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�ha Ever9reen <br /> �,T,. o� CONSTRUGTION evereYt <br /> everett PERMIT <br /> CIiY IIAII 1599flA5 <br /> EVEPEiL 1'�4SIIibG10N <br /> 'a"' PLUMBING <br /> ��P* �f =����,����,� BUILDING MECHANICAL <br /> oEVElaruEnt <br /> MAIL ADDRESS ZIP PHONE <br /> OWNER yyy__ry�.�i, 4A�9t1._!� <br /> .j..-r ��-tir�1.^LI �' ��,-<, ,..! cx��v� a. �r <br /> : J <br /> ARCNITECT OR DESIGNE9 MAIL ADDFE55 PHONE LICENSE NO. <br /> GENEFALCONTRACTOF M��ILADOFiESS PHONE LICENSENO. <br /> �����,��.'ir '^(1'!'�T�i <br /> MECHANICALCONTFACTOR <br /> MAIL ADDRESS PHONE LICENSE NO. <br /> � <br /> PLUM61IvG CONTRACTOR MAIL ADDRE55 PHONE LICENSE NO. W <br /> m <br /> � <br /> PERMIT CLASS OF WORK z <br /> 'IML3ING ❑MECHANIC�IL ,.y� ~ <br /> aBU1LDING ❑ � ❑NEW ❑/�ODITION ❑ALTERATION LYSiEPAIF � <br /> � <br /> VALUATION OF WORK W <br /> 5 �� ❑OEMOLISH ❑f-ENCL ❑SIGN ❑SWIWMING POOL a <br /> DESCRIBL WORK 1148 <br /> ..� T.��S <br /> '� "Cr_.� 4t <br /> PRCPOSED VSE MECHANICAL <br /> TYPEOFFIiEL �fO1L �Gns. ��PG. �ELEC. <br /> FOUR CO�IESI�PTION OF PftOPEHTY ISHOW OELOW OR ATTACFI FEE <br /> NO. TYPE OF E4UIPMEN7 I <br /> LOT OLOCK—�F AIR COND. UNITS-H.P. GA. 5 <br /> FEFRIGERATION UNITS�-H.P. EA. <br /> BOI�ERS-H.P. EA. � <br /> GAS FIRED A.C. UNITS-TONN.GE EA. .�_ <br /> FO�CED AIR SYSTEMS-6.T.U. M EA. � <br /> __—� <br /> WALL IiEATERS �B.T.U. M <br /> JOB AODRESS � <br /> �� �f� �y� UNIT HEATERS-B.T.U. M <br /> EVHPORATIVECOOLERS <br /> PLUMBING c�orHes or�veas � <br /> VENTILATION FAN <br /> ftANGENOOD � � <br /> AIF HANDLING UNIT- C.F.M. <br /> NO. NPE OI�FIXTURE OR 1TEM FE_T.-- INCINERATOF __ � <br /> WATER CLOSET 1 i OILET) 5 <br /> BATNTUB � <br /> �AVATORV IW�+SH OASIN) <br /> SHOWER SU�TOTAL 5 I <br /> KITCMENSINKROISP. PEFMIT 5--� <br /> DISHWASHER _ <br /> LAUNDflY TRAV TOTAL FEE S I <br /> CLOTNES WASHER T111S PERtdIT BECOMES NULL AND VOID IF WONK OR CONSTRUC- <br /> WATLR HEATER TION AUrh10FlIZGD IS NOT COMh1ENCE� WITHIN 120 DAYS, OP IF <br /> �— CONSTRUCTION OF WOftK IS SUSPENDED OF AOAN�ONED FOfl A <br /> UFINAL PEflIOD OF 720 OAYS AT ANY TIh1E AFTER WOftK IS COMMFNCED. <br /> ORINKIkG fOUNTAIN ---�--'" � HEREG� CERTIFV THAT I HAVE READ AND E%AMINED THIS AP� <br /> FLOOR-SWK OR DFAIN — p�ICATION AND KNOW THE 5l�ME TO BE TFVE AND CORRECT. ALL <br /> �',°CUUM �REAKERS �---- PROV�SIONS OF LAWS AND ORDINANCES GOVERNIN3 THIS TVPE <br /> ROOF URAINS-RAINIEl�DERS ____+__ OF WOFK WILL BE GOMPLIED bVITFI WHETHER SPECIFIEL� HEREIN <br /> SINK (SEHVICC--BAF. ETC.) __ Oft NOT, THF GRANTING OF A PERMIT DOES NOT PftESUME TO <br /> --�-- t31VE AUTNORITY TO VIOLATE OF CANCEL Th1E PROVISIONS OP <br /> ANY OTHER STATE OF LOCAL Lf�W REGULATING CONSTRUCTION <br /> Ofi THE PERFORMANCL OF CONSTFUGTION. <br /> SUB TOT/�L <br /> PERMIT 5 <br /> TOTAL FEE 5 t Q � � <br /> SIGNl��iUftEOFCONTRACTORORAUTH.AGENT DATE <br /> PLAN CHECK FEE <br /> SIDE VARO SET� .CK STflEGT SET[3ACK REAR VAflOSETBACK PLO.N CHECK NUMA[R FEE RECEIPT NO. <br /> USE20NE LOiAfiEA VACANTSITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TYP[ OF GONST. OCCUFANCY GROUP NO.OF OWELLING 1 . <br /> UNITS [� M <br /> __""— 5 �rY1 V IW <br /> SIZEOFBLDG. NO. OFSfOf�lES MAX.00C. '_OAI� [1UILDING W �_ <br /> 1 <br /> PWMBING I <br /> FIftE ZONE BASEMENT FIFESPRINKLERS — I <br /> ft QVES�n ❑�l0 MEGHANICAL � _ <br /> — I <br /> SPECIl�L CON�ITIONS'. OTHER � <br /> _, PENELTY SEC. 3031a) � <br /> - I <br /> — — TOTAI. J �CO <br /> I -- _ — PERMIT VALIDATION <br /> WIiEN PHOPERLY VAiIOATED (IN THIS SFACLI THIS IS�'nU�PERMIT <br /> APPIIUfIONf�CCCFTEfl9Y: PLPNSCIIC[KCfI�Y� �1P°OOVE�FOfl�I:SU�INLC(IY. <br /> � �'� <br /> � <br /> t SE', .. _.._.._._.. . <br />