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rhe Evergrean <br /> ��T� oF CQNSTRUCTION everett <br /> everett PERMIT <br /> [IiY�Ull !;Y E595 <br /> EVlflE1i.15ASNIYGipN <br /> 98101 <br /> °'°' °`�°'^"°�^' BUILDING MECHANICAL PLUMBING <br /> o[vEiovm[rr <br /> OWNER MAILADDRE55 ZIP PHONE <br /> ^'�i �:`"5y!.i ��? '.�.•rJ��,..,+"'� �'�y''�j <br /> �. <br /> ARCHITECT OR DESIGNEF MAIL AODHE55 PMONE LIGENSE NO. <br /> GENEHAL CONTRAC5T•OR M�A�IL AD�D{�fl}�E55 I�P._H�ON�E �}y/{��.LICENSE NO. <br /> �M^� rA•t1 �^t ��• A�r» 1F�� ({jV �'�-� GJ7�J.1�7i GLj^iAC�� <br /> MECNANICAL CONTRACTOR MAIL ADORE55 PNONE LICENSE NO. <br /> PLUMBING CONTRACTOH MAIL ADORESS PHONE LICENSE NO. � <br /> W <br /> ..T��1er? !� :'j,Id.C'�t�i <br /> m <br /> PE RMIT CLA55 OF WORK = <br /> Z <br /> �DUILDING �PLUMBING �MECHANICAL F- <br /> ❑NEW �AODITION ❑ALTERATION ❑HEPAIR � <br /> VALUATION OF WOpK ([ <br /> 5 �>�� ❑DEMOLISH ❑FENCE ❑SIGN ❑SWItdMING POOL a <br /> OESCRIB[WORK <br /> .� � �:.-� T� �� �, c�, a534 <br /> PROPOSED USE - <br /> MECHANICAL <br /> LEGALDESCFIPTIOY OF PqOPERTV ISHOW BELOW OR ATTACH T�P� OF PUEL �OIL ❑GAS ��PG. �ELEC. <br /> FOUfl COPIE51 <br /> 1.o'r BLOCK—oF NO. TVPE OF E�UIPMENT FEE <br /> AIR COND. UNITS-H.P. [A. $ I <br /> ���(1T� t9�M1_f"2�' +R./ttti REFRIf.EPATION UNITS-H.P. EA. <br /> ( a`f"`I;�1 G1,pi oOILERS-H.C. EA. I <br /> GAS FIREU A.C. UNITS-TONNAGE EA. <br /> FORCED Alfi SYSTEMS-6.T.V. M EA. I <br /> JOD ADDRESS Wl�LL HEATERS-U.?.U. M <br /> �� �T��_�f,�Y UNITHEATERS-O.T.U. M I <br /> EVAPORATIVECOOLEHS <br /> PLUM6ING C�OTHESDRVERS I <br /> VENTILATIONFAN I <br /> RANGEHO00 I �I <br /> � I <br /> TVPE OF FIXTURE OR ITEM FEE AIR HANDLING UNIT-� C.F.M. <br /> WATER f.LOSET ITOIIETI g INCINEFATOR I <br /> OATIiiUO <br /> IAVATORVIWA5H8A51N1 I <br /> SNOWE(i <br /> KITCIIENSINKRDISP. SVBTOTAL 5 � <br /> DISHWASNEF PERMIT $ <br /> LAUNDRV TRAV <br /> TOTAL FEE S �� <br /> CLOTHES WASk1EA THIS PERMIT �ECOMES NULL AND VOI� IF WORK OF COIJSTRVC� <br /> WATEP HEATER TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br /> U(i1NAL CONSTRUCTION OR WORK IS SUSPENDED Ofi AOANDONED FOR A <br /> DRINKING FOUNTAIN PEflIOD OF 120 DAVS AT ANV TIME AFTER WOIiK IS COMMENCEO. <br /> FLOOR-SINK OR DRAIN I HERE�v CERTIFY TMAT I HAVE REAO AND EXAMINEO THIS AP- <br /> VACUUM IIREAKEfiS PLICATION ANO KNDW TH[SAME TO�E TNUE AND CORliEGT. ALL <br /> ROOF DRAINS-RAINLEADBRS P�OVISIONS OF LPWS AND DRDINANCES GOVEfiNING THIS TYPE <br /> OF WORK W�LL �E COMPLIEO WITH WHETHEIi SPGCIFIED HEREIN <br /> SINK ISEHVICE-AAR, ETC.) OR NOT, TIIE GRANTING OF A PERMIT OOES NOT PqESUME TO <br /> GIVE AVTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULMING CONIIiRUCTION <br /> Ofl THE PGHFORMANCE OF CONSTRUCTION. <br /> SUD TOTAL <br /> PERMIT $ <br /> TOTALFEE $ <br /> X ��1 <br /> SIGNATUfiEOFCONTRACTO�iORAU-i;' AGENT DATE <br /> SI�E VARD SETDACK STFEET SET�ACK REAR YAROSETOACK PLAN CHECK NUM�ER PL AN CHECK FEE <br /> �L;_}.I.A GCE � IRECE�A'O. <br /> �i+1j4K <br /> USE20NE LOTAREA VACANTSITE /� <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GNOUP NO.OF DWELLING <br /> UNITS 1 <br /> SI2EOFBlDG. NO.OFSTORIES MAX.00C. LOAO BUILDING S Jyv�Ol�•.y �ll�y�I <br /> PLUMBING ��y�/ <br /> FIFEZONE BASEMENT FIRESPRINKLERS . <br /> RC�UIRED R}^I� <br /> ❑YES ❑NO MECHANICAL c,� <br /> SPECIALCONDIT�ONS: OTHER � <br /> PENELTY SEC.70J la) I <br /> TOTAL � <br /> �i� � <br /> PERMIT VALIDATION <br /> WHEN PAOPERIY VAI.IDATED UN THIS SPACE)TIIIS IS VOUR PERMIT <br /> �PPLICATIONACCLfTlDOV: �LANSCNECK[OBY: APPNOVEpFORI55UANCEDY. <br /> .�i�� lit �1{ t.M � Ct <br /> � <br />