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� r <br /> tbe Evergrcen �iONSTRUCTION �. �., � everett � <br /> "T� °F PERMIT <br /> everett <br /> CITV HALL 259-8145 <br /> EVERETT, WA �ezo, COMBINATION • BUILDING • MECFiANICAL • PLUMBING <br /> OWNER MAILAOOf1E55 ZIP PHONE , <br /> RICFIARD SULI.NA2d 259-365� m ' <br /> z <br /> ARCMITECT OF DESIGNEH MAIL ADDRESS PNONE LICENSE NO. 3 <br /> -� i <br /> GENEPAL CONTRACTOR MAIL AODFlE55 P1iONE LICENSE NO. Z � <br /> SA�� C <br /> MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. W � <br /> W m � <br /> PLVMBING CONTRACTOR MAIL ADDRESS PHONE IICENSE NO. (� � ' <br /> i <br /> Q7 � <br /> PEflM1T CLASSOf WOqK Q7 � <br /> �COMBINATION , <br /> �]DUILDING � PLUMBING �MECHANICAL � <br /> ❑NEW ❑ADUITION ❑ALTERATION �REPAIR <br /> VALUATtONOF WORK <br /> s ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL . <br /> DESCRIBE WORK ' <br /> ?�PAIR D�CK <br /> PROPOSE�USE � <br /> MECHANICAL <br /> LEGAL DESCRIPTION OF PROPERTV (SHOW BELOW ON ATTACH TYPE OF ENERGV ' <br /> FOURCOP�E51 ❑GAS ❑ELEC. <br /> LOT� BLOCK��.oF $�'+ '�'rT DIV G NO. TVPEOFE�UIPMENT FEE � <br /> AIR COND. VNITS-H.P. EA. S I � <br /> qEFRIGEHATION UNITS-H.P. EA. i � <br /> OOILERS-��.P. EA. I <br /> FOHCED Alq SVSTEMS-&T.U. MEA__ � <br /> I + <br /> JOB ADOqE55 2Mn a�L SPACE & WALL HEATERS - B.T.U. - <br /> WlJ <br /> UMT HEATERS-9.T.U. 1 . <br /> EVAPONATIVECOOLERS <br /> PLUMBING CLOTNESDRVERS � � <br /> VENTILATION FqN <br /> RANGE I100D 1 � <br /> NO. TYPE OF FIXTURE OR iTEM FEE piR HqNDLiNG UNi7- [.F.M. ' <br /> BATM TU85 S � � � <br /> CLOTHES WASHER � wq7Eq �!EATER � <br /> DISH WASMERS � - --- � <br /> DRINKING FOUNTAINS � _ FAC. BULLT FlREPLACE b CHIMNEV � <br /> GA2 SVSTEM: NO OP OUTLET$ � <br /> , FLOO'i DRAINS ' sun 7orA� S I � <br /> KITCHEN SINK DIS . i <br /> BAR SINKS � PERMIT E <br /> ROOF ORAINS - RAIN LEAOERS roTn� FEE E I d <br /> � SHOWER BATHS THIS PERMIT BECOMES NULL l�ND VOID IF WORK OR CONSTRUG ' <br /> SERVICE SINKS TION AUTHORIZEO IS NOT COMMENCED WITHIN 120 OAVS, OR IF <br /> , SUMP$ - SEWAGE PUMP CONSTRVCTION OR WORK IS SUSPENDED OR ABANDONED POR A j <br /> I PERIOD OF 140 DAVS AT ANY TIM[ AFTER WORK IS COMMENCED. <br /> � URINALS I I HERE6V CERTIFV THAT 1 HAVE READ AND E%AMINED THIS AP- <br /> . WATcR CIOSETS PLICATION AND KNOW TNE SAME TO BE TPUE AND COFiRECT. ALL @ <br /> � WA1�ER HEATENS - ELECTRIC � PROVISIONS OF LAWS AND OPDINANCES GOVERNING THIS TVPE <br /> WASM BASINS � OF WOHK WILL BE COMPLIED WIT41 WHETHER SPECIFIED HEREIN <br /> LAUIVDNV TRAYS OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> � GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTHER STATE OR LOCAL LAW qEGULATING CONSTFUCTION <br /> � Oq THE PERFORMl�NCE OF CONSTFUCiION. <br /> SUB TOTAL ' , <br /> ►ERMIT S <br /> 9 26 77 { <br /> ATER SERVICE SI2E BLDG. SUPPLV SIZE 3 GNn�oN�o UrM.AGENT DATE I <br /> ! <br /> . ' SIDE VAqD SETBACK STREET SETBACK FEAR VARO SETBAC PLAN CMECK NUMRER PLAN CHECK FEE ' <br /> � v FEE NECEIPT NO. . � � � ' <br /> - USE ZONE l0T AREA VACANT SITE � � �� <br /> ❑ves ❑NO fEES VAWATION fEE � - <br /> � TYPE OF CONST. OCCUPANCV GHOUP NO.OF DWELLING � � <br /> VNITS I <br /> �� <br /> -� 512E OF BIOG. NO.OF STORIES MAX.00C LOAO BVILDING S PSO�OO j OO � � <br /> PLUMBING � <br /> flqE ONE BASEM NT FIRESPRINKLERS —_-1 <br /> p ❑VESED ❑NO MECHANICAL � <br /> SPECIAL CONOITIONS: Ol MEN � <br /> I <br /> PENALTV SEC.30J(») � ' <br /> rorn� 5jpp <br /> PEqMITVALIOAT{ON ���` !�� 1 � <br /> WHEN PROPERIY VAI.IOAlED 11 1 �ACEIj /�11RAIT 1 <br /> �YOUR RCC�EI�„�"' <br /> �PPIIf.ATION�CCfPl1ObY'. PlANSl;HECKkOMY: ��ROVIU1011159�GNCI9Y � • 'S,'r�"- �I�y� <br /> : � <br /> 1• C.• ♦ � . � �� . <br /> ° � - t6 �! li ' � <br /> ADDRESS F1►F—_- _ ' + _��._ . _ _. . - � —"— <br />