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� Nre Evergreen <br /> I CITVnF CONSTRUCTION everett <br /> everett PERMIT <br /> [IivNnll ]59B86f <br /> EVEf.EIT.Wil5NIN610M <br /> 9A)01 <br /> oE>� o�tauuuxnr BUILDING MECHANICAL PLUMBING <br /> o[vEloPu[Mr <br /> OWNER I.�AIL AO�RESS ZIP PHONE <br /> 1fi1 F.,s l`W"�� (ALJ:'I �"� i�G'.1BT) _$� R�'f�i:? �e,T 1,��� <br /> ARCHITECT OR DESIGNEA MAI�ADDRE55 PMONE �ICENSE NO. � <br /> GENERAL GONTRACTOR MAIL PDORE55 PHONE LICENSE ��^ <br /> 5�Q Sldl <br /> MECHANICAL CONTHACTOR MqIL ADDP PMONE LICENSE NO. <br /> BING CONTRACTOR MAIL ADORESS PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT � CLASS OF WORK ? <br /> �BUILDING �PLUMBING �MECHANICAL Z <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPPIR ~ <br /> � <br /> VALUATION O�F�WO�R/K� Q <br /> S �11/1AW ❑OEMOLISH ❑FENCE �SIGN ❑SWIMMING POOL Wa <br /> DESCRIBE WORK <br /> b u.ra. �r`� gz�s 1685 <br /> PFOPOSEO USE �,� <br /> MECHANICAL • ._. <br /> Un �LPG. �ELFC. <br /> LEGAL DESCRIP710N OF PROPERTY�SHOW , „ „ � ' - � _...._�� GAS <br /> POUR COPIE51 . <br /> . _.__ cK_oF NO. TVPEOFEOUIPMENT ,�dE <br /> AIF COND. UNITS-H.P.EA. S I <br /> �"`������ REfRIGERATION VNITS-H.P. EA. � <br /> DOILEHS-H.P. EA. � <br /> G�:3 FIREO A.C.VNITS-TONNAGE EA. <br /> FORCED AIR Sv5TEM5-B.T.V. M EA. I <br /> JOB ADDRESS � •�� WALL HEATERS-B.T.U. M <br /> aos UNtT HEAT[RS-B.T.U. M I <br /> EVAYORATIVECOO�ERS <br /> PLUMBING CLOTNESDRVERS � <br /> VENTILATION FAN <br /> RANGENOOD � <br /> NO. TVVE OF FIXTURE OR ITEM FEE r+IR NANOLING UNIT- C.F.M. <br /> WATERCLOSETITOILETI g INCINERATOR � <br /> BATHTUB <br /> LAVATORV(WASH BASINI � <br /> SHOWER <br /> KITCHEN SINK& DISP. �— SUB TOTAL 5 �- <br /> DISNWASHER PERMIT $ <br /> LAUNDRV TRAV <br /> TOTAL FEE S �. <br /> CLOTMES WASHER � <br /> WATEP HEATER THIS PERM1IIT BECOMES NULL AND VOID IF WpRK OR CONSTRUC� <br /> TION AUTHORI2ED IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br /> UqINAL CONSTRUCTION OR WOFK IS SUSPENDED OR ABANOONED FOR A <br /> bRINKING FOUNTAIN P[RIOD OF 120 OAVS AT ANY TIME AFTER WORK IS COMMENCED. <br /> FIOOR-SINK OH DRAIN I HERE�Y CEqTIFV THAT I HAVE REA� AND E%AM�NED TNIS AP- <br /> VACUUM BREAKERS PLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> ROpF DRAINS-RAIN�EADERS PAOVISIONS OF LAWo AN� ORDINANCES GOVERNING THIS TVPE <br /> OF WORK WILL BE COMPLIED WITH WHETMER SPECIf-IED HEREIN <br /> SINK (SERVICE-BAR,ETC.1 OR NOT, THE GRANTING OF A PERMIT DOES NOT PqESUME TO <br /> f.IVE AUTMORITV TO VIOLATE OR CANCEL TNE PROVISIONS OF <br /> ANV OTMER STATE O'1 IOCAL LAW REGULATING CONSTRVCTION <br /> - OR THE PERFORMANCE OF CONSTRVCTtON. <br /> SU� TOTAL <br /> PERMIT S <br /> TOTALFEE $ � <br /> X <br /> SIGNATUREOFCUNTqALTDRORAUTH.AGENT DATE <br /> SIDEVAR�SETdACK STREETS:T,IACK REARVARDSETBAC PLANCHECKNUMBER PLANCHECKFEE <br /> FEE REGEIPT NO. <br /> USE ZONE I.OT AREA VACANTSITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVPE OF GOYST. OCCVPANCV GROUP NO.OF OWELLING <br /> VNITS � <br /> SIZE OF ULDG. NO.OF STOflIES lAqX.OI:C. LOAD DUILDING 5 �� 9� <br /> PLUMBIAG I <br /> FIFE20NE OASEMENT FIRESPflIf�KLERS <br /> REOUIREO <br /> ❑VES ❑NO MECHANICAL � <br /> SPFCIAL CONDITIONS: � <br /> Ol'HER <br /> — 1 <br /> -- — PENELTV SEC.3081a1 I <br /> TOTAL � �� <br /> PERMIT VALIDATION <br /> WHEN PROPERLV VALIOATGD IIN THISSPACEI THIS IS YOUA PEHMI7 <br /> �PPUCATIONHCCEPTEDOY: NlAN5CN6NEOBY: PP�qOVLOFOflI55UANC[BY. <br /> I� G <br /> 0 <br /> : � <br />