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- - . . ___ . _ � •+'� <br /> � the Evergrren <br /> =�TYOF CONSTRUCTION everett <br /> everett PERMIT <br /> ❑iY 8��� }59A1A5 <br /> [VfP[it,�4'ASIIINGIIIY <br /> 9P]JI <br /> °`°' °o��E"�;;�M�„, BUILDING MECHANICAL PLUMBING <br /> OWNEF MAiLADDRE55 ZIP !'IiUNt t�37�77 <br /> Tadd <br /> ARCHITECT Ofl DESIGNER MAIL AODRESS PHUNE LICFNSE NO. <br /> GENERALCONTRACTOR MAILADDfiE55 PNONE LICENSENO. <br /> MECNANICAL CONTRACTOR MAIL ADOflESS PHONE LICENSE NO. <br /> t�iat*ir�k �a� ::cteip:asnt Co*many <br /> PLUM�ING CONTRACTOR MAII.AODRE55 PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASSOF WORK � <br /> � � <br /> Z <br /> ❑9UILDING ❑PLUM�ING �MECHANICAL F- <br /> ❑NEW ❑A�OITION ❑ALTERATION ❑REPAIF � <br /> VALUATION UF WOFK � <br /> S ❑DEMOLISH ❑fENCE ❑SIGN ❑SWIMMING POOL a <br /> DESCRID[WORK . <br /> 2�i0 <br /> Pf OPOSED USE <br /> MECHANICAL. <br /> LEGAL DESCRIPTIONOF PROPER�V �SMOW O[LOW OR ATl'ACH TVPE OF PUEL �OIL �Gns. �LPG. �ELEC. <br /> FOUR CO�IESI <br /> LO7 oLOCK_OF _NO. TVt'EOFE�UIPMENT FEE <br /> AI9 CONO. VNIT$-H.P. EA. $ I <br /> REFRIGERATION UNITS-H.P. EA. <br /> 60�LEfiS-N.P. EA. � <br /> GA:' FIfiGD 11.C. UNITS-TOYNAGE EA. <br /> FORCED AIR SVSTEMS-O.T.U. M EA � <br /> J06 ADGiiESS WALI HEl�TERS-P.T.U. M <br /> 276� O�jCfAIQ UNITIIEATERS-Fi.T.U. M 1 <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTHFS DFVEfYS � <br /> VENTILFTION FAN <br /> RANGEHOOD � <br /> NO. TVPE OF FI%TURE OR I7EM � FEE /11R IiANDLING UNIT- C.F.M. <br /> WATEF CLOSETITOILETI g INCINERATOR � <br /> BATHTUD � A F1r nea�:ea �i <br /> LAVATORYfWASH�ASIN) � <br /> SNOWEP 7— <br /> KITCHEN SINK& DISP. SUB TOTAL 5 <br /> DISHWASHER PERMIT 5 <br /> LAUNDRVTRAV TOTALFEE 5 . J <br /> CLOTHES WASHER THIS PEFMIT �ECO�'ES NULL AND VOID IF WOFiK Oii CONSTRUC- <br /> WATER MEAT[F TION AVTMOFIZLD IS NOT COMMENCED WITHIN 120 DAYS, OR iF <br /> URINA� CONSTRUCTIOIJ OR WORK IS SUSPENDEO Ofl A�ANDONED FOR A <br /> DRINKING FOUNTAIN PERIOD OF 740 DAVS AT AN\ TIME AFTER WOfiK ISCOMMENCED. <br /> F�OOR-SINK OR URAIN I NGFlEOV CERTIFV THI�T I MAVE REAO AND EXAMWEO THIS AP- <br /> VACUUM BREAKEf15 PLICATIpN AND KNOW THE SFh1E TO�E TAUH AND CORRECT. ALL <br /> ROOF DRAINS-R41YI.EADERS �ROVISIONS Of LAWS AND ORDINANCLS GOVERNING TNIS TVPE <br /> OF WORK WILL OE COMP�IEO WITM WIIETHER SPECIFIED HEREIN <br /> SINK ISERVICE-�AR,ETC.) —f� OR NOT, THE GRANTING UF A PEHMIi ❑OFS NOT PRESUME TO <br /> --I— GIVE AVTHORITV TO VIOLATE OR CANCEL THE PqOVISIONS OF <br /> ANV OTHER STATE OR LOCAL L/1W PEGULATING CONSTRUCTION <br /> OR TI1E PERFOF�MANCE OF CONSTRUCTION. <br /> SUfi TOTAL I . <br /> PERMIT 5 <br /> TOTALFEE S <br /> x (l�3��77 <br /> SIGNATUREOFCO(vTRACTORORAUTN.AGENI' DATE <br /> SIOEYAROSETDACK STREETSETUACY. REARYARDS['f�ACKPLl�NCHECKNVM�ER PI.ANCHECKFEE <br /> FEE RECEIPT YO. <br /> USEZONE LOTAREA VACANiSIT'E <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVP[ OF CONST. OCCUPANCY GROUP NO.OF DWELLING <br /> VNITS I <br /> SIZE OF BLDG. NO.OF STORIGS MAr.00Q LOAD 9UILDING 5 � <br /> I <br /> PLUMDING � <br /> FIFEZONE OASEMENT FIFESPqINKlERS <br /> RfQUIfiED `J : <br /> ❑VES ❑NO MECNANICAL � ' <br /> SPECIAL CONUITIONS: piHER � <br /> I <br /> P[NEITV SEC. 3U91a1 I <br /> TOTAL � j J <br /> PERMIT VALIDATION <br /> WH[N PROPEPLV VALip�1TFiU (IN TIIIS SPACHI TMIS IS VOUR PERMIT <br /> APPLICNIOYf.ttCPfEOlIY PIANSCHCCK[UOY: APPflOVEDfO(1155UANCLOV <br /> !....1• <br /> � <br />