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I the Evergrcen <br /> ��TYo�- CONSTRUCTION everett <br /> everett PERMIT <br /> C11Y NALL 259BBA5 <br /> NfflE11,1VA5NINGI4N <br /> 9g}QI <br /> °E°' °' °°M�°�"' BUILDING MECHANICAL PLUMBING <br /> o[v[�ovrn[nt <br /> OWNEP MAIL AODRESS ZIP PMONE <br /> Feclerai Lanci ?3ank n�s.:�. Isr,x :i07 TMr. 'lar.nou, a32T3 433-dlii 11h0-;7 <br /> ARCHITECT OR DESIGNER MAIL ADDRE55 PHONE LICENSE NO. <br /> �r;�zuit, �u:.terPicel�,Froks 25«-3304 <br /> GENERAL CN^iRACTOR MAIL ADDPESS �MOME LICENSE NO. <br /> *;sstrxd, Inc. T.O. sox 36G, '.tnun� voraoa 4'LJ-1�21 �U_SY-1z-2SU� <br /> MECHANICAL CONTRACTOH MAIL ADDRE55 PHONE LICENSE NO. <br /> Citp ::tntincT L Sheek Y,etal ?.52-215f, <br /> PLUM�ING CONTflACTOR MAIL ADORESS PHONE LICENSE NO. � <br /> W <br /> 1'ur»a Fl�q. 401 ::ain Sl•. "ounc Vernor. 33G•�3G87. � <br /> PERtA1T CLASS OF WORK z <br /> [�.6ULLDING QPLVMf31NG �]+ MECHANICAL ~ <br /> QNEW ❑AODITION ❑ALTEflAT10N ❑REPAIR � <br /> VALUATION OF WORK � <br /> f�1� 7rj'� 1JO ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING PDOL W <br /> S a <br /> DESCRI�[WORK 2915 <br /> c�ff�ce uuildin� <br /> PROPOSE�USE MECHANICAL <br /> �t;SAilOii OLF�C@ TYPE OF FUEI �OIL �N�T. �LPG. �ELEC. <br /> LEGAL DESCii1PTION OF PpOPERTV ISHO\Y�ELOW OR ATTACH GAS <br /> FOUR CpPJES�� ��g PZCt O� LVQ'Tn�t NO. TYPE OF E�UIPMENT FEE <br /> LOT a S OLOCK—OF Alfl COOID. UNI75-�i.P. EA. 5 � <br /> REFRIGERATION UNITS-H.P. EA. <br /> BDILEfiS-H.P. EA. � <br /> GAS FIHED A.C. UNITS-TONNAGE EA. <br /> fORCED AIF SYSTEMS-B.T.U. M EA. � <br /> J��ADl�g� LvV�tti �VCnU� WALL HEAT[RS-B.T.U. M <br /> 1U <br /> UNIT HEATGRS-B.T.V. M � <br /> EVAP01iATIVECOOLERS <br /> PLUMBING CLOTHES DRV[PS � <br /> �. VENTILATION FAN <br /> RANGGHOOD � <br /> AIF HANDLING UNIT- QF.M. <br /> N TVPE OF FIXTURE OR ITEM F i �CiN �n oq � <br /> � WATEF CLOSETITOILET) 5 � � + <br /> � <br /> BATIiTUB <br /> .. LAVATORY IWASH BASINI � <br /> SliOWER <br /> j KI I bHtIV pl%M1 b UISP. SV�TOTAI_ .� � <br /> �ISHWnSHER PEPMIT 5 e �� � <br /> LAUNOFV TRAV TOTAL FEE 5 1'�I ' <br /> CLOTHES WASHER THIS PERMIT BECOMES NVLL AND VOID IF N10RK OR CONSTRUC- <br /> WAiER HEATER TION AUTHORIZED IS NOT COM1IMENCE� WITHIN 120 DAYS, OR IF <br /> URINAL CONSTRVCTION OR WORK IS SUSPENDED OR AOANDONEO FOR A <br /> DRINKING FOUNTAIN PERIOD OF 1:� DAVS AT ANV TIME AFTER WORK IS COMMENCED. <br /> FLOOfi-SINK OP DRAIN I HEf�EDY CERTIFV 1'HAT 1 HAVE READ AND E%AMINED 'fH15 AP� <br /> PLICATION AND KNOW THE SAME TO DE TFiUE AND CORRECT. ALL <br /> VACUUM �REAKERS PROVISIONS OF LAWS AND OROINANCES GOVERNING TI115 TVPE <br /> qOOF DRAINS-RAINLEAOERS OF WORK WILL �E COh1PL1ED WITH WHETH[R SPECIFIED HEFEIN <br /> SINK (SERVICE-DAR,ETC.) OR NOT, THE GRANTING OF A PGRM1IIT UOES NOT PRESUME TO <br /> GIVE AUTHOfiITV TO VIOLATE OR CANCEI THE PROVISIONS OF <br /> �1NV OTHER STATE OR I.00AL LAW REGUIl�TING CONSTRUCTION <br /> ^ OR THE PERFOflMANCE OF CONSTRUCTION. <br /> SUU TOTAL ^ yn/�Q,y�4,�-� (tT..r (,rv.,�.,� <br /> PEIiM1T 5 ��`1''� /� //— <br /> TOTALFEE 5 - � �/��'�`—^�) ^ 7Iw1�77 <br /> ��P..Vt.�A--�r/'�'�t <br /> SIGNATUREOFCONTRAGTOROflAVTH.AGENT OATE <br /> SI�EVARDSEiDACK STREETSETBACK REARYA DSET�ACKPLANCN[CKNUMBER PLANCHECKFEE <br /> a/� ��/]t :;rr FEE RECEIPT NO. <br /> 77/912 I73. S5 7.743] <br /> USE 20NE LO�111(i�A n p�. VA�yC�ANT SITE <br /> F� � '��I� �JVES ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GHOUP NO.OF DWELLING � <br /> V�� �.�'2 UNITS <br /> � <br /> SIZE OF OLOG. NO.OF STORIES MA%.00Z.QLOAD �UILDING 5 � � �� � � � � <br /> d"'x53' � �, � ? <br /> PLUMOING ,� <br /> FIRE20N[ BASEMENT FIRESPRINK�ERS <br /> 2 afOl�aE AEOUIRED � MECHANICAL I <br /> ❑YES Q�`�O <br /> I <br /> SPECIAL CONDITIONS: OTHER � <br /> PENELTV SEC.3091a) � <br /> J I . <br /> TOTAL I <br /> PERMIT VALIDATION <br /> WHEN PROPEflLV VALIOATED (IN THISSPACEI TH1515 VOUR PERM11IT <br /> I <br /> I '.uC..i�J�........�.,,u�. ' MniCnCi�E�Ei^ • ..ifPOV[01JF1:��'�.C..r I <br /> .l• r 3 � <br />