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� . . . <br /> _ _. _ _ _ . . .` , - <br />� i the Evergrr.en I <br />� ��TY oF C0�lSTRUCTION everett <br /> everett PERMIT <br /> �,�,,.,<< <br /> E��;,�,� ,:a,,.�:�..,�; <br />. �E�� °° �°�°°'���r BUILDING MECHANICAL PLUMBING <br /> ���:<<<��„��:� <br /> i OWNER MAILAD[]FESS ZIP "HONE ,♦^�� <br /> ,, ;,. ;. -x �z,; t�ti sc. <br /> AFCHITECT OR OESIGNER MAIL t1DDfl[55 PHONE LICENS[ NO. <br /> GENERAL CONTFFCTOfi MAIL ADORESS PHONE LICENSE NO. <br /> . �,. ;,F ;;�':.' :11'::��`".:r � `'a'�.r:�S:si �+3"�A <br /> �T1. .. l <br /> MECHANICAL'CONTRACTOB MAIL ADDRE55 PHONE LIGENSE NO. <br /> � <br /> PLVMiINGCONTRACTOF MAILADDFE55 PHONL L�CENSENO. W <br /> m <br /> � <br /> PEftM1T CLASS OF WORK � <br /> z <br /> �UILDING ❑ PLUM1I�ING �MECHnNICAL ,J}` ~ <br /> ❑NEW ❑ADDITION ❑l1LTERATIUN LT�LPn�H � <br /> VALUATION OF WORK � <br /> y/�yry �+A ❑DEMOLISH ❑FENCE O��GN ❑SWILIMW(3 POOL W <br /> 5 .r.��ww --- --- a <br /> DESCRI�E WORK �Q C <br /> ...r,,�.,... . . ;::'1i OJ <br />, rRoaoseo use MECHANICAL <br /> Tvre ov Fue� �oii.— Ocns' ❑�Fc. De�ec. <br /> LEGAL�ESCRIPTION OF PROPERTV (SHOW�ELOW Oft ATTl�CH <br /> I FOUFl COPIF_51 — <br /> NO. TV'PE OF EQl!IPMEN7 FEE <br /> LOT 6LOCK_OF nIR CONO. UNITS-H.P. EA. $ I <br />� REFRIGERMION UNITS-HP. EA. <br /> F301LER$-H.P. EA. � <br /> IGAS FIRED 11.1'.. UNI?S-TONNAGE EA. <br />� ___ _ FOFCE�AIR SVSTEtdS-6.T.V. M EA. I . <br /> JOU ADOflE55 �a WALL NEI�TEFiS-��.T.U. M <br /> ei�`IlY E}i�c�1t.4 UNIT HEATERS--�.T.U. M � <br /> EVAPORATNE COOLEFS <br /> II PLUMBING CLOTHES DFiVERS � <br /> VENTILATION FAN <br /> FANGE HOOD � <br /> NO. TYPE OF FI%TURE OR ITEM FEE n�R HANO�ING UNIT- C.F.M. _ <br /> WATLRCLOSETITOILETI S �NCINENATOP � <br /> pATHTUE3 -- ~ <br /> LAVATOFV (WASH BASINI — � <br /> SHOWER _ --- - <br /> KITCIIEN SINY. & D�SP. �U�TOTAL 5 I <br /> OISHWASHER PEftMIT 5 <br /> LAUNURV TRAV —� TOTALFGE 5 I <br /> CLOTHES WASHER THIS PERMIT UECOMES NVLL 4N0 VOID IF NlORK OFl CONSTFVC- <br /> WATEFi HEATER �_ TION AVTHOR 2ED IS NOT C7MMENCED WITHIN 720 �AYS, OR IF <br /> URINAL GONSTftVCTICN Oft WORK IS SUSVENOED OR /1�ANC'ONED FOF A <br /> I PERIOD OF iJ0 DAVS qT ANY TItAe AFTER WDRK IS COMMENCED. <br /> ORINKINGf-OUNTAIN <br /> FLOOfl-SINK OP D�iAW --� � ��E(iEUV CERTIFY THAT 1 HAVE ?EAD AND E%AAiINED THIS nP� <br /> —'�-- PLICl�TION ANO KNOW THE 54DdE f0 OE 7FVE AND COFR@CT. !�LL <br /> VACUUN �RE1IKERS PqOVISIONS OF LAWS 11N0 ORDIn;ANCCS GOVPNNING THIS TVPE <br /> ROOf DIIAINS-HAINLEADERS _ OF WORK WILL BE COMPLIED 'AITN WHETH[fi SPECIFIEU HEHEIN <br /> SINK (SERVICE-�AF, ETC.1 - —� OR NOT, THE Gftl1NTING OF A PEFMIT OOES IJOT PRLSUME TO <br /> — GIVE AUTHORITV TO VIOLATE UR CANCEI THE PROVISIONS OF <br /> /�NY OTIIER STATE Ofl LOCA�_ LAW REGULATING CONSTflUCTION <br /> OR TH[ P[FFOHP.tANCE OF CGNSTliUGT1ON. <br /> SUB TOTAL <br /> PERMIT 5� <br /> TOTALFEE $ <br /> X — - .� ' 7L <br /> SIGNnI'UREOFCONTR.ICTORORAUTH.AGENT DATB <br /> SIUE VARD SET6ACK STftEET SETI3ACK REAq YARDSETOACK PLI�N CHF.CK NUMFIER PtAN CHECK FEE <br /> FEE flECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YEs ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GFOUP UN.IOS OWELLING � <br /> �jr�� M I�y <br /> SIZE OF dLDG. NO.OF STORIFS MA%.00C. LOAD 6UILDING 5 ?WJrYJ I v`� <br /> PLUM01 NG � <br /> I FIfiEZONE OASE�tENI FIRESPFINKLEFS _ �— <br /> REDUI(iED � <br /> � ❑VES ❑NO M1�ECHANICAL � <br /> i — <br /> I <br /> SPECIAL CONDITIONS: OTHER � <br /> PENELTV SEC.7031a) � <br /> _� .� (•,•M;Y 't11`�'i3 t?i r`_I�L` IttS '?G:7°.:J ''.:"E`tl"T ---- i <br /> TOTAL �I� <br /> --� PERMIT VALIDATtON <br /> INHF.N PROPF�iI_V VnLIOMF.D (IN THIc SPACEI THIS IS VOUft FERMIT <br /> i <br /> /.rp�P�a:ifq::.[�ItPilVlrv PIAN;b�LC•Ir.w �nrPnoA�ItlrOhl:`,ucLCinv � <br /> I I y• �,• I �1 <br /> 1 <br /> I <br />