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ihe Evergreen <br /> ��T�oF CONSTRUCTION everett <br /> everett FERMIT <br /> uivnau i;�eces <br /> [veacrr,r:uwxcrax I <br /> 9B}dl <br /> °"' °"°""'°""' gUILDING MECHANICAL PLUMBING <br /> o[vtiovu[xr <br /> 1��VJ.N,�E��R MAILn�DOFyE�.5{5y��, �}Z�IP � PMONE <br /> �'4"L�Va �� � '�'r`w'R 1�KKL <br /> ARCHITECT OR DESIGNER MAIL ADD�IESS PHONE LICENSE NO. �� <br /> GENERALCONTRAGTOR MAILADDRESS PHONE LIGENSENO. � <br /> �� � � � � � <br /> MECHANICALCONTRACTOH MAILADORESS PMONE LICENSENO. <br /> ' PWMBINGCONTRACTOR MAILADDRE55 PHONE LICENSENO. � � <br /> W <br /> m <br /> PERMIT C1A550F WORK � ' <br /> � <br /> ❑6UILDING ❑PLUMBING �MECHANICAL � <br /> ❑NEW �ADDITION ❑ALiEPAT1UN ❑REPAIR � <br /> VALUAiION OF WOpK � <br /> 5 ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> OESCRIBE WORK <br /> � � � 1962 <br /> PROPOSED USE <br /> MECHANICAL <br /> TVPE OF FUEL �OIL �NAT. �LPG. �ELEC. <br /> LEGAL DESCfiIPTiDN OF PqOPEPTY ISHOW BELOW Ofi ATTACH GAS <br /> I FOUR COPIE51 <br /> �O7 OLocK—OF NO. TVPE OF E�UIPMENT FEE <br /> Alfl CONO.UNITS-H.P. EA. � S I <br /> � REFRIGEiiATION UNITS-N.P. EA. + <br /> DOILERS-�M.P. [A. � <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> FOflCEO AIR SYSTE�dS-6.T.U. M EA. I � <br /> JSIo noDRES� WALL HEATERS-B.T.U. M i <br /> i1Lv �D a /�tcQW <br /> VNITMEATERS-B.T.U. M I <br /> - EVAPORATIVECOOLERS I <br /> PLUMBING <br /> CLOTNES DFYERS � <br /> VEM1TI�ATION FAN <br /> RANCEHOOO � <br /> NO. 7YPE OF FIXTURE OR ITEM FEE nir� r+nNouric urvir- c.F.nL <br /> WATEiiCLOSETITOILETI $ �, N� T9 ,�� � <br /> �ATHTUB � �� l��T <br /> LAVATORV(WASHOASIN) � <br /> SMOWEfi <br /> KITCHEN SINK h DISP. �U�TOTAL 5 <br /> I <br /> DISHWASHER — <br /> I LAUNDPY TRAV PERMIT S <br /> I y TOTnLFEE S � <br /> CLOTHES WASHER THIS PERMIT �ECOMES NULL AND VDIO IF WORK OR CONSTflUC- <br /> WATEp HEATER TION AUTHOPI2ED IS NOT COMh1ENCEO WITHIN 140 DAVS, OR IF <br /> URINAI. CONSTRUCTION OR WOPK IS SUSPENDEf] OR ABANDONED FOR A <br /> OqINKING FOVNTAIN PERIOD OF 120 OAVS AT ANV l IME AFTEH WORK IS COMMENCED. <br /> FLOOR-SINK OR DPAIN � HEREl3V CERTIfV THAT I HAVE FEAD AND E%AMINED THIS AP� <br /> Vt1GUUM f1REAKERS PLICATION AND KNOW THE SAME TOlIE TqUE AND COHRECT. ALL <br /> �OOF DRAINS-FAINLEAOERS I PnOVISIONS OF LAWS AND ORDINANCES GOV[fiNING THIS TVPE <br /> — OF WOHK WILL BE COMPLIED WITH WHETHER SPECIFIED NEREI�I <br /> SINK IiEPVICE-�AR,ETC.) OR NOT, THE GfiANTING OF A P[FMIT DOES NOT PRESUME TO <br /> GIV[ AUTHORITv TO VIOLATE OR CANCEL THG PflOV1510N5 Of <br /> ANV OTH[P STATE OR LOCAI lAW REGULATING CONSTRUCTIOI. <br /> OR THE PEIiFO� ��AANCL OF CONSiRUCTION. <br /> SUOTOTAL <br /> PERMIT $ <br /> TOTALfEE 5 ��� <br /> X <br /> SIGNATUREOFCONTIiACTORONAVTH.AGENt DATE <br /> SIDEVAR�SETOACK STqLEtSGTUACK REARYAROSETOACKPLANCHECKNUMBER P�ANCNECKFEE <br /> FEE RECEIPT NO. � <br /> USE ZONE LOT AflEA VACANT SITE <br /> ❑YES ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF�WELUNG <br /> UNITS � <br /> I <br /> i512E OF BIDG. NO.OF STORIES MAX.00C. LOAD BUILOING 5 � <br /> I PLVMBING � <br /> I fIREZONE BASEMENT FIFESPRINKLEflS I __ <br /> RfOUIRED 1 <br /> ❑VES ❑NO MECHANICAL v pG <br /> I — <br /> SPECIAL CONDITIONS: OTMER � <br /> — I <br /> PENELTV SEC.3031e) 1 <br /> . TOTAL Gj{� <br /> PERMIT VALIDATION <br /> WHEN PROPERLV VALIDATED IIN THIS SPACEI THIS IS VOUR PERMIT <br /> APPLILAsTIO�^NqC[EPIF�BV�. >LANSCMECKCO9Y: APPROVEDFORISSU��NCEBY: <br /> QM �� �I <br /> i Q <br />