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the Evergreen <br /> CITY OF CONSTR UCTION everett <br /> eveTett PERMIT <br /> CItY NRIt 159BBB5 <br /> FVEflEIi.ItiASNiFGtON <br /> 9A10i <br /> o[rr.arcoA���uxrtr BUILDING MECHANICAL PLUMBING <br /> o�vnorMtrvr <br /> OWNER MAIL AD�RESS 21P PHONE <br /> 5QatCle PLr�� i;atianal 'lank (%sanagmrl JH7-�7 <br /> ARCHITECT OR DESIGNER MAIL ADDRE55 PMONE LICENSE NO. <br /> GENEHALCONTRACTOH MAILAOORESS PHONE LICENSEND. <br /> Lehasan Roufing 33A-•�l�? <br /> MECHANICAL CONTRACTOR MAIL ADDRE55 PHONE LICENSE NO. <br /> PIVMBING CONTRACTOR MqIL AD�RESS PHONE LICENSE NO. � <br /> W <br /> m <br /> PEHMIT GLA55 OF WOpK � <br /> Z <br /> ❑BUILDING �PLVMBING ❑MECHANICAL r <br /> ❑NEW ❑AD�ITION ❑ALTERATION ❑REPAIR � <br /> VALUATION OF WORK � <br /> S 90[��ti1Q ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> DESCRIBE WORK <br /> razoof - patch-reralr 28�0 <br /> PROPOSED USE <br /> MECHANICAL <br /> LEGAL OESCRIPTION OF PROPEPTY ISI10W I3ELOW OR ATTACH TVPE OF FUEL �OIL �Gns. �L('G. �ELEC. <br /> FOUF COPIE51 <br /> Lo7 BLOCK—oF NO. TVPE OF EOUIPMENi FEE <br /> AIR COND. UNITS-H.P. EA. $ I <br /> REFRIGERATION UNITS-fi.P. EA. <br /> � BOILENS-H.P. EA, � <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> FORCEO AIF SVSTEMS-B.T.U. M EA. I <br /> JOB ADOR 5 WALL HEATERS-B.T.U. M <br /> a2 T�ewitt �v+enuo <br /> UNITHEATERS-B.T.U. M 1 <br /> EVAPOPATIVECJOLERS <br /> PLUMBING CLOTHES DRVERS I <br /> V ENTILAT�ON FAN <br /> RANGEHOOD I <br /> NO. TVPE OF FIXTURE OR ITEM FEE AIR NANDLING UNIT- C.F.M. <br /> WATERCLOSETITOILETI § �NCINERATOR � <br /> BATNTUB <br /> LAVATORV(WASH BASIN) 1 <br /> SH7WER <br /> KI'fCHEN SINK d DISP. SU8 TOTAL 5 � <br /> DISHWASHER PERMIT 5 <br /> LAUNDRV TRAV <br /> TOTAL FEE 5 � <br /> CLOTHES WASI/ER THIS PEHMIT BECOMES NVLL AND VOID IF WORK OR CONSTRVG- <br /> WATER HEATER TION AUTMORI2ED IS NOT COMMENCED WITHIN 120 DAVS, OH IF <br /> URINAL CUNSTRUCTION OF WORK IS SUSPEN�EO OR ABANDONEO FOR A <br /> OPINKING FOUNTAIN PERIOD OF 120 DAVS AT ANV TIME AFTER WORK IS COMMENCED. <br /> FLOOR-SINK OR DFAIN I HEREBV CERTIFY TH,-.T 1 MAVE PEA� AND EXAMINED THIS AP- <br /> VACUUM BREAKEFS PLICATION AND KNOW 7 HE SAME TO BE 1 �UE ANO CORRECT.ALl <br /> FOOF DHAINS-RAINLEA�ERS PROVISIONS OF LAWS AND OFDINANCES GOVERNING THIS TVPE <br /> OF WpRK WILL BE COMPUED WITM WHETHER SPECIFIED HEREIN <br /> SINK ISERVICE-BAR, ETC.) OR NOT, THE GRANTING OF A PEAMIT DOES NOT PRESUME TO <br /> — G�VE AUTHOflITY TO VIO�ATE OF CANCEL tHE PROVISIONS OF <br /> ANY OTHER STATE OR LOC.�L LAW PEGULAT�NG CONSTRUCTION <br /> OR THE PERFOFMANCE OF CGNSTRUCTION. <br /> SUBTOTAL <br /> PERMIT 5 <br /> TOTAL FEE $ 6/Z9�7�J <br /> X <br /> SIGNATUREOFCONifiFCTORORAUTH.AGENT DATE <br /> SIOEVARDSETBACK STREETSETOACK REARVAfiDSETBAC PLANCHECKNVMOEFi PLANCHECKFEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT S�TE <br /> ❑vEs ONo FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GPOUP NO.OF OWELLING <br /> UNITS I <br /> SI2EOFBLDG. NO.OFSTORIES MA%.00C. LOAO BUILDING 5 3L��7.UO 9i 00 <br /> FIRELONE BASEMENI' FIRESPRINKLERS PLUM6ING � <br /> FC�UIRED <br /> ❑YES ❑NO MECHAHICAL � <br /> SPECIAL CONOITIONS: OTHER � <br /> PENELTV SEC.�03101 I <br /> TOTAL � <br /> I <br /> PERMIT VALIDATION <br /> WHGN PPOPERLV VALIDATEO �1N THISSPACEI THIS IS VOUR PERMIT <br /> APPLICATIONAC[CPiEDOV' PL�NSLNECKEDpY'. AFPIj{�.E�iOP155UANCE9V. <br /> Q <br />