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� the Evergreen � - �- <br /> I <br /> =�TY oF CONSTRUCTION everett <br /> everett PERMIT <br /> ntr�au tssfiefie <br /> EVFNFii.tvaYUNcrn4 <br /> 9S?CI <br /> °"` °"°,',°°.:," gUILDING MECHANICAL PLUMBING <br /> o[vciocc.E��r <br /> OIVNER MAII ADOflESS 21P PfiONE <br /> JAX �1i:Ft4'lE � L'�FF7�3� ��'� <br /> ARCHITECT OF�ESIGN[fi MAII.qODRE55 PHONE LICLNSE NO. <br /> GENERpA�L�CONTRqCTOR MAIL ADDRE55 PNONE LICENSE NO. <br /> HiI�IT' <br /> MECHANICALCONiFACTOR MAIL ADDRE55 Ph10NE ' LICENSE NO. <br /> PWM�ING CONTRACTCIR MAIL ADDRESS PHONE LICENSE NO. � <br /> W <br /> m <br /> PEFMIT CLA55OF WORK � �� <br /> _� <br /> [30UILOING � PLUMBING �MECHANICAL z <br /> ❑NEW ❑ADDITION ❑ALTERATION �REPAIR ~ • <br /> VALUATION OF WORK � <br /> 5 ��� ❑DEMOLISH ❑F@NCE ❑SIGN ❑SWIMMING POOL W <br /> DESCRIB[WOFK — <br /> a <br /> ��• 1�C�' �X!" t!. rr-�� d 94 <br /> . <br /> PROPOSEO VSE <br /> MECHANICAL <br /> LC.GAL DBSGHIPTION OF PROPERTV �SHOW�ELOW OR ATTACh— TYPE OF FUE� �OIL ❑GAS ❑LPG. �EL[C. <br /> FOV•N�COfPaIE51 t ' <br /> Loraa�i� i{i_OCK�loF Q'n��"'�*7�.�i'='�� � NO. TVPE OF E�UIPMENT FEE <br /> l�IR COND. UNITS-H.P. EA. 5 I <br /> R[FRIGERAiION VNITS-H.P. EA. <br /> --��OILERS-H.P. EA. � <br /> GAS FIRED A.C.UNITS-TONNAGE EA. <br /> FORCED AIR SVSTEMS-B.T.U. M EA. � <br /> JOE3 ADDRESS LVALL HEATERS-O.T.U. M <br /> �r r��� VNITHEATERS-B.T.V. M � <br /> PLUMBING EVAPORATIVE COOLERS <br /> CLOTHES DRYER$ � <br /> VENTILATION FqN <br /> _ � <br /> RANGEHOOD � <br /> NO. TYPE OF FIXTURE OR ITEM FEE A�A ��ANDLING UNIT- C.F.M. <br /> N'ATER CLOSET ITOILET) g �NCINERATOR � <br /> Bl�THTU6 '- <br /> _ LAVATONY�WqSH �ASINI "-""'�-"� � <br /> SHOWER <br /> KITCHEN SINK & �ISP. — <br /> ' SUB TOTAL 5 <br /> DISFIWASNEq � <br /> LAUNDRYTRAY �ERMIT 5 T <br /> CLOTHESWASHER TOTALFEE $ � <br /> WATER IiEATER THIS PERMIT gECOMES NULL ANO VOID IF WOP.K OR CONSTRVC- <br /> TION AUTHORI2ED IS NOT �OMMENCEU 'NITIiIN 120 DAVS, OR IF <br /> _ URINAL CONSTRUCTION OR WORK IS SUSPEhDED OP A6ANDONED FOR A <br /> _ DFINKING FOUNTAIN PERIOD OF 120 DAVS AT ANY TIME AFTER WORK I$COMMENCED. <br /> FLOOR-SINY, pR DRAIN 1 HEREBV CERTIFY THAT 1 HAVE (7EAD AND E%AMINED THIS AP- <br /> VACV VM IIRLAKERS — PLICATIDN AND KNOW THE SAh1E TO OE TRUE AND CORRECT. ALL <br /> POOf DRAINS-FAWLEAOERS PROVISIONS OF LAIYS AN� OflDINANC[5 GOVERNING THIS TVPE <br /> OF WOFlK WIL� BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> SINK (5[RVICE-!7/\R, ETC.) OR NOT, THE GRANTING OF A PERM1IIT COES NOT PRESUIdE TO � <br /> -- GIVE AUThORITY TO VIOLATE OR CANCEL THE PROVISIONS OF I <br /> ANY OTHER STATE Oq LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PcRFORMANCE OF CONSTRVCTION. <br /> SV� TOTAL <br /> PERMIT S <br /> TOTALFEE $ <br /> $GNATVREOFCONTRqCTOFORAUTH.AGENT DATE� <br /> SIDE YARD SETOACK STREET SET�ACK FEAR VARDSETBACK P�AN CHECK I�UMOER PLAN CHECK FEE <br /> FEE IiECE1PT NO. <br /> USE 20NE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GRDUP NO.OF OWELUNG — <br /> UNtTS <br /> I <br /> SIZE OF 6LOG. NO.OF STORIES MA%.00C. �OAC� DUIIDING $ I <br /> PLUM�ING � <br /> FIRE30NE 6ASf`MENT PIqESPPINKLEBb � <br /> RCOUIRED <br /> ❑VES ❑Np MECHANICAL � <br /> 1 <br /> SPECIAL CON�ITIUNS: OTHER I <br /> 1 <br /> P@NGLTY SEC.J031a1 I <br /> TO7AL � <br /> PERMIT VALIDATION <br /> WH[N PROPERLV VALIDATEO IIN THISSPACL)THIS IS VOUIi PEflM1T <br /> nwt�cnTioNnccEviFo�P vLnNSCH[crcEoev� nVoqovEOFOBI55unrvC.EOr. � <br /> �, r.. <br /> �. c•� � <br />