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. . .. .- - —r---_.. . _ _� <br /> Ure Evergreen <br /> ��T� o� CON$TRUCTION everett <br /> everett PERMIT - <br /> ❑tY YALI ]5986E5 <br /> CVfN[i1.1YA5HIN6I0H <br /> 9l101 <br /> �E�� �° ��MM����� BUILDING MECHANICAL PLUMBING <br /> o[viiavuEwr <br /> OWNER MtiIL ADDPE55 ZIP PHONE <br /> I , •,, , , .._ e��ng c�_�Ya_ 1�'l1.-77 <br /> 79DUG'rL 7.. ��.Lti21rCi5 Jr. 77J3A ��-��-y�:i �+isa. �r. �-�- <br /> /1FCHITECT OP DESIGNER MAIL ADDRE55 PHONE LICENSE NO. <br /> GENEfiALCONTRACTOR MAILADDRESS PHONE LICENSENO. <br /> MECHANICALCONTIiACTOR MAIL ADORESS PHONE LICENS[ NO. <br /> � <br /> PLVM�INGCONTFACTOIi MAIIAODRESS PHONE LICENSENO. W <br /> m <br /> � <br /> PERMIT CLASS OF WORK � <br /> Z <br /> [�JBUILOING W:PWMUING uM�CHnNiCA� ~ <br /> ❑NEW ��+ODITION ❑ALTERATION ❑REPAIR � <br /> � <br /> VAIUATION OF WCRK ' W <br /> S ii, .���� r�{� ❑DEMOLI.".li ❑fENCF ❑SIGN ❑SWIMMING POOL a <br /> OESCRI6E WORK �O� A <br /> ��:n cai �rm�agc� an�i a�'3ition to exir�t<_:��3 91:T71Ct4TC v y <br /> PFOPOSGO u$�1 c Eaz^ily Itesic�enc+� MECHANICAL <br /> 3 .�� <br /> TYPEOFFUEL ��Il �NAT. �LPG. �ELEC. <br /> LEGAL DESCRIPTION OF PROPERTV ISHOW DELOW OR ATTACII GAS <br /> FOUqSoP1E5 411�1C �tci hts � FEE <br /> .� v. A, � f� � NO. TVPE OF E�UIPMEN7 <br /> LOT ❑LOCK_OF AIR COND. UNITS-H.P. EA. S � <br /> I RLFRIGERATIONUNITS-H.P. EA. _ <br /> ROILERS-H.P, @A. I <br /> GnS fIREDl1.C. UNITS-TONNAGE EA. <br /> � FORCLD AIR SVSI EMS-0.1'.U. M EA. � <br /> JOB AD��R�.49' i�1Rj('�i'JQOIt W���L H[ATEFS-l3.T.U. M <br /> UNIT HEATERS-D.T.U. M � <br /> EVAPOfiATIVECOOLERS <br /> PLUMBING CLOTHESORVERS � � . <br /> VENTILATION FAN <br /> RANGEHOOD � ^ <br /> AIR HANOLING UNIT- C.f.M. <br /> NQ TVPEOFFIXTUREONITEM F iNCINEaATOR � <br /> WATER CLOSET (TOILET) 3 -- � <br /> �Al'HTUO --'— <br /> I <br /> LAVATORYIWASHBASIhI <br /> SHOWER — 7y��-.�� <br /> KITCHEN SINK& DISP. $UB 70TA� S I <br /> DISHWASHER PEFiM1T 5 <br /> LAUNDRV TRA�' TOTAL FE[ 5 �I <br /> CLOTHES WASIiER � THIS PERMIT 6ECOMES NULL AND VOID IF WORK Ori CONSTHUC- <br /> WATER NEATEA TION I�UTHORIZEO IS NOT COMMENCED WITNIN 720 OAVS, (�R IF <br /> URINAL CONSTRUCTION OR WORK IS SUuoENDED OR AOANDONED FOR A <br /> PERIOD OF 120 �AVS AT ANV TIME AFTER WORK IS COMMENCED. . <br /> ORINKING f-OUNTAIN <br /> FLOOIi-SINK OR DRAIN 1 HEftEf7V CERTIFY TNAT I HAVE i1EAD AND EXAMINGO THIS AP� <br /> PLIC(�TION ANO KNOW�NE SAME TO l3L TRVE AND GORRECT. ALL <br /> VACUVM (1REAKEFiS PpOVIS10N5 OF LAWS AND ORDINANCES GOVERNING TNIS TVPE <br /> ROOF DRAINS-RAINIEADERS � OF WORK WILL OE COMPLIED 6VITH WHETHER SPECIFIED HEfiEIN <br /> SINK ISERVIC[-OAF, ETC.) OR NOT, THE GfiANTING OF A PER�11T OOES NOT PR@SUME TO <br /> GIVE AUTHORITV TO VIOLATE OR CANCEL TIiE PROVISIONS OF <br /> ANV OTH[R STATE OR LOCAI LAW REGUTATING CONST(iUCTION <br /> OR THC PENFORMANCE OF CONSTFUCTION. <br /> SUDTOTAL <br /> PERMIT 5 %� 7'I�•�7 <br /> TOTALFEE $ <br /> x <br /> SIGNATUR[OFCONTRACTORORAVTIi.AGENT DATE <br /> SIDE VARD SETBACK STREET SETUAGK REAR YARDSETRACK PLAN CHECK NUMBEfi PL�IN CHECK FEE p <br /> �n1 �I7�3YZ fEE ��i. OJ RECEIRT.�..`Jl� <br /> USE 20NE LOT APEA VACANTSITE <br /> ❑vEs �No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GPOVP UNIOF DWELLING � <br /> v-� I i . . . ,.., . . <br /> SIZEO;�LOG.' NO.OFSTORIES MA%.00C. LOAO OUILOING S _}� <br /> ��' X�'� 2 PLUMOING � � ', <br /> FIRE ZONE � OAS[MENT FIRESPRINKLERS .�� ., . <br /> YQ$ RfOUIRED �O MECHANICAL I <br /> ❑VES <br /> I <br /> SPECIAL CONDITIONS: OTHER � <br /> PENELTV SEC.3051a1 � <br /> TOTAL I <br /> PERMIT VALIDATION <br /> WHEN PROPLRI.V VALIDATED(IN THIS SPACE)THIS 15 VOUP PEHMIT <br /> APPLILNTIONALCFPTE�9Y. PlANSCNCLK[[l0Y'. APPPOVEO40FIISyJANCEOY. <br /> Q <br /> —tr.. <br />