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th.� Evergreen I <br /> =�T� o� CONSTRUCTION ev�rett <br /> everett PE�MIT <br /> [IIYNALL }598685 <br /> [VFN[Li,1YA5NIH6tON <br /> 9B]Ji <br /> °�°`°`�°"°°�^• BUILDING MECHANICAL PLUMBING <br /> ocve�nrni[rvr <br /> OWNER MAIL ADURESS ZIP � PHIOy�NE���/{�� <br /> 31/� �j� N'VfF\ LitiG�F � �lYY U�r���+R.� �'�► 7KW .7fi��•\'G �}r� <br /> ARCHITECTOROCSIGNEF MAILADDPESS PHONE LICENSENO. Y{ct7�7L <br /> GENERAL CONTRACTOR MAIL ADDRESS PNONE LICENSE NO. . <br /> �� <br /> MEGNANICALCONTRACTOR MAILADURESS PHONE LICENSENO. <br /> PWMBINGCONTRACTON MAILA�DRESi P1iONE LICENSENO. � <br /> W <br /> m <br /> � <br /> PEPM�T CLAAS OF WOFK � <br /> ,�[ z <br /> �{lfUIIDING �PLUMBING ❑MECHANICAL F� <br /> . ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR � <br /> VALUAiION OF WORK � � <br /> $ � n^ ❑DFMOLISH �ENCE ❑SIGN ❑SWIMMING POOL � I <br /> �7V�v+/ <br /> DESCFIB`[WORK 1658 � <br /> �L � �� �� � I <br /> PROPOSED USE MECHANICAL <br /> LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH TYPL OF FUEL �OIL �GAS. �LPG. �ELEC. <br /> FO V R COPI E51 <br /> �07 OLOGK_oF NO. TVPEOFEQUIPMENT FEE <br /> AIP COND.UNITS-H,P. EA. 5 1 J <br /> i'W� � � RC� S�,'� 1S}�L/ R�S _ AEFRIGERAiION UNITS-H.P. EA. � <br /> �OILERS-H.P. EA. I <br /> / �,���pt GAS FIPEO A.C.VNITS-TONNAGE EA. � <br /> l� �113iY1FJj FOFCED A�.1 SVSTEMS-B.T.U. M EA. I � <br /> JO� ADDRESS WALL HEATERS-B.T.V. M � <br /> �,� � UNIT HEl�TERS-B.T.U. M I � <br /> EVAPORATIVECOOlERS � <br /> PLUMBING — e�orHesonveRs i �I <br /> VENTILATION FAN <br /> RANGEHOOD I <br /> NO. TVPE OF FIXTURE Oq ITEM FEE '4�R HANOLING VNIT- QF.M. � <br /> WATER CLOSET ITOILETI 5 INCINERATOR I � <br /> 9ATHTUU � <br /> LAVATORV IWASH BASINI I � <br /> SHOWER <br /> KITCHENSINK&OISP. SUp TOTAL S � <br /> OISHWASHER PERMIT 5 ' <br /> _ LAUNDliVT1iAV TOTALFE[ 5 � <br /> CLOTIIES WASHER TIIIS PEHMIT BECOMES NULL AND VOID IF WORK OR GONSTRUC� <br /> WATER NEATEF TION AUTHORIZfO IS NOT COMMENCED WITHIN 1�0 DAVS, OF IF <br /> UPINIIL CONSTRUCTION OR WOFK IS SJSPENDED OR ADANDONEO FOR A I <br /> OR�NKING FOVNTAIN PEflIOD OF 120 DAVS AT ANV TIME AFTER WORK I$COMMENCED. I <br /> FIOOP-SINK OR ORAIN I HEREB� CERTIFY TNAT I HAVE REAO ANO E%AMINED THIS AP� <br /> VACVUM RREAKERS PLICATION l�N� KNOW iHE SAMF TO IiE TRUE AN�CORRECT. ALL <br /> NODf- DFAWS-RAINLEA�ERS PROVISIONS OF LAWS ANO OliOINANCES GOVEPNING THIS TVPE <br /> _ OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEIiEIN i <br /> SINK (SERVICE-UAR,ETC.1 OR NOT, TNE GPANTMG OF A PERAIIT OOES NOl' PRESUME TO ' <br /> —� — GNE AUTHOHITY i0 VIOLATE OR CANCEI TfiE PFOVISIONS OF I <br /> ANV OTHEfi STATE OR LOCAL LAW REGULI�TING CONSTHVCTION <br /> Ofl THE PERFORMANCE OF CONSTRUCTION. <br /> SUB TO fAL <br /> oERM1T S � <br /> TOTALFEE E <br /> x ���� � <br /> SIGNATUFEOFCONTRAGTOROFAUTH.AGENT OATE <br /> SIDEVA1i�SETOACK STqEETEETOACK HEARYANDSETBACK PLANCHECK NUMBER PLANCHECKFEE ' <br /> FEE FEGEIPT NO. � <br /> VSE ZONE LOT AflEA VACANT SITE � <br /> ❑VES ❑Ho FEES VALUATION FEE �� <br /> TVPEOFCONST. OCCUPANCYGROVY UNiOSOWEILING ' <br /> SIZE OF OLDG. NO.OF STOPIES MAX.00C. LOAD BUILOING S � � <br /> �L <br /> PLUMBING � <br /> FIHEZONE BASEMENT FIqESPRINKLENS � <br /> RfOU1RED i <br /> ❑VES ❑NO MECNAN�CAL 1 <br /> SPECinLCONp1710N5: OTHER � � <br /> I <br /> PENELTY SEC.8071c) � ' <br /> L <br /> TOTAL si � <br /> PERMII'VALIDATION <br /> WH[N PROPERLV VALIDATED UN THIS SPACEI THIS IS VOU�PERh11T <br /> I M1PPIi[/.lIONACC[GifppV'. 1'LAILC116KEOBY: APPNOVEDFOPISSUFNCEOY�. <br /> !i <br /> 3 <br />