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�� <br /> . <br /> r��� Evcrgreen C `NSTRUCTION everet��. <br /> CITY OF pE�MIT <br /> everett <br /> CITY HALL2596)d5 <br /> EVERETT, WA eazo, COMf31NATION • BUILDING + MECHANICAL • PLUMBING <br /> OWNLR MAIL ADOFESS ZIY PNONE � <br /> ICIY7. Z1DI0 ^. :^;) Ilecaitt 52^1 3�7_-�17.3 m <br /> -- � <br /> ARCHITECT OR DESIGNEti MAIL ADDRE55 F110NE LICENSE NO. 3 <br /> � <br /> GENERA�CONTRArTOR MAIL A�ORE55 PHONE LICEKSE NO. Z <br /> '.dccaland Construction P.O. Box S5S Evcrett .^_39:'191 C <br /> MECHAMICAL CONTRACTOIi MAIL ADDFESS PHONE IICENSE NO. 3 <br /> City Nestin;; and Sheet Metal m <br /> W � <br /> PLVMBING CONTHACTOR MAIL ADDRESS PHONE LICENSE NO. (� <br /> Citu lieatiag anci Sheet hletal 7.�2-21vi, N <br /> PLRMIT CLASS Of WORk � <br /> �COMBINATION <br /> ❑UUILDING •Q PLVMOING•�MEGHANICAL <br /> �]NEW ❑ADOITION ❑ALTEflATION ❑AEPl�I� <br /> VALVATION OF WOHK <br /> S ❑OEMOLISN ❑FENCE ❑SIGN ❑SWIMMING POOL <br /> DESCR�BE WORK <br /> �)S'iCC BtI7.lQlit;; <br /> PROPOSED VSE MECHANICAL <br /> o°'�cc �nila�:r: — <br /> LEGAIDESCFIPTIONUP PROPERTV ISHOW OELOW OR ATiACH � iYPE OF ENERGY <br /> FOUP.COPIE51 ❑�AS ❑ELEC. <br /> NO. TVPE:If E�UIPMENT FEE <br /> LOT �LOCK_OF — -- <br /> AIR COND. UNIT�-H.P. EA. 5 I <br /> PEFRIGERATIOPt UNITS-N.P. EA. <br /> � 1 ���LERS H.P. �A. I <br /> FORCED Alfi S�STEMS-B.T.U. MEA. I <br /> �1C:1C BC+.:1 S �� I <br /> JOB AO�iRE55 SPACE 6 WALL NEATEFS - B.T.V. � <br /> �91i' P^ci:�ic .lvenue urviri�enrEas- a.r.u. -� t <br /> @VAPOPATIVECOOL[RS <br /> PL�)MBING CLOTHr�onveas I <br /> -�. vervn�niiotv rnr� u OU <br /> -�— <br /> RAN(iE HOnD I <br /> NO. TVPE OF FIXTUHE OR ITEM FEE AIN NANDIING UNIT- Gf.M. <br /> BATH TUBS 5 I <br /> CLOTHES WASHER � _ —I. WATER FIEATER <br /> DISH WASHERS � FAC. BUILT FIREPLACE & CHIMNEV I <br /> UHINKING FOUNTAINS � GAS. SVSTEM: NO OP OUTLETS <br /> 9 FLOOR DRAINS � �� - --- -- "-- SVUTatn� 5 :�,� I OO <br /> � KITCHEN SINKS R DISP. t -- <br /> f3AR SINK$ � _ FERMIT 5 ��.! <br /> HOOF UF7A�N5 �� RAIN IEADERS � Torn� FE[ 5 I � <br /> SHOWER Pl�THS 1H15 PFHMIi 6ECOMES NULI AND VOID IF WOfiK O(i CONSTRVC- <br /> SE9VICE S'NKS TION AUTHOfi12EO IS NOT COMMENCEO WITHIN 120 DAYS, Ofi IF <br /> SUf�PS -� SFVlAGF PUMP GONSTRVCTION OR WO(7Y. IS SUSPENDED Ofi AOANDONED FOF A <br /> PERIOD OF 170 DAVS AT ANV TIME AFTER WORK IS COMMENCED. <br /> UHIN/�L+ —�� I HEREfiY CERTIFV THAT I HAVE READ ANO E%AMINED iH�S AP� <br /> WATEN CLOSETS ' ' � PLICl�TION I1N0 KNOW THE SI�ME 1�0 f3[ TRVE AND CORRECT. ALL <br /> N//1TEH HGATERS - ELECTRIC � PROVISIONS OF LAWS AND OPDINANC[5 GUVFRNING THIS TVP[ <br /> _y Wl15H BASINS 3 � I) OP WORK WILL [3E COMVU[D WITH WHrT�{EP SrECIlIED HEfiEIN <br /> LAUNDRY TRAVS OR NOI. THL GRl1NTING OF A PCRMIT DOFS NOT PfiESUME TO <br /> - , � GIVG AUT110RITV TO VIOLAIE OR GANCEL THE PROVISIONS OF <br /> /1NV OiHER STATE Ofi LUCAL LAIV qEGULATING CONSTf9UCTIf1N <br /> � Ufi 7NE P[RFORMANGL OF COIdSiRUG]ION. <br /> — � � <br /> SUB TOTAL ' <br /> PERMIT S � /'( � <br /> TOTAL FEE � x � Z�-� � L� ��I� � <br /> ✓ <br /> WATEF SERVICESV_E BLDG.SUPPLV $2E SIG TUREOFCONTRACTORORAVTH.AGENT DAIF. <br /> SIOE YAFO SETOACY. STREET SET�FCK REAR VAADSETaACK PLAN CHECK kUMfiEfl PIAN GMFCK f GE <br /> FEE nECEIPT NO. <br /> .��i��:fl <br /> USE ZONE LOT I�REA VACANi$ITE <br /> ❑rE5 ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCGUPANCY GROUP NO.OF OWELLING —r <br /> UNIT$ � <br /> ___ __ I __ <br /> 512L OF BIOG. NO.OF STOAIES MAX,000. LUAD AUIL�ING $ � <br /> PWMOING �3 � ��`� <br /> FIRE20NE BASEMENT FIRESPRINKlEPS -- � <br /> HEQUIRELI MECHANICAI �1 j !�'U <br /> • ❑VES ❑NO <br /> SPCCIAL CONDITIONS' OTNEN � <br /> I <br /> B�.ilui,.�; P�s�ii.t. ,�3':'30 , <br /> , _ PENl1Ll1' � SEC.30]lal <br /> ' __----�—_— —__'__—_— .._.--1-___ <br /> I <br /> ! - ,. .� � T0T,1L . ���„1 <br /> 1� __�,�C <br /> � ; — PERMIT VALIOATION <br /> � .-�— — w�nrarrzorcivi.vvni.iunii-uii � r -:rnc � �vrrnc+ <br /> ...� •_ .�_�_� --- �� �� �b�#:�`�'— � <br /> _� ,. -- --- -- - � W <br /> -- �-� _ <br /> rti m - ' -- <br /> � -�c-�;- -�ar— YOU R RECEIPTr:� <br /> _ ��� . ,•, ,,.,��,,,. � „�,�,�.�„�„���„— A�������,.��,,:,:, . . ,— 7�1;^.r'K YOU `�' <br /> „�� .c. <br /> t � <br />