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the Evergreen I <br /> I ��T� JF CONSTRUCTIQN everett <br /> everett PERMIT � <br /> ciirqei� Js�¢rrs <br /> u•Eau* erFs�irvetox <br /> 9E101 <br /> "", °' �°'"'°"" BUILDING MECHANICAL PLUMBING <br /> on�i inr¢�r�i <br /> OWNEF MAILAD�RE55 21P YHUKL <br /> � A� � `�'933 C.�S Yj}?6 <br /> ARCHII[CT OR DESIGNEFi MAIL ADDflES$ �HONE LICCNSC NO. <br /> GENENALCONTAaGTOR M4ILADDPE55 ANONE UCENSENO. <br /> MECHANICAL CONTRAGTOR MAIL ADDFESS PHONE LICENSE NO. <br /> � <br /> PLUMB�NG CONTRACTOR MAIL AODRE55 �MONE LICENSE NO. W <br /> �� � � � � � � <br /> PERMIT CLASS OF WOPK � <br /> Z <br /> ❑BUILOING �PLUM9iNG �MECHAtJICAI r <br /> Q�N[W ❑ADDITION ❑ALTEfiATION ❑fiEPnIR � <br /> VALUATION OF WORK � <br /> ❑DEMOIi�fl ❑FENCE ❑SIGN ❑SWIMMING POOL W <br /> s a <br /> DESCRBC WOFK <br /> 075 <br /> PROPOSED USE MECHANICAL <br /> TVPEOI- �IILL �OIL �Rn1. �LPG. �ELEC. <br /> LEGAL OESCRIPTION OF PPOPEtiTv ISHOYJ HELOW OR ATTACH <br /> POUR COPIESI <br /> NO. TVPE OF EOUIPMENT FEE <br /> LOT BLOCK_OF q�pCOND. UNIiS—H.R EA. S 1 <br /> {i[FRIGE(iATION UNITS-H.P. EA. <br /> �OILERS- M.R FA. I <br /> Gn5 r�RED n.C. UNITS-TONNAGE EA. <br /> FORCED AIR SVSTEMS-9.T.U. M EA. 1 <br /> �OIS ADDPESS � � _ WALL MEATFRS-B.T.U. M <br /> UNIT HEATERS-B.T.U. M I <br /> L'JAGORATIVECOOLEFS <br /> PLUMB WG c�on+es DRVERS t <br /> VENTILATION F4N <br /> RAWGEHOOD � <br /> NO. TVPE OF FIXTURE OR ITEM FEE A�A ��p'NOUNC UNIt- C.F.M. _ <br /> WATER ClOSETITOILETI s �NCINERATOR I <br /> pATHTUB <br /> �AVATORV (W/�SH BASINI � <br /> 5110WER <br /> KITCNEN SVJK &�ISP. _+ SUB TOTAL S � <br /> �ISIiWAS1iEF PEFMIT R <br /> L�UNORY TRAV —� <br /> TOTAL FEE S I <br /> CLOiHES WASHCR THIS PEFMIT eECOMES NULL AND VOID IF WORK OR CONSTRVC <br /> WAT[R HEMFP TION AUTMORIZEO �5 NOT COMMENCEO WITHIN 720 DAVS, OP If- <br /> VfiINAL CONSTRUCTION OA WORK IS SUSPENDED Ofi A9ANOONED FUR A <br /> ORINY.INfi FOVNTAIN PERIDO OI' 720 OAVS AT ANY TIME AFTEFLVOFK IS COMMENCED. <br /> PIAOF-SINY, OR DPAIN I HEREBV CERTIFY TIi�1T 1 HAVE REAO AN� E%AMINFD THIS AP- <br /> VACUUM(3REAKERS PLICATION l�ND KNOW THE SAME TO�E TPUE ANO CORRECi. ALL <br /> PfiOVI510N^v Of LAWS AND ORDIIJANCES GOVERNING THIS TVPE <br /> ROOF ORAINS-RAINLEADERS OF WOIi'< WILL BE COMPLIED WI7N WHCTHEH SPECI�IED HF.HEIIJ <br /> SINK (SERVICE-9AR,ETC.) { O(i NOT, THE GRANTING OF A PEPMIT DOFS NOl PIiESUME TO <br /> �--- --�� - GIVE AUTHORITY TO VIOIATE Oit CANCEL TI�E �'fiOb^'IONS DF <br /> --�--- ANV OTHEH STATE OR LOCAI lAW fi[GUL�ITIF.f CONSTf1UCT10fJ <br /> _ OR THk.PEfiFORMANCE OF CONSTAUCTION. <br /> SUBTOTAL _ { _ <br /> PEPMIT 5 <br /> TOTALFEE E <br /> x <br /> SIGNATUREOFCONTAACTORORAUTH.AGENT n E <br /> SIUE \'ARDSETOACK STREETSET�ACK flEAqVARD5ET6ACY. PLANCHECNNVM6ER PIANCHECKFEE <br /> FEE fiECEIPT NO. <br /> USE ZONE 1.0T AREA VACANT SITE - <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GRDUP (•IO.OF OWELLING <br /> UNITS � <br /> — ' <br /> SIZE OF BLDd. NO.OF STORIES MAX.000. L�AD I3UILpIN6 5 � <br /> - --�_ <br /> PLUM8ING � <br /> FIREZONE 6115EMENT FIFESPqINKLEPS � � <br /> REOUIRED � <br /> ❑YES ❑NO MECNANICAL I <br /> SPECIAL WN�ITIONS' OTHER � <br /> I <br /> �— <br /> - PENELTY SEC.30J(al � <br /> — � <br /> TOTAL rl <br /> r <br /> PERMIT VALIDATION <br /> WHEN PRO�'ERLY VALIDMED IIN THi55PACE) THIS IS YOUq PfliMR <br /> APP:IL�TIONAC�TEO�Y: PLANSCNCCY.COBY- M�ROVC�Oh��ANCCBY: � <br /> C I <br /> � � <br />