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tl�e Fvergreen <br /> s <br /> =�T� �� CONSTRUCTION everett <br /> everett PERMIT <br /> nttunll ]p�eats <br /> EY[PEII.N45111NIit0Y <br /> 98t111 <br /> °`°' °oE�;o;M�N, BUILDING MECHANICAL PLUMBING <br /> OWNER MAIL FDDRE55 ZIP PHONE <br /> ?d`u ��ffi'-7�!�. <br /> ARCNITECT OR OESIGNER MAIL ADDRE55 PHONE LICENSE NO. <br /> �i��+�� <br /> GENERALCONTRACTOP AIAILADORE55 PHONE LICENSENO. <br /> MECHANICAL CONTRACTOR MAIL ADUPESS PHONE LICENSE NO. <br /> P�UMOING CONTFACTOF MAIL ADDRE55 PHONE L�CENSE NO. � <br /> �.� W <br /> �3-L�,C3 r: �fYt�L1:� ZX��Y�t� � <br /> PERMIT CLASS OF WORK <br /> � <br /> ❑OUILDING �PLUMBING �MECIiANICAL � <br /> ❑NEW ❑ADDITION �ALTERATION ❑REPAIR � <br /> I VALUATION OF WORK <br /> 5 ❑DEMOLISIi ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> DESCRIB[WORK 2495 <br /> ��� <br /> PFOPOSED USE <br /> MECHANICAL <br /> LEGAL OESCRIVTION OF PROPERTY ISHOW DELOW OR ATTACH TVPE OF FVE� �OIL �Gns. �LPG. �ELEC. <br /> FOUR COPIG5) <br /> Lo7 oLocK—oF N�� TYPE OF E�UIPMENT FEE <br /> AIR COND. UNITS-H.P. EA. S I <br /> liLFRIGERATION UNITS-H.P. EA. � <br /> �OILERS-H.P. EA. I <br /> GAS FIREO A.C.VNITS-TONNAGE EA. <br /> FOfiCED AIR SVSTEMS-A.T.U. M EA. I <br /> JOB /,DDlLSS� WALL HEATERS-U.T.V. Id <br /> '��� ' � UNIT NEATERS-6.T.U. M I <br /> EVAPORATIVECOO�ERS <br /> PLUMBING CLOTHESDRVERS I <br /> VENTILATION FAN <br /> RANGEHOOO I <br /> N TVPE OF FIXTURE OR ITEM F E A�R HANDLING UNIT- C.F.M. <br /> WATER ClO5Ei1TOILETI g �NCINERATOR � <br /> BATNTUB <br /> LAVATOflVIWA51iBASIN) � <br /> SHOWER <br /> KITCIiEN SINK R DISP. SVf3 TOTAL 5 <br /> I <br /> DISHWASH[F` PEFMIT 5 <br /> LAVNDRV TR4Y i!y� TOTALFEE 5 � <br /> CLOiHES WA'.�HEfi �w TrytS PERMIT �ECOMES NUIL AND VOID IF WORK OR CONSTRUG <br /> WATER IIEAIER T:ON AUTNORIZ[D IS NOT COMMENCED WITHIN 120 DAVS, OP IF <br /> URINAL ~— CUNSTRUCTION OR WORK IS SVSPENDED OR ABANDONEO F-OR A <br /> DPINKING FOUNTAIN PEPIOD OF 120 DAYS AT ,:NV TIME AFTER WORK IS COAIMENCED. <br /> PLOOR-SINK OR ORAIN I HER[BY CERTIFV TH�1T I HAVE READ AIJD E%AMWGD TNIS AP� <br /> VACUUM t3REAKERS PLICATION AND KNOVJ TIIE SAME TO�E TRUE AND COFRECT. AlL <br /> fi00F DHAINS-NAINLEADEFS PAaVI510NS OF LANS AND OROWl�NCLS GOVERNING THIS TVPE <br /> _ OF WORK WILL BE COMPLIEO WITH WHETHEI'i SPECIFIED HLREIN <br /> SINK ISERVICE-UAR, ETC.) OR NOT, THE GRANTING OF A PERMIT DOES NOT PFESUME TO <br /> GIVE AUTIiORITV TO VIOLATL OR Cl�NCEL THE PqOVISI7NS OF <br /> — ANY OTHER STAT[ OR IOCAL LAW REGVLATING CONSTRUCTION <br /> OR 1 HE PBFiFOPMANCE OF CONSTRUCTION. <br /> SJA TOTAL <br /> PERMIT 5 <br /> TUTAIFEE $ r_r <br /> x �—r77' <br /> SIGNATUREOFCONTRACLOfiOfiAUT1i.AGENT DATE � <br /> SIDE YARD SET�ACK STRELT SLTOACK FEAR YARDSET�ACK PLAN CHECK NUM6ER PLAN CHECK fEE . <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑rEs ❑No FEES VALUATION FEE <br /> TVPL OF CONST. OCCUPANCV GROUP NO.OF DWELLING <br /> UNITS I <br /> S�ZE OF OL�G. NO.OF STORIES MA%.OCC. LOAD �UILDING 5 � <br /> I <br /> PLUMOING � � � <br /> FIRE 20NE UASEMENT FIRESPRINKLFRS <br /> REOUIPED <br /> ❑YES ❑NO MECHANICAL � <br /> SPECIAL CON�ITIONS: nTHEfi I <br /> I <br /> — PENELTV SEC. 3�31a1 I <br /> TOTAL � j� <br /> PERMIT VALIDATION <br /> WHEN PROPEFiLY VAl1DATED IIN THIS SPACEI THI51$ VOUR PERh11T <br /> A�PLiCqtIONAtGEPiE�OY: PLr1b5GICC�EOCY. nPPIiOVfI)�0111:51InN]CaY <br /> "� 1 <br /> a <br />