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the Evergreen <br /> CITYOF CONSTRUCTION everett <br /> ev�rett PERMIT <br /> cr•equ I599A65 <br /> evex[�;,�vavuncinr� <br /> se7ai <br /> °"' °oE�E,o;,E„, BUILDING MECHANICAL PLU'i!�'31NG <br /> O1'JNER ess �yMFIL AO�ftE55 �Yi ZIP �s PH`O�NE <br /> e1+�»�� i rTv?� 9M r.• 1Ti 4f�+1 � �� �eV3 J.J��WV" 1�1� <br /> ARCHITECT OR DESIGNER MAIL AO�RESS PMONE LICENSE NO. <br /> GENERAL WNTRqCTOR MAIL AODRE55 PHONE LICENSE NO. <br /> �w�'. <br /> MECIiANICAL CONTRACTOR MAIL ADDRE55 PHONE LICENSE N(1, <br /> �� � <br /> PLUMBING CONTRACTOR MAIL ADDRESS PHONE IICENSE NO. W <br /> ..:..�'a,R:'.� � <br /> PERMIT GLASS OF WOPK � <br /> z <br /> �DUILOING � PLUMBING [�MECHANICAL � <br /> �NEW ❑ADOITION ❑ALTERATION ❑REPAIP � <br /> VALVATIONOF�W,�y 1� ry� � <br /> 5 W�W ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> DESCRIBE WORK <br /> C�•:i ._ .�' :` .;Iif_�,:� �,.;.f: :x".-:u:IdG �a92 <br /> PROP(1SED VSE MECHANICAL <br /> LEGAL DESCRIPTION OF PROPERTV ISHOW BELOW OR ATTACH TVPL OF FUI:L �OIL ❑Gn5 ❑LPG. �ELEC. <br /> FOUP Of'IESI <br /> �hrZ� �N�'T �C��il NO. TVPE OF EDUIPMENT FEF <br /> LOT__ BLOCK—OF qIR CONO. UNITS--11.P. EA. S � <br /> �y�}.� r�,q RFFRIGC:RATION UNITS-H.P. EA. __L <br /> 1 FZ T� iV.Vlt ' � �w'� YilL � - ❑OILEPS-H.L EA. I <br /> GAS FIRED AC. UNITS-TONNAGE EA. <br /> FORC[D AIF SYSTEMS-O.T.U. M EA. I <br /> JO� ADDRESS WALL NEATERS-B.T.U. M <br /> tta2 3',;�",;^3�.,tJ <br /> UNIT NEATEFS-O.T.U. M f <br /> EVPPORATIVECOOLEPS <br /> PLUMBING CLOTII[S CR�ERS i <br /> VENTILATIONFAM � <br /> RANGEHOOD I <br /> N . TVPE OF FIXTURE OH ITEM :'E[ n�R MANDLI�IG UNIT- C.F.M. <br /> WATERCLOSETITOILETI S - - INCIHERt.TOR � I <br /> BATHTUB � <br /> LAVATORV(WASH BASIN) I <br /> SHOWER <br /> KITCHENSINK& UISP. SU6TOTAL S � <br /> DISHWASHER PERMIT 5 +}�— <br /> LAUNORY TFiAV TOTAL FEE 5 �W <br /> CLOTHES WASNER THIS PERMIT DECOMES NULL AND VOID IF WORK OR CONSTRUC- <br /> WATEft HEATER TION AUTHOFIZED IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br /> UfiINAL CONSTRUCTION OR WOPK �S SVSPLNDEO OR l.BANOONED FOR A <br /> ORINKING FOUNTAIN �'ERIOD OF 120 Dl1VS /lT ANY TIME AFTER WORK IS COMMENCED. <br /> FLOOR-SINK Ofl DRAIN I HEFE6V CERTIFV THAT I NAVF READ AND E%4M111NEU TNIS l�P� <br /> VACUUM 0{iEAKERS PLICATION AND KNOW THE 5l�ME TO 6E TRUE AND CORRECT. ALL <br /> Fi00F �fil�INS-RAINLEADERS P�OVISIONS OF LAWS ANO ORDINANCES GOVEi1NING THIS TVPF. <br /> Of- WORK WIL� BE COMPLIED WITH WNETHER SPECIFIED HF:REIN <br /> SINK(SERVICE-�AH, ETC.1 ' OR NOT, TME GRANTING OF A PERMIT OOES NOT PRESUME TO <br /> � GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIOkS OF <br /> ANV OTHER STl�TE OR LOCAL LAW REGULATING CONSTRUCT�ON <br /> OR THE PERFORMANCE OF CONSTFUCTION. <br /> SU6 TOTAL <br /> PERMIT 5 <br /> TOTALFEE 5 �� <br /> X <br /> SIGNATVfiEOFCONTRACTOFiORAUTH.AGENT ��1T[ <br /> SI�EV�SET�ACK STREET�70ACK REARVAR�ETBACKPLANC C�I MBEF PLANCHECKI'�GE <br /> � C � FEE �C� REC@IP_T NO. <br /> USE 20ME LOT AREA VACANT SITE <br /> +wi wi <br /> �y <br /> C+�YES ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP UNITOS DWELI.ING � <br /> � �)� <br /> SIZE OF ULOG. NO.Of�STORIES MAX.00C. LOAD �UILDING 5 �(.iiy�w �� W <br /> a � M <br /> PLUMBING p(� µr <br /> FIFEZONE 6ASEMENT FIRESPRINK�LE"R'S <br /> 3 �7� � ❑vESED �v0 MECHANICAL <br /> x�l � <br /> SPECIAL CONOITIONS: OTHER � <br /> I <br /> PENFLTY SEC.�03(a) I <br /> TOTAL � 1� <br /> PERMIT VALIDATION <br /> WHEN PROPERLV VALInATED(IN THIS SPACE)THIS IS VOUR PERMIT <br /> AP�LILATIONACL'[PTEDOV: PLANSCNCCKEDpY: APPFOVtO(OIiiSSUANCE�Y. <br /> L G � C� Z.r C�JF�'� C. <br /> � <br />