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�he Evergreen <br /> ��TY� CONSTRUCTION everett <br /> everett PERMIT <br /> uirxau rsveees <br /> Ev[nEtr,�vas�uNcrOx <br /> 98101 <br /> �f°� °<<°^��,°���� BUILDING MECHANICAL PLUMBING <br /> ncv[�ara[ni <br /> OWNEF NAILAOORL55 ZIP PI10NE <br /> Itetlr iatrx 2�01 Piac ;1;,;�.-7? <br /> APCHITECT OR DESIGNER MAIL ADDl1ES5 PHONE LICEPISE NO. <br /> GENERALCONTRAC70R MAILAODRESS PNONE LICEMENO. <br /> Chait� 7dni: Snoo, 16118 4'Jth ?�'. 77]•-9�9_'. <br /> MECHANICAL CONTRACTOR MAIL AOORESS PHONF. IICENSE N.'t. � <br /> PLUMBINGCONTRl�CTOR MAILADDflE55 PHONE LICENSENO. � <br /> W <br /> m <br /> PERMIT CLASS OF WORK � <br /> Z <br /> ❑BUILDING ❑PLUMBING �MECHANICAL �NEW ❑ADUITION ❑ALTERATION ❑REPAIR ~ <br /> � <br /> VALUATION OF WOFK ,.{� � <br /> !3 j��;�i� ❑DEMULISH �JFENCE ❑SIGN ❑SWIM1IMING POOL � <br /> 5 <br /> OESCR.9E WORK 2g83 <br /> f.roct c?:ain Iiz`: fer�cc <br /> PROPOSEO USE MECHANICAL <br /> LFGAL DESCRIPTION OF PROPERTY ISHOW DELOW OR ATTACN TVPE OF FV[L �OIL �Gns. �LPG. �ELEC. <br /> FOV CO IE 1 <br /> Lo7� � �BLocK 1�oF ZOdC�' Li231G CO, �.ut NO. _ TYPEOFEQUIPMENT FEE <br /> Alft CONJ. UNITS-H.P. EA. 5 � <br /> REfRIGERATION UNITS-HP. EA. <br /> �OIL[115-H.P. EA. 1 <br /> Gl�S FIRED A.G uN1T5-�TONNAGE EA. � <br /> f-ORCLD AIR 5"STGMS-�.T.U. M EA. I <br /> JO� ADA�Gss�f:e StrECt: __ W�+LI HEATERS-B.T.U. M <br /> 6 V 1 UNIT HEATERS-D.T.U. M I <br /> EVAPORATNE COOLERS <br /> PLUMBING CLOTHESORVEPS I <br /> VENTIL.ITION F.1N <br /> PA�'GE HOOD I <br /> NO. 7VPE OF FIXTURE OR ITEM FEE �+IR IiANDLING UNIT- C.F.M, . <br /> WATER CLOSET ITOILETI 5 WCINEiiATOR I <br /> OATHTU6 <br /> LAVATORVIWASHOASINI � <br /> SHOWER <br /> KITCHEN SINK& D�SP. SU�TOTAL 5 � <br /> DISHWASHER PEflMIT 5� <br /> LAUNORVTRAY TOTALFEE 5 I <br /> CLOTHES WASHEli THIS PERMII BECOMES NVLL ANO VOID IF WORK OF CONSTFiUC- <br /> WATER HEATER TIO^1 AVTHORI2ED IS NOT COAIMENCE�WITHIN 120 DAYS, OR If- <br /> UFINAL CONSTRUCTION OR \NORK IS SUSPENDED OR A6ANDONED FOR A <br /> DRINKING FOUNTAIN PERIOD Of 120 DAYS AT ANY TIME I�FTER WORK IS COMMENCED. <br /> PLOOH-SINK OR DRAIN I HEREOV CERTIFY TNAT I HAVE READ ANO EXAMIN[D THIS AP- , <br /> VACUUM [3FLAKERS PLIC4TION AND KNOW THE SAME TO 6E?RUE AND COPRECT. ALL I <br /> PROVISIONS OF LAN'S AN� OROINANCES GOVERNING TNIS TYPE <br /> ROOF ORAINS-PAINLEADERS_ OF WORK WILL BE COM1IPLIED WlThl WMETHER SPECIFIED HERL=IN <br /> SINK ISERVICE-OAR. ETC.1 OR NCT, THE GRANTING OF A PEAAIIT DOES NOT PNESUME TO <br /> GIVE AVTIIORITV TO VIOLATE OR CANCEI THE PROVISIONS OF <br /> ANV Ul HER STAT[ OR LOCAL LALV FEGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SUO TOTAL 1 <br /> PEFMIT S ��•��77 <br /> TOTALFEE 5 � � <br /> _ x /, <br /> l <br /> SIGNATUFCOFCONTRACTORORAUTH.FGEN DATE <br /> SIDE YARD SETOACI: STREET SET�ACK flEt�R YARDSETDACK PLAN CHECK NUMBEfi PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE 20NE LOT AREA VACANT SITE <br /> ❑vES ❑No FEES VALUATION FEE <br /> TVPE Of CONST. OCCUPANCV GROUP NO.OF D�YELLING <br /> UNITS ' � <br /> SIZE OF OIDG. NO.OF STORIES M1tA%.00C. LOAD BUILOING 5 � J � � <br /> I <br /> PLUMBING � <br /> FIREZONE OAS[MENT fINESPfiINKLERS � <br /> REQUIRCD � <br /> ❑VES ❑NO MECHAPIICAL I <br /> SPECl/�L CONDITIONS: pTHER � <br /> I <br /> — PENELTY SEC.3031a1 I <br /> I <br /> TOTAL � <br /> PERMIT VALIDATION <br /> WHGN PROPERLY VnLIOATED IIN TIIIS SPACE) THIS IS VOUR PER�t:' <br /> nPPIICAtIONPCCCPilUb�". �lANSCNlCKC1iP.Y �1DPPDvtOfO(ilf$�A��I11�' <br /> 3 � <br /> , <br />