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t6e Evergreen <br /> =�T,. �F CONSTRUCTION everett <br /> everett PERMIT <br /> ❑IY NAII }598PP5 <br /> [VE9Ci1,1VA5NINGfON <br /> 9l101 <br /> "`"` °o��°opM„; BUILDING MECHANICAL PLUMBINU � <br /> OWNE� � MAIL ADORES� Z�p PHONE <br /> �R+O 7�iW <br /> ARCHITECT O(i DESIGNEq MAIL ADDRE55 PHONE LICENSE YO. � <br /> GENERAL CONTRACTOR MAIL ADORESS PHONE L�CENSE NO. <br /> h1ECHANICALCONTRACTOR A1AIL AODRESS PHONE LICENSE NO. <br /> PLU�C�RACT� _fv�q�L^�D�iESS _ PryQryF LICENSE NO. W r <br /> i7ff 36�� �74 a�illi m <br /> PERMIT CLA55 Of-WpRK ? <br /> ❑BUILDING � PLUMDING �M[CIiANICAL Z <br /> ❑NEW �DDITION ❑ALTEfiATION ❑REPAIR ~ ' <br /> VALUATION OF WORK <br /> � <br /> $ ❑OEMOLISH ❑FENCE ❑SIGN ❑SWIVIMING POOI. W <br /> DESCRIBE WORK a <br /> 1883 <br /> VROPOSED USE � <br /> MECHANICAL <br /> TYPEOFFVEL �OIL �NAT. �LPG. �EIEG. � <br /> LEGAL DESCRIPTION OF PROPEPTY (SHOW BELOW OR ATTACH GAS <br /> FOUR COPIE51 <br /> LOT oLOCK_oF NO. TVPEOFEGUIPMENT FEE <br /> AIR CONO. UNITS-H.P. EA. $ I <br /> R[f-RIGERATION UNITS-H.P. EA. <br /> OOILERS--H.P. FA. - "— "-'--- � <br /> �GAS FIREO A.C. VNITS-TONNAGE EA. � <br /> FORCEO AIR SVSTEMS-U.T.U. M EA. � � <br /> JOB �55� WALL HEATEFS-U.T.U. M <br /> UNIT NEATERS-B.T.U. M I <br /> E V APORATI V E COOI.E RS <br /> PLUMBING CLOTNLSDRVERS � <br /> VENTILATION FqN <br /> RANGENOOD � . <br /> NO. TYPE OF FIXTURE OR ITEM FEE A�R IIANOLING UN�T- C.F.M. <br /> WATER GLOSET(TOILET) 5 �NCINERATOR � ' . <br /> 9ATHTUB <br /> LAVATORV�WASHBASINI � <br /> SHOWER <br /> KITCHEN SINK& DISP. SUD TOTAL 5 <br /> I <br /> DISHWASHFR PEFMIT 5 <br /> LAUNDRY TRAY <br /> CLOTHES WASHER TOTAL FEE 5 � <br /> WATER HEATER THIS PERMIT DECOMES NULL ANU VOID IF WORK OP CONSTRUC- <br /> TICN AUTHORI2ED IS NOT CO!dMENCED NlITHIN RO DAYS, OR IF <br /> URINAL CONSTRUCTION OR WORK IS SUSPENDED OR ABAN�ONED FOq A <br /> ORINKING FOVNTAIN PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. <br /> FLOOR-SINK OR ORAIN �- I HERERV CERTIFV THAT I HAVE IiEAD AND EXl1MINED THIS AP� <br /> VACUUM 9REAKERS PLICATION AND KNOW THE SAME TO IlE TFiUE .1NO COqRECT. ALI_ <br /> ROOF DFAINS-RAIN�EADERS - P�70VISIOiVS OF �AWS AND OR�INANCES GOVGRNING THIS TVPE <br /> Of WORK YlILL 6E COMPLIED 1VITN WHETHER SP[CIFIED HEREiN <br /> SINK (SERVICE-L7AR, ETC.1 T— OR NOT, THE GflANTING OF A PERMIT UOES NOT PRESUM17E TO <br /> --f GIVE AUTNORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTHE(7 STATE OR LOC4L LA1N REGULATING CONSTRUCTION <br /> OR TI1E PERFORMANCE OF CONSTFUCTION. <br /> SUB TOTAL <br /> PERMIT 5 <br /> TOTAL FEE $ __ _ � `_ <br /> x �l�/'t <br /> SIGNATUREOFCONTRACTOROR�IUTFI.AGENT DATB <br /> SIDEVARDSET�ACK STREETS[T�ACK REARVARDSE?BAC PL�INCHECKNUMEER PLANCHECKFEE <br /> FEE RECEIPT NO. <br /> VSE ZONE LOT AREA VACANT SITF <br /> ❑YES ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUF.aNCY GROUP N0.OF DWELLING — <br /> UNITS � <br /> SI2E OF �L—L'G. NO.OF aTORiES MA%.00Q LOAO BUILDING 5 � <br /> �/y� <br /> PLUMPWG �W <br /> FIqEZONE DASEMENT FIqESPRINKLEflS <br /> REOUIRED � <br /> ❑VES ❑NO MECHAP.IICAI � <br /> SPECIAL CONDITIONS: OTHER � <br /> -- I <br /> PENELTV SEC.�071a1 I <br /> TOTAL � <br /> PERMIT VALIDATION <br /> — WH[N PqOPERLY VALIDATEO (IN THIS SPACE)TIIIS IS YOUR PEHAIIT <br /> IAPJUCATION�CCCi`TLOBY�. PlA\SCN[CKCOtlY. APPPOVCUlO IUON:CCB�'. <br /> I �NI �M�� <br /> 3 <br />