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the Evergreen . �ONSTRUCTION � . everett �. <br /> ` "TY°` pERMIT <br /> everett <br /> CITV HALL259-8�45 . gUILOING • MECHANICAL • PLUMBING <br /> EVERETT,WA 98201 COMBINA I ION � <br /> OWNER MA�Il�DDRESS ZIP PHONE m <br /> C yTfY.. <br /> 1NRz.a S <br /> ANCMITECT OR DESIGNER MAIL ADDFESS PMONE LICENSE NO. 3 <br /> � <br /> GENERALCONTRACTDP M/1�LADDNESS P�iONE LICENSENO. Z <br /> C <br /> Ind�ustrial Electric Co. Inc. 2701 Hewitt Ave. 3 <br /> MECMANICALCONTRACTOR MAILADON[53 PNONE �-�CENSENO. m <br /> � � <br /> PlUM81NG CONTFACTOR MAI�ADDRESS PHONE LIGENSE NO. W <br /> N <br /> U'I <br /> PEHMIT CLASS OF WORK <br /> �COMBINATION <br /> ❑OUILDING ❑PLUMBING [��ECHANICAL �NEW �ADDITION ❑AITERATION ❑REPAIR <br /> an <br /> VALUATION Of WORK <br /> ❑DCMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br /> $ <br /> DESGflIBE WORK <br /> PROPOSED USE MECHANICAL <br /> TVPE OF ENGRGV <br /> LEGALDESGRIPTIONOF PROPEPTV ISNOW�ELOW OR ATTACH ❑GAS ❑EIEC. <br /> FOUF COPIES� ryp, _ TVPE OF EDUIPMENT FEE <br /> LOT BLOGK�OF q�q CONO.UNITS-H.P. EA. 5 � <br /> REfRIGERATIONUMTS� H.P. EA. <br /> ODILERS IIP. [A. � <br /> FORC[D Alii SYSTEMS-�.T.U. MEA. <br /> - _-_— , <br /> _ �— <br /> JOO ADDRESS S�ACE [4 WAI.L H[Ill'ERS - B.T.U. <br /> 2•�01 HeWltt �UNIT HEM[RS- A.T.U. � <br /> [VAPORATIVECOOLERS <br /> PIUMBING c�on,es onvEias � <br /> ' VGNTIIATION PAN <br /> - " RANGE HOOIJ � <br /> —__l_ <br /> NO. TVPE OF FIXTURE OR ITEM FEE _ nm �+nNni-iNr, uNn C.F.M. I <br /> BATH TU85 $ .. _BI1TIIOut_.OVOn_. <br /> CIOTHES WASHER � WArEai�EntEa <br /> DISH WASHEfiS � FnC uui�r riner�nCE & c�1lt.wEv I <br /> DRINKING FOUNTAINS � GAS. SVST[M�. tJ0 OP OUTLETS <br /> FLOOH DRAINS � --- � � - sun ro7n� S 1 <br /> KITCHEN SINKS � DISP. � ---� --- ---� PERMII 5 3 OO <br /> BARSINKS � ------�- --� <br /> ROOF DRAINS - F1P��N �EADERS _i _ _ iOTnL FEE 3 'J I OO <br /> SHOWER BATHS THIS PEHMIT OF.COM[; NVLL AND VOID IF WOFK OF CONSTRUC <br /> SERVICE SINKS T�ON AUTHOHI2ED IS NOT COMMENCED WITMIN 120 CAYS, OR IF <br /> CON51 NUCTION OR WORK IS SUS�'ENDG� OR /1�ANDONED FOR A <br /> SUMPS - SEWAGE PUMP ; _. PERIOD UF 120 DAVS nT ANY TIMF. AFTER WORK IS COMMENCED. <br /> URINALS 1 IIEREO� CE(iTIFV THAT I HAVE READ AND EXAMINE� THIS raP- <br /> WATER CLOSETS � PLICATION ANU KNOW 1HE SAME TO(3E iRUL nND COIiRECT. ALL <br /> WATER HEATERS - ELECTRIC � PROVISIONS OF �.nws AND OR�INANCES GO�FFNING TV115 TVPE <br /> WASH BASINS I 01= WORK WILL U[ COA1VlJED WITH WMiTHER SPEpFIED HEHEIN <br /> OR NOI, THE GfiANIING OF /� PflRM1T OOES NOT PRESUME TO <br /> LAUNDRV TRAYS � GN[ /�UTMOfi1TV l'O VIOLME OR CANCEL THE PFiOVI510N5 OF <br /> qNY OTHER STATC OR LOCAL LAW REGULATING CONSTRUCTION <br /> � OR iH[ �'EIifOPMANCE Of CONSTRVCTION. <br /> SUB TOTAL ' � <br /> PERMIT S 12�8/78 <br /> TOTAI FEE X G�1.��p---�.. <br /> WATERSERVICESIZE BLUG. SUPPLYSIZE siG Ui@OPCONTRACTOftOR/1UTH.l1GENT oni� <br /> SIOE Vl�RDSETBACK STREET SETUAGK REAIi VARDS[TOAC PLI�N CHECK NUMAER PLAN CHECK FEE <br /> ,.E� RECEIPT NO. <br /> USE 20NE LOT AREA VACANi SITE <br /> ❑ves ❑rvo FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP VNIT�S OW[LIING � <br /> -- I <br /> SIZE OF 11LDG. NO. OF STOR�ES MAX.OCC. IAA� [3UILDING 5 I <br /> VWMBING � <br /> FIRE ZONE IlAS[MENT FIfiESPfiINKLLRS <br /> NEOUIRED MECHANICAL 7 �OO <br /> ❑YES ❑NO <br /> I <br /> SPECIAL CONDITIONS: UTH[li 1 <br /> PENALTV 5@C. �071n1 � <br /> -- I <br /> TOTAL . . � 7,:I 00 <br /> .� <br /> PERMIT VALIDATION •. <br /> WN[NP(iO�GfiLVVALIOAI@�IINTHISSPAC � 7HISIS:O�URPERMIT <br /> �'6�Uit dE�E�� I <br /> — Tkl�Nl� Y�il rv , <br /> nimucnunrvncariioxr� �•inrv5iaacxi.nur� nrrnnvinroinssunrvctev � . . U� � ' <br /> . � ` .� <br /> ' � � �e � <br /> 0 � � 7. .. <br /> ADDRESS FIL[ . _ �i :i�.. <br />