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the Evergmen <br /> ��T��� CONSTRUCTION everett <br /> everett PERMIT <br /> C'1T Ilill 159A9A5 <br /> EV[NEi1,�YA5NIN4I0N <br /> 9A}�1 <br /> °`°' °"°'."'°""" BUILDING MECHANICAL PLUNIBING <br /> o[v[iarM[xr <br /> �uWNtN MAILAODRESS ZIP PHONE <br /> r�7.;;+Tn� t�[st:,.:::'��� ���� . .� 1t <br /> -'w �' �xt� <br /> AFCHITECT OR DESIGNER MAIL ADDRESS PHONE IICENSE NO. <br /> GENEPAL CONTRACTOFi MAIL AODRESS PHONE LICENSE NO. <br /> a:ir. <br /> MECHANICALCONTqACTOR MAILADDRESS PHONE LICENSENO. <br /> PLUM�ING CONTRACTOH MAIL ADDRESS PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASS OF WORK � <br /> Z <br /> �DUILDING ❑PLUMOING �MEGHANICAL x F <br /> ❑NEW (�ADDITION ❑AITEFATION ❑REPAIH � <br /> VALUATION OF WOyR�K � <br /> S �y ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING VJOL a <br /> DESCRIB[WORK <br /> c�:��;,�;�-� ��� �► 0 9 9 8 <br /> PROPOSED USE <br /> MECHANI�AL <br /> TVPE OF FUEL �OIL �NAT. �LPG. �ELEC. <br /> IEGAL DESCRIPTION OF PROPERTY �SHOW RE�OW Ofi ATTACIi GAS <br /> FOUR COPIE51 <br /> LOT oLOCK_oF NO. TVPE OF EQUIPMENT FEE <br /> AIP CONO. UNITS-H.P. EA. S I <br /> REFRIGERATION UNITS-H.R EA. <br /> �OILERS-H.P. EA. � <br /> GAS FIRE� A.C. UNITS-TONNAGE EA. <br /> FORCED AIR SVSTEMS-O.T.U. M EA. � <br /> JOO ADORE55 s�� WALL HEATEFiS-B.T.U. M � <br /> � �~�T.tLL� <br /> UNIT HEATERS-B.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTHES DfiVERS <br /> I <br /> VENTILATION FAN <br /> RANGEHOOD 1 <br /> NO. TVPE OF FIXTURE OR ITEM FEE �+�R HANDLING UNIT- C.F.M. <br /> WATEF CLCSET ITOILET) 5 �NCINEFiATOR � <br /> BATHTUB <br /> LAVATORY�WASHBASIN) I <br /> SNOWER <br /> KITCHENSINKF. OISP. SUBTOTAL 5 <br /> I <br /> OISHWASHER PEPMIT 5 <br /> LAUNDRYTRAY <br /> TOTAL FEE 5 � <br /> CLOTHES WA::HER TIiIS PERMIT 6ECOMES NULL ANO VOID IF WORK OR CONSTFUC� <br /> WAT[R HEAiER TION AUTHOflIZED IS NOi COMh1ENCE0 WITHIN 120 DAVS, OR IF <br /> UFlINAL CONSTRUCTION OR WORK IS SUSPENDED O(i AdANDONEO FOR A <br /> ORINKING FOUNiAIN �ERIOD OF 120 OA�S AT ANY TIME AFTER WORK I�COMMENCED. <br /> FLOOR-SINK OR ORAIN I HEREDV CERTIFY THAT I HAVE REAO AND E%i1MINED THIS AP� <br /> VACUUM �REAKEFS PLICATION AND KNOW'!H[SAME TO OE TRUE AND CORfiECT. ALL <br /> ROOF DRAINS-RAINLEAOERS I- �ROVISIONS OF LAWS AND ORDINANCES GOVERNING TNIS TVPE <br /> OF WORK WILL �E CO�iPLIE�WITH WHETNER SPECIFIGD HEREIN <br /> SINK (SERVICE-6Afl. ETC.) O(i NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GNE AUTHORITV TO VIOLATE OR CANCEL THE PHOVISIONS OF <br /> ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMFNCE OF CONSTRUCTION. <br /> SUO TOTAL <br /> PERMIT S �_ <br /> TOTALFEE $ � <br /> ..... _ X 1 L ` <br /> ��f <br /> SIGNATUFi[OFCONTR(1CTOFORAUTH.AGENT D.1TE <br /> SIDE YAPD SETBACK STREET SETBACK qEAR VqROSETOACK PLAN CHECK NUM6ER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZON�i LOT AREA VACANT SITE <br /> ❑vE5 ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING <br /> UNITS I <br /> 512E OF OLDG. NO.OF STORIES MA%.OCC. LOAD �UILDING $ ,�jVy�W r �. <br /> PLUMBING � <br /> FIRE 20NE �ASEMENT FIRESPRINKLERS I <br /> RfOUIqED I <br /> ❑VES ❑NO MECHANICAL � <br /> SPECI'AL CONDITIONS: OTHER � <br /> I <br /> PENELTv SEC. 3UJIa1 I <br /> TOTAL J � <br /> PERMIT VALIDATION <br /> WHEN PROPEFILV VAII�ATED IIN THISSPACEI THIS IS VOUR PER671i <br /> r1PPLIf.AT10N�GGCf'T[DOY'. VIANSCNCCKEOBY: APPIIOV(OFO iI..SUANCEBV. <br /> M �� <br /> � <br /> _�. <br />