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nc� Evcrgreen <br /> ��TY �� CONSTRUCTION everett <br /> everett PERMIT <br /> CiIY NAII 159B8P5 <br /> fIEF!it,1YA5NiNGt04 <br /> 9A]01 <br /> °�°� „ �°"'°°':°, BUILDING MECHANICAL PLUMQING <br /> �E,,�«�.•E�:, <br /> O�WyNE�R y�M,�NL ADDFE55 21P PNONE <br /> i1�i� � �V ��� � G.7� � �� <br /> APCIiITECT OR DESIGM1Eq MAIL ADDRESS PHONE LICENSE NO. <br /> GENERAL CONTPACTOR MNL AOORESS PMONE LICENSE NO. <br /> MpE�CHANICAL CONTfiACTOq MAII. ADDPESS PHONE LICENSE NO. <br /> PL�UM-6fING CONTfiACTOP MAIL ADOIiE55 PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASSOf WORK � <br /> z <br /> �DUIL�ING �PLUM�ING �M@CHANICAL F- <br /> ❑NEW ❑ADpITION ❑AI.TEfiATION ❑F[PAIR � <br /> VPLUATION OF WORK � <br /> 5 ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> DESCRIP[WORK <br /> �I�Ma !e �I�r ootl�! 3 8 2 <br /> FFOPOSEO USE MECHANICAL <br /> TVPEOf- FUEL �OIL NAT. �LPG. �ELEC. <br /> LEGAL DESCRIPTION OP PROPERTV ISNOW BELOW OR l�TTACH GAS <br /> F OU R COPI ESI <br /> Loi oLocK—or NO. TYPE OF E�UIPMENT FEE <br /> AIR COND.UNITS-I1.P. EA. 5 I <br /> REFRIGEfiAI'ION UNITS-Ii.P. EA. <br /> �OILEfiS-H?. L,. �jQ <br /> GAS FIREO A.C. UNITS-TONNAG! EA. <br /> I FORC[D Alfi 51'STEMS-17.T.V. M EA. I <br /> JO8 A�DRESS WALL HEATEHS-B.T.U. M <br /> � � VNIT NEATEFS-13.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING c�o��Hes or�veas i <br /> ,VENTILATION FAN �_ <br /> Rl�NGE MOOD I <br /> NO. TVPE OF FIXTURE OR ITEM FEE AIR IIANDLING UNIT- C.F.M. <br /> WqTERCLOSETITOILETI g WdNERATOfi I <br /> 9ATMTUR <br /> LAVATORV IWASH OASINI I <br /> SI10W ER T <br /> KITCIi[N SINK R OISP. Sl�� tOTAL 5 � <br /> DISHWASHER --r PEfiMIT 5 <br /> LAUNDRY TRAV TOTl�L FEE S I <br /> CLOTH[S WASNER TNIS PFRMIT pECOMFS NULL AND VOID IF WORK OR CONSTRUG <br /> WMER HEATER TON AVTHORIZ[O IS NOT COMbtENC[D WITHIN 120 DAVS, OR IF <br /> URINAL CONSTRUCTION ON 1NOfiK IS SUSPENDED OR ApANDONED fOR A <br /> DPINKING FOUNTAIN PERIOD OF 120 OAVS AT ANV TIME nFTER WORK IS COMMENCED. <br /> FLOOIi-SINK OR OIiMN � I HERE�V CERTIFV THAT I HAVE f1EAD AND E%AMINED THIS AP- <br /> VACUUM �REAKEPS PLICATION AND KNOW TNE SAAi[i0 pC Tf1UE AND COHRECT. ALL <br /> PROVISIONS OF LAWS AN� OHOINANCES GOVERNING THIS TVPE <br /> POOF ORAINS-fiAINLEADEflS OF WORK WILL l3E COIJPLIED 1YILH IVHETHEF SPECIFIED HEHEIN <br /> SINK (SEHVICE-AAF, ETC.) —�—� OH NOT. TNF GRl�NTING OP A PERAIIT DOES NOT PRESUME TO <br /> GIVE AUTHORITV TO VIOLATE Oli CANCEL TIIE PRO\'ISIONS OF <br /> --{ ANY OTHER STATf OR LOCAL LAW REGUTATING CONSTRVCTION <br /> OR TNL P[RFORMANCE OF CONSTRUCTION. <br /> SU� TOTAI __' <br /> PEPMIT S <br /> TOTALFEE _$ � <br /> X <br /> SIGNATUfiEOFCONTRACTOROflAUTN.A4ENT DAT[ <br /> SIDE VAPD SETOl�CK STREET SET�ACK HLAF VARDSETBACK PLAN CHECK NUMOER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE 20NE LOT APEA VACANT SITE <br /> ❑vE5 ❑No FEES VALUATION FEE <br /> TVPE OF �ONST. OCCUPl�NCY GHOUP NO.OF�WELLING <br /> UNITS I <br /> SIZEOFl3LOG. NO.OFSTORIES MA%.00C. LOAD F7UILDING S � <br /> I <br /> PlUM01NG I <br /> FIfiE20NE BASEMENT FIqESPFINKLERS I <br /> Rf�UIitED M <br /> ❑YES ❑NO MECNANICAI. � `�M <br /> SPECIAL CONDITIONS: OTHER � <br /> I <br /> - PENELTV SEC.�031a) I <br /> � TOTAL �— � CI} <br /> PERMI7 VALIDATION <br /> -- WHEN PqUPERLY VAUDATED (IN THIS SPACE)THI$ IS VOUR�'EHMIT <br /> ntPL¢nLONACCEPIE�OY: PLANSCN(CKCOBY�. APPflOVFDfOBISSUPNCCBY. <br /> �.c. �.c. <br /> n <br />