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8701 EVERGREEN WAY 2018-01-01 MF Import
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8701 EVERGREEN WAY 2018-01-01 MF Import
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Last modified
10/26/2018 10:36:54 AM
Creation date
2/10/2017 1:27:46 PM
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Address Document
Street Name
EVERGREEN WAY
Street Number
8701
Imported From Microfiche
Yes
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the Evergreen � eV�erett I <br /> �,TY �F C�NSTRUCTIQN I <br /> �verett PE.FtNll7 ` <br /> [:iY IIAII 2]!ItlPBh <br /> EVEPEtT,1YnS111NGI011 <br /> 981a1 BUILDING MECHANICAL PLUMBING <br /> �EPT.OF LOAIMUNItY <br /> �CVELoruENi pHONE <br /> MAIL AODFiE55 Z�P <br /> OWNEfl itlr�-'?7 <br /> v..,�ra�� TeCxr�C��.,�I +-^!'h�''z LICENSE NO � <br /> ARCHITECT OR DESIGNER <br /> MAII ADDFESS '�'�"` <br /> PHONE LICENSE NO. <br /> GENEPALCONTflACTlOR MAILADDRE55 Ay�_q,�i3 <br /> ''.Q(S'�tt Jiry-�. •-QS`���"�f LICENSE NO. <br /> MAIL ADDRESS . PHONE <br /> MECHANICALCONTFACTOR � <br /> � <br /> MAIL AODRESS PHONE LICENSE NO. W <br /> PLUMBINGCONTRACTOR m <br /> � <br /> � <br /> PERMIT CLASS OF WORK z <br /> �"' <br /> ❑ 6UIL�ING ❑ PLUMBING ❑MECHANICAL ❑NFW �App�T��N �aLTERATION ❑REPAIP � <br /> � <br /> VALUATION OF WOFK W I <br /> ❑DEMOLISH ❑FENCE QS�GN ❑SWIMMING POOL d <br /> S 1./iJ���t7 i��i <br /> DESCRIBE WORK <br /> �ract :;an I2:.•ar.iaat�d :.iqn I <br /> PROPOSE�USE MECHANICAL <br /> 7YPLOFFUEL �OIL �GAS. �LPG. �EIEC. <br /> I.EGAL DLSCR�PTION OF PRnPFRTY ISHOW BIiLOW UF ATTACIi FEE <br /> FOUR COP1E51 NO. TVPE OF E�UIPMENT <br /> LOT BIOCK—�F--- AIP COND.UNITS-H.P. EA. <br /> 5 <br /> REFRIGERATION VNITS-H.P. EA. I <br /> BOII FRS-H.P. EA. " <br /> -- GAS FIRED A.C. UNITS-TONNAGE EA. <br /> FOFCED AIR SVSTEMS-B.T.U. M EA. � <br /> WALL HEATERS-B.T.U. M I <br /> J06 AD�FjE$S�'vY J{=�fln }.,sy UNIT HEATERS-B.T.U. M <br /> a�. <br /> EVAPORATIVECOOLEFS I <br /> CLOTHESDRYERS <br /> PLUMBING VENTILATION FAN <br /> I <br /> RANGEHOOD <br /> AIR Hl�NDLINC JNIT- C.F.M. I <br /> Np, TYPE OF FIXTUHE OR ITEM FEE iNCINERATOR <br /> WATER CLOSET(TOILET) S __ _ <br /> I <br /> BATH'fU0 <br /> LAVATORV(W�+SH BASIN) " �-- <br /> SHOWER �- SUBTOTAL 5 I <br /> KITCHEN SINK& DISP. — PERMIT 5 <br /> DISHWASHER 7pTALFEE 5 I <br /> LAUNDRY TRA�' <br /> CLOTHES WASHEF THIS PERMIT �ECOMES NULL AND VOID IF WORK OR COD15 - <br /> VlATEF HEATER TION AUTHORIZED IS NOT COMMFNCED W�TNIN 120 �AYS, OFl IF <br /> CONSTHUCTION OP WORK IS SUSPENDE� OR ABANDONED FOR A <br /> VRINAL PERIOD OF 120 D/lYS AT ANY TIME AFTER WORK �SCOMMENCED. <br /> DRWKING FGUNTAIN � HEREBV CERTIFV THAT I HAVE Rh,1D p.ND EXAM�NEU THIS AP- <br /> FLOOR-SINK OR DRAIN PLICP.TION AND KNOW THE SAME TO IlE TRUE AND CORflECT. ALL <br /> VACUUM :iREAKERS PROVISIONS OF LAWS AND ORDINA�CES GOVERNING THIS TYPE <br /> ROOF DHAINS-RAWLF.ADEflS OF WORK WILL BE COMPLIED W�TH W4E'rNER SPECIFIED HEREIN <br /> OR NOT. THE GRl�NTING OF A PERMIi OOES NOT PRFSUME TO <br /> SINK (SERVICE-6AR, ETC.) GIVE AUTHORITY TO VIOLATE OR CAi�CEL THE PROVISIONS OF <br /> pR THOE PERFORMA CE OFCCONSTRUCT pN,4T�NG CONSTf.UCTION <br /> SUB TOTAL <br /> PERMIT 5 � 'l�l�}I17 <br /> , _ TOTALFEE S <br /> SIGNATUFEOFCONTFACTORORAUTH.AGENT DATE <br /> PLAN CHECK FEE <br /> SIDE YARD SET6ACK STREET SETBACK HEAR YARD SET6ACK PLAH CHECK NUMBER FEE FECEIPT NO. <br /> I USEZONE LOTAREA VACANTSITE FEE <br /> ❑YES ❑NO FEES VALUATION <br /> I <br /> TYPE OF GONST. OCCUPANCY GFOUP UNITS DWELUNG � �� <br /> Si,zao.a7 <br /> SIZE OF BLDG. NO.OF STORIES MA%.00G LOAD BU�LOING I � <br /> PLUMBI I�G � <br /> pASEMENT FIHESPFINKLERS � <br /> FIRE20NE RE�UIRED MECHAfJICAL I <br /> ❑YES UND � <br /> OTNER � <br /> SPECIAL CONDITIONS: � <br /> PENELT'! � SEC.3031a) <br /> X .,� <br /> I <br /> TOTAL <br /> PERMIT VALIDATION <br /> WHEN PRG�'FqLY VALIDATEO(�N THISSPACE) THIS IS VOUR PERMIT <br /> �PPLICATIONACC[PTEOOY. VLANSCYECKEO�Y: <br /> APPPOVEOFOPISSUANCEBY: <br /> I <br /> I �y ' <br />
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