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ithe Evergreen i <br /> � =�T� �� CONSTRUCTION evereti I <br /> everett PERMIT � <br /> ❑iY uql: 19F[95 <br /> C�iLh'Etl,4L4'ir11hGI0N <br /> ov)�� <br /> °", °"°:'"°':'�' BUILDING MECHANICAL PLUMBING <br /> ncv[iovo[xr <br /> i <br /> OWNER MA�L 4DDfiE55 ZIP PMONE <br /> I y• .!• �7-T.. _:� <br /> AFCHITECTORDESIGNER MAILADORE55 PHONE LICENSENO. ?�r� <br /> � GENEflALCONTRACTOR MAILAODNES$ PMONE LICENSENO. I <br /> MECMANICALCONTRACTOR MAILAODHESS PHONE LICENSENO. <br /> .! ^y F. <br /> PLVMBINGCONTqALTOR MAILADDRESS PNONE LILENSEN�. � <br /> W <br /> m <br /> PERMIT CLASS OF WORK �- � <br /> � <br /> ❑DUILDING PWMBING Z <br /> ❑ �MECHANICAL F- <br /> �NEW ❑ADDITION ❑ALTERATION ❑REPAIR � . <br /> VALUATION OF WOFK � <br /> g ❑DEMOLISN ❑FENCC ❑SIGN ❑SWIMMING POOL a il <br /> DESCFBG WORK '� <br /> 35��0. II : ` t�lf.t. 4C":�; 2 Jr�4 <br /> PROPOSED USE I <br /> MECHANICAL � <br /> l[GALDESCFIGTIONOFPROPEHTYISMOWBELOWOf1ATTACH �TYPEOFFUEI �OIL ❑GAS� ❑LPG. �ELEQ � I <br /> FOUR COPIESI <br /> LOT. BLOCK_OF NO. TYPE OF E�UIPMENT FEE <br /> Alfl CONO.UNITS-H.P. EA. S I <br /> flEFRIGERA�ION UNITS-H.P. EA. <br /> BOILERS-H.P. EA. � <br /> GAS FIflED A.G. UNITS-TONNIiGE EA. <br /> FOPCL�AIR SVSTEMS-�.T.U. M EA. � <br /> JOB AUDRES$ ���,�p��s� a WALL HEATEPS-B.T.V. M ' <br /> � �� "- � "�� � UNIT IiCqTERJ-B.T.U. M I <br /> I <br /> PLUMBING evnaoanTrve coo�eas � <br /> CLOTHESORVERS � <br /> VENTI�AiION FAN � <br /> RANGEMOOU ( <br /> NO. TYPE OF FIXTURE OR ITEM FEE A�A ��ANOLING UNIT- C.F.M. _� <br /> WnTER CLOSETITO�LEI'I § �NCINERATOR � <br /> BATHTUB <br /> �AVATORYIWASHBASIN) � <br /> ;HOWER <br /> KIiC11EN51NK &OISF. SUBTOTAL $ � <br /> DISHWASNER PERMIT S <br /> LAUNDRY TPAV ' � <br /> CLOTHESWASHER - TOTALFEE S � <br /> THIS PERM!'f �ECUMES NULL AND VOID IF WORK OR CONSTRUG <br /> WATER HEATfR TIpN AUTMORI2ED IS NOT COMMENGED WITHIN 720 DAVS, OR IF <br /> UFINAL CONSTRUCTION Oli WORK IS SUSPENDED OP AOANOONED FOR A <br /> ORINKIIJG FOUNTAIN PEFIO� OF 110 DAVS AT ANV TIME AFTEq WORK IS COMMENCED. <br /> FLOOR-SINK Ofi DRAIN I NEREtlY CERTIFY THqT 1 HAVE REAp AND EXAMINED THIS AP� <br /> VACVVM f3qEAKEF$ PLICATION AND K�bW THE SAME TO OE TRVE AND CORRECT. AL� <br /> ROOF DiiAINS-RAINLEqDERS PROVISIDNS OF LAWS AND OIi�INANCCc GOVERNING THIS TYPG <br /> OF WORK WILL f3E COMPLIEO \YITN WIIETHEfl SPECIFIED HEREIN <br /> SINK (SERVICE-BAR,ETC.) OP NOT, THE GRANTING OF A PEfiM1T DOES NOT PRESUME TO <br /> GIVE AUTNORITY TO VIOLATE OR CANCEL THE PPOVISIONS OP <br /> ANV OTNEfl STATE OR LOCAI. �l�W REGULATING CONSTRUCTION <br /> OR THE PLiiFORMANf,E OP CONSTRUCTION. � <br /> SUB TOTAL <br /> PERMIT S <br /> TOTALFEE $ <br /> x rr/if77 <br /> SIGNATUHEOFCONTfiACTJfiOFAUTH.AGENT DATE � <br /> I SIDEVAFDSETOACK S1qEET5ETBACK qEARVAqOSETBAC PLANCHECKNUMBEfi PLANCHECKFEE <br /> I FEE RECEIPT NO. <br /> USEZONE LOTAREA VACANTSITE i <br /> I QvES ❑No FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV OROUP NO.OF DWELLING <br /> UNITS � <br /> SIZE OF BLDG. NO.OF STORIES MAX.00C. LOAD BUILOING S � <br /> I <br /> �- <br /> F IPE ZONE BASEMENT HPESFfiINKLEFS PLUMBING � <br /> RfQUIREO <br /> ❑YES ❑NO MECHANICAL � <br /> SPECIl1L CONDITIONS: OTHEfl � <br /> I <br /> PENELTV SEC.30J(e) I <br /> TOTAL � <br /> _ 4'0� <br /> PEflMIT VALIOATION <br /> WHEN PROP[FLV VALIDATE�(IN THIS SPACEI THIS IS�OUR P[RMIT <br /> APPLICFTIONACCEPTCDBV: VLPNSCNCCKE�BP. pfTpOVEUFOA155UFNCEBY�. <br /> � QA <br /> 0 <br />