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the Evergreen � <br /> °�T��F CONSTRUCTI01�! everett I <br /> everett PERMil' <br /> CIiY NAtI }598Bfi5 I <br /> EVEHRi,lVASMINGiON � <br /> 90}01 <br /> OE>i.0(COt�MWW1Y <br /> oE�E,o,�E„, BUILDING MECHANICAL PLUMBING <br /> OWNER MAIL ADDRES£ 21P PIiONE <br /> 'Y'Rs�S �''`'zt''I.L 3S3-5fa�i3 k�02-� <br /> ARCHITECT OH DESIGNER MAIL ADDRE55 PHONE LICENSE NO. <br /> GENERA� CONTRACTOf1 MAIL ADDRE55 PHONE LICENSE NO. <br /> '>>.;j„s� <br /> MECHANICALCONTHIICTOR MAILADDRESS PHONE <br /> LICENSE NO. <br /> PLUMBING CONTRqCTOR MAIL AODRE55 PI10NE � <br /> LICENSE NO. W <br /> m <br /> PEqM1T CLASS OF WORK � <br /> � <br /> QOVILOING � PLUA101NG �MECHANICAL z <br /> [�NEW ❑ADDITION []ALTERATION ❑REPAIR I- <br /> VALUATION/��OF W�O(iY. � <br /> 5 \.WJ�i,al ❑OEMOLI511 ❑FENCE ❑SIGN ❑SWIMMING f'OOL W <br /> DESCRIBE WORK — 1 <br /> ��r���r r��.�:� �=;:��r�rc ��-::� 2218 <br /> PROPOSED USE <br /> MECHANICAL <br /> LFGALOESCRi�TIpNOFPRpPERTYISNOW�ELOWORATTACH TVPEOfFUEL �OIL �Gnj, CLPG. �ELEC. <br /> FOUR COPIES) ,�/��� ,�f <br /> LOT_��BLOCK_oFtL�h'Lr=.�.-�7�tJ /,.Ca� NO. TYPE OF E�UIPMEN7 FEE <br /> AIR COND. UNITS-H.P. EA. 5 I <br /> REFRIGERATION UNITS-H.P. EA. <br /> OOILERS-H.P. EA. <br /> I <br /> GAS FIREO A.C. UNIfS-TONNAGG EA. <br /> FORCED qIR SVSTEMS-D.T.U. M EA. �- <br /> JOO ADDRESS I <br /> �(y� WAIL HEATERS-p,T.U. M <br /> "'�! �^-�% ���Nl UNIT HEATERS-B.T.V. ry7 � <br /> PLUMBING EVAPORATIVECOOLERS <br /> CLOTHESDRYERS � <br /> VENTILATIpN FAN <br /> RANGEHOOD � <br /> I <br /> I NO. TYPE OF FIXTURE OR ITEM FEE �+�� 41ANDLING UNIT- C.F.M. <br /> WATER CLOSET ITOILETI g INCINEqATpR � <br /> BATHTUB <br /> LAVATORV (WASH9ASIN1 -.1— <br /> SHOWER 1 <br /> KITCHEN SINK& DISP. <br /> DISHWASHER SU�TOTAL 5 � <br /> ' LAUND4iY TRAY PEf1A11T 5 <br /> CLOTHES WASNER TOTAL F[E S � <br /> WATEfi HEATER THIS PERMIT DECOMES NVLL qPJD VOID IF WORK OH CONSTRUC� <br /> URINAL TION AUTHORIZED IS NOT COMM1tENCED WITMIN 170 DAVS, 07 IF <br /> I CONSTRVCTION Ofl WORK IS SUSPEN�ED Oq qBANDONEO FOR q <br /> ORINKING FOUNTAIN PERIOD OP 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. <br /> FLOOR-SINK OF. DRAIN I HEREBY CERTIPV THAT I HAVE READ AND EXAMINEb THIS AP� <br /> I VACUVM �REAKEAS P�ICATION ANO KNOW i H@ SAME TO �E TRUE AN�CORRECT. ALL <br /> _ ___ RO=�F �R/1!n!e qnI��EA�ERS PROVISIONS Of LAWS ANO OFUINANCES GOVERNING THIS TVPE <br /> SINK ISERViCE-�AR, ETC.) OF WDRK WIL� pE COMPLIHD WITH WHETHER SP[CIFIEO HEREIN <br /> OR NOT, TNE GFANTING Of- A PERAIIT DOES NOT PRESUME TO <br /> GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTMER STATE OP LOCAI LAW REGULATING CONSTRUCTION <br /> SUR TOTAL �A THE PERFOqMANCE OF CCNSTfiUCTION. <br /> PEfiMIT $ <br /> TOTAL FEE g <br /> X <br /> SIGNATUREOFCONTflACTORORAUTH.AGENT DA E <br /> SIDE VAFD SET�ACK STREET SETliACK pEAR VARDSETOACK PLAN CHECK NUM�ER <br /> PLAN CHECK FEE <br /> _ FEE RECEIPT NO. <br /> US[ ZONL LOT AREA VACANTSITE <br /> ❑vES ❑No FEES VALUATION FEE <br /> TVPL OF CONST. OCCUPANCY GROUP NO.OF DWE�LING <br /> UNITS <br /> _ � <br /> 512E OF BLOG. NO.OF STORIES MAX.00C. LOAD BUILOING 5 I <br /> I 1 <br /> F�qE20NE BASEMENT FINESPRINKLERS P�VM�ING � <br /> qCQUIRED � <br /> GYES ❑NO MECHAPLCAL � <br /> 3PECIAL CON�ITIONS: <br /> ----� OTHER � <br /> I <br /> PENELTY SEC. 30:f la) � <br /> I <br /> TOTAL � <br /> I <br /> PERMIT VALIDATION <br /> WHCN PROPERLV VAII�ATED UN THIS SPpCE)THIS IS VCVR PEFMIT <br /> I <br /> I nrrUUrinrvnC[[ritOnv� r�pNSCHECK[OOW. pPnnOv[Dro01S5UnNc[�v. <br /> i� /. <br /> : � <br /> a <br />