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rhe Evergmen <br /> ��,Y �� CONSTRUCTION everett <br /> everett PERMIT I <br /> ❑lY1�Ml ]59AA0.5 <br /> fV[(Ifli,p'qSNINGION <br /> 981nt <br /> "`°' °"°",M°�"" BUILDING MECHANICAL PLUMBING <br /> ocvEiarn�cwr <br /> OWNER MAILADDRE55 21P PHONE <br /> uT^�.�% l�`•."* i'iC.� '�'+�' r��.._.-.r, .,`� �� <br /> ARCHITECT OR DESIGNER MAIL ADDI'.E55 PHONE LICENSE NO. <br /> GENERALCONTRACTOR MAILADDRE55 rHONE LICENSENO. <br /> .�:�e..�. r��:�:�'?� <br /> MECHANICALCONTRACTOR MAILAODRESS PHONE LI(ENSENO. <br /> PLUMHINGCONTHACTOR MAILAD�flESS PHONE LICENSENO. � <br /> W <br /> m <br /> PERMIT CLASSnFW/1qK � � <br /> � <br /> z <br /> ��UILOING � PLUMOING �MECHANICAL F <br /> ❑NEW �ADOITION ❑ALTERATIOI.I ❑REPAIR � <br /> VALUATION OF WOR/Ky� � <br /> 5 ��W ❑DEMOUSH ❑FENCE ❑SIGN ❑SWIAIMING POOL w <br /> DESCqIBE WOHK � <br /> -.��t .y.�, 1g7Q <br /> PROP05ED USE <br /> MECHANICAL <br /> TYPEOFFUEL �OIL QNAT.�LPG. �ELEC. <br /> L[GAL D[SCRIPTION OF PROPEFTV ISHOW OELOW OR ATTACN GAS <br /> FOUR CO IE51 �y� <br /> LOT � oLOCK"�F � �� '�' �t � NO. TVPEOF E�UIPMENT FEE <br /> AIR COND. UNITS-H.P. EA. $ I <br /> REFRIGERATION UNiTS-H.P. EA. <br /> DOILEflS-H.P. EA. � <br /> GAS FIRE� A.C. UNITS-TONNAGE EA. <br /> FORCED AIR SVSTEM1IS-�.T.U. M EA. � <br /> JOB ADDRESS WALL HEATEfiS-�.T.U. M <br /> � F:R".'.� ��i.� — <br /> UNITl1EATERS-O.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING CIOTNES DqYERS <br /> i <br /> VENTILATION FAN <br /> RANGEHOOD � <br /> N0. TVPE OF FI%TURE OR ITEM FEE <br /> AIR HANDLING UNIT- 0.F.M. <br /> WATEiiCLOSETITOILET) 5 INCINERATOq � <br /> BATHTU[3 <br /> 1 <br /> LAVATORVIWASHBASIN) � <br /> SHOWER <br /> KITCHEN SINK& DISP. SUB TOTAL 5 <br /> - I <br /> DISHWASHER P@qMIT 5 <br /> LAVN�RV TRAV 7 <br /> TOTAL FEE 5 � <br /> CLOTHES WASHER THIS PEftMIT �ECOMES NULL ANU VOI� IF WORK OR CONSTfiUG <br /> WATER HEATER TION AUTHORIZED IS NOT' CObiMENCED WITHIN 120 OAVS, UR IF <br /> VflINAL CONSTRUCTION Oq WORk I: SUSP[NOE� OP AUnNDONED FOR A <br /> DRINKING FOUNTAIN PERIOD OF 120 DAVS AT ANY TIME AFTER WOFK IS COMMENCED. <br /> FLOOR-SINK OR DRAIN I HEREOV CEFTIFY TNAT I HAVE FEAD AND CXAMINEf] THIS AP. <br /> VACUUM �REAKERS PLICATION AND KNOW TH[SAML TO�E TRUE AND CORRECT. qLL <br /> HOOF DRl11N5-RAINLEAOEFS PROVISIONS OF LAN'S AND ORDIN11NCE5 GOVERNING THIS TYPE <br /> — OF WORK WILL BE COAIPLIGD WITH 7VHETHE1i SPECIFIEO HEREIN <br /> SINK (SEHVICE-OAR,ETC.) Ofl NOT, THE GRANTING OF A PER�UT DOES NOT PRESUME TO <br /> GIVE AUTHORITV i0 VIOLATE Oli CANCEL THE PROVISIONS OF <br /> l�NV OTNF_q STnT[ UR LOCAL LAW REGULATING CONSTRUCTION <br /> _ OR THL FERFORh1ANCE OF CONSTRUCTION. <br /> SUO TOTAL <br /> PERMIT S <br /> TOTAL FEE 5 x �� <br /> ..� <br /> SIGNATUREOFCONTRACTOROR�1UlH.AGCNT DATE <br /> SIOEYARDSET[7ACK STREETSET�ACK REARYARDSETBACKPLANCIIECKNU�10ER PLANCHECKPEE <br /> USE 20NE LOT APEA VACANT S�TE f�� FEF. `�j �,� REf,=1PT NO. <br /> a�v- � �y <br /> ❑rE5 ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING <br /> UNITS � <br /> SIZE OF �LDG. NO. OF STOFIES MA%.00C. LOq� �UILDING 5 Jr�I � �/.1 <br /> �— <br /> PLUMDING I <br /> FIRELONE BASEMENT FIRESPqINKLERS 1 <br /> RCOUIREO � — <br /> ❑VES ❑NO MECHAPlICAL � <br /> SPECIAL CONDITIONS: OTHER � <br /> I <br /> PENELTV SEC. 3031a) I <br /> TOTA� '� � <br /> . PERMIT VALIDATION <br /> WHEN PROP[fiLV V ALIDATED(IN THIS SPAC[I Tf115 IS VOUR VEiiM1T <br /> APPIICNIONACCCPiC��V: i'LANSCNKKEDOY'. AVPNOVEDFORISSUANCCfIV. <br /> � C� <br /> � <br />