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4 <br /> thc Evergreen <br /> ��TY�� CONSTRUCTION everett <br /> everett PERMIT <br /> [IlY NAII r5senes <br /> fVEPEii,WpSNIYGiON <br /> 99t01 <br /> uEPt.Oo[vEovetxr BUILDING M�CHANICAL PLUMBING <br /> OWNER MAIL AOORE55 ZIP PMONE <br /> <lary 1�et2man 1925 ��zaad Av. 487.^1 f��,�}� <br /> ARCHiTECT OR OE�IGNER MAI�ADORESS PHONE LICENSE NO. "Trf� <br /> GENERAL CONTRACTOH MAIL ADDRESS PHONE LICENSE NO. <br /> Te�.i ?3orrl.aon f519 Ula^�.�a3c ��r. 3'i3-a6t15 T?:-D,S-�C-259:FF <br /> MECHANICALCONTRACTOR MAILAODFE55 PHONE LICENSENO. <br /> PIVMBINGCONTR4CTOR MAI�ADDflE55 PHONE LICENSENO. � <br /> W <br /> m <br /> PERMIT CLASS OF WORK � <br /> � <br /> ❑BUILDWG ❑P�UMOING �IdECHANICAL y� Z <br /> ❑NEW LAODITION ❑qLTERATION ❑REPAIR ~ <br /> VALUATION OF WCRK � <br /> g 13� �1J7. ]O ❑�EMOLISH ❑FENCE ❑SIGN ❑SWIMMINGPOOI. W � <br /> DESCRIUE WORK a <br /> Re�+wciel and ad�ii.tion 2443 <br /> PROPOSED USE <br /> MECHANICAL <br /> LEGAL OESCRII TION OF PROPEfiTY ISHOW OELOW OR ATTACII TVPE OF FUEL �OIL �G^S, �LPG. �EIEC. <br /> FOVRf�r=r�: ��� 2[iltoa' a First <br /> LOT_ _ uLOCK—oF NO. TVPE OF EOUIPMENT FEE <br /> AIR COND. UNITS-4.P. EA. 5 � <br /> REFRIGERATION UNITS-H.P. EA. <br /> �OILERS-H.P, FA, � <br /> I <br /> GAS FIPED A.C. UNITS-TONNAGE EA. �— <br /> i <br /> PORCED AIR SYSTEMS-�.T.U. M EA. � <br /> J06 ADOPESS -- <br /> 14i5 Grand Avonuv �'ALLHEATERS-B.T.U. M <br /> VNIT HEATLRS-13.T.U. M � <br /> PLUMBING EV�P'�A�T�VE COOLERS _ <br /> CLOTHES OFiV ERS � <br /> VENTILATION FAN <br /> RANGEIIOOD � <br /> N • TVPE OF FIXTURE OR ITEM F E nIR !il�NDLING VNIT- �.F.M. <br /> WATER CLOSETITOILETI g �NCINERATOR � <br /> BATHTUB <br /> LAVATORV�WASHUASIN) <br /> SHOWER ,�� I <br /> KITCHEN SINK R OISP. SUB TOTAL 5 <br /> DISHWASHFR 1 <br /> LAUNDRY TRAY PERMIT 5 <br /> CLOTHES WASHER TOTAL FEE 5 � <br /> WATER HEATER THIS PERMIT HECOMES NULL AND VOID IF WORK OR CONSTRUC- <br /> TION AUTHORIZED IS NO� COMAIENCED WITHIN 120 OAYS, OR IF <br /> URINAL CONSTRUCTION OR WORK IS SUSPENDED OR A�AN�ONED FOR A <br /> DRINKING FOVNTAIY PEql00 OF 120 DAYS AT ANV TIME AFTEFl WORK IS COMMENCED. <br /> FLOOR-SINK OR DRA�N I NGRLBY CERTIFV THAT I HAVE REA� AND E%AMINEO THIS AP- <br /> VACUUM �qEAKEFS PLICATION AND KNOW THE SAME TO �E TRUE ANO COFRECT. ALL <br /> ROOF OpqINS-RAINLEAOEfiS ,� A P�OVISIONS OF LAWS AN� OFDINANCES GOVERNING THIS TYPE <br /> S�NK (SERVICE- — �F WORK WILL BE COMPLIED WITH WHETHE� SPECIFIEO HEREIN <br /> IIAF, ETC.) OR NOT, THE GRANTING OF A PERMIT DOES NUT PRESUME TO <br /> GIVE AUTHORITV TO VIOLATE OR CANCEL THE PqOVI510N5 OF <br /> ANY OTHER STATE OR LOCAL LAW REGVLATING CONSTRUCTION <br /> SUUTOTAL <br /> ^ OF TIiE PERFORMANCE OF COYSTIiUCTION. <br /> PERMIT 5� <br /> TOT/�L FEE g <br /> x � <br /> SIGNATUREOFCONTFACTORORAUTH.AGENT AT <br /> SIDE YARD��7�7qCK STREE�S�jBACK REAfi Yq{;pSETBACK PLnN CHECK NUMBER PLAN CHECk FEE <br /> �LV 7�I�.�-'J� FEE 31. `id IqECE�I}p�TNU. <br /> USE ZpNE LOT AREA Vl�CANT SITE 2uj� <br /> ��Z <br /> ❑vE5 �NO FEES VALUATION FEE <br /> TY^EOFGQ NST OCCUPANC.y GROUP NO.OFOWELLING <br /> V�i� 1 UNITS � <br /> 512E OF tiL�G. NO. OF STORIES MAX. 000. LOAO BUILDING 5 � • � � � <br /> I <br /> FIRE20NE3 (�pSEMENhF r� FIRESPRIYKL�NS PLUMBINC � <br /> REOUIREO <br /> ❑�ES ❑NO MECHANICAL � <br /> SPECIAI.CONDITIONS: OTHER I <br /> I <br /> PENELTV SEC. 3031n) 1 <br /> TOTAL � <br /> 1 <br /> PERMIT VALI�ATION <br /> WNEN PROPLRLY VALIDATED IIN THIS SPACE)THIS IS VOUR PERMIT <br /> M��IC�TIONACf,FPT(ppY�. PLnN5O1FCK[�(fY: APPBOVLOFppI55U�NC[OY. <br /> C.C. L.r'. <br /> 3 <br />