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the Evergrcen <br /> CITY OF CONSTR UCTIOiV everett <br /> everett PERMIT <br /> � ;- „<<, >:.,,. , <br /> .. _ ._...��.,��r <br /> � <br /> ""'ot;'E;'��;;;'„�, BUILDING ME+�HANICAI_ PLUMBING <br /> OWNER MAILAO�HE55 ZIP PNONt <br /> ?z:Y:A�`•".1 i :.:.' 1'�:1:9 '"- :.Q :.�.2.�i�.� <br /> ARCH�TECT OR DESIGNER MAR AD�FE55 PHONE UClNSE NO. <br /> GENERAL CONTRACTOR MAIL ACORESS PHONE LICENSE NO. <br /> � ^��.',•":� <br /> MECHANICAI CONTRACTOR MAII ADDRE55 PHONE LICENSE NO. <br /> PLUM8ING CONTRACTOH MAIL AODFE55 PHONE LICENSE NO. a <br /> W <br /> m <br /> � <br /> PERMIT CLASS OF WOPK � <br /> L <br /> [,xOUILDING �PLUMBING �MECNANICAL f" <br /> , ❑NEW ❑ADDITION ❑ALT[PATION �RCPAIF � <br /> VALVATION OF WOiYK CL <br /> 5 �11f� � ❑DEM01.6H ❑FLNC[ ❑SIGN ❑SWIMMING POOL a <br /> a�w <br /> DESCRIBE WORK 15 54 <br /> "'�'�oa? (r(11�j <br /> vncroseo usE MECHAMCAL <br /> LEGAL OESCflIPTION OF PROPERTV(SHOW OELOW GR ATTACH T�PE OF PUEL �OIL nGN�T. [�LPG. [�ELi C. <br /> FOVN COPIE51 <br /> �oT nLOCK—OF NO. TVPE OF E�UIPMENT fEE <br /> AIR COND. UNITS-H.R EA. S 1 <br /> REFRIGERATION UNITS-H-P. EA. <br /> �OLLERS-HP. EA. i <br /> GAS FIFiEO A.C.VMTS-TONNAGE EA. —T— <br /> FORC[D AIR SVSTEMS-�.T.U. M EA. I <br /> JOB ADDRL55 �/4�. C4���f� WALL HEATEPS-�.T.U. M <br /> JJ:iW .� <br /> UNITIIEATERS-ti.T.U. M 1 <br /> EVAPORATIVECUOLERS <br /> PLUMBING c�orHesoaveas i <br /> VENTILATION FAtJ <br /> RANGEHOO❑ � <br /> NO. TVPE OF FI%TURE OR ITEM FEE AIF H�NOLING UNIT- C F.M. <br /> WATERCLOSET(TOILET) s INCINEfiATOR 1 <br /> BATHTVP <br /> IAVnTOqVIWnSHBASIN) � <br /> SHOWER <br /> KITC��EN SINK& DISP. SUB TOTAL $ � <br /> OISHWASHER + PEFMIT 5 <br /> LAUNURV TRAY 7'pTIIL FEE S � <br /> CLOTNES WASNER THIS PEFIdIT BECOMES NULL AN� VOIO IF WORK OR CONSTRVC- <br /> WATEP HEATER TION AUiHOR12ED IS NOT COMMENCE� WITNIIJ 120 DAV:, OR IF <br /> VRINAL CONSTfiUCTION OR WORK IS SWPEkOED OR AOANOONEO fOR A <br /> DRINKING fOUNTAIN vERIOD OP 120 OAVS AT ANV TIM@ AFTER WORK 15 COMMENCEO. <br /> f-LOOR-SINK OR ORAIN I HEREOV CERTIFV THAT I HAVE IiEAD AND E%AMINE� THIS AP� <br /> VACUUId(tfiEAKEfiS �'LICMION ANU KNOW TNE SAA1E TO !�E TRUE AND CORfaECT. ALL � <br /> PROVISIONS Of- LAWS AND OIiDINANCES GOVERNWG THIS TVPE <br /> NOOF OHAINS-FAINLEADERS OF WORK WILL 6E CORAPLIED WITH WF�ETHER SFECIFIED HEREIN <br /> SINK (SEFVICE-BAR, ETC.1 OR NOL TNE GRANTING OF A PENM11'T OOES NOT PRESVME TO <br /> GIVE AUTHORITY TO VIOL�TE OR CANCEI THE PftOVIS10N5 OF <br /> ANV OTHEF 5(ATE Oli LOr(��. LAW REGVLATIIJG CUNSTRUCTION <br /> OR 1HE PERFORMAlJCE Of- CONiTfiUCTION. <br /> SUBTOTAL I <br /> PERMIT S <br /> TOTALFEE S I <br /> x <br /> SIGNATUii[OFCOIVTRAC'ORORAUTH.A4ENT DATE <br /> SIOEYAROSETOACK STFEETSETOACK REAAYAADSETflACY. P�pNCHECKNU�d13Eii ' PLANCHECKFEE <br /> FEE HECEIPT NO. <br /> USE20NE LOTIlREA VACANTSITE <br /> ❑vES ❑No FEES VAS.UATION FEE <br /> TVFE OF CONST. OCCUPnNCV GROUP UN'OS DWELLING � <br /> SI2E OF 6LDG. NO.OF 3TORIES MA%.OCG LOAD DUILOING Y eWlM� �7 � <br /> PLUM�IN6 � <br /> FIRE20NE 6ASEMENT FIRESPRINKLERS <br /> Ff�VIRED � <br /> ❑VES ❑Na MECHANICAL I <br /> SPECIALCONOITIONS-. OTHER � <br /> I <br /> PENELTV SEC.�OJIs) � <br /> � <br /> TOTAL G 1� <br /> PERMIT VALIDATION <br /> WNEN PROP[RLV VIaLIUATED IW THISSPACEI TH1515 YOUfl PEHMIi <br /> nrr�r::.rm��narnrronr. r�nr�sn�ecKcoev: nrrnoveo=onTssr.arvcror. <br /> � � <br /> � � <br />