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the Evergreerr <br /> ��T, oF CONSTRUCTION everett <br /> everett PERMIT <br /> CiIYI�ALL 159fiAd5 <br /> cvEnElt.C:as�uNcror+ <br /> ]9201 <br /> °E°� °°�°'",°':��° gUILDING MECHANICAL PLUMBINCa <br /> oevnuvv.tar <br /> OWNEfl MAILADDRESS ZIP PHONE <br /> "� ;iC3;�":. ?";`%.�,i:t`7 <br /> ARCHITECTORDESIGNER MAILADDRESS PHONE ll':ENSENO. ��';�� "�I <br /> � GENERAL CONTRACTOtR MAIL ADDRESS � PHONE LICENSE NO. <br /> e�� � Q�5.4�.. J'i���'�y <br /> ✓ <br /> MECHANICAL CUNTflACTOR MAIL ADDRESS PHONE LICENSE IJO. <br /> � <br /> PLUMBING CONTRACTOR MAIL AODRESS PHONE LICENSE NO. W <br /> m <br /> � <br /> PERMIT CLASSOFWORK � <br /> z <br /> �DUIL�ING � PLUMBING �ME^.HANICAL �- <br /> ❑NEW ❑AODITION ❑ALTEFATION ❑FEPAIR � <br /> VALUATION OF WORK � <br /> ❑DEMOLISH ❑F[NCE ❑S!GN ❑SWIMM111Nt3 POOL W <br /> 5 ��:��.'�Q a <br /> DESCRIBL WORK rl'I 6� <br /> L.l.O <br /> .•63Q'..�C'�. � �idi�"t <br /> PROPOSED USE MECHANICAL <br /> TVPEOFFUEL �OIL ❑GAS ❑LPG. �ELEC. <br /> LEGAL DESCRIPTION OF PROPERT� ISHOW�ELOW Ofi ATTACH <br /> FOUR COP�E51 — <br /> NO. TYPE OF EQUIPMEN7 _ FEE <br /> LOT �IOCK_OF q�q COND. UNITS-H.P. F.A. 5 � <br /> REFRIGERATION UNITS-H.P. EA. <br /> 601LER5-H.P. EA. � <br /> � GHS fIRED A.C. UNITS-TONNAGE EA. <br /> ! FORCEO Alft S�STEMS-B.T.LL M EA. I <br /> . JOB ADORE55 WALL NEATEftS-B.T.U. M <br /> � t;t'tl�� T .� UNIT HEAIERS-B.T.U. M � <br /> .._ U�=e�..Y1�.,; <br /> EVAPORATIVECOOI �FS <br /> ' PLUMBING CIOTHESDRVERS � <br /> VENTILATION FAN <br /> RANGEHOOD � <br /> AIR HANDLIN� UN'T- C.F.M. <br /> NO. TVPE OF FIXTURE OR ITEM FEE INCINERArOR � <br /> WATER CLOSETITOILET) 5 —� <br /> BATHTU6 <br /> LAVATORYIWASHBASIN) I <br /> SHOWER <br /> KITCHEN SINK & DISP. :iUB TOTAL S � I <br /> OISHWASHEft PEFMIT 5 <br /> LAUNDftV TRAV TOTAL FEE 5 I <br /> CLOTHES WASHER THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC� <br /> WATEP HEATER TION AUTHOFIZED IS NOT COMMENCED WITHIN 120 DAYS, OF IF <br /> UfiINAL —� CONSTRUCTION OR WORY. IS SUSPENDED OR ABANOONED FOR A <br /> PERIO� OF 120 DAVS AT ANV TIME AFTER WORK IS COh7MENCED. <br /> DRINhING FOUNTAIN <br /> FLOOfl-SINK OR DRAIN I HEREeV CEftTIFV THAT I NAVE fiEAO AND EXAMINED TNIS AP� <br /> PLICATION AND KNOW THE SAME TO NE TRUE AN�CORflECT. ALL <br /> VACUUM BREAKERS PROVISIONS OF LAWS AND ORDIfvFNCES GOVERNING THIS TVPE <br /> HOOF fJqAINS-RAINLEADERS OF WORK WILL 8E COMPLIE� WITH WHETHER SPECIFIED HEFEIN <br /> SINK (SERVICE-6AR. ETC.) 03 NOT, THE GRl�NTING OF A PERMIT DOES NOT PRESUME TO <br /> ' u1VE l�UTHORITV TO VIOLATE OR ClINCEL THE PROVISIONS OF <br /> ANY OTHER STAT@ Oi9 LOCAL LAW REGULATING CONSTRUCTION <br /> OH THE PERFORhL".NC[OP COfJSTRUCTION. <br /> SUB TOTAL <br /> PEFMIT 5 <br /> TOTALFEE 5 �Fbr�r� <br /> x 01 <br /> SIGNATUREOFGONTf1ACTOROF�UTFI.AGENT DATE <br /> SI�EVAROSET6ACK STREETSET�ACK REARYAR�SETBACKPLANCHECKNUAIOEF PLANCHECKFEE <br /> fEE FECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑No FEES VALUATION FEE <br /> TVP[ OF CONST. OCCUPANCY GFOUP VNIOS DWELLING � <br /> SIZE OF BLDG. NO.OF STORIES MAX.000. LOAD �UILDING S �iJ�vrK/ � I N� <br /> PLUMBING � <br /> II FIqEZONE BASEMENT FIftESPftINKLERS � <br /> RfOUIFED � <br /> ❑VE$ ❑NO MECNAPJICAL � <br /> I SPECIALCCNDITIONS: OTHER I <br /> I <br /> i PENELTY SEC. 3031a1 � <br /> �1 I ,�1 <br /> TOTAL / I <br /> PERMIT VALIDATION <br /> WHEN PROPEFLY VALIDATED UN THIS SPACEI THIS 15 VOUH PERMIT <br /> APPLIC�TiON�¢[PTEflOY'. PL�NSCNECKE09Y: PPPPOV[�FOIiI55UANCCtIV <br /> O <br />