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_ . . . . {'.?.. , <br /> the Evergreen <br /> CITV Of� CONSTR UCTION everett <br /> everett PERMIT <br /> ❑iY N4Ll )598i85 <br /> EVEPEft,14q5NIH6TOM <br /> 98101 <br /> °`°` °"°"'",°""" gUILDING MECHANICAL PLUMBING <br /> o[veiov�.icxi <br /> OWNER MAIL ADDFESS Z�p <br /> 17�r LS4� .[1�a PHONE <br /> �.r�a �.a�v4c�a OF O�p� � cjC,2p3 � � J.t, <br /> ARCHITECT UR UESIGNER MAIL ADDRESS PHONE <br /> LICENSE NO. <br /> GENERALCONTRACTOR MN�ADORESS PHONE �� <br /> LICENSE NO. <br /> MECHANICALCONTflACTOR MqILA�DRESS PNONE <br /> LICENSE NO. <br /> PLVMBING CONTFACTnq :.iL Auunt55 <br /> � "' PHONE LICENSE NO. W <br /> m <br /> PERMIT CLASS OF WORK - � <br /> [I9UILDING �PWMBING �M[CHANICAL Z <br /> ❑NEW ❑AODITION ❑qLTERATION ❑qEPAIR ~ <br /> VALUATION OF WORK � <br /> 5 ❑DEMO�ISH ❑FENCE ❑SIGN ❑SWIMMING POOL W <br /> DESCRIB[WJRr, - y <br /> a'�'u �`�' '�.a' 8 4 9 <br /> PROPOSED USE <br /> MECHANICAL <br /> LEGALDESCRIPTIONOFPROPEIITVISHOW �ELOWO(iA�'7qCH T�PEOFFVEL �OIL ❑GAJ, ❑LPG. �ELEC. <br /> FOUR COPI[SI <br /> LOT OLOCK_oF_ NO. TVPEOFEDUIPMENT FEE <br /> _ AIR COND. UNITS-N.P. EA. g � <br /> REFRIGERATION UNITS-H.P. EA. <br /> BOILERS-H.P. EA. � <br /> Gn5 FIRED A.C. UNITS-TONNAGE EA. <br /> JOO A�D 5 FORCED nlft SVSTfMS-U.T.U. M Eq, � <br /> � � � WALI HEATERS-A.T.U. M <br /> UNIT HEATERS-B.T.U. ry� � <br /> PLUMBING EVAPORATIVE COOLERS <br /> CLOTHESDflYER$ � <br /> VENTII.ATIpN FAN <br /> RANGEHOOD � <br /> NO. TVPE OF FIXTURE OR ITEM FEE �+IR I1AND�ING UN�T- C.F.M. � <br /> WATEF CLOSETITOILETI 5 INCINERATOR � <br /> BATHTUO <br /> IAVATORYIWA5H0ASIN) <br /> SHOWER � <br /> KITCHEN SINK& OISP. <br /> DISHWASHER SUB TOTAL 5 � <br /> LAUNORYTflAV PGRMIT $ —�- <br /> CLOTHES WASHER TOTALFEE S � <br /> WATER HEATER THIS PEFMIT BECOMES NU�L AND VOID IF WpRK OR CONSTRUC� <br /> URINAL TION AUTHORI2ED IS NOT COM11AIENCED WITHIN 120 DAVS, OR IF <br /> DRINKING FOUNTAIN PEORIOD OFT7�0 AY S AT ANY TIME ADFTER INORK SDCOMMENCED. <br /> FLOOF-SINK OR ORAIN I HEREBV CERfIFY THAT I HAVE REA� AND E%AAIINED THIS AP. <br /> VACUUM BREAY,ERS � PLICATION l�ND KNOW THE SAME TO f3E TRUE AND CORRECT. ALL <br /> ROOF DRAINS-qAW�EADERS --- P�OVISIONS OF LAWS AND OPDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL �E COAIPLIED WIThI WHETHER SPECIFIE� HEREIN <br /> E R, ETC.) A�M Ofi NOT, TME GRANTING OF q PERA11T DOES NOT PNESUME TO <br /> Z1�fT--- GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION <br /> SUA TOTAL ON TME PERFORMANCE OF CONSTFUCTION. <br /> PERMIT 5 <br /> TOTALFEE 5 <br /> SIGNATVREOF�ONTRACTORO�AUTH.AGENT 7AT� <br /> SIDEV4�OSET�ACK STREETSETOACK REARVqqOSET�ACK PLANCHECK NUMBER <br /> P�AN CHECK FEE <br /> FEE FECEIPT NO. <br /> USE 20NE LOT AREA VACANT SITE <br /> ❑vEs ❑NO FEES VALUATION FEE <br /> TYPE Of- CONST. OCCUPANCV GROUP NO.OF DWE�LING <br /> UNITS I <br /> SIZE OF BLDG. NO.OF STOR�ES A1A%.00C. LOAD DUILDING 5 I <br /> — I <br /> FIREZONE GASEMENT FIqESPRINKLEflS P�UMOING � <br /> flEOUIFED <br /> ❑VES ❑NO ��ECHANICAL � <br /> I <br /> SPECIAL CONOITIONS: <br /> OTMER � <br /> I <br /> PENELTV SEC. 3031a1 � <br /> TOTAL � � <br /> PER�11T VALIDATION <br /> WHEN PROPERLY VALIOATED(IN TI115.^.PACEI TIiIS IS VOUR PERAIIT <br /> APPIICqTI�N�LEPT[�BV' PLANSCHECKE09Y: qPPpOVCfIFO¢h ISSUPNCGBV�. <br /> � Y�� <br /> � <br /> --Cr_. __.K <br />