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I . the Evergreen + <br /> �,�� �,� CONSTRUCTION everett I <br /> ev�rett PERMIT <br /> ��„ ,,,�, .,,,ydd, <br /> ��E�E„ wa,����;,�,� <br /> ,d„, <br /> °°�� ° �°MM°�° RUILDING M�CHANICAL PLUMBING <br /> ,,FVE,��,�;.� <br /> OWNER T�C. MAIIAD�D%ESZ2?�S 353-�753 PHONE ���'-,'� <br /> Ol ip Et.Jtheri r,r?, <br /> ARCHITECTORUESIGNER MAILADDRESS PHONE LiCENSFNO. <br /> Im;�reasion �a1qn �iouth 9rsar'.ror�y 355-'�2�Q <br /> GENERAL CONTFACTOR MAIL A�DRESS PHONE LICENSE NO. <br /> t?lia Drotl�ers, 2nc. <br /> MECHANICAL CONTRACTOR MAIL ADDPESS PHONE LICENSE NO. <br /> � <br /> PLUMB,ITt�sNP(,CYW�AQ MAILADDRESS PHONE LICENSENO. yJ <br /> a m <br /> � <br /> PERMiT ClASS OF WORK Z <br /> �BUILDING ��LUMBING �MECHANICAL ~ <br /> �NEW ❑ADDITION ❑AUEFATION ❑REPAiR � <br /> VALUATION OF WORK � <br /> �.1/2SG.a0 ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING PJO� W <br /> $ _ a <br /> DESCRBE WORK �p 71 <br /> Constraot 8iagle 4�a�l;ly �asiclaatco 9 + <br /> PR�Pl4�fl1�i� Fa�sily R�sideuc:e MECHANICAL __ <br /> TVPEOFFUEL �OIL �GA�S �LPG. �ELEC. <br /> LEGAI OESCRIPTION OF PFOPERTV (SNOW BELOW OR ATTACH � <br /> FOUR Og IE I <br /> f yt � ��( I�S.`a�BPlUS$L ��V+ g NO. TVPE OF EQUIPMENY FEE <br /> LOT BLOCK—OF_ qlfl JON�. UNITS-H.R EA. S � <br /> REFi'IG[RATION UNiTS-H.P. FA. I <br /> BOI LE FS-H P. E l�. � <br /> GAS FIRED A.G UN1iS-TONNAGE EA. { <br /> POftCED AIF SVSTEMS-�B.T.LL M EA. � I <br /> I �} WALL HEATERS-B.T.U. M � <br /> ,���"R�a� '��� UNIT HEATERS-B.T.Ii. M � <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTHESORVERS — � � <br /> VENTI�ATIONFAN <br /> RANGEHOOD � <br /> AIR HANDLING UNIT�- C.F.M. <br /> N . TYPE OF FIXTURE OR ITEM F ���NC�NEP.A'rOz � <br /> WATER CIOSETITOI�ET) $ — —T <br /> BATHTU6 — — � <br /> LAVATORV(WASH BASIN) '� <br /> SHOWER -- <br /> KITCMENSIN� & DISP. SUBTOTAL $ I <br /> DISHWASMER FEFhtIT $ <br /> LAUNDFV TRAV T' '�L FEE 5 I <br /> CLOTHES W/+SHER THIS PERMIT BECOMES NUU_ A' JID IF WORK OR CONSTRL'G <br /> WATEfl HEAtER TION AUTHORIZEO IS HOT COM�.���!vCED WITMIN 120 DAYS, OR IF <br /> CONSTRUCTION OR WGRK IS SUSPFNDED OR ABANDONED FOfi A <br /> JNINAL PEHIOD OF 120 DAVS P.T ANY TIME AFTER WORK IS COMMENCEO. <br /> ORINKiNG FOUNTAIN <br /> FLOOF-SINK OR DRAIN I NEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS P.V- <br /> Pl1C4TION �ND KNOW THE S/AME TO BE TRUE AND CQRHECT. ALL <br /> � VACUVM BREAK6R5 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYFE <br /> ROOF J9AIN5-RAINLEA�ERS OF WORK WiLL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> SINK(SERVICE-BAR,ETC.) OR NOT, THE GRANTING OP A FEflMIT DOES NOT PFESUME TO <br /> - GIVE AUTHORITV TO VIOLATE OF CANCEL THE PROVISIUNS OF <br /> ANV OTHER STATE OF LOCAL LAW PEGUTATING CONSTFVCTION <br /> OIiTHEPEPFORMANCEOFCONSTPUCTION. <br /> SUeTOTAL <br /> PERMIT $ 6I��'�7 <br /> TOTALFEE $ <br /> X <br /> � SIGNATUREOFCONTRACTORORAUTH.AGENT �ATE <br /> $IDE YARD��TBACK STREET$�j�ACK HEAR V�,.SET9ACK ?LAN CHECK NUMNER PLAN CHECK FEE <br /> �v .tu- FEE y0•wa RECEIPTNO. <br /> � ����'� J J <br /> USEZONE �Y LOTAREA ��^ 'NTSITE <br /> ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP NU.�,� ��"/E`LING . . � <br /> UNiTS 1 � <br /> I $ � . � � E,I . <br /> SIZEOFBIOG. NO.OFSTOR•IES MAX.00C. LOAD BUIL�ING <br /> 3J,S{�' + PLUMBING � � <br /> cIRESPRINKL�RS � <br /> PIqE20NE BP.SEMEt�LT_ REGUiRED � `�° <br /> A�.� <br /> 4 ❑VES ❑NO MECHANICAL �_ � <br /> I <br /> SPECIALCONDITIONS'. — OTHER I I <br /> PENELTV SEC.3031a) � <br /> I <br /> — TOTAL � � <br /> i <br /> — PERMITVALlDATlON I <br /> WHF.N P�;�J^ERL�VA�I�ATED I�N THIS SPACEI THI515 VOUR PERM�T <br /> p(qVCATiONF6EGlEOPV' PLANSCH£IXE�BY� PVPNOVE�FOf1iGSU>NLF9v <br /> R.C. L.C . <br /> � 9 � <br />