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the Evcrgreen <br /> CITYOF CONSTRUCTION everett <br /> everett PERMIT <br /> OtV rvAll 159EE:5 <br /> LYFFfii,u42Ni44tur1 <br /> 9P}ul <br /> "" °`�°""°^"' BUILDING MECHANICAL PLUMBING <br /> OF1'EtOPnEMt <br /> OWNEq MAILADDP.E55 ZIP PIiONE .�/ <br /> �h l� � �J �'r'r..—� T:�1}�/a' <br /> ARC111TECTORDESIGNER MAII.A�DAE55 PHONE tICEN5EN0. <br /> GENEHALCONTRACTOR MAILADOFE55 PMONE UCENSENO. <br /> Cs tt. :�`+!'a'd "C5�'lRi1 - <br /> MECHANICALCONTflACTOR MAILADORESS pHONE LICENSENO. <br /> PLUMBINGCONTflACTOR MAl1.,AODRE55 PHONE L�CENSENO. � <br /> W <br /> m <br /> � <br /> PERMIT CLASSOF WOPK � <br /> z <br /> �BtIILDING ❑PLUMBING ❑MECHANIC/+L �NEW ❑AODITION ❑ALTEFATION �REPAIq ~ <br /> � <br /> VALVATIONOFWORK . � <br /> C�� ❑�EMOLISH ❑FENCE ❑iIGN ❑SWIMMING POOL W <br /> $ a <br /> oFscaierwoAK ���� <br /> �� �� <br /> PROPOSED USE MECHANICAL <br /> iYPEOFFUEL �OIL �GAns. �LPG. �ELEC. <br /> LEGAL OESCRIPTION Of PROPENTV ISHOW BELOW OR AiTACH <br /> FOUH COPIESI — <br /> l0T__BLOCK_OC _ NO. TVPE OF E�UIPMENT FEE <br /> Alti COND.UNITS-Ii.P. EA. S � <br /> iiEFRIGEflATION VNITS-H.P. cA. <br /> f3DILEHS-IIR EA. I <br /> GAS FIREO A.C. UNITS-TONNAGE EA. <br /> _��ORCED AIF S�STEMS�-B.T.U. M FA. I <br /> JOB AD�RESS �t VJALL NEAIERS-B.T.V. M <br /> IS,W ��� UNIT HEATERS-D.T.U. M I <br /> EV/a00FATIVE COOL(:RS <br /> PLUMBING CLO7HESbRVERS i <br /> VENTILATIONFAN <br /> RANGEHO00 � <br /> NO. TVPEOFFIXTUREOR�TEM FEE AIFIIANOLINGUNIT- C.F.M. <br /> WATENCLOSETITOILETI g INCINERATOR I <br /> BATHTV� <br /> LAVATORY(WA.`.H BASIN) � <br /> SHON'ER <br /> KITCHEN SINK E DISP. SUB TOTAL $ � <br /> 91SHWASHEN PERMIT 5 _� <br /> LAUNDiiY TRAV TOTAL fEE S I <br /> CLOTHES WASHEli THIS PERh11T p[CDMES NUIL AtJO VOID IP WORK OR CONSTRUC- <br /> WATER HEFlEF TION AUTHORIZED i5 NOT COM1dENCEO WI7NIN 120 DAYS, OR If <br /> VRINAL CONSTRUCTION OR WORK IS SUSPENOED OR ABANOOIJE� FOR A <br /> OHINKING FOUNTAIN PEFiIDD OF 120 OAVS AT ANV TIME APTER WOHK IS COMMENCED. <br /> FLnOP-SINK OR URAIN I HERF�V CERTIFV TNAT I IIAVE flEAD AND E%AMINE� THIS AP� <br /> VAf,VUM [1flEFKERS P��CATION ANU KNOW THESAM1IE TO�E TRVE ANO COFRECT. ALL <br /> PROVISIONS OF Ll�WS AN� ONDINANCES GOVERNING THIS TVPE <br /> FOOF DRAIIJS-RAINLEADENB OF WORK WILL PE COMPLIEO WITH WN[THER SPECIHED HEREIN <br /> SINK ISEHVICE-BAR,E'fC.) OR NOT, THE GRANIING Of f� PERMIT DOFS NOT PRESVME TJ <br /> GIVE AUTHORITV TO VIOLATE OP CANCLL THE PROVISIONS OF <br /> ANV OTHER STATE OR LOCAL LAW PEGULATING CONSTRUCTION <br /> OFTMEPEPFORMANCEOFCONSTRUCTiON. <br /> SUB TOTAI <br /> PERMIT E <br /> TOTAL FEE $ x �� <br /> SIGNATVPEOfGONTRACTORORAUTM.AG[NT DATE <br /> SIDEYARDSETBACK STFEETSETBACK REARYAROSETOAC PLANCHECCNUMB[R PLANCHECKFE[ <br /> FEE RECEIPf NO. <br /> USEZONE lOTAflEA VACANTSITE <br /> ❑VES ❑NO FEES VALUAT�ON FEE <br /> TVPE OF CONST. OCCUPANCV GROUP uN'OS OWELLING � <br /> SIZE OF ALOG. NO.OF STOHIES MA%.00G LOAD 6UILDINO S ��� <br /> PLUfABING � <br /> FIHEZONE BASEMENT FIRESPRINKLENS <br /> HE�UIRED MECHANICAL I <br /> ❑VES ❑NO <br /> SPECIIII CONDITIONS: OTf/Efl � <br /> I <br /> PENELTY SEC.30�(e) I <br /> _ ' <br /> TOTAL <br /> PERMIT VALIDATION <br /> WHGN PROP[iiLV VALI�ATEU IIN THIS57ACE1 THIS IS VOUR PEiiMIT <br /> nPPLILPTIONPCL[PTCDBY: ^LINSCNEIXC08Y. AM'NOVEOiO ISSUI.VCEB`�. <br /> � � � I <br />