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.- . <br /> tlre Evergrcen <br /> CITYOF CONSTRUCTION everett <br /> everet� PERMIT <br /> GiY 11411 159flfiP5 <br /> EVFPEIT,1445111HG10N <br /> 9E101 <br /> °"` °"°"M°""" BUILDING MECHANICAL PLUMBING <br /> ocvciorrnENr <br /> OWNE}R{�! p MAILAODRE55 21P PNONE <br /> LL�YIS �• � �:L C '�l.l ��'1 �7J�1/ <br /> AfiCHITtCT OR OESIGNER MAIL AODRESS PMONE �ICENSE NO. <br /> GENERALCONTRACTOR MAILADDRESS PNONE L�CENSENO. <br /> �fi <br /> MECNANICAL CONTRACTOR MAIL ADDflESS PHONE LICENSE NO. <br /> PLUMBING CONTFACTOR MA�L AO�RESS PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASS OF WOIiK ? <br /> Q�VILDING � PLUMDING �MECHANICAL �C, Z <br /> ❑NEW ❑ADDITION ❑(�LTERATION QJREPAIP ~ <br /> � <br /> VALUATION•�OyF WryOR� K � <br /> s y��.�µ ❑DEMOLISH ❑FENCE ❑SIGN ❑SVJIMMING POOL W <br /> DESCR�BE WORK a <br /> rs�:,� �-,�L ,r . �;nr ��;-� 2588 <br /> PROYOSE�USE <br /> MECHANICAL <br /> LEGAL DESCRIPTION OF PROPERTV ISHOW BELOW OR ATT/�CH TVPE OF FUEL �OIL ❑GFS ❑LPG. �ELEC. <br /> FOUR COPIESI <br /> LOT ULOCK—OF NO. TVPE OF E�UIPMENT FEE <br /> AIR COND. UNITS-H.P. EA. 5 I <br /> REFRIGERATION UNITS-N.P. EA. <br /> DOILERS-H.P. EA, � <br /> GA$ FIREO A.C. UNITS-TONNAGE EA. <br /> , FORCED AIR SVSTEMS-�.T.V. M EA. � <br /> JOB ADDRE55 lNl�LL HEATEflS-O.T.U. M <br /> *r���r <br /> •� �t�v1.� UNIT MEATERS-O.T.U. M � <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTIiES DRYERS � <br /> VENTILATION FAN <br /> � FAN(:E MOOD � <br /> NO. TYPE OF FIXTURE OR ITEM FEE �IR HHNDLING UNIT- C.F.M. <br /> WATER CLOSET(TOILET� 5 INCINERATOR � <br /> BATHTUB <br /> LAVATORV(WASH BASIN) � <br /> SHOWER <br /> KITCHEN SINK& DISP. <br /> DISHWASHEFi SUOTOTAL 5 � <br /> LAUNORY TRAV PERMIT 5 <br /> CIOTHESWASNER TOTALFEE 5 � <br /> THIS P[RMIT AECOMES NULL AN� VOID IF WORK OR CONSTRUG <br /> WATER HEATER TION AUTHORI2EO IS NOT COMMENCED WITIiIN 120 DAVS, OR IF <br /> UqINAL � CONSTRUCTION OR WORK IS SUSPENOE� OR ABANDONEG FOfl A <br /> DRINKING FOUNTAIN � PERIOD OF 120 DAVS AT ANV TIME AFTER WORK IS GOMMENCED. <br /> FLOOR-S�NK OR �RAII I HERE�V CFfiTIFY TNAT 1 HAVE REAO AND E%AMIN[D THIS AP� <br /> VACUUM �REAKERS PLICATION AND KNOW THE SAME TO BE TRUE AND COFFECT. ALL <br /> ROOF DRAINS-RAINLEA�EI:S PAOVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TVPE <br /> OF WURK YlILL BE COh1PLIEO WITH WHETHEH SPECIFIED HEREIN <br /> SINK ISERVICE-BAR, ETC.) OR NOT, TI1E GqANTING OF A PEFMIT DOES NOT PRESUME TO <br /> GIVE AVTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW FEGVLATING CONSTRUCTION <br /> OR THE PERFOHMFNCE OF CONSTRVCTION. <br /> SUO TOTAL <br /> PERMIT $ <br /> TOTALFEE 5 <br /> X <br /> SIGNATUREOFCONTFlACTORORAUTH.AGENT OAT <br /> SIDEVARDSETBACK STflEETSETOACK f7EARYARO5ET0ACKPLANCNECKNUM�ER PLANCHECKFEE <br /> FE[ RECEIPT NO. <br /> USE ZONE LOT AREA VAf.ANT SITE <br /> ❑rES ONo FEES VALUATION FEE <br /> TVPE Of CONST. OCCUPANCV GROUP NO.OF OWELLING <br /> VNITS � <br /> _ _ i <br /> S�2E OF BLDG. NO. OF STORIES MAX.00C. LOAO JlI1L�ING S �,�(� 5 � <br /> PLUM�ING � I <br /> FIRE20NE BASEMENT fIRESPflINKLERS <br /> RfOUIRED <br /> ❑YES ❑NO MECHAfJICAL � <br /> SPECtAL CONOITIONS �THER � <br /> I <br /> PENELTV SEC.70�fal I <br /> TOTAL s�! � <br /> •1R <br /> PERMITVALIDATIJN <br /> WHEN PROPERLY VALI�ATE�(IN TIiISSPACE)TIi1515 YOUR PERMIT <br /> A%'llClltIONACCFPI[OPY. VLANSCtlCCKC00Y�. APPpOVCDFOP15S11ANCE9V. <br /> z. a <br /> � <br /> --.� - <br />