ���.°^°'°�° BUILDING MECHANICAL PLUMBING � <br /> oevciarniExr <br /> UWNER NnILl1DDHE55 ZIP PNONE I <br /> nr�,, �A�. f+�':i�`� <br /> ='." .�-.-j c;,.+s � <br /> AfiCHITECT OR DESIGNEF MAIL AODRESS FHONE LICENSE NO. I <br /> GENERALCONTRACTOR MAI�ADDRESS PHONE LICENSENO. I <br /> ?1li /..t."�^y+:`, <br /> MECHANICALCONTRACTOF MAILADDRE55 PHONE LICENSENO. <br /> PHONE LICENSE NO. � ! <br /> PLUM6INGCONTRACTOR MAILAO�RESS W <br /> m <br /> � <br /> FERMIT GLF�55 OF WOflk � <br /> z <br /> '�]BUIL�ING ❑ PLUMBING ❑MECHANICAL ~ II <br /> ❑NEW ❑nournun ]:Jn�rtr�<.�iun ❑r+r:vnu� � I <br /> — cL <br /> VALUATION OF WUFlK W ' <br /> �y� ❑OEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> 5 w <br /> DESCRIBE WOftK 2427 <br /> +w.r.. ..r� :;s <br /> �' . .,. . .- ij�'6s.i: <br /> PROPOSED USE MlECHANICAL <br /> TVPEUi' FVEL �OIL ��ns. �LPG. �ELEC. <br /> LEGAL DESGFIPTION OF PROPEFTV (SHOW BELOW OR ATTACH <br /> FOUa COPIEsI NL� TYPE OF E�UIPMENT FEE <br /> LOT 6LOCK__OF AIR COND. UNITS-H.R EA. S I <br /> f REFHIGERATION UNITS-H.R EA. --� <br /> (301LER5-H.R EA. � <br />` GAS FIRED A.C. UNITS-TONNAGE EA. <br /> IFORCED AIF SVSTEMS-B.T.U. M EA. I <br /> JOB AOORESS WALL HEATEftS-B.T.I�. M <br /> �j�}�� O'-�{Xt :�(� UNIT HEATERS-O.T.U. M � <br /> rer� � <br /> EVAPOPATIVECOOLEFS <br /> PLUMBING CLOTHES DRYERS _ � <br /> VENTILATION FAN <br /> flANGEHOOD � <br /> AIR HANDLING UNIT-� C.F.M. <br /> NO. TYPE OF FIXTURE OR ITEM FEE iNCINERA70R � <br /> WATEfi CLOSET ITOILETI 5 <br /> E3ATHTUB <br /> I <br /> LAVATOPY(W�15H BASINI <br /> SHOVJEF <br /> KITCHEN SINK & DISP. SUB TOTAL S I <br /> DISHWASHEF PEflMIT 5 I <br /> LAUN�RY tRAV TOTALFEE 5 I <br /> CLOTHES WASHEii 7HIS PERMIT 6ECOMES NVLL ANC VOID IF WOFK OR CONSTRUC- i <br /> WATER HEATER TION l�UTHORIZED IS NO7 COMMENCED WITHIN 120 DAYS, OR IF <br /> URINAL CONSTRVCTION OR WORI�. IS SUSPISNDCD OR ABANDONED FOF A <br /> PERIOD OF 120 DAVS AT AAY TIME AFTEP WORK IS COMMENCED. <br /> OflINKINGFOUNTAIN <br /> FLOOR-SINK OR DPAIN _� I HEREBY CEFTIFV THA7 I HAVE F El�C AND E%AMINED THIS AY� <br /> VACVUM11 �REAKERS PLICATION /�ND KNOW TNE Sr1ME TO �E TPUE AND CORRF.CT. ALL <br /> PROVISIONS OF LAWS AP:D ORDWANCES GOVERNING TNIS TYPE <br /> flOOF DRAINS-RAINLEADEPS _�_ OF WORK WILL �E COM1IPIJGD WITH IVHETHER SPECIFIE� HEREIN <br /> � SINK (SERVICE-��F1. ETC.) Ofi NOT, THE GRANTING OF A PEFMIT OOES NOT PRESUME TO <br /> I �— GIVE AUTHORIT'/ TO VICLF.TE OR :�+NCEL THE PROVISIONS OF <br /> .—i— AN�' OTHER STATE Ofl LOCAL LAW 9EGULATIIVG CONSTRUCTION <br /> +_ OR THF PERFORM4NCE O�' CONSTRU::TION. <br /> i SUB TOTAL I -_ <br /> PERMIT 5 T <br /> TOTAL FEE S ___+—_ � <br /> x <br /> SIGNATUFEOFCON7RACTCRORAVTh�..AGENT OATE <br /> SIOE VARD SETOACK STREET SETBACK REAR VAROSET6ACY, PLAN CHECM: NUMBER FLAN CHECk F�:E <br /> �EE RECEI?T NO. <br /> USE ZONE LOT AflEA VACANT 51T _ <br /> ❑vE5 ❑No FEES VP�WATION FEE <br /> TVPE OF CONST. OCCUPANCY GHOUP NO.OF UWFII.ING —T— <br /> UNITS ry��M I+y� <br /> �'�i�v�/ �w <br /> SIZE OF BIDG. n'O.OF STORIES MAX.GCQ LOAD BUI4DING 5 _ I <br /> PLUMBIMG � <br /> FIREZONE �ASEMENT FIFESPRINk1LERG � <br /> REQUIRED MECHANICAL � <br /> ❑vES ❑N� <br /> I <br /> SPECIAL COND�TIONS: OTHER � <br /> PEkELTV SE(:.3071u) � <br /> — TOTAL ��� <br /> PERDAII�VALIDATION <br /> \VHEN PfiOPERLV VALIDATED IIN THIS SPAGE)THIS IS YOUR PERMIT <br /> ?PPLICATIONACCEPTE�OY: �LPN`vCNECKE091"' APVFOVEflF6fii5.0/+NLEDY�. <br /> �� � <br /> n <br /> i <br /> i <br /> � • <br />