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the Evergreen + <br /> CITYOF CONSTRU�TION , evereti � <br /> everett PERMIT <br /> cirv nau nseaes <br /> EVEn[rr,wav�trvr:roH <br /> 98101 <br /> °"' °"°'"",°""' BUILDING MECHANICAL PLUMBING <br /> oEv[�avMcr�r <br /> OWNER :Y�1A(+I}L�ADDRE55 21P PIiON[ y� <br />� 7h'.L'$ Yl.s�'4, a� (�! .`3�� uc�7 7�*� .�'� �T� <br /> y ARCHITECT ON DESIGNEq MAIL ADDRESS PfiONE LICENSE NO. <br /> GENE,R�A�cONTRACTOR MAILADDFiE55 PHONE LICENSENO. <br /> 4 <br /> MECHANICALCONTRACTOR MAILAODRE55 PHONE LICENSENO: <br /> PLUMBINGCONTRACTOR MAILA�DRESS PHONE LICEIJSENO. � <br /> W <br /> m <br /> PEqM1T CLASSOf WORK � <br /> � <br /> }� BUILDING z <br /> +U ❑PLUMBING �MECHANICAL � <br /> ❑NEW ❑ADDITION ❑ALTERATION �REPAIR � <br /> VALUATION OF WORK � <br /> 5 .� ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> DESCftIBE WpFK <br /> t`'.'�?1�1E� '.'ZY.i �: �'.l�,a.�.`�'i .'. t?�� 116 2 <br /> PROPOSE� USE � <br /> MECHANICAL <br /> TYP[OFFUEL �OIL �NAT. �LPG. �ELEC. <br /> LEGAL DESCRIPTION OF PROPERTY �SHOW BELOW OR ATTACIi GAS <br /> FOUR COPIES) <br /> LU7 BLOCK—oF NO. TYPE OF EUUIPMENT FEE <br /> AIp COND. UNITS-H.P. EA. 5 I <br /> REFftIGERATION VNITS-H.P. EA. <br /> BOILERS-H.P. EA. � <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> FORCEO AIR SVSTEMS-B.LU. M EA. I <br /> JOB ADDRE55 �}��� }y�,�n ,h T� WALL NEAT[RS-R.T.U. M <br /> .6W,ii su�i'..3} • _ <br /> UNIT HEATERS-B.T.I:. A1 I <br /> PLUMBING EVl�PORATIVE COOLEqS <br /> CLO7'HES DFiVERS I <br /> VENTILATION FAN <br /> FANGEHOOD I <br /> NO. 7VPE OF FIXTURE OR ITEM FEE �IR HnNOLING UNIT- C.F.M. <br /> WATER CLOSET(TOILETI 5 WCINERATOR � <br /> PATHTUB <br /> IAVATOFiV(WASH BASIN) � <br /> SHOWER <br /> KITCHEK SINK& DISP. SU6 TOTAL 5 � <br /> �ISHWASHER PERMIT 5 <br /> LAUNDRVTRAV <br /> CLOTHESWA�HER TOTqLFEE 5 � <br /> WATER HEATER TIi15 PEHMIT BECOMES NULL AN� VOID IF WOFiK OR CONSTRVC- <br /> TION AUTHORI2ED IS NOT COMMENCED WITHIN 1�0 DAYS, OR IF <br /> URINAI CONSTRUCTION OR WORK IS SUSPENDED OR A[3ANDONED FOR A <br /> DRINK".G FOUNTAIN �ERIO� OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br /> FLOOR-SINK OR ORAIN 1 HEREBY CERTIFV THAT I HAVE REAO AND E%AMINED THIS AP- <br /> VACUUM BREAKEftS P��CATION AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL <br /> ROOF ORAINS-FiAINLEADEqS PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WI1.1. BE COMPIIE�WITH WHETHER SPECIFIED HEREIN <br /> SINK (SEftVICE-9AP, ETC.) OR NOT, THE GRANTING OF A PERMIT DOES N07 PRESVME TO <br /> GIVE AVTHOHITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> - ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PEFFOFiMANCE OF CONSTRUCTION. <br /> SUB TOTAL <br /> PEflMIT 5 <br /> TOTAL FEE 3 �� <br /> x <br /> SIGNATURfOFCONTRACTO(iOFAUTH.AGENT DATE <br /> SIDEVARDSETBACK STREETSETBACK REAFYARDSETBACKPLANCHECY. NUMBER PLP^:CHECKFEE <br /> FEE RECEIPT NO. <br /> USE 20NE LOT AflEA VACANT SITE <br /> ❑vE5 ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF DWELI.IPIG <br /> UNITS � <br /> SIZE OF [3LDG. NO. OF STORIES MA%.00C. LOAO DUILDING 5 'NW�M/ � � <br /> PLUM8ING I <br /> FIREPONE BASEMENT FIRESPFINK�ERS I <br /> RC�UIRED � <br /> ❑VES ❑NO MECHAPlICAL � <br /> SPECIAL CONDITIONS: OTHER � <br /> I <br /> PENELTV SEC.]031a1 I <br /> . TOTAL F1 �} <br /> PERMIT VA�IDATION <br /> - WHEN PROPLRLY VALIOATED (IN THISSPACEI THIS IS VOUR PEftM1T <br /> pPPLICTiIONPCLEPTE00Y: CLANSCII[CK[IIBY. PVPFOVWFOf1159�y�C�: <br /> I I � <br /> I.� <br />