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tl�e Evergreen . <br /> CITYOF CONSTRUCTION everett <br /> everett PERMIT <br /> I ❑IY NAII }59BBA5 <br /> fVEOEIt,W0.SNINGT011 <br /> 98ta1 <br /> o�vi.avcoMMuxrtr BUILDING MECHANICAL PLUMBING <br /> n[vuorracsr <br /> OWN[R a»� y�.. eY �p /q� MAILAUDF�}E�55�� / / Z�p PHONE �(�_� <br /> ��:�+!!Is yL �n/t.�J ri �J�'."'Li �•�N ��i." ud�l I�QI'� ilc.�(� <br /> ARCIIITECTORDESIGNER MAILADORE55 P!IpNE LICENSENO. <br /> GENERAL CONTRACTOR MAIL AOOftESS ^HONE LICENSE NO. <br /> L���i•,? . �.�J'�.t f�:� <br /> MECHANICAL CONTRACTOP MAIL AD�FESS PHONE LICENSE NO. + <br /> PLUMBING CONTRACTOR MAIL ADOPE55 PMONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASSOF WORK ? <br /> �BUILDING PLUMBING Z <br /> ❑ ❑MEGNANICAL F <br /> ❑NEW � ❑ADDITION ❑ALTERATION ❑REPAIR � <br /> VALUATIO�OF W�/Oy�RK <br /> g M//�.�'/ ❑DEMOLI511 ❑FENCE �SIGN ❑SWIMMING POOL a <br /> DESCRIBE WORK <br /> F't�, -;::' '»;;�r_� s�rR lysl <br /> PRoroseo use � MECHANICAL <br /> LEGAL DESCRIPTION OF PROPERTV ISHOW AELOW OR ATTACFI TVPE OF FUEL �OIL �GA�S. �LPG. �ELEC. <br /> FOUR COPIE51 <br /> LOT s�oCK—oF NO. 7VPEOFE�UIPMENT FEE <br /> AIR COND. UNITS-N.P. EA, g � <br /> NEFRIGERATION UNITS-H.P. EA. <br /> BOILEflS-II.P. EA. � <br /> GAS FIRED A.C.VNITS-TONNAGE EA. <br /> FOPCE�AIR 5�'STEMS-B.T.U. M EA. � <br /> JOBADDRE55 �fj��� WALLHEATERS-B.T.U. M <br /> UNIT HEATERS-B.T.U. M � <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTMESDRVERS � <br /> VENTILATION FAN <br /> RANGEMOOD � <br /> NO. TVPE OF FIXTURE OR ITEM FEE �+IR HANDI.ING UNIT- C.F.M. <br /> WATER CLOSET(TO�LET) 5 �NCINERATOR � <br /> BATHTUB <br /> LAVATORY�WASHBASINI � <br /> SHOWER <br /> KITCHEN SINK& DISP. SUB TOTAL 5 � <br /> OISHWASHER <br /> LAUNDRY TRAY PERMIT 5 <br /> CIOTHES WASHER TOTAL FEE 5 � <br /> WATER HEATER TNIS PERM1IIT AECOMES NULL AND VOI� IF WORK OR CONSTRUC- <br /> TION AUTHORI2ED IS NOT COMMENCEO WITNIN 120 DAV£, OR IF <br /> UflINAL CONSTRUCTION Ofi WORK IS SUSPEN�ED OR ABANDONEO FOR A <br /> DRINKING FOUNTAIN PERIOD OF 120 DAVS AT P.NY TIME AFTFR WORK ISCGMMENCED. <br /> FLOOR-SINK OR DRAIN I 11ERE�Y CEfiTIFV THAT I H.4VE READ AND E%AMINED TNIS AP- <br /> VACUUM BREAKERS PLICATION ANO KN01V TNE SAM11E TO 6E TftUE AND CORRECT. ALL <br /> ROOF DRAINS-RAIN�EADEfiS PROVISIONS OF LA\NS AND OfiDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIEO 'YITH WHETMER SPECIFIED HEREIN <br /> SINK(SERVICE-OAq,ETC.) OR NOT, THE GfiANTING Of � PERMI7 DOES NOT PRESUME TO <br /> GIVE AUTHOR�TV TO VIOIATE OR CANCEL THE PqOVI510NS OF <br /> ANV OTHER STATE OR LOCAL LAW ftEGULATING CONSTRUCTION <br /> OR THE PFPFORMANCE OF CONSTRUGTION. <br /> SUB TOTAL <br /> PERMIT 5 <br /> TOTAI FEE $ x ��� <br /> SIGNATUREOFCONTRACTORORIU7M.AGENT DATE <br /> SIDEYARDSETBACK STqEET5ET0ACK qEARVARDSET6AC PLFNCHECK NVMBER PLANCNECKFEE <br /> FEE RECEIPT NO. <br /> USE ZONE I.OT AREA VACANTSITE <br /> ❑rEs ❑No FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GRUUP NO.OF OW[LLING <br /> UNIT$ � <br /> SI2E OF BLDG. NO.OF STORIES MAX.OCC. LOAD BUILOIf1G 5 �W <br /> PLUMBING 1 <br /> FIREZONE BASEM[NT FIRESPqINKLEqS <br /> RE�UIRED <br /> ❑VES ❑NO MECNAGICAL � <br /> �PECIAL CONDITIONS: OTNER � <br /> — I <br /> PENELTV SEC.3031a1 I <br /> TOTAL �'I� <br /> PERMIT VALIDATION <br /> NMEN PROPERLV VALIDATED IIN TIiI55PACE1 THIS IS YOUR PEFMIT <br /> PP�LICATIONALCEPTE08Y: VLANSCNECNE�BY: AGPNOJ[UipAI55VANC[OY. <br /> � ►� <br /> :2 I <br />