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the Evergreen <br /> ��T��� CONSTRUCTION everett <br /> - �' everett PERMIT <br /> C�1V N.LI 15985e5 <br /> fVEPfIi.154$NINLiO'1 <br /> 9Pt01 <br /> °`°` °"°'.'^'°�"' gUILDING MECHANICAL PLUMBING <br /> ocv[iovm[xr <br /> OWNEF MAILADOHE55 ZIP PMONE <br /> .ife's�arl �. S�it� 7329 Junfp�c:r Criva nverettt 90243 353---3:12 �T� <br /> ARCHITECT OR DESIGNER MAIL ADORESS PIIONE LICENSE NO. ^"�� <br /> GENERAL CONTRACTOF MAIL AODftESS PIiONE I.ICENSE NO. <br /> MECHANICALCONTRACTOR MAILAODRE55 PHONE LICENSENO. <br /> PLl{M04NG C NT CT MA � �RE55 f�FJ,O E LICENSE NO: W <br /> ..To_nsga�s �+`�.u*�bir.g �J,.`�_ ��raarXay ��9131 m <br /> PERMIT GLAS$OF WOFK � <br /> � <br /> Z <br /> �DUILDING �PLUMOING [�-MECHANICAL • F <br /> Q'NEW ❑ADDITION ❑ALTERATION ❑liEPAIF � <br /> VALUATION OF WORK � <br /> 5 ��$l�Jir�.Ofl ❑DEMOIISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> �ESCRIB[WORK Q <br /> .Ci�.^.�'�.ft }`1�1'} ^3si�;r,c. . �LZ�O <br /> PFOPCSED U'E � MECHANICAL <br /> .�iao_� Fac�ily Resi_e�i:c<f <br /> TYPEOFFUEL �OIL �NAT. �LPG. �ELEC. <br /> LEGAL DE CRIPTION OF PROPERTY (SI10W BELOW OR ATTACH G/15 <br /> Fol�i�a s� Sy2van CS'CiBC NO. TYPE OF E�UIPMENT F�E <br /> ILOT B�OCK_OF - n qIR CONO. UNITS-H.P. EA. $ I <br /> �D��IJ. :� QO� SO� 'I ai.i iI�S �OC l:l Ef:CC� � REFRIGEflATION UNITS-H.P. Eq. <br /> I .��{� � � � ' 4 _ 601LER5-H.P. EA. � <br /> GAS FIRED A.C.Uf�lTS-TONNAGE EA. <br /> FORCED Alft SYSTEMS-B.T.U. M EA. I � �` <br /> JOB ADpqGS$ �`���Qr ��n,✓ WqLL HEATERS-B.T.U. M <br /> J3�U <br /> � UNIT HEATERS-B.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTHES DflVERS I�' <br /> V ENTILATION FAN <br /> PANGEHOOD � <br /> TVPE OF FIXTURE OR ITEM F E ., <br /> AIR HANDLING UNIT- C.F.M. <br /> � WATERCLOSETITOI�ETI g - �� INUNLFATOR I <br /> BATHTUO <br /> l <br /> LAVATOqY(WASH BASIN) I <br /> SHOWER <br /> KITCHEN SINK& DISP. SUO T07AL 5 I <br /> DISHWASHEft PERMIT 5 <br /> LAUNDRY TRl�Y '� ' TOTAL FEE $ I <br /> CLOTHES WASHEfi TF11S PERMIT AECOMES NULL AN� VOI� IF WOfiK OR CONSTRUC� <br /> WATER HEATEF � TION AUTHONIZED IS NOT COMMENGEO WITHIN /20 DAYS, OF IF <br /> URINAL CONSTRUCTION OR WORK IS SUSPENDEO Oq A6ANDONED FOF !� <br /> DRINKING FOUNTAIN PERIOO OF 120 DAVS AT ANV TIME AFTER INOPK IS COMMENCED. <br /> FLOOR-SINK OR DRAIN I HEPEBV CEFTIFv THAT I HAVE READ ANO E%AMINED THIS AP� <br /> VACUUM BREAKERS PLICATION ANO ✓.NOW THE SAME TOBE TRUE AND CORFECT, ALL <br /> PROVISIONS OF Ll�WS AND ORDINANCES GOVERNING Tf115 TVPE <br /> ROOF ORAINS-FAINLEADERS OF WORK WILL 6E COMPLIED WITH WHETHEfi SPECIFIED HEREIN <br /> SINK ISERVICE-BAR,ETC.1 " OR NOT, THE GftANTING OP A PERMIT DOES NOT PqESUME TO <br /> GIVE AUTHOFITY TD VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTHEfl STATE OH LOCAL LAW REGULATING CONSTFiUCTION � <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SUB TOTAL .i <br /> PEHMIT 5 <br /> TOTALFEE $ �i^" <br /> x �f��� <br /> SIGNATUflEOFCONTRAGTOflORAUTH.AGENT DATE <br /> SI�EVARDSETBACK STREETSET6ACK REARYARDSETBACKPLANCHECKNUM�Eq PLANCHECKFEE <br /> 6� 2�� Z�� 77���.�3 FEE IIG.Ii� RECEIPTNO. i <br /> VSE ZONE LOT AREA VAC�(ANTSITE <br /> �_S �FES ❑NO <br /> FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.Of- WELLING <br /> `7_fI j UNlrs I <br /> SIZEOF �LDG. NO.OF��pIE$ MAX.00C. LOAO 6UILDING g 4�70�'V� 172 ��� <br /> I.1L <br /> PLUMBWG 31 ('�'J� <br /> FIFEZON5� BASEMENT FIPESPRINK RS � <br /> J Y9$ RCOUIRED � � i � <br /> ❑VES ❑NO MECHANICAL <br /> SPECIAL CONDITIONS: OTHER � <br /> PENELTV SEC. 30]�el I <br /> 70TAL , � � <br /> I <br /> PERMIT VALIDATION <br /> WHLN PROPf RLY VAUOATLD(IN THISSPACEI THIS IS VOUR PERMIT <br /> � <br /> AFP�ICI.TIONPLCEPTEDDY' PLRNSCHCCKCOOY: APPIlOVCUFORIS:UI.NLFBY. <br /> .�r _• ..��-f - <br /> .� <br />