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Ithe Evergreen <br /> CITV OF GONSTRUCTION everet� <br /> everett PERMIT <br /> Glr X>LL )�5Exe5 <br /> CVCNCR.N45111k610N <br /> � 92tOt <br /> °E°' °'°°M�'�°� BUILDING MECHANICAL PLUMBING <br /> ocvc�ovxcxr <br /> OWNER y�� MA�LADDRESi ZIP PHONE �!� e� <br /> Lh �i�' ..��?f Q{-+L r.T� y-��IV <br /> AflCH1TECT OR DESIGNEfl MAIL AOURE55 PHONE LIGENSE NO. <br /> GENERAL CONTRACTOfle�ra MAIL AODflE55 �yPyH)O�N���Eq L�CENSE NO. <br /> .:�' I:�i n ;Zy wiR L7J'�Y�ti7 <br /> MECMANICAL CONTRACTOH MAII ADURESS PMONE LIGENSE NO. <br /> PLUM�ING CONTRHCTOH MAIL AD�HE55 PNONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASS OF WORK � <br /> z <br /> �UILDING �PLUMBING �MECHANICAL r <br /> ❑NEW ❑ADOITION ❑ALTLRATION ❑iiEPA1H � <br /> VAWATION OF WOHK � <br /> 5 �� ❑DEMOLISH ❑FENCE ❑(�GN ❑SWIMMING fOOL a <br /> DESCRBH WORK . <br /> a�t�r,rs .� 17 4 4 <br /> PROPOSED USE MECHANICAL <br /> TVPEOFFUEL �OIL �NAT. �LPG. �ELEC. <br /> LEGA�DESCRIPTION OF PROPERTV(SHOW BELOW OR ATTACH GAS <br /> FOUR COPIE51 <br /> LOT BIOCK—OF NO. TVPE OF EQUIPMEN7 FEE <br /> AIP CONO. UNITS-H.P. EA. S I <br /> REFRIGEfiATIpN UNITS-H.P. EA. <br /> I ROIlERS-H.P. EA. 1 <br /> GAS FIREp A.C. VNIiS-TONNFGE EA. <br /> FORCED AIF SVSTEMS-9.T.U. M EA. 1 <br /> JOB AODRE55 �y. ����� WALL HEATERS-B.T.V. M <br /> ��� `� UMT HEATENS-9.T.U. M � <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTNES ORVER$ i <br /> �� � VENTILATIONFAN <br /> RANGE HOOD � <br /> NO. TVPE OF FIXTURE OR ITEM FEE _ A�R HnNLLING UNIT- C.F.M. <br /> WFTEF CLOSET ITOILETI s INCINERnTOA I <br /> 9ATHTUB <br /> LA V NTO R V f W ASM BASIN) _T_ <br /> 5liOWER <br /> KITCHEN SINK &�ISP. SUB TOTAL $ � <br /> DISHWASliEF PEPMIT S <br /> IAUNDRV7RAY TOTALFEE S I <br /> CLOiH[5 WASHER TNIS PEfiAVT 9EGOMES NULI ANO VOID IF WOFK OR CONSTRUC- <br /> WATE:R HEAT[R TIOfJ AVTNOHI2EO IS N�T COMMENCFD WITNIN 120 DAVS, OR IF <br /> UliINAL GONSTRVCTION OR WOFK IS SUSP[NDED OH A�ANOONE� FDA A <br /> ORINKING FOUNTAIN PERI00 OF 120 OAYS AT ANV TIME AFTER WOfiK IS COMMENCE�. <br /> FLOOR-SINK OR OliAIN I HEFeBV CERTIFV THAT I HAVE READ A?ID E%AMINED THIS AP� <br /> VACUUM �qEAKERS PLICATION AND KNOW TME SAME TO BE TRUE AND GORRECT. ALL <br /> PI10VI;:IONS OP L�W$ AN� OfiOINFNC[5 GOVEPNING TMIS TVPE <br /> ROOF DRAINS-PAINLEADEHS OP WOFK WILL BE COMPLIED WITH WHBTHER SPECIFIEO HEREIN <br /> SINK (SEHVICE-OAR,ETC.) OR NOL TIIE GRANTING OF A PEHMIT bOES NOT PfIESUME TO <br /> GIVE AUTMGRITY TO VIOLATE OR CANCEL THE PfiOVI$IONS OF <br /> ANV OTHER STATE OR LOCAL LI�W R[GULATING CONSTRUCTIOfJ <br /> OR THE PEif-C�RMANCE OF CONSTRUCTION. <br /> SUO TOTAL • <br /> PERMIT 6 ..� � ' <br /> TOTAL FEE S / + C' <br /> X� �� �l�l,��'��-'sr- �9hb <br /> � NATUfiE -C NTRACTORORAU .AGENT DFTE <br /> SIDEVAP�SETBACK STREETSETOACK flEARYAflOSETBAC GLANCHECKNVM9Eq PLANCHECKFEE <br /> FEE RECEIPT NO. <br /> USEZONE LOTAflEA VACANTSITE <br /> ❑VES ❑NO FEES VALUATION FEE <br /> iYPE OF CONST. OCCUGANCV GPOUP uNiOs OWELLING � <br /> S2E OP BL�O. NO.OF STORIES MA%.00C. LOAD BUILDIND $ �►'N � � <br /> � <br /> PLUMBINO � <br /> FIREZONE BASEM NT FIRESPRINKlERS � <br /> RCOUIflED �— <br /> ❑VES ❑NO MECHqNICAL � <br /> SPECIAI CONOITIONS: OTHER � <br /> I <br /> PENELTY SEC.3�JIa) I <br /> TOTAL 3 Iw+ <br /> PERMIT VALIDATION <br /> WH6N PROPLRLV VALInAT@D IIN TIIS SPACE)THIS IS VOUfl PCflM111T <br /> � <br /> � <br /> pVPULATNNALCCWCOBV: >l/NSC4[IXEDBV�. /PPROVCDt06155UANCLbY�. <br /> � �� <br /> Q <br />