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y� 1f <br /> 9 <br /> the Evergreen <br /> ° =�TYo� CONSTRUCTION everett <br /> everett PERMIT <br /> cirv Hau is�eeas <br /> EVEREII,W45NINGION <br /> 9B10i <br /> °`°, °"°""°""" gUILDING MECHANICAL PLUMBING <br /> 0[VELOPMENi <br /> OWNER MAILADDRE55 ZIP PHDNE <br /> �t' R'i N, ^:"A': -�;':�+'�Cf;U"` �,��'� <br /> ARCHITECT OR DESIGNER MAIL ADDPESS PIiONE LICENSE NO. <br /> GENERAI CONTRACTOF MAIL ADDRESS �.�P�H�Oy�NEy� �ICENSE NO. <br /> :].��!.I �l}rr.la� l'JJ�NAi <br /> MECHANICAL CONTRACTOR MqIL FDDRESS PHONE LICENSE NO. <br /> PLUMBINGCONTRACTOR MAILADDRESS PHONE LICENSENO. � <br /> W <br /> m <br /> PERMIT CLASS OF WORK = <br /> �]BUILDING �PLUMBING �MECNANICAL Z <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ~ <br /> � <br /> VALUATION�yOFyW�O�RK ¢ <br /> S ac'J{�wJ ❑�EMOLISH ❑FENCE �SIGN ❑SWIMMING POOL a <br /> DESCRIBL WORK <br /> ��cr r�.�n �t�r 2392 <br /> PROPOSED US[ <br /> MECHANICAL <br /> LEGAL DESCRIPTION OF PF30PERTY �SHOW BELOW OR ATTAGH TVPE OF FUEL �OIL �GAns, �(,PG. �ELEC. <br /> FOUR COPIF51 <br /> LOT BLOC�—OF NO. TVPE OF EUUIPMENT FEE <br /> AIR COND. UNITS-H.P. EA. S 1 <br /> REFRIGERATION UNITS-H.P. FA. <br /> BOILERS-H.P. EA. � <br /> GAS FIFE�A.C.UN�TS-TONNAGE EA. <br /> FORCED AIR SVSTEMS-B.T.U. M EA. I <br /> J09 ADDRES? .�A .�,�.�.n WALL HEATERS-B.T.U. M <br /> yy� jt:i'1+1 UNIT HEATERS-B.T.U. M I <br /> EVAPORATIV COOIEFS <br /> PLUMBING CLOTHESDR/EF$ � <br /> VENTIIATIOry fAN <br /> FANGENOOO � <br /> NO. 7VPE OF FIxTURE OR ITEM FEE ��R MANDLING UNIT- C.F.M. <br /> WATERCLOSET�TOIIETI § INCINERATOR � <br /> BATNTUB <br /> IAVATORY(WASHBASIN) � <br /> SHOWER <br /> KITCHEN SINK& DISP. SUB TOTAL 5 <br /> DISHWASHER � <br /> LAUNDRY TRAY PERMIT 5 <br /> TOTAL FEE 5 � <br /> CLOTMES WASHER THIS PERMIT BECOMES NULL AND VOI� IF WORK OR CONSTRUC- <br /> WATEfi HEATER TION AUTNORI2ED IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br /> URINAL CONSTRUCTION OR WORK IS SUSPENDEO OR ADANOONED FOR A <br /> DRINKING FOUNTAIN PERIOD OF 120 DAVS AT ANV TIME AFTER WORK IS COMMENCED. <br /> FLOOH-SINK OR DRAIN I HERE�V GERTIFV TMAT 1 NAVE READ ANO EXAMINEO THIS AP. <br /> VACUUM BREAKERS PLICATION AND KNOW THE SAME TO BE TRUE AND COARECT.ALL <br /> ROOF ORAINS-RAINLEADERS PROVISIONS OF LAWS AND OR�INANCES GOVERNING THIS TVPE <br /> OF WORK WILL BE COMPLIED WITH WMETHER SPECIFIEO HEREIN <br /> SINK ISERVICE-BAR,ETC.) Ofi NOT, THE GRANTING OF A PEFIvt1T OOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL ?HE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFOflMANCE OF CONSTRUCTION. <br /> SUBTOTAL <br /> PERMIT E <br /> TOTALFEE $ <br /> x <br /> SIGNATURFOFCONTRACTORORAUTH.AGENT DATE <br /> SIDEYARDSETBACK STREETSETBACK REARYARUSETBAC PIANCNECKNUMBEfl PLANCHECKFEE <br /> FEE • RECEIPT NO. <br /> USE 20NE LOT AREA VACANT SITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING <br /> UNITS � <br /> SIZE OF 6LDG. NO.OF STORIES fvlAX.OCC. LOAD BUILDING 5 1��� '��� <br /> PLUM6ING � <br /> FIREZONE BASEMENT FIRESPFlINKLEfiS <br /> Rf�UIREO <br /> ❑YES ❑NO MECHANICAL � <br /> SPECIAL CON�ITIONS: OTHER � <br /> I <br /> PENELTY SEC. �091a1 1 <br /> TOTAL � <br /> 9'00 <br /> PERMIT VALIDATION <br /> WHEN PROPERLV VALIDATEO IIN TIIISSPACEI T.�I515 YOUR PERMIT <br /> pPPUCAIIONqCCCPiEOBY: PLPeSCB[CNfDOY: APPqOVEOFOpISSUPNCCpY. <br /> � ��� <br /> , Q <br />