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�`� <br /> thefvergreen � .�STRUCTION everett . <br /> "T�°F PERMIT <br /> eve rett <br /> c�r� HALL259B)d5 . gUILDING • MECHANICAL • PLUMBING <br /> eveaerT. wn eszoi COMBINATION <br /> OWNEH MAILADDFESS 21P �'HONE � <br /> m <br /> Radio 1-2-3 � <br /> ARCHITECT Ofi DES:GNER MAIL ADDRE55 P��ONE LIGENSE NO. 3 <br /> � <br /> GENENAL CONTPACTOR MAIL A�OPE55 PMONE LICENSE NO. Z <br /> �xxxx � <br /> MECHANIGAL CONiRACTOF MAIL ADDRESS PHONE LICENSE NO. W <br /> � m <br /> MAIL ADORESS PHONE L�CENSE NO. (J� � <br /> PLVMBING CONTFACTOR � <br /> General Plumbing GE NE RP H 288DU � <br /> VEFMIT CLA55OF WORK <br /> �COMBINATION <br /> ��UILDING � PLUMB�NG �MECHANICAL �NEW ❑ADDITION ❑ALTCRMION ❑REPAIR <br /> VALUATION OF WORK <br /> ❑DEMOL1511 ❑FENCE ❑$IGN ❑SWIMMINf, f'OOL <br /> $ _ -- <br /> DESCRI9E WORK <br /> PROPJSEO USE MECHANICAL <br /> 7YPE OF ENERGV <br /> LEC.ALDESCRIPTIONOFPHOPERTVISHOW6ELOWCNATT/+Cli ❑GAS ❑ELEC. <br /> FOUR COPiF51 Np, 7yp�OF EOUIPMENT _ FEE � <br /> LOT BLOCK—OF qIRCOND. VNITS-fi.P. EA. S I <br /> REfftIGERATION UNITS H.P. EA. <br /> OOILEfiS HP. EA - -- � <br /> FOPCED AIR SVSTEM$-d.T.U. MEA. <br /> -- - I , . '.,�r,.. .. <br /> JOB AODRL55 � SPqCE & WALL HEATERS - B.T.V. � ' �. <br /> 2917 Pacific Avenue _ urvir �ienTens a.r.u. � �. ��� <br /> cvnvunnrrve cooicRs � <br /> PLUMBING -� c�on+esoaveas � � ����-� <br /> - vENTILATIONfAN ' , <br /> PANGEHOOD � ' <br /> N0. TYPE OF FIXTURE OR ITEM FEE niR �InNnl.irvG VN�T- FF.M. . � - <br /> BA1H TU95 5 � .���:. <br /> C�OTHFFWASHEH _j_ WATEA HEATER <br /> DISF1 WASHERS � fAC. RUILT FIFEPLACE b GHIMNEV I .'a <br /> DHINKING POUNTAWS 2 � �� GAS SVSTEM: NO OP OUTLETS � � <br /> FLOOR D���+INS � SV6TOTAL 4 I ' " - <br /> KITCNEN SINKS & UISP. Z I OO -- -- pERM1T 5 <br /> BARSINK> � ----- -_�_ --- <br /> ROOF DRniN; nn�N LEAOERS � _ rornL FEE 5 1 <br /> SHOWER B/�T�IS TI115 P6RMIT IiECOMlS NULL ANfI VOID IF WORY. OH CONSTRUC <br /> -- 110N /�U111�RIZ[D �5 NOt COMM@NC[D WITHIN �20 DAVS, OR IF <br /> SERVICE SINY.S CONSI RUCTION OR WO{1K IS SUSPGNULO OP A�ANDONED FOR 4 <br /> SUMPS `iFVJ/�GF. �'UMP ' P[RIOU OP 170 Dl+VS �1i ANV iIME Af7EP WORK ISCOMMENCED. <br /> URIfdAL$ - � � HERNtY CERTIFV IHFT I HAVE REAU ANO EYAMINED TNIS f�P- <br /> WATEH CLWE15 � PLICA110N AND KNOW THE SAME TO Ei[ TRUE ANO CORiiECT. ALL <br /> WATER HEATE'1S - ELECTRIC � PROVISIONS OP LAWS ANn ORnINl+NCES GOVERNING THIS TVPE <br /> WASH E3ASIN5 � Of WOfiK WI�L BE COMPLIEU WIiN WHETHER SVECIPIED HEFHN <br /> LAUNDRV TRAV$ OR NUT, lHE GRANTING UF A PERMIT OO[5 NOl PRESUME TO <br /> GIV[ AUTHOAITV 'f0 VIpLATE DR CANCLL 1HE PiiOVISIONS Of <br /> qNY D1HER STATE OR LOCAL LAW �EGULATING CONST(iUGiION <br /> ---"-- � Oti iHE PEP��ORMANCE OF CONSTAUCIION. <br /> - - _- � <br /> � - SU670TAL 4 �0 /� <br /> PERMIT $ 3 i /� /i � 1�26��3 <br /> TOTAI FEE --� X l. .(_L2�'r J��S_�. <br /> WATERSERVICESIZE �LI7G. SUPPLVSIZE, ;IGNf�IVREOFCUNIRACTOflORl�UT� :AGENT U/alE <br /> SIDEVAFDSETBACK STfiF.ET5GT0ACK fiEAfiVl�HUSETOf1CKPLAMCH[CKNUMRGR �'LANGHECKFEE <br /> FEE RECEIPt NO. <br /> USE ZONE LOi AREA VACANT9�7! ____- <br /> ❑vE5 ONo FEE6 VALUATION FEE <br /> 7YPE OF CONST. OCCUPANCY GROVP UNIT�S �WELLING � <br /> I <br /> SIZE UF BLDG. NO.UF STORIES MAX.OCC. LOAO BUILOIN(i $ � <br /> -�_ <br /> 1 <br /> PLUM[i1NG � <br /> I�IREZONE dASEMENi fIRESPRINKLERS - � � <br /> REOUIREO M[CHANICAL 7 ���� <br /> ❑VES ❑NO <br /> — I <br /> SPECIAL GONDITIONS: OT��ER I <br /> ._— PFNAITV SEC. 7071n1 � <br /> '—_—�—_._ <br /> __— "—'-_"_ -- _—— I <br /> — � TOTAL � � 00 <br /> - -- TERMIT VAIIDATION �{ p 7 r� <br /> — w���-ra r�r�ovr r:i v vn� iu,vi�.n nrv�i��i��rncE Ni. i!v � i ri r;r.�.irJ <br /> - YO U R REC.EIi'�' <br /> --- _ - �, ,� ,�k, Y�� _. <br /> � ,—� ,_,����T,r,.r �rr,,.��,,. �. _� , , _ <br /> ��v�. <br /> �;, . . ,. , . . . . . .. ; <br /> � <br /> � <br />