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� the Evergrecn . . <br /> ���� << CONSTRUCTION everett <br /> everetr PERMIT <br /> fi1T I�nll >59P➢P5 <br /> [YI NE ll e..15��iYG10M <br /> 93111 <br /> "°" °"°°"°�°` BUILDING MtCHANICAL PLUMBING <br /> ,�,.<<„�:•�„ <br /> O\NNER MMI_.9DORE55 ZIP �'MONG <br /> / <br /> �Jr��ii �J f I � '�..� ��,'�� OL..��I�)r � �(�lC� �' •, ; �� 7(o Ilu 7�t <br /> ARCIIITECTORDESIGNEF � MAILADDRE55 �—T-�'HONE UCENSENO <br /> GENERALCONTRAGTOR MAILADDRESS PHONE LICENSENO. <br /> �'�ls.l,l�'� _ <br /> tdECHANICAL CONTFACTOR A1nIL ADDRESS PHOIJE LICENSE NO. <br /> PLUMpING COIJiRACTOR M1'AI'_ADDRE55 PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT ClASSOFWORK � ' <br /> z <br /> LDING � PWtdpING []MECHANICAL F <br /> ❑NEW ❑ADDITION ❑ALT[RATION ❑R@PAIN � <br /> V ALUAI ION O�WORK � <br /> 5 L';l, (,�' ❑DBMOLI;�1 ❑FENCE ❑$IGN ❑SWIMMINGPOOL a <br /> J�'C/ ___ —_-- — . <br /> DESCRI[i[WORK 1�95 <br /> 17e- �+� <br /> PfiOPOSED USE <br /> MECHANICAL <br /> �@GAL OESCRIPTION OF PROP[RTV (SMp\V UELOIV UIi ATiACH T�P� OP FUlL �OIL ❑GAS ❑LPG. �EL(C. <br /> fOURt PIESI <br /> LOT�LoLOCK—oF�'CvE��Cr� I-�IC• L-S NO. TY'PEOFE�UIPMENT FEE <br /> I�IR COND. VNITS-H.P. EA. 5 I <br /> / fiEFRIGERATION UNITS-H.P. EA. � <br /> ��� \'� � . pOILERS-H.R [A. I <br /> GAS FIRED A.C. UNITS-�TONNAGE EA. <br /> FORC@D AIP SYSTEMS-D.T.U. M EA. I <br /> JO� A�DRES'� WALL HEATEFS-tl.T.V. M <br /> 1,�C7 � � UNIT HEATHfiS-[I.T.U. M I <br /> EVAPORATIVECOOIERS I <br /> PLUMBING CLOTIIES DRVERS i <br /> VENTILATION fAN <br /> RANGB HOOfJ I <br /> NO. TYPE OF FIX7URE OR ITEM FEE AIR Hl�ND�I VG UNIT- QF.M. <br /> WATERCl.OSEi (TOILET) § INCIN[RATLR I <br /> BATHTU❑ __ J� <br /> LAVATORY (VJASH pp51N1 I _ <br /> SHOW[R --�-_,1 <br /> KItCMEN SINK LL DISP. I SU�TOTAL 5 � <br /> DISHWASHEP PERMIT S <br /> IAUND(iVTRAV TOTALFEE S � <br /> CLOTHES WASHER 7HI5 PERMIT BECOMES NULL AN� VOID IF N'ORK Ofi COVSTiiVG <br /> WAT[R HEATER TION AUTHOHIZED IS NOT �OMMENCED WITHIN 120 DAVS, OR IF <br /> URINAL —� CONSTRUCTION Oft WORK IS SUSPENOED Ofi A�nNDONE[] FOP A <br /> DRINKING FOUNTI�IN --� P@RIOD OF 720 �AVS AT ANV TIME AF1ER WOfiK IS COMMENCEO. <br /> FLOOR-SINK OR pRAIN T- I HF.PEOV CERTIFV THAT I HAVE HEAD AND E\AMINED THIS AP <br /> Vl�CUUM FlPEAKEfiS PLICATION ANO KNOW THE SAME TO i3L TftVE AND CORREC'i. ALL <br /> PROVISIONS OF LAWS AND OR�INANCES GOVERNING THIS TVPE <br /> ROOP ORAINS-RAINLEADERS_ OP WORK WILL I3E COIdPLIED WITH l\'NCTHGH SP[CIFIEO H[9EIN <br /> SWk (SERVICE-UAF, ETC.) Ofi NOT, THE GRANTING Of A PLRMIT DOES NOT PFiESUME TO <br /> GIVE nUrryOR1TV TO VIOL�TE OR CANC[L THE PROVISIDhS OF <br /> ANV OTHER STATE OR LOCAL LAW qEGUTATING CONSTfiUCTION <br /> _ OR THE PERFOFMANCE Of- CONSTRUCTION. . <br /> _ SU� TOTAL � <br /> _ "___PERMIT E � <br /> TOTALFEE £ <br /> X <br /> SIGNATUREOFCONTqAGTJRORAUTH.AGENT pAT[ <br /> SIDE Yl�RU SET(3ACK STREET SHTC�ACK REAR YARpSETfJACK PLAN CNECK NUA9�LR PLAN CHECK FE[ <br /> F@E (iECE1PT NO. <br /> VSEZONL LOl'AREA VACANTSITE <br /> I ❑vEs ❑rvo _FEES I VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF OWELLING <br /> UNITS � <br /> SIZ6 OF BL�G. NO.OF STORIES MA%. OCC, lOAO 6UILDMG 8 ./'�ti�� � <br /> ��� <br /> PLUM9ING � <br /> FIPE ZONE 9ASEMENT PifiESPqINKLERS — <br /> RtQUI(iEO <br /> ❑YES ❑NO MECHANICAL I <br /> SPGCIALCONDITIONS' OTHER � <br /> _ I <br /> — Y6NLLlY SEQJ031a) I <br /> TOTAL � �Q <br /> PERMIT V ALIIIATION <br /> IVHEN PROP[R�V VALIp�TCO fIN THI;SPACE)TH19IS VOUR PERAIIT <br /> l�PPli<:Ai�O�ltCCIn11�PY v�qNSCNECKEOBY�. ACVPOVEOFOF�S'IInNC1:Ov <br /> l �-- J v <br /> � � <br />