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i �he Evergicen � <br /> I' =�TYOF CONSTRUCTION everett <br /> everett PERMIT <br /> � [IIT HALI }59tlE05 <br /> EVEPEit_W0.txltlLtON <br /> 91101 <br /> � °`°` °oE�F,o;wfx, BUILDING MECHANICAL PLUMBING <br /> OWNER MAILADDRE55 ZIP PHONE <br /> Crok l�oofi 7testatiraa� :33-•?7 <br /> ARCHITECTOFiDESIGNER MAILADORESS PHONE LICENSENO. <br /> GENERALCONTRACTOH MAILADDflE55 PHONE LICENSENO. <br /> . MECliANICALCONTHACfOR� MAILADDqESS PHONE LICENSENO. <br /> 2122 i2nd :,t. 353-1745 223-�:-P3x2 4 <br /> P'_UMUINGCONTRACTOR MAILADDRE55 PHONE LICENSENO. W <br /> m <br /> PERMIT CLASSOFWORK j <br /> ❑DUILOING .�P�UMBING �MECHANICAL Z <br /> ❑NEW ❑A�DITION ❑AL7ERATION ❑REPAIR ~ <br /> VALUATION OF WORK � <br /> S ❑DEMOLISH ❑FENCE ❑SIGN ❑SW�MMING POOL W <br /> DESCRIBE WORK <br /> a <br /> 2750 <br /> PFOPOSED USE <br /> MECHANICAL <br /> IEGAL DESCRIPTION OF PROPERTY�SHOW BELOW OR ATTACH T�PE OF FUE� �OIL �GAAS. �LPG. �ELEC. <br /> FOUR COPIE5) <br /> LOi BLOCK_oF NO. TYPEOFEDUIPMENT FEE <br /> AIR COND.VNITS-H.P. EA. S I <br /> REFRIGERI�;!,�N UNITS-Ii.P. EA. <br /> aCL_a' ��c.l ::. � <br /> �JNS FIFEG A.C.UNITS-TONNAGE EA. <br /> FOflCED AIR SVSTEMS-B.T.U. M EA. � <br /> JO� ADDRE(g`S WALL HEATGRS-B.T.U. h1 <br /> 1��I� �ID.�dY�gy UNITHEATEPS-B.T.U. M � <br /> F' <br /> PLUMBING � evnroNnnve coo�eas <br /> CLOTNESORVERS � <br /> VENTILATION FAN <br /> RANGE HDOO � <br /> NO. TYPE OF FIXTURE OR ITEM FEE AII� MANOLING UNIT- C.F.M. <br /> WATEP CLOSET ITOILET) g INCINERATOR � <br /> OATHTUD <br /> LAVATOFV IWASH�ASINI -�— <br /> SHOWER � <br /> KITCIIEN SINK A. DISP. SUB TOTAL 5 <br /> DISHWASHEP PERMIT S � <br /> i LAUNDI9V TRAV <br /> CLOTHES WASHER �OTAL FEE $ � <br /> WATEfi HEATER TNIS PERMIT 6ECOMES NULL AND VO10 IF WORK OR CONSTFUC- <br /> _ TION AUTHORIZ[O IS NOT CO�AMENCEO WITHIN 120 DAVS, Op If <br /> URINAL CONSTHUCTION OH WOflK IS S��SP@N�ED Oq ApANDONED FOR A <br /> �fiINKING f-OUNTAIN PEPIOD OF 120 �AVS AT /1NV T�ME AFTER WORK IS COMMENCED. <br /> FLOOii-SINK OR OqAIN I HEP[BY CERTIFV THAT I IIAVE REFlD AND EXi1MINED TIiIS AP� <br /> VACUIJh1 f�p@AKEIiS PLICATIUN ANO KNOW TNE SAM[TO�E TRVE AN�CORRECT. ALL <br /> fi00F ORAINS-RAINLEADERS PROVISIDNS OF LAWS AND Ofi01NANCES GOVEFNING THIS TVPG <br />� - OF WppK WILL CiE COMPLIED WIiH WMETHER SPECIFIED HER[IN <br />, SINK ISGRVICE-�Aq, ETC.) OA NOT, THE GRANTING OF A PGRM1iIT DOES NOT PRESUME TO <br /> GI!/[ AUTHORITV TO VIOLATE OR CANCEL THE P(iOVI510N5 Of <br />, ANY" CTHER STME OH LOCAL LAW REGULATING CONSTRUCTION <br /> ORTHEPEHFORMANCEOFCONSTFVCTION. <br /> SUBTOTAL <br /> PERMIT $ <br /> TOTALFEE $ 6�iJ,�77 <br />, x <br /> � SIGNATUREOFCONTIiACTOFORAVTIi.AGENT DATE <br /> SIDEYAROSETOACK STqFETSETOACK REARYARDSETBAC PLANCHECK NUMBER PLANCNECKFEG <br /> FEE RECEIPT NO. <br /> USE20NE LOTAREA VACANTSITE <br /> ❑VES ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GflOUP NO.OF OWE�LING <br /> UNITS � <br />` I S12E OF BIDG. NO.OF STORIES MAX.OCC. LOAD BUILOING $ � <br /> I <br /> PLUMBING <br /> FIREZONE BASEMENT FINESPRINKLEPS <br />� Ff(]UIqED <br /> ❑VES ❑NO MECHANICAL � <br /> SPECIAL CONUITIONS: OTMEH I <br /> 1 <br /> PENELTY SEC.303fa) I <br /> TOTAL � '� <br /> I <br /> PERMIT VALIDATION <br /> WH@N PHOPCfiLV VALI�AT[O IIN THIS SFACE) THIS IS VOUR PEHMIT <br /> i <br />� f.PPUCATIONI.CCCPiEU�Y'. FL�hSCHFCKFOOY: qPP410VC0fOhISSUANC[OY�. <br /> Q <br />