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i the Evcrgreen <br /> °�TY°F CONSTRUCTION everett <br /> eve�ett PERMIT <br /> CIiY NAII 159B885 <br /> EVEFER,IVAYIINGiON <br /> 98)01 <br /> oEPr °oevciavncxr BUILDING MECHANICAL PLUMBING `' <br /> OWNER � -' MAIL ADDRESS T�p PHONE <br /> .'.:(sili 1 LI�YV�.0�7..'l��R�: L'Cirj�• !l��,� r{(!: t �'�' / <br /> �':i�ig'�Mfi �y��} <br /> AR!'HITECTORDCSIGNEfl MAILADDRE55 PHONE LICENSENO. �-'� • " <br /> GENERAvfL.�CONTRACTOR MAI�A�DRESS' PHONE LICEN3E NO. <br /> J��ssv7 <br /> MECHANIG L CONTRACTOR MAIL A�DRESS LICEN3E NO. <br /> 2trsli�;,io .ri�ll2�.��.Z FiG'��',.:j� PHONE <br /> PLUMBING CONTFA:' OR MAIL AD�RESS PHONE LICENSE NO. � <br /> CZnWl?, t,:tE�.�!)L: �FC. W <br /> m <br /> PEflM1T CLASS OF WORK � <br /> � <br /> M .y� Z <br /> ty DUILDING u PLUM6ING `[.�' MECHANICAL F <br /> �NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br /> VALUATIO�'OF WORK � <br /> 5 35��%57.�� ❑�EMOLISH ❑FENCE ❑SIGN ❑SWIMMINGPOOL W <br /> DESG:iIBE WORK <br /> a <br /> Sin,lc ?twil•{ NAsic;enc� 2412 <br /> PROPOSED USE <br /> S,II�p MECHANICAL <br /> LEGAL�ESCRIPTION OF PROPEFTY ISHOW BELOW OR ATTACH T�PE OF FUEL �OLL �NAT. �LPG. �ELEC. <br /> FOUR 3P ES) GAS <br /> f�a Va13ey :�lew <br /> LOT •�A 9LOCK_oF NO. TYpE OF EDUIPMENT FEE <br /> +'� S AIR COND. UNITS-H.P. EA. 5 I <br /> REFq�GERAl IpN UNITS-H.P. EA. <br /> — �OILERS-H.P. EA. � <br /> GAS FIRED A.G. UNITS-TONNAGE EA. <br /> FORCED AIR SYSTEMS-B.T.U. M EA. � <br /> JOB A��'�$S �Or��� `���� ,1�7f � �� " WALL HEATERS-R.T.U. M <br /> .l ' &'��- <br /> VNITHERSERS-B.T.U. M � <br /> PLUMBING EVAPCRATIVECOOLERS <br /> CLOTHES DRYERS <br /> VENTILATION FAN � � <br /> RANGE HOOD ,.� . <br /> N TYPE OF FIXTURE OR ITEM F AIR ,1ANDLING UNIT- C.F.M. <br /> WATERCLOSET�TOILETI ' g INCWERATOR � <br /> BATHTUB <br /> LAVATORV(WASH BASIN) <br /> SHOWER �. � <br /> KITCHEN SINK& DISP. SUB TOTAL $ u <br /> OISHWASHER ---+I�S- <br /> LAUNDRY TflAY PERMIT 5 .. �J <br /> CLOTHES WASHER TOTAL FEE 5 �� � <br /> WATER HEATER TFIIS PERMIT �ECOMES NULL AND VOID IF WORK OR CONSTRUC- <br /> TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br /> _ URIN.IL CONSTRUCTION OR WORY. IS SUSPEIJDE� OR ABANOONED FOR A <br /> DRINKING FOUNTAIN PERIOD OF 120 DAYS AT ANV TIM1IE AFTER WORK IS COMMENCED. <br /> FLOOR-SINK OR ORAIN I HEFEBY CERTIFV THAT I HAVE READ AND E%AMINED THIS AP- <br /> VACUUM BREAKERS PIICATION AND KNOW THE SAME TO BE TRUE AN� CORRECT. ALL <br /> ROOF DRAINS-fl/UNLEADERS PFOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE <br /> SINK (SERVICE�-BAR, ETC.1 —� OF WORK WILL 6E COMPLIED WITH WHETHER SPECIFIEO HEIiEIN <br /> OR NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OP CANCEL THE PROVISIONS OF <br /> ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> SUB TOTAL OR TI1E PERfORMANCE OF CONSTRUCTION. <br /> PEflMIT 5 <br /> TOTALFEE g - <br /> SIGNl1TVREOFCONTRACTORORAUTH.AGENT DA� <br /> SIDE VAflD SE;�ACK STREET S��B�CK REAF YAftp$F�T84CK PLAN CHECI: NUMeER PLAN CHECK FEE <br /> dY <br /> USE ZONE '_OT AREA VA,yCANTSITE <br /> 77�2�'j FE�IIBS.0 74]� RECEIPTNO. <br /> j��l LT'ES ❑NO <br /> FEES VALUATION FEE <br /> I TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING <br /> UNIT$ <br /> r 3s �t�.a�.Ry:� � <br /> I SIZE Of dLDG. NO. OF STORIES MAX.000. LOA� �UILDING 5 Yx,.:q�«Y.�./. 'aJ �� <br /> J�).�.j.�:. � <br /> PLUMBING �' � j�% <br /> FIRE ZONE BASEMENT FIRESPRINI�E(i5 � <br /> 3 y�n RCQUIRED <br /> MECHADJICAI � •� <br /> ❑VES NO � <br /> SPECIAL CONDITIONS: <br /> OTHER I <br /> I <br /> PENEL'fV SEC. 9071a) � <br /> TOiAL • �� �. <br /> PERMIT VALIDATION <br /> WHEN PROPERLV Vl�LIDATED(IN THISSPACE)THIS I�OUR PERMIT <br /> APPLIC�TIONf.CCEPTEDtlY' PLANSCH[CKEDIIY: qPP110VE0FOHI55UANCEBY�. I <br /> �:.c. r.. ... <br /> � <br />