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� the Evargreen <br /> ��TY �� C�NSTRUCTf0101 everett <br /> everett PERIViIT <br /> �„�,. « ,_sE.�s <br /> EVEFEiI.19dS�INL1_^� <br /> CJI <br /> °"` °' ° "'°;°, BUIL�ING MECHANICAL PLUMBING <br /> �-�E�oP:.E�,r <br /> � OWN1ER f��1�-��y� M11f�ILAr�DD�!R�.E55 ZIP � PHON�z <br /> �S i��i �elr 4.V���::x'� :'i �,'s �. �C�V'J '-'i•_. r�r 1 J.i�� �:`�� <br /> AFCIIITECT Oq DESIGNER MAI�A�DRESS PHOfJE �ICENSE NO. <br /> GEN�E�Rq.�.LCONTRACTOR MAILADDFE55 FHONE LICENSE NO. <br /> ' i•y KS <br /> � MECHANICAL CONTRACTOR M41L ADORESS PMONE LICENSE NO. <br /> � PLUMBINGCONTRACTOft tdAIL:.D^unE55 PHO^E LICENSENO. W <br /> m <br /> II PERMIT CLASSCFWOF.K � - � � <br /> z <br /> OVILOING �PWMBING �MECHANICAL ,$ F <br /> LqN[NJ ❑(�pOITION ❑ALTEFATION ❑RLPAIR <br /> VAWATIONOF WORK � <br /> 5 ��� ❑DEMOLiSH ❑FENCE ❑5'�iN ❑SCJL�iM111NG POOL w I <br /> DESCRIP[WORK f �x �y ♦�p�� Y^Y -- A a I <br /> �i'�.Iv�'NL�-♦ IL�+Vt�� 5.��"'L:�6 ��v:.irt:iA� �i 4 <br /> V'ROPOSED USE <br /> MECHANICAL <br /> TYPEOfFUEL �OIL ��;.T. �LPG. �ELEC. <br /> LEGAL OESCflIPTION OF PflOPERTV (SHOW(3[LCW OR A7Tf�CH GAS <br /> FOUF. C�t�ryaIE5) <br /> LOT �'r oLOCK_OF �'�"��� ���� NO. TYPEOFEQUIPMENT PEE <br /> AIR COND. UNITS-H.P. EA. $ I <br /> � REFHIG"cPATION UNITS-H.P. [A. <br /> — 801LEF1:;-M.P. EA. � <br /> GAS FIRED A.,^,. UP!ITS-TONNAGE EA. <br /> _ I FORCEO AIR SVSTEMS-B.T.U. M EA. I <br /> JOEi ADpRE55 .�y,�� �t �nr��iy�� N'AlL HEATEf1S-�.T.U. M —, <br /> �4u}41/ , 1R� <br /> UNIT HEATEPi--B.T.U. M I <br /> EVl�PORATIVB CODLERS <br /> PLUMBING -- '—� <br /> CLOTHESDRYERS � <br /> VENTILATION FAN - <br /> RANGEHOOD � <br /> NO. TYpE OF FIXTURE OR ITEM FEE A�R HA'VOL INC UNIT-_ CF."A. _� <br /> WATEFCLOSETITOILCTi 5 INCWERATOR � <br /> 9qTHTUe <br /> LAVATORV(WASH BASIN) � <br /> SFIOVJER — � <br /> KITCY.ENSINK& OISP. SIBTOTAL 5 � <br /> DISMWASHER PERMIT 5 <br /> IAUNDRY TRAY <br /> — TOTALFEE 5 1 <br /> CLOTHES WASHER __ THIS PEPMIT BECOMES NULL AND VOID IF WORK OF CONSTIiUG <br /> WATER HEATER _ TION AUTHOPIZED IS NOT COMMENCED WITH�N 120 DAVS, OR IF <br /> i _ URINAL CONSI RUCTION GR IVORK IS SUSPEN[:ED OR A6ANOONEC FOR A <br /> �RINKING FOUNTAIN FcRIDD OF 120 OAVS AT ANY TIPAE AFTER bVOHK IS COMMENCED. <br /> FLOOR-SINK OR DRAIN I HERE�Y CERTIFY THAT I HAVE HEl�D AND E%AMINED THIS AV� <br /> VqCUUh1 OREAKER$ PLICATION AHD KNObV THE SAME TO BE T9UE AND CORRECT. ALL I <br /> Fi00F DRAINS-RAINLEAOERS �'AOVIGIONS OF LAWS ANO ORDINANCES GOVERNING THIS TVPE <br /> � OF WORK WILI BE COh"PL12D WITH N'HETHER SPECIFIC9 HEHEIN <br /> i SINK ISEFVICE-�AR, ETC.1 +— 011 1:0T, THB GRANTING OF A PERMI"f DUES NOT PRESUME TO <br /> �'—I— GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> - - I ' ANV OTHEH STATE OP LOC/�L LAW F.EC-ULATING CONSTfiUCiION <br /> i SUB TOIAL Oft THE PER°ORMANCE OF CONSTRUCTION. <br /> IFERMIT _�_� <br /> ; _ TOTAL�FE 51 � /� <br /> � :; �• "� —_ <br /> SIGN/�TUREOfCONTRACTORUNAUTH.t,GENT OATE <br /> SIDE YARD SE7^qCK STREBT SETFIACK REAR VARO JET�ACK PLAN CHECK NUMRER PLAN CHECK FEE <br /> T/�VRf4 FEE y,� qECEIPTNO. <br /> I USE ZONE LOT AREA VACANT SITE hN y' %�»ff. <br /> �vES ❑No FEES VALUATION FEE <br /> i TVPE OF CONST. OCCUPANCV GROVP NO.OF DWELLING <br /> UNITS � <br /> I SIZE OF pLOG. NO.OF STOFIES MA%.00Q LOA� �UILDING j � ,�w..M a�1:. J�y� <br /> �iw hrturs <br /> I -- PLUMBING I <br /> � FIREZONE l3�SGMENT RFESPRINKLEHS <br /> Rf�UIRED <br /> � ❑VES ❑NO MKHANICAL � <br /> I SPECIALCONDITIONS: OTHEF � <br /> I I <br /> i <br /> I <br /> --- — PENELTV SEC.3031a) I <br /> TOTAL � <br /> �� I� <br /> PERMIT VALIDA710N � <br /> WHEN PROPERIV VALID�TC^ ;iN THIS SPI�CFI THIS 1.1 YOUR PE RM1tli <br /> nPPLiCATi09nCCEPT[D6Y�. FlnN5O1ECKE110Y�. 0.PYOVEOfOqi55lIpNCEov <br /> i es -�• -�Y. v♦ 7 <br /> • �i• <br /> � <br /> I i� <br />