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the Evcrgreen <br /> =��� �F CONSTRIJCTION everett <br /> eve rett PERMIT <br /> ❑TV N�ll ]59 B6A5 <br /> NFNETi. Y>SnNGiON <br /> 981m <br /> °`°' °"°"",°""' BUILDI�VG MECHANICAL PLUMBING <br /> oEvuovnrtrvr <br /> VwNER MAIL ADORF.55 21P PIiONE <br /> ��'}'�:'� d�E� �• J,:�`..S ,�'$ t3i7n! �u-' <br /> i+4 s�. � �.�:r{X3..�t �''1-?�• , <br /> ARCNITECT OR DESIGNER MAIL AUDRESS PFIONE LICENSE ND. <br /> 1 CENERALCONTRACTOR MAILAGORESS FHONF. LICENSENO. <br /> ;H:'T'. I <br /> hIcCHl.I•�ICAL GONTRACTOP MAIL AbDRESS PHCNE U':EN^uE IJ0. I <br /> yyD," '.�tl t?Ji�'�i .`.�.rT.}�J <br /> PLUryM�OING CO�'TRACTOR MAIL ADCRE55 PHONE �ICE.+SE NO. � <br /> :X� ��7� ����� m <br /> PERMIT CLAS.' 7F WORK j <br /> �RUII.DING }] PLUMBING QMECHANICAL pt, Z <br /> �JNEW ❑ADDITION ❑ALTEH:.TION ❑REPAIR ~ <br /> � <br /> VALUATION�O(Fy�WO.�R�K � <br /> � CU,RJI�►W ❑DEMOLISIi ❑F[NCE ❑SIGN ❑S\VIM1IMING POOL W <br /> DESCPIO[WORA - Q a <br /> , . .".'.:i :3T.;:' 'c' ^1"!r»'T ., ..��" O4� <br /> i: . . <br /> PFOPOSEO USE <br /> MCCHANICAL <br /> TIPEOPFUEL �OIL �fvAT. �LPG. �ELEC. <br /> LEGAL OESCRIPTION OF PROP@FlTY (SHOW DELOL. OR nTTAC11 GAS <br /> i FOUR C�PIE51 <br /> � =�^ ���'� "r�T''._ NO. TYPE OF ECUIFMEV7 FEE <br /> LOT '� BLOCK_OI' u�� � _ <br /> .y� _.y (,` t AIR COND. UNITS-'�1.�'. EA. 5 I <br /> �3 �;�.r} f,�' y�C y REFRIGERATIONUP�ITS-HP. EA. <br /> —"-'— -- DOILERS-H.P. EA. � <br /> GAS FIREO A.0 UN1T5-TONIlAGE EA. <br /> FORCED AIR SY£TEMS-Q.T.U. M EA. <br /> JOB ADDf1ESS y„+ � ,�,�,vY . N'ALL HEMERS-3.T.U. N <br /> u��� � � � � y �� UNIT HEATERS-�.T.U. K. I i <br /> EVAPORATIVECOOIERS <br /> PLUMBING CLOTHES DRVER$ � <br /> VENTILATION FAN <br /> RANG[ HOOD � <br /> TYPEOFFIXTUREO(. ITEM FEE _ P.IRHANDLINGUI�IT- C.F.M <br /> WATER CIOSETITOILETI 5 �NCINERATOR � <br /> UATHTU6 <br /> LAVATORY (WASH BASIN) � <br /> SHOWER <br /> KITCliENSINK& IJISP. SVBTOTAL 5 <br /> DISHWASNER --�- <br /> PERMIT 5 <br /> LAUNORV TRAV <br /> CLOTHES WA511[R � TOTAL FEE 5 <br /> WATER HEATER 7HI5 PERMIT OGCOMES NUIL AND 'JOID IF WOiiK OR CONSTRUC- <br /> ._._ TION AUTHORIZED IS NOT COA1�!fNCED WITHIN 120 DAYS, OR IF <br /> URINAL CONSTfiUCTION OR WOFK IS SUS�ENDEO Ofl Ad/1NDONEO FOR A <br /> DFINKING °OUNTlUN PER100 OP 120 DAVS l�T ANY TIME Af-TER WOqK IS COMMENCED. <br /> FLOOH-SINK OR DRAIN I HERE6V CERTIFY TFIAT I H/�VE HEAD AND EXAMINE7 THIS AP� <br /> VACUUM 6REAKERS PI.�CA�ION AND KNJW TNE SAME TO OE TFUE AND COiiPECT. A�� <br /> ROOF ORAINS-RAINLEADE95 P�OVISIONS OF LAWS ANO ORDINANCES GOVEFNIN� TNIS TVPE <br /> OF WORK WILL �E COMPLIGD WITH WH[THGR SPEGFIED H6REIN <br /> SINK (SERVICE-BAR, ETC.) --� OR NOT, THE GRANTING OF A PERA1IT DOES NOT PRESUME TO <br /> —+— GIVI AUTFIORITV TO VIO'_ATE OR CANCEL THE PROVISIONS OF <br /> I1NY OTHER STATE OR LOCAL LAW REGULATING CONSTftUCTION <br /> — _ OR TIiE PERFORMANCE OF CONSTRUCTION. <br /> SUB TOTAL <br /> PERMIT 5 ✓ <br /> TOTALFEE S <br /> X r,�Q`���i <br /> SIGNATUREOPCONTRACTORORAVTM.AGENT onTE <br /> SIDE Yl1RO SETUACK STNEET SETOACK FiEAR VARDSET9ACK PI.AN CHECK NUMBFq PI qN CHECK FEE <br /> � ry,��_�,[ fEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE �iT'GN7 �� � <br /> ❑vEs ❑NO FEES VALUATION FEE <br /> I TVPE OF CONST. OCCUPANCV GROUP NO.OF DWE�LING <br /> UNITS � <br /> 512E OF ULUG. NO.OF STORIES MA%.00Q LOAD �UILOING 5 �„f'j'�_� •f11� Ah <br /> �r. +ra� w <br /> PLUMBING <br /> FifiE20NE �ASEM[NT FI(iESPRINKLERS <br /> RCOUIRED <br /> ❑VES ❑NO MECHANIC/�l - �J1 /�t <br /> �' <br /> SPECIAL CONOITIONS: <br /> OTHER � <br /> -- I <br /> �� � PENELTY SEC.303101 I <br /> TOTAL � <br /> t°j h� <br /> PERMIT VALIDATION <br /> - WI1EN PROPCRLV Vl.LIDATED(IN THISSPACEI THIS IS VOUR PERMIT <br /> APVLILATIONAC[EPiE�BY�. PLANSCNECKE�OY: �PVPOVCOFLHISSUANL[OY. <br /> � �. Q� R,. rN ls �• a <br /> —.�� <br />