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I tlre Evergreen <br /> �'T�°F CONSTRUCTION everett <br /> everett PERMIT <br /> [ILY NA�� }SVB885 I <br /> EVEPEIt,1YqSNIHGIO�'� <br /> 9B)JI <br /> °"' °"°""°"°' BUILDING MECHANICAL PLUMBING <br /> oc�[iorM[xr <br /> OWNER MAII.ADORESF ZIP PHONE <br /> kqltjTT� n�l ��.i.� �� t�'y' � �'� <br /> ARCHITECT OR OESIGNER MAIL AODRE55- PHbNE �ICENSE NO. <br /> GENEPALCONTRACTOR NAI.ADORESS �� HONE LICENSENO. <br /> f'!.'.I:7L ':°'SL CLTIii'°''� CG�r �0 :ciC!''3 �'F3 <br /> MECHAN�CALCONTRqCTOR MN�ADDPESS pHp�ir. <br /> LICENSE NO. <br /> PLUMBING CONTRt�CTOR MAIL qDDRE55 PHONE LICENSE NO. � <br /> W <br /> m <br /> PER�'��� CLASS OF WORK � <br /> � <br /> Z <br /> UI�DING �PLUMBING �MECHANICAL � <br /> ❑NEW ❑ADDITION �LTERATION ❑REPAIR <br /> VALUATIONy O�F W/�OqK — � I <br /> E �'�+VtW ❑DLMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL W <br /> OESCRIBE WORK a � <br /> a�.��; � �n t��rx�*�. t pr.�� x�s ;�c-r�s � ���� �:�.� 1937 <br /> PROPOSED USE <br /> MECHANICAL <br /> FOUR C�ESCS IPTION OF PROPEiTV�SHOW BELOW O!i ATTACH TVPE OF FUEI �OIL �NAT. �LPG. �E�EC. <br /> GAS <br /> LOT � BLOCK�OF �yro� NO. TVPEOFEUUIPMENT �EE <br /> AIR COND. UIJITS-H.P. EA. g � <br /> REFRIGERATIONUNITS-H.P. EA. � <br /> BO'�ERS-H.P. EP. � <br /> GAS FIREC A.C. UNITS-TONNAGE EA. <br /> FOPCED AIR SYSTEMS-�.T.U. �I EA. � <br /> JOB A�DRE55 .rw�w w�ss WALL NEATEPS-O.T.U. �A <br /> 1" - �;y` UNIT HEArEFS-o.T.U. N � <br /> PLU61BING EVAPORATIVECOOLEPS <br /> CLOTHES ORVERS � <br /> VENTILAlIONFAN <br /> � RANGENOO� � <br /> NO. TVPEOFFIXTUREORITEM FEE A�ANANDLINGVNIT- C.F.M. <br /> WATERCLOSET�TOILET) g INCINERATOR — � <br /> BATHTUU <br /> LAVATORV(WAcHBASIM '— <br /> SHOWER � <br /> KITCHEN SINK b OISP. — <br /> OISNWASHER __ SUB 7'OTAL 5 � <br /> LAUNORY TRAY �'�— PERMIT $ <br /> CLOTHES WASHER TOTAL FEE 5 � <br /> WATER HEATEq -- THIS PERMIT DEWMES NULL ANU VOID IF WOFK OR CONSTRUC� <br /> TION AVTNOHIZEO IS NOT COMM[NCED WITHIN 120 DAVS, OR IF <br /> URINAL CONSTRUCTION OR WORK IS SVSPENDE� OR ABANOONED FOR A <br /> DRINKINC FOUNTAIN — PERIOL' OF 170 DAVS AT ANV TIME AFTER WORK IS�OMMENCED. <br /> FLOOR-SINK OR DqAIN I HEFEf1V CERTIFV THAT I MAVE READ AN� EXAMWED THIS AP- <br /> VACUUM BREAKERS � PLICATION AND KNUW TNE SAME TO DE TRUE AIJD CORRECT.ALL <br /> HOOF �RAINS-FAINLEADEflS T-- PROVISIOkS OF LAN�S AND GftDINANCBS GOVERNING THIS TVPE <br /> SINK ISERVICE-BAR, EfC.I —�{ OF WORK N'ILL BE COMPLIED WITH WHETMEfl SPECIF�ED NEREIN <br /> OR NOT, TN! GRANTING OF A PERMIT 00[5 NOT PRESUME TO <br /> GIVE AUTHORITY Tp VIOLATE OR CANCEL THE PROVISIONS UF <br /> ANV OTHEfl STATE OR IOf:AL LAW REGULATING CONSTRUCTION <br /> SUB TOTAL OR THE PERFORAIANCE OF CONSTRUCTION. <br /> PERMIT g <br /> TOTAL FEF $ -- ��� <br /> X ' � <br /> SIGNATUFEOFCONTFACTORORAUTH.AGENT DATE <br /> S�DEYARDSE'fOACK STREETSETDACK REARVAqDSET6AC PLANCHECKNUMBEfi PLANCHECK �E'° <br /> FEE RECEIIT NO. <br /> USE 20NE 1.0T AREA VACFNT SITE <br /> ❑vE5 ❑No FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING <br /> UNITS <br /> 1 <br /> SIZE OF OLDG. NO. OF STORIES MAX.OCC. LOAO BUILOING 5 �� r � <br /> FIRE20NE �ASEMENT FIqESPqINKIEflS PLUMBING � <br /> FiEQUIRED � <br /> MECHANICAL � <br /> ❑VES ❑NO � <br /> SPECIAL CON�ITIONS: OTIIER I <br /> I <br /> I•ENELT� SEC.7031a1 I <br /> 1 <br /> TOTAL j� � <br /> PERMIT VALIDATION <br /> WMENPFOPERLV VALIDATED(INTHISSP.ICEITHI515YOURPERMIT <br /> AI'PIICATIOI:ACC(Pt'GbY PLNSCII[CK[DCY .��PqpV[UFOp�:SppNCEBV. <br /> � � <br /> 0 <br />