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i7he Eveigreen I <br /> i =����F CONSTRUCTION everett � <br /> everett PERMIT <br /> CiIY IIAIt )598855 <br /> EVi�E11,WASNINGION <br /> eeeoi <br /> o[rr.00E E�o:u�ar BUILDING MECHANICAL PLUMBING <br /> OWNER MAIL AOORE55 21P PHONE <br /> �.R:�70 !�3A!"� cI�3 rU.v�.L i�Tr Z7�r`�� <br /> ARCHITECT O!1 DESIGNER MAIL AODRESS PMONE LICENSE NO. <br /> GENERAL CONTqACTOR,-�y MAIL ADDHE55 PH�ONE� 8yq L�ICENSE NO. <br /> ���� � r�A� 3�"Wai �.7�7( <br /> MECHANICAL CONTRACTOfl MqIL ADDRESS PHONE LICENSE NO. <br /> PLUM9INGCONTRACTOfl MAILAODRE55 VHONE �ICENSENO. � <br /> W <br /> m <br /> PERMIT CLASS OF WDRK � <br /> � <br /> �BUILOING �PLUMBING �MECHANICAL Z <br /> ❑NEW ❑pDDITION ❑ALTERATION ❑qEPAIR ~ <br /> VALUATION OF WORK � <br /> s �� ❑OEMOLISH ❑FENCE �SIGN ❑SWIMMING POOL W <br /> OESCRIBE WORK <br /> a <br /> B;F, " e,jS I�.4'GT � �,6�..; � ::�;; D 16�7 <br /> PROPOSED USE <br /> MECHANICAL <br /> LEGAL OESCRIPTION OF PROPERTY ISHOW BELOW OP ATTACH T�PE OF FUEL �OIL ❑Gn5 ��pG' ❑ELEC. <br /> FOUH COPIE51 <br /> LO7 BLOCK_OF ND• TYPEOFEQUIPMENi FEE <br /> AIR COND. UNITS-H.P. EA. $ � <br /> . FiEFRIGERATION UNITS-H.P. EA. <br /> �OILERS-H.P. EA. � <br /> GAS HHED A.C.UNITS-TONNAGE EA. <br /> fORCED AIR SYSTEMS-�.T.V. M EA. � <br /> JOB AOORE55 �efr/f�n 1yqLL IiEATERS-B.7.U. M <br /> ' � �'L� VNIT IIEATERS-B.T.U. M � <br /> PLUMBING �vnror�nrive coo�eas <br /> CLOTHESORVERS � <br /> V@NTILATION FAN <br /> FANGE 1100D � <br /> NO. TYPE OF FIXTUflE OH ITEM FEE ��R HANDLING UNIT- C.F.M. <br /> WATEF CLOSET ITOILET) g �NCINERATOq � <br /> QATHTUD <br /> _ LAVATORY �WASHpA$INI � <br /> SIiOWER <br /> KITCHEN SINK&OISP. SUB TOTAL 5 <br /> DISNWASIiEfi � <br /> — PERMIT 5 <br /> LAUNONVTRAV <br /> CLOTH[SINASHER TOTALFEE 5 � <br /> WAT[P HEATER THIS PERMIT �[COMES fi7LL AND VOID IF WORK OR CUWSTRUC� <br /> — TION AUTHOIi12E� IS NOT COMMENCEO WITHIN 120 DAVS, OR IF <br /> URIIJAL CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED FOR A <br /> L�RIhKING FOUNTAIN PERIOD GF 1'.0 DAYS AT ANV TIME AFTER WOFK �5 COMMENCEO. <br /> _ f-I.00R-SINK OR OHAIN I HEREf V CERTIGV THAT 1 HAVE READ AND EXAMINED THIS AP� <br /> VACUUM f3RLAKEPS PLICATIOIJ ANO KNOW THE SAME TO�E TFUE ANO CORRECT. ALL <br /> ROOF ORAINS-FlAINIEAUERS PROVISIONS OF LAWS AND OFDWANCES GOVERNING THIS TYPE <br /> Of- WOFK WILL �E COMPLIED WITH WHETH@P SPECIfIED MEfiEW <br /> SINK ISERVICE-�Afl,ETC.) OR NOT, 1-HE C:RANTING OF A P[Rh11i DOES NOT PqE5UM11E i0 <br /> GIVE AUTIiOHITV TO VIOLATE OF CANCEL TNE PfiOVISION^a OF <br /> ANV OTNER STATE OR LOCAL LAW FiEGUTATING CONSTRUCTION <br /> OR THE P[PFORMANCE OF CONSTfiUCT10N. <br /> SVB TOTAL <br /> PERMIT $ <br /> TOTALFEE $ <br /> X <br /> SIGNATUREOFCONTiiACTOROHAVTH.AGENT �ATE <br /> SIOE VARD SETUACK STflEET SET6ACK REAR VAR�SETBAG PGAN CHECK NUMBER PLAN GHECK FEE <br /> fEE R[CEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑vE5 ❑NO FEES VAlUAT10N FEE <br /> TVPE OF WNST. OCCUPANCV GROUP NO.OF DWELLING <br /> UNITS <br /> I <br /> SIZE OF BLOG. NO.OF STORIES MA%.OCC. IOAD BUILDING $ �yy 6�� <br /> I <br /> PLUMBIN6 � <br /> FIflE20NE OASEMENT FIflESPRiNKL[FS <br /> flE(lU1RE0 <br /> ❑VES ❑NO MECHANICAL � <br /> SPEGIAL CONDITIONS: DTHER 1 <br /> I <br /> PENELTY SEC.303(ul � <br /> TOTAL �I� <br /> PERMIT VALIDATION <br /> WHEN PROPLRLV VALIDATEO(IN THISSPACEI THIS IS VOUR PERMIT <br /> A!`PIICAT10NACCCPTE00Y: PL/NSLMECKEDBV. APPNOVEDlO ISSUANCEOY. <br /> � C� <br /> Q <br />� <br />