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- -- . -. - �'� , <br /> thc Evergreen ._ , <br /> CITYOF CONSTRUCTION everett <br /> everett PERMIT <br /> L�tT11Alt )59P885 <br /> (V[flfii,lY45NIN6I0N <br /> 91]01 <br /> °"` °"°""°""" gUILDING MECHANICAL PLUMBING <br /> nc��ciorurn� <br /> OWNER MAIL AppRE55 <br /> '4arr.en RZ�i1� Z�P P�10NE <br /> :?1; Pe4ks Urlve 4�t,� � 35" 5F <br /> ARCHITECTORDESIGNF.R � 1'� LR'�3-`�JJ <br /> MAILA�DflE55 PHONE <br /> LICENSE NO. <br /> GENERAL CONTRACTOR MAIL AO�RESS <br /> PHONE LICENSE NO. <br /> MECHANIGALCONTRACTOR MAILADDRESS <br /> PHONE LICENSE NO. <br /> PLUMOINGCONTRACTOR MAILADDRESS � <br /> PI10NE LICENSE NO. � <br /> W <br /> PERMIT CLASS OF WORK � <br /> ❑OUILDING �PLVMBING �MKHANICAL z <br /> ❑NEW ❑AODITION ❑qLTERATION ❑REPAIR ~ � <br /> VALVATION OF WORK � <br /> § ���. GO ❑DEMOLISH �FENCE ❑SIGN ❑SWIMMINGPOOL W <br /> DESCPIBE WORK d <br /> ez�s::t cedar fe+n�e 72" hnak pr.o,�ezt�. ���5 <br /> PROPOSED USE <br /> MECHANICAL <br /> FOVR Cpq5E51��T10N OF PqOPERTV ISHOW 6ELOW OR ATTACN T�PE OF FUEL �OIL �Gns. �LPG. ��LEC. <br /> LOT �3p �LOCK_OF �S�Jhzc�I1:I EStR�flO NO. TYPEOFE�UIPMEN7 <br /> FEE <br /> 111Fi COND. UNITS-H.P. EH. 5 � <br /> REf-RIGERnTION UNITS-H.P. EA. <br /> DOILERS-H.P. [q, � <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> JOB AOD S FORCEO AIF SYSTEMS�-lI.T.U. M Eq, � <br /> +��4 :�QCiCd yj�fVjj WAILMEATER$-�.T.U. M <br /> UNIT H[ATERS-B.T.V. ry� � <br /> PLUMBING EVAPORATIVE C)OLERS <br /> CLOTHESORVELS � <br /> Vf'NTILATION F 1N <br /> flAkGEHpOD � <br /> NO. TYPE OF FIXTURE OR ITEM FEE ��R NnNDUN6 UNI7- 0.F.M. <br /> WATEPCLOSET�TOILETI g INCINERATOR <br /> BATHTUB — I . <br /> LAVATORYIWASHBASIN) -- <br /> SHOWEn <br /> 1 <br /> KITCHEN SINK & DISP. . <br /> �ISHWASHER SV�TOTAL $ � <br /> LAUNDRY TRAV PERMIT 5 <br /> CLOTHESWASHER TOTA�FEE 5 � <br /> WATER HEATEfl TNIS PERMIT BEC 1MES NULL ANO VJID IF WORK OF CONSTRUG <br /> URINAL CONSTfiUCT�IONZC R WpRKT 5 SUSPENO D OIRHABANDONED ORIA <br /> �RINKING FOUNTAIN �-- PERIOD OF 12p p ,YS l�T ANV TI�1E AFTER WOqK IS COMMENCED. <br /> FI.00R-SINK OR DR/���� I 11EREAV CEqTII V THAT I HAVE FEAD AND E%qMINED TI115 AP. <br /> VACUUM OREAKERS PLIC�ITION AND F NOW THE SAME TO DE TRUE l�ND CORRECT. ALL <br /> ROOF ORAINS-RAINLEADEflS P��OVISIONS OF t AWS f�ND CRDINANCES GOVERNING THIS TVPE <br /> SINK (SERVICE-f3Aq, ETC.) OF WOqK WILL E 3 COAIPLIED WITH WNETHER SPEC�FIEO HERLIN <br /> OR NOT, THE GF>NTING OF A PE(iMIT OOES NOT PRESVME TO <br /> GIVE AUTHORIT\ TO VIOLATE OR Cl1NCEL THE PROVISIONS OF <br /> ANV OTHLR STAI "e Ofl LOCA� LAIV REGULATING CONSTRUCTION <br /> SUB TOTAL OR THE PERFOqN 1NCE OF CONSTRUCTION. <br /> PERMIT 5 —I <br /> TOTALFEE 5 <br /> x 7/I/77// <br /> SIGNATUREOFCONTfiACTOflORAIITH.AGENT DATE <br /> SIOEYAR�SETBACK STREETSETUACK REAflYARDSETUACKPLANCHECKNUMl3ER <br /> PLAN CHECK FEE <br /> FCE RECEIPT NO. <br /> USL ZONE LOT AqEA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TVPF OF CONST. OCCUPANCV GqOUP NO.OF OWE�LING - <br /> UNITS <br /> 1 <br /> SI2E OF OLOG. NO.OF STORIES MA%.00Q LOAO BUILDING 5 •zO�i� �� 3f� <br /> I <br /> FIflE20NE dA5EM11ENT FIRESPRINKLEFS �LUM�ING � <br /> REOUIRED _. 1 <br /> ❑VES ❑NO MECHAqICAL I I <br /> SPECIAL CONDITIONS: ( <br /> OTHER � <br /> _ I IPENELTY SEC.3071a1 � <br /> TOTAL _ I J : I <br /> I <br /> PER�71T VALIDATION <br /> WHEN PROPERLY VALIDAT[U(IN THIS;VpCE) THI515 YOUR PERAIIi <br /> n��IiCATiON6CCEPiE00Y vIAN^,Cn(�K�p��y ppPqOVCOF0015:U�NCCpY. <br /> � �. .n• I <br /> a <br />