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� the Evergrcen <br /> � �,TYOF C01'VSTRUCTION everett � <br /> i everett PERMiT <br /> � , r� �:.�: :.,�, s <br /> (l'Ifl[li '.'.4i.1.'���101) <br /> i'.}]I <br /> ' °��' °"'°`.""' BUILDIfVG �VIECHANICAL PLUMBING <br /> oEVEion:cxr <br /> C?WNEP}� MQAI�L A�DD.{�R4ESS ZIP �PMyON�[EN� J r�f <br /> ���Mdi � � iT'.�YYrOi �J/1� ��:[TjV <br /> ARCNITECTORDESIGNER MAILA�DRE55 PHONE LICENSENO. <br /> GEVEpPpA�L�CONTRACTOH MAILADDRESS � PHONE LICENSENO. <br /> .]�•+1f <br /> MECHANICALCONTRACTOR MAILADDflE55 PHONE LICENSEND. <br /> PLUMBINGCONTFACTOR MAILADDHE55 PHONE LICENSENO. � <br /> W <br /> m <br /> PERMIT GLA55 OF WOFK = <br /> z <br /> �6VILDING �PLUM6ING �MECHANICAL ~ <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIFi � <br /> V A L V AT I O N�YO�NNYC <br /> 5 �R��W �DEMOLISH ❑FENCE ❑SIGN ❑SWIMMIA'G POOL W <br /> d <br /> �ESCRIA[WORK ���� <br /> 348 <br /> PROPOSED USE � <br /> MECNANICAL <br /> TVPEOFfU[L �O:L �NAT. �LPG. �ELEC. <br /> LEGAL nESCRIPTION OF PROPERTV (SHOW�E�OW OR ATTACM GAS <br /> FOUR P <br /> �OT nLocK�F �i�� ��� �� � NO. TVPE OF E�UIPMENT FEE <br /> Alfl COND. UNITS-H.P. EA. g � <br /> � FEFRIGEPATION UNITS-H.P. EA. <br /> �OILEPS-N.P. EA. � <br /> GAS PIFED A.C. VNITS-TONNAGE EA. <br /> FORCE�AIR SVSTEMS-O.T.U. M EA. � <br /> JOB ADDRE55 yyy�` WALL HEATERS-�.T.U. M <br /> � J �'�� UNIT HEATEFS-6.T.V. M I <br /> EVP.PORATIVECOO�ER$ <br /> PWMBING CLOTHES ORVERS <br /> i <br /> VENTIL.ITION FAN <br /> RANGEMOOD � <br /> NO. TVPEOFFIXTUREORITEM FEE �+Ifi11ANOLINGUNIT- C.F.M. <br /> WATEFCLOSETITOILET) g INCWEfiATOR � <br /> BATHTUI3 <br /> LAVATORVIWASHBASIN) � <br /> SHOWER <br /> _ KITCHEN SINK h �ISP. � SUEI TOTAL S <br /> DISHWASHER � � <br /> PERMIT q �— <br /> LAUNORV T(iAY 1 <br /> CLOTN[S WASNEfi TOTAL FEE S � <br /> THIS PEPMIT 6ECOMES NVtL AND 'JOI� IF WOfiK OR COYSTFUC� <br /> WAT[F HEATER TION AUTfiOFIZEO 1.9 NOT CUMMCNCED WITHIN 120 OAVS, OR IF <br /> VRIkAL CONSTRVCTION OR WORK IS SUSP@VDED OR ABANDONEU FOIi A <br /> ORINKING FOUNTAIN PERI00 OF 120 DAYS AT ANV TIME AFTEq WOflK ISCOM�fENCE�. <br /> FLOOF-SINK OR ORAIN I HEREBV CEfiTIFY THAT I NAVE R=AD ANb EXAMWED '"HIS l�P- <br /> VACUUM BFEAKEFS PIICATION AND KNOW THE SAME TC BE TRUE ANO CORAECT. ALL <br /> PROVISIpNS OF LAWS AND ORDINANCES GOVERNING TIi15 TYPE <br /> ROOF ORAINS-RAIMLEADERS OF WORK WILL BE COMPLIEO WIiH WHETHE{i SPECIRED MEPEIN <br /> SINK (SERVICE-UAR, ETC.) OR NOl. THE GRANTING OF A PEH1"JT OOES NOT PRESVME TO <br /> GIVE AUTHORITV TO VIOLATE OR OANCE� T11E PqOVISI�NS OF <br /> ANV OTHER STATE OR LOCAI LAW REGVLATING CONSTftJCTION <br /> _ ORTHEPERFORMANCEOPCONSTRUCTION. <br /> SUBTOTAL <br /> PEfiM1T $ <br /> TOTAlFEE $ j� <br /> _ _ x �/ cV <br /> � SIGNATUPEOfCONTfiACTORORAUTH.AGENT OA1E <br /> SIOE VAiiDSET�ACK STREETSETOACK REARYAROSETBAC PLANCHECK NUMBER PIANCHECK FEE <br /> FEE RECEIPT NU. <br /> USEZONE LOTAREA VACANTSITE <br /> ❑vEs ❑No �EES VALUqTION FEL <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF OWELLING <br /> UNITS � <br /> SIZE OF BLDG. NO.OF STOflIES MAX.00C. LOAD BUILDIhIi $ <br /> I FIREZONE OASEMENT FIHESPRINKLEHS PLUMBINO i <br /> RC�UIqED <br /> ❑VES ❑NO MECHANICAL � <br /> SPECIAL CON�ITIUNS: OTHER � <br /> I <br /> PENELIY SEC. J031e1 I <br /> TOTAL � � <br /> PEHMIT VALIDATION <br /> WHEN PROPERLV VALIDATEU(IN THIS SPACEI THIS IS"Ol N PeRM1T <br /> N19lILATIONi1LGEVTEDBY: PLRNSMECREDBY: APFNOVEOfORISSUAHCEBY�. <br /> � � � p <br />