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rhe Evergreen � <br /> CITYOF CONSTRUCTION � everett <br /> everett PERMIT � � <br /> CIiY NAII 15969P5 �� <br /> fVFPEIi.�YASNINGiOH <br /> 98}01 <br /> °E°' °;,E�E,,;H�; BUILDING MECHANICAL PLUMBING <br /> OWNEMR � MAILADORESS ZIP PHONE <br /> �.�'4 .._ � �� <br /> :�C : 41 '( <br /> ARCHITECT OR OESIGNER N.AIL ADDFE55 PHONE LICENSE NO. <br /> GENERAL CONTRqCTryO�R MAIL AOaD�R�ESS �PjH�O�N�E� LICENSE NO. <br /> `� �'� `�w � � �+�! �7P'Y�iir7 <br /> MECHANICALCJNTRACTOR MAIL ADDRE55 PHONL �ICENSE NO. ^ <br /> PLUMBINGCONTRACTOR MAILADDRESS PHONE LICENSENO. A � <br /> �� m <br /> � � <br /> PERMIT CLASS OF WORK _^ � <br /> (Y J Z <br /> �BUILDING � PLUM9ING ❑MECHANICAL �` F <br /> ❑NEW ❑ADDITION ❑ALTEFATION ❑REPAIR � � <br /> VALUATION OF WOFK <br /> $ ❑DEMOLiSH ❑FENCE �SIGN ❑SWIMMING POOL a � <br /> DESCRI9E WOBK � � � <br /> 014 <br /> PRO�OSED USE MECHANICAL <br /> TYPEOFFUEL �OIL �NAT. �LPG. �ELEC. <br /> LEGAL DESCRIPTION OF PROPEPTV (SHOW BELOW OF ATTACM GAS <br /> FOUR COPIES) <br /> LO7 BLocK—OF NO. TVPE OF E�UIPMENT FEE <br /> AIR COND.UNITS-H.P. EA. 5 I <br /> REFHIGERATION UNITS-M.P.EF. <br /> DOILF.RS-H.P. EA. I <br /> GAS FIRED A.C.VNITS-TONNAGE EA. <br /> F�flGED AIR SVSTEMS-H.T.U. M EA. 1 <br /> JOB ADDRc55 � � WALL HEATERS-�.T.U. M <br /> UNIT NEATERS-�.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING � CLOTHESDRVERS I <br /> VENTILATION FAN <br /> RANGE HOOD I <br /> AIR HANOLING UNIT- C.F.M. <br /> NO. T'PE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOILETI g �NCINEFATOF I <br /> BATHTUB <br /> LAVATORV IWASH BASIN) I <br /> SHOWER <br /> KITCHEN SINK& DISP. SUB TOTAL S I <br /> OISHWASHEfi PERMIT 5 <br /> LAUNDqV TRAV TOTAL FEE 5 I <br /> CLOTMES WASIIER THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUC� <br /> WPTER HEATER TION AUTHORIZED IS NOT COMMENCEO WITMIN 170 DAVS. OR IF <br /> UqINAL CONSTRUCTION OH WORK IS SUSPENDED OR ABANOONED FOR A <br /> DPINKING FOUNTAIN NEftIOD OF 120 DAVS AT ANV TIME /1FTER WORK IS COMMENCEO. <br /> FLOOR-SINK OR DRAIN � ��EREO� CERTIFY THAT I NAVE READ ANO E%FMINEO THIS AP� <br /> VACUUM BfiEAKERS P�ICATION AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALL <br /> ROOF �RAINS-RAINLEADEFS PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE <br /> OF WOPK WILL BE COMPLIED WI?N WHETMER SPEC�FIED HEREIN <br /> SINK(SERVICE-BAR,LTC.1 OF NOT, THE GRANTING OF A PERh11T DOES NOT PRESUME TO <br /> GIVE AUTIiOqITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTNGR STATE OR LOCAL LAW ftEGULATING CONSTRUCTION <br /> OR THE PBfiFORMANCE OP CONSTRUCTION. <br /> SUB TOTAL <br /> PERMIT S <br /> TOTALFEE S � <br /> x / G <br /> SIGNATUHEOFCONTRACTOHORAUTIi.AGENT' OATE <br /> SIDEVAROSET6ACK STREETSETBACK qEAflYARDSET6AC PIANCHECKNUMAER PLANCHECKFEE <br /> FEE itECEIPT NO. <br /> USE 20NE LOT AflEA VACANT SITE <br /> ❑vEs ONo FEES VALUATION FEE <br /> TVPC OF GONST. OCCUPANCY GflOUP UNIOS DWF.LLING I <br /> SIZE OF ULDG. NO.OF STORIES MAX.00C. LOFD BUIIDING 5 2�� � <br /> PLUM9�NG � <br /> FIRE20NE BASEMENT FIRE51'RINKLERS <br /> HF.OVIRE� <br /> ❑VES ❑NO M[CHANICPL � <br /> SPECIAL CONDITIONS: OTHER � <br /> _ � <br /> PENELTY SEC.00SIa1 � <br /> 1 <br /> TOTAL ! j� <br /> PERMIT VALIDATION <br /> WHEN PROPERLV VALIDATED IIN THISSPACE)THIS i5 VOUfi FERMIT <br /> AVPLR4TIO/N�ALC[FTE�OV: PLANSCN�KYK[O/BY: AVPPOV[DfOnpI55U�NC[BY. <br /> T� \I� R� l•r � `� <br /> Q <br />