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fhe Evergreen <br /> ��,Y�F CONSTRUCTI04V everett <br /> everett PERMIT <br /> ❑n�uii afanxs <br /> FVfR[R.w�sniNGtoM <br /> 91101 <br /> °`•' "` `°""°"'" BUILDING MECHANICAL PLUMBING <br /> 11(V[LOYMINt <br /> OWNE}�Rrypy� ♦ /�� ��Q M[/�11L ADDRE55 IIP I'HONE �[ <br /> •R-�►t� {i� ��iL�Wll•tlIT {pJV� A*J'�� �• � .�/f/ <br /> ARCHITECT OR DESIGNE�H MAIL AUORESS PNONE LICENSE NO. <br /> GENERALCONTRACTOR MAILAUDRESS iHONE LICENSENG. <br /> MECH�ANICA�L CONTRACTOR MAIL ADOPE55 PMONE UCENSE NO. <br /> PLUMBI�G4 O TRACTOp MAI�AODHE55 "MONE LICENSE NO. ¢ <br /> W <br /> m <br /> PERMIT CLASSOF WORK - 7 <br /> ❑DUILDING � PLUMBING �]MECHANICAL F <br /> ❑NEW ❑A�DITICN ❑ALT[RATION �REPAIR � <br /> VALUATION OF WORK � <br /> s ❑bEMOLISN ❑FEDlCE ❑SIGN ❑SWIMMING YOOL a <br /> DESCRIBE WORK M � ���pp <br /> � `" `�"�" 1198 <br /> I'ROFOSED USE MECHANICAL <br /> LEGALOESCHIPTIONOFPPOPEFTV�SHOWOELOWORATTACN T�PEOFFUEL �OIL �GnAs. �LPG. �ELEC. <br /> FOUR COPIE51 <br /> Lo7 BLOCK_OF _ NO. TVPEOFE�UIPMENT FEE <br /> AIR COND.UNITS-M.P. EA. S 1 <br /> REFRIGERIITION UNITS-M.P. EA. <br /> —� BOI��EPS-II.REA. '--"- � '- <br /> GA•:FIqE�A.C. UNIiS-TONNAGE EA. <br /> FO.iCEO AIP Sv5iEM5-O.T.U. M EA. I <br /> JOB ADDRESS �,S[� � fr• Wt,LL HEATERS-B.T.U. M <br /> �V UNIT HEATERS-B.T.U. M I <br /> EVAPOHAiIVECOOLEHS <br /> PLUMBING CLOTHES OHVERS � <br /> vENTILATION FAN <br /> qANGE HO00 � <br /> NO. TYPE OF FI%TURE ON fTEM FEE A�R ��ANOLING UNIT- C.F.M. <br /> WATLR CLOSETITOILET) s �NCINEHATOR � <br /> BATHTUB + <br /> LAVATOPVIWABMBASIN) � <br /> SHOWER <br /> NIiCHEN SINK b �ISP. SUB TOTAL 5 <br /> �ISNWASNER I - <br /> _ PERMIT S <br /> LAUNDi`V TRAV ' <br /> - -- TOTAL FEE E � <br /> CLOTH2S WnSH[� ___ _ T1US PERMIT BECOMES NULL AND VOID IF WORK Ofl CONSTflUC <br /> WA�ER HlAi EF _ TION AUTHOFI2EO IS NOT COMMENCED WITMIN 120 DAYS, OR IF <br /> URINAL COVSTRUGTION OR WORK IS SUSPENOED OR ABAN�ONED FOR A <br /> DRINKINO FOUNTAIN P[HIOD OF 120 �AVS AT ANY T�ME AFTER WORK IS COMMENCED. <br /> FLOOR-SINK OFORAIN I HEREOV CERTIFV TIIAT I HAVE READ AND E%AMWEO THIS AP� <br /> VACUU I 9REAKERS PLICATION AND KNOW THE SAME TO f1E TRUE AND CORRECT.Al.l <br /> - PROVISIONS OF LAWS ANO ORDINANCES GOVERNING TI/IS TVPE <br /> ROOF �'F'.41NF-_pnINLEADEPG OF WORY. WILL OE COMPLIED WITII WHE7HEF SPECIFIED NEflEIN <br /> SINK(52FV1(5- n,;q, ETC.) OR NO�. TME GPANTINfi OF A PERMIT OOES NOT PRESVME TO <br /> - -�- GIVE AUTHOfiITv TO VIOLATE OR CANCEI THE PROVISIONS OG <br /> '- — ANV OTNER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> ._. OR TNE PEAFORMANCE OF CONSTFUCTION. <br /> SUB TOTAL �_ <br /> PEqM1T S <br /> TOTALFEE S �_/yy���,p,� <br /> __...._ _ X _ �•�' <br /> SIGNATUREOFCONif1ACiORORAUTH.AGENT OATE <br /> SIOE VANU 56TOACK STflEET SETUACK REAR VAROSETBACK PLAN CMECK NV"JEF. PLAN CHECK FEE <br /> FEE RtCE.IPT NO. <br /> USE IONE LOT AREA VACANTSITE <br /> ❑vE5 ❑No FEES VAIUATION FEE <br /> TYPE OF WNST. OCCUPANCV GFOUP ND.OF OWELIING <br /> UNITS � <br /> SIZE OF 9LOG. NO. OF STORIES MAX. OCC. LOAn DUILOING E � � <br /> 1 <br /> vi uMaiNr. I <br /> FIRE ONE OASEM"NT FIHESPRINKLERS _ j_ <br /> PfOU1RE0 <br /> ❑VES ❑NO MECIIAIlICAL �M <br /> Iw <br /> SPECIAL CONDITIONS'. OTHER � <br /> � <br /> PENELi" SIiC. JO.I inl I <br /> TOTAL ��� <br /> PERMIT VALIOATION <br /> — WHEN PROPERLV VALIOA-F.L �IH TM65VAC[1 iH1515 VOUR PERMIT <br /> RPVII.ftil�MRIC[PI[f)IIY Vlr1N5LI11CFfJNY PFVPUVIOVfI SSUPNf.fBV <br /> � Q� <br /> a <br />