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the Evergreen <br /> GTYOF � CONSTRUCTION everett <br /> everett PERMIT � <br /> cnr r�nu rsvea:s <br /> 6'ENER.IVFSNIN6tON <br /> 9B}01 <br /> ocrr �, �o,.,���,�r. (3UILDING MECHANICAL PLUMBING <br /> OFVEIOPMENi <br /> OWNER MAILADDRESS 21P PHONE <br /> ,;z3. Stp�:li� It. "at�ot� 3D06 �:ver�tt �ve. 2�2-35�3 37e-;7 <br /> ARCHITECT OR UESIGNER MAIL AODRE55 PHONE LICENSE NO. <br /> GENERALCONTRACTOR MAILAOORE55 PNONE LIG6NSbN0. <br /> .�'.dTIIC <br /> MECHANICALCONTRACTOR MAILADORESS PHONE LICENSENO. <br /> PLUMBING CONTRACTOR MAII ADDRESS PHONE LICENSE NO. � <br /> W <br /> m <br /> �ERMIT CLASS OF WORK � <br /> z <br /> �BUILDING � PLUM6ING �MECHANICAL �-- <br /> [_jNEW ❑AODITION ❑ALTERATION �REPAIR � <br /> VALlrAT10N OF WORK (Y <br /> 5 �4, (�� ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> OESCRIB[ ORK <br /> �e-zoor ahnci au�I garaye 8:':air 9upForta and floor z�86 <br /> PROPOSED USE <br /> �dT3_�P MECHANICAL <br /> IFGA�0E5CRIPTION OF PROPERTV ISHOW BELOW OR ATTACH T�PE Of fUEL �OIL �G^S. �LPG. �ELEC. <br /> FOUR COPIESI <br /> LOT � BIACK r 3aoF GMal'K�`llg '�"Yd 1�i�C NO. TVPE OF EQUIPMENT FEE <br /> AIR COND. UNITS-H.P. EA. S I <br /> REFRIGENATION UNITS-H.P. EA. --� <br /> BOILERS-HP. EA. � <br /> GAS FIRED A.C. UMTS-TONNAGE E/1. <br /> FOFCED AIFi SYSTEMS-6.T.U. M EA. I <br /> JOB AODRESS WAIL HEATERS-�.T.U. M <br /> 3aOU I.VUSQCC 11�it?Ilue UNIT NEATERS-I3.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTHLSDRVERS � <br /> VENTILATION FAN <br /> ftANGEHOOD I <br /> AIR HANOLING UNIT- C.F.M. <br /> NO. NPE OF FIXTURE OR ITEM FEE INCINERn70R I <br /> WATEFi CLOSET ITOIIETI 5 <br /> BATHTV� <br /> LAVATORV IWASH BASIN) I <br /> SHOWEF �— <br /> KITCHEN SINK& DISP. SUB TOTAL 5 f <br /> I <br /> DISHWASHER PERMIT 5 <br /> LAUNDRYTqAV TOTALFEE S <br /> I <br /> CLOTHES WASHER THIS PERMIT BKOMES NULL AND VOID IF 'NORK OR CONSTRUG <br /> WATER HEATER TION AUTNOPIZED IS NOT COMMENCED WITHIN 120 OAVS, OR IF <br /> UPiNAL CONSTRUCTION OR WOkK IS SUSPENDED OR A6ANDONED FOR A <br /> DRINKING FOUNTAIN ' PERIOD Of 120 [)AVS AT ANV Tlh'F AFTEft WORN IS COMMENCED. <br /> FLOOR-SINK OR ORAIN { I IIEREOV CERTIf-V TNAT I HAVE READ AND E%AMINED THIS AP- <br /> VACUU�1 �REAKERS PLICATION AND KNOW'fHE SAME TO E3E TRUE ANO CORRECT. ALL <br /> Ii00f- DFAINS-RA�NLEADERS P��VISIONS OF LAWS AN� OR�INA�CES GOVERNING THIS TVPE <br /> . OF WOFiK WILI �E COMPLIEO WITH '.VHETHER SPECIFIED HEREIN <br /> SINK (SERVICE-OAR, ETC.1 OR NOT, THE GRANTING OF A PER,.:'T OOES NOT PRESUME TO <br /> GIVE AVTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTNLR STATE Ofi LOGAL LAW REGULl�TING CONSTRUCTION <br /> OR THE PEflFORh1ANLE Of- CONSTFUCTION. <br /> SU8 TOTAL <br /> PERMIT S <br /> TOTAL FEE $ 6,�.Q�77 <br /> x <br /> SIGNATUREOFCONTRACTORORAUTH.AGENT OATL <br /> SIDEVARDSET�ACK STREETSETOACK REARVARDSETBACKPLANCHECKNUMAER PLANCHECKFEE <br /> FEE RECEIPT NO. <br /> USEZONE LOTAREA VACANTSITE <br /> ❑vE5 ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROVP UNITS �WELLING I <br /> 512E OF ALDG. NO.OF STORIES MA%,OCC. LOAD BUILDING $ J 4' � ,I � <br /> 1 <br /> PIUMBING � <br /> FIqE20NE 6ASEMENT FIRESPRINKLERS I <br /> RCQUIRED I <br /> ❑VES ❑NO MECHANICAL � <br /> SPECIf1L CON�ITIONS: OTHER � <br /> I <br /> — PENEITY SEC. 30J lal I <br /> TOTAL �� <br /> I <br /> PERMIT VALIDATION <br /> WHEN PHOPERLV VALIOATED IIN THIS SPl�CE) THIS IS VOUR PERMIT <br /> nrrucnrinnncc[vrmov� ��amscr�ccKcom. nrrnov[�ro rssunHccor. <br /> �r . <br /> r <br /> 1 � <br />