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the Evergrr.en ' <br /> =�T��� CONSTRJCTION everett <br /> everett PERMIT <br /> fRY 11q11 }y968B5 <br /> [VEPEiI.W45NINGLON <br /> 93101 <br /> °`°` °oE E,o;;�„, BUILDING MECHANIC�L PLUMBING <br /> OWNE{i ♦ y� p/�y �{ MAIL AODflE55 ZIP �y PMONE <br /> SI�i�.i� il l���'�.i{./�.�lrf IY�S.��Z� q�•• !� <br /> �L"�t 1 I <br /> ARCIi1TECT OR OES�GNER MAIL AODRE55 PNONE 'LICENSE NO. <br /> GENaER`AL CONTiiACTOR MAIL ADDRE55 PHONE LICENSE NO. <br /> �S-� <br /> MECHANICALCONTRACTOR MAILADDRE55 PHONE LICENSENO. <br /> PLUMBING CONTRACTOR MAIL AOURE55 PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASSOF WORK � <br /> � <br /> �]DUILDING �PLUMDING �MECHANICAL Z <br /> �NE�V ❑AOOITION ❑ALTEqi1TION ❑R[PAIR ~ <br /> VALUATION OF WOAK � <br /> 5 ��� ❑DEMOLISN ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> DESCRIBE WOPK <br /> c���3:--r�; s:;,-; : ,.-�..Y _-�-�,*.�r�o 2119 <br /> PqOPO!�E� JSE <br /> MECHANICAL <br /> - LEGAL DESCRIPTION OF PROPERTV(SIiOW OE�ftW OR ATTACIi TVPE OF FUEL �pIL �GnS. '�LPG. (�ELEC. <br /> FOUR COPIESI ' <br /> k�-- LO7 ULOCK—OF NO. TYPE OF E�UIPMENT FEE <br /> AIR COND.UNITS-H.P. EA. 5 I <br /> T ��� 6,� ylfN\_;� REFRIGERATION UNITS-H.P. EA. <br /> ''� � B"�`� � �¢�� BOILERS-H.P. EA � <br /> GAS fIRED A.C. UNITS-TONNAGE CA. <br /> FORCE�AIR SVSTEMS-�.T.U. M EA. I <br /> JOD ADDR[SS �r p� WALL NEATE(iS-B.T.U. M <br /> "^� ��`Y� UNIT HEATERS-�.T.U. M I <br /> EVAPOIiATIVECOOLERS <br /> PLUMBING CLOTHES ORVERS <br /> i <br /> _ V[NTILATIONFAN 1 i <br /> RANGEHOOD � <br /> NO. TVPE OF FIXTURE OR ITEM FEE A�R HANDLING UNIT- C.F.M. I <br /> WATERCLOSETITOILET) 5 T INCINERATOR � <br /> BATHTUB <br /> LAVATORVIWASH �ASIN) � <br /> SHOWER <br /> KITCHEN SINK& DISP. SU�TOTAL S <br /> OISNWASHER � � ` <br /> PERMIT S <br /> LAUNORY TRAV <br /> TOTAL FEE 5 I <br /> CLOTHESWASHER <br /> — THIS PERAiIT DECOMES NUl L AND VOID IF WpRK OR CONSTRUC� <br /> WATER HEATEFi TION l�UTHORIZED I£ NOT COMMENCED WITHIN 720 OAVS, OR IF <br /> URINAL � CONSTRUCTION OR WORK IS SUSPENOED OR A�ANDONED FOH A <br /> �RINKING FOUNTAIN PERIOD OF 120 OAVS .\T ANY TIME APTER WORK IS COMMENCED. <br /> F�OOR-SINK OR ORAIN � I HERE�Y CEFTIFY TH4T I HAVE REi1D AND E%AMINED THIS AP� <br /> VACUUM OREAKERS PLICATION AND KNOW THE SAME TO �E TRUE AND CORRECT. ALL <br /> � PROVISIONS OF LAWS AND OR�INANCES GOVERNING THIS TVPE <br /> ROOF OflAINS-RAINLEADERS OF WORK WILL DE COMPLIED WITH tVNETHER SPECIFIED HEFEIN <br /> SINK I:LRVIGG�-D/1R, ETC.) �— OR NOT, TFIE GRANTING Of A PEfiMIT DOES NOT PNESUME TO <br /> GIVE AUTHORITY TO VIOIATE OR CANCEL THE PIiOVI510NS OF <br /> � ANV OTHER STATE OR LUCAL LAW REGUTATING CONSTRUCTION <br /> OR THE PERFURMANCE OF CONSTRUCTION. <br /> SU� TOTAI <br /> PEFiMIT $ <br /> _ lOTl,L FEE 3 � _`- ` <br /> X �{1..')rj'( <br /> SIGNATUqEOFCONTRACTORORAUTH.AGFNT DAT[ <br /> SIDE VA�v SETDACK STREEZ�TDACK RE/�Y�RDSETQACK PLAN f.HECK NUMBEF PLAN CHECK FEE <br /> �" ��� �.� fEE RECEIPT NO. <br /> USEZON6� LOTAREA VACANTSITE <br /> =j5ij� <br /> •t��di <br /> �vES ❑NO FEES VALUATION FEE <br /> TVPE OF WNST. OCCUPANCY GROUP NO.OF OWF�LING <br /> UNITS j � <br /> SIZE OF OIOG. NO.OF $7ppIES MAX.OCC. LOAD BUILOING q �t�'�� <br /> 85317.L <br /> PLUMBING L '� <br /> FIRE Z NE DASEMENi FIRESPPINKLERS <br /> � `1 flE�UIRE� �„yl M <br /> ❑vE5 �NO MECNA�JICAL �,y w <br /> SPECI�IL CONDITIONS: OTHEP � <br /> I <br /> PENEITV SEC.3031a) I <br /> TOTAL �"� � <br /> PERMIT VALIDATION <br /> — WHEN PROPERLV VALIDATEO pN THIS SPACE) 1H15 IS YOUR PERMIT <br /> �VPUC�TIONACCFPTEOBY: PLANSCNECKEOPY: NPPpUVEDfOPI55U�NCEpY. <br /> � C� �i'i � <br /> � <br /> —t� _r. <br />