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� the Evergrecn - <br /> CITYOF CONSTRUCTION <br /> �Fi'erett everett <br /> PERMIT <br /> CIIY 11>�� l,gpup5 <br /> EV[nEit,lYqSNING104 <br /> 9B101 <br /> °`°` °oE�aoP�tN, BUILDING MECHANICAL PLUMBING <br /> UWNER <br /> MAIL ADDRESS PHONE <br /> Rfc?,ar3 :tnsi-]• a n� Z'P <br /> � FU .,a:c 27- .• z51-13G6 �91-77 <br /> ARCH�TECT OR DESIGNER MAIL ADDflE55 <br /> PIIONE IICENSE NO. <br /> GENERALCONTRACTOR MAILA�ORE55 <br /> •'�y+��a- �ui1C14=•3 I'iiOt3'c LICENSE NO. I <br /> Y <br /> MECHqNICAL CONTRACTOR MAIL ADDRESS <br /> PHONE LICENSE NO. <br /> PWMBINGCONTRACTOR MAILADOFC55 � <br /> PHONE LICENSE NO. <br /> W <br /> PERMIT m <br /> CLASS OF WORK � <br /> ❑DUILDING � PLUMOING �MECHANICAL Z <br /> ❑NEW ❑qDDITION ❑ALTERATION ❑REPAIR ~ <br /> VALUATION OF WORK � <br /> 5 �����- �� ❑OEMOLISH ❑FENCE ❑SIGN ❑SWIh7MING POOL W <br /> �ESCRIBE WORK a <br /> !`<ostore Ec Ccda w�aopliaacg 2$iz <br /> PROPOSED USE <br /> MECHANICAL <br /> LEGAL DESCRIPTION OF PROPERTY ISHOW[3ELOW OR ATTACH T�PE OF FUEL �OIL ❑GAS� ��Pr'' ❑ELEC. <br /> FOVR COPIES) M1 <br /> LOT � �' ��pCK�,ioF rlat` Uf tVCdL'QtL NO. TVPEOFEDUIPMENT <br /> FEE <br /> AIR CON�. UNITS-Ii.P. Eq, g � <br /> REFRIGEFATION UNITS-H.P. EA. <br /> �OILERS-NP. Eq, � — <br /> GAS FIqED A.C. UNITS-TONNAGE 'A. <br /> JOB AOORESS FORCED AIR SYSTEMS-�.T.U. M Eq. � <br /> 161E Fulta:, �'�'ALL HEATEfiS-B.T.V. M <br /> _ UNIT HE/1TER5-B.T.U. M � <br /> PIUMBING EVAPORATIVECDOLERS <br /> CLOTHESDRYERS <br /> VENTILATION FAN <br /> RANGEHOOD � <br /> N TVPE OF FIXTURE OR ITEM FEE AIR HANDLING UNIT- C.F.M. <br /> WATER CLOSET(TOILETI g INCINERATOR ' <br /> �ATHTUB <br /> IAVATORY (WqSH UASINI � <br /> SMOWER "� � <br /> KITCHEN SINK& DISP. — — <br /> DBHWASHER - SUB TOTAL 5 �,;� : <br /> LAUNDHV TRAY PERMIT $ <br /> CLOTHES WASHER i TOTALFEE 5 <br /> WATEFl HEATER � THIS PERMIT OECOMES NULL AND VOID IF WORK OR CONSTRUC� <br /> URINAL TION AUTHOq12E0 li NOT COMMENCED WITMIN 170 DAYS, OR �F <br /> CONSTRUCTION OR WORK IS SUSPENDED OR qBANDONED FOR A <br /> DRINKING FOUNTAIN PER100 OF 120 DAVS AT ANY TIh1E AFTER WpRK IS COMMENCED. <br /> FLOOP-SINK OR ORAIN I NEREBY CERTIFY THAT I HAVE REl1D AND E%AMINED THIS AP- <br /> VACUUM f3qEAAERS PLICl�TION ANO KNOW THE SAtdE TO 9E TRUE AND CORRECT. ALl <br /> ROOF ORAINS-fiAINLEAOEqS P�OVISIONS OF LAWS (�NO ORDINANCES GOVERNING TIi15 TVPE <br /> SINK (SERVICG-�Aq, ETC.) OF WORK WILL 6E COAIPLIEO WITH WHETHER SPECIFIE� HEREIN <br /> OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TD <br /> GIVE AUTIiORITY TO VIOLATE OR CANCEL THE PPOVISIONS OF <br /> ANV OTHER STATE OR LOCAL LAW REGULATING GONSTRUCTION <br /> SUO TOTAL �y ��� OR THE PERfORMANCE OF CONSTRUCTION. <br /> PERMIT § .] � <br /> TOTAL FEE g G�3•��•�•� <br /> x <br /> SIGNATUREOFCONTfiACTORORAUTH.AGENT OATE <br /> SIDE YAqD SETUACK STREET SETk3AC< REAR VARDSETBACK PLAN CHECK NUMBER <br /> PLAN CHECK FEE <br /> FEE qECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OP DWELLING <br /> UNITS <br /> I <br /> SIZE OF BLDG. NO. OF STORIES FI.;X,OCC. LOAO BUIL�ING g ��Gi�(j�nCI �5 1 Qf� <br /> FIqE20NE BASEMENT FIIiESPRINKLERS PLUMBING 17� �j� <br /> RCOUIPED <br /> ❑VES ❑NO MECHA�11CA1 8 i �� <br /> SPECIAL CON�ITIONS: <br /> OTHER � <br /> 1 <br /> PENELTY SEC. 3031a) � <br /> TOTAL I Q�j <br /> 1 <br /> PERMII'VALIDATION <br /> WHEN PROPERLY VALIDqTED(IN THIS SPACE)THIS IS VOUR PERMIT <br /> MP���qJIOYACCEPTED�W. ClANSCRECKE�OW. pPPpOV[D[OPISSU�NC[�Y. <br /> 7.�l. <br /> a <br /> —�: -. .°_-"' <br />