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the �vergreen C `NSTRUCTION <br /> CITY pF ev�rett <br /> everett PERMIT � <br /> . <br /> CIT V MALL 259 R]45 \ <br /> FveRerr. wn saao, CQMBINATION + BUILDING • MECHANICAL • <br /> PLUMBING <br /> OWNEf <br /> ' MAIL ADDRE55 Z�P <br /> FG1Y7, R1DIG "'�:QJ }IecaiCt P�orve <br /> "^�1 ',�_5173 � <br /> ANCMITEI'T OR DESIGNER � -" T <br /> A9AlLA�ORE55 PI10NE �7 <br /> LICENSE NO. 3 <br /> GENERALCONTRACTOR � <br /> MAILADDRESS PHpNE <br /> '.Qewland Construction P.O. Box S�3 gvere�t LICENSENO. Z <br /> ��9:i9L <br /> AtECHANiCP.L CONTFACTOq � <br /> CiC�' IICIIL'Lll(�' 1RCI SI]EC'C II0[al A�LAODF..:SS PMONE I.ICEHSENO. 3 <br /> � <br /> PLUI.AHINGCONTRACTOR `�� m <br /> C1tU 1�C3tl:lV aR(j SI](:(.'[ :`1CC31 �IL ADDFF55 PHONE �,J <br /> ��Z��lIV LICENSENO. (D �� <br /> PEHMIT N <br /> ❑COId81NAT10N CLA£SOFWORK � �� <br /> ❑�UILOING �}] PLUM�ING•�M[CIiANICAL <br /> ❑NEW ❑ADDIT� JN ❑ALTERATION ❑REPAIq <br /> VALUATION OF WORK <br /> 5 ❑OEMOLISH ❑PENCE ❑SIGN ❑SWIMMIN, Pr,JL <br /> DESCRIBE WORK <br /> 0 `ice B:ildi,,� <br /> PROPOSED USE <br /> 0`.`icc BniLdiu;; MECHANICAL <br /> LEGAL DESCRIPTION Of- VqOPERTV ISHOW�ELOW OR ATTACH T�PE OF ENGRC v <br /> FOUR COPIE51 ❑GAS <br /> ❑ELEC. <br /> LO7 BLOCK_oF __ NO. TVPEOFEQUIPMENT FEE <br /> AIRCOND. UNI'i5-H.P. FA. S I <br /> _ REFqIG[qATION UNI?5 N.P. EA. <br /> �l-____'_ <br /> _1 l3DILERS -H.P. EA. � <br /> FORCEO AIR SVSTEf.�S-N.T.U. MEA. <br /> J06 ADDRE55 — --- _ II�]C Bi����ps � � � <br /> ^:�LJ F•^.(;1::1C .�V -: SPACE A� yyqLL HEATERS - B.T.U. <br /> C 1JC <br /> _ UNIT HEqTERS �.T.U. � <br /> PLUMBING evnaoran�ive CppLERS <br /> _ c�otriesonreas � , <br /> - V�NTILATION FAN u OU <br /> NO. TVPE OF FIXTURE OR ITEM --J-��NG� ����� I <br /> FEE nlli HANULING UNIi- <br /> DATH TU83 � __ ____ _ QF.M. <br /> CLOTHES WASHEIi � � <br /> DISH INA'iHER$ � 1 WATEN {iEATEA <br /> DflINKINO FOUNTAINS FAG BUI�T FIqEPLACE (4 CHIMNEY � � <br /> � FLOOR DFAINS y � J GAS. SVSTEM: NO OP OUTLETS <br /> I KITCHEN SINKS & pISP. _ � I SUB TOTAL 5 4II � O�� <br /> 6AR SINKS — -- --- <br /> ^ f700F DRAINS - RAIN LEADERS � --_ . PERMIi 5 <br /> SHOWER BATHS TOTALFEG S � <br /> SERVICE SINKS T�a�+ P���MIT BECUMES NULL AND VO10 IF WORK OR,CUIJSTRUC <br /> f J TION /�VTHORI?ED IS NOT COMMENC[D WITHIN 120 DAvS, OR IF I <br /> SUMPS - SEWAGE PUMP —'— r V CpNSiRUCt�ON OR Wpp,K �S SU,PFND[fJ oq n[3nNDON[o Fpq q <br /> URINAL$ --L PEflIOD OF 120 DAYS AT ANV l'IME AFTER WOfiK I:COMMENC[D. <br /> VJATLR CLOSLTS � � 1 HEfiEf4Y CEfiTiFV i'!VAT I IiAVE R[AD AND E%AMINED 71115 AP <br /> WATER HI:ATERS - ELECTRIC � PIJCA110N AND KNOW THE SAM[TO pE 1RVE ANU COIiRECT. ALL <br /> WASH BASINS PiiOVISIONS OF LAW.`i ANO ORDINANCES GOVERNING TNIS TVPE <br /> LAUNDflY TRqyS 3 I �) OF WOqK WILL BE COMVLILO tVlTli WHETHER SPECIFI[D NEfiEIN <br /> OH NDT, THE GqANTING OF A PE(iMIT DpES NOT PR[SUME TO <br /> GIVE AUT110fi17Y 7p VIOLATE UR CANCEL THE pqpVI510NS OF <br /> � ANY OTHER STATE OR LOCAL LAW RECULfTING CONSTflUGTION <br /> __ OR THB PEqFOHMANCE Of CONSTRUCTION. <br /> SUB TOTAL —3��'�J(i � <br /> PERMIT $ �� i� ^ � <br /> TOTAL FEE � X l (�• � 2i 7!7S <br /> WATEfi SERVICES12E 9LDG. SUPPLV SIZE ;ic - 1vReoFr,oNinnc7onoqnuni.nc:eNr OATE <br /> SIDE VqqDSET�ACK STHF.ET 5[Tf3ACK REAR VARDS[T�ACK P�,t�ry CHECK NUTAB[q <br /> PLAN CNECK FEE <br /> — ./7�7� ,� FEE RECEIPT NO. <br /> USE ?ONE LOT AREl� VACANT'.{ITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVPE Of CONST. OCCUPANCY GROUP NO.OF UWcLLING <br /> UNITS <br /> I <br /> 512E OF BLDG. NO.OF STORIES MA%.00C. LOAD BUILDING s � <br /> I <br /> PIHEZONE 9ASEMENT fIRESPRINKLE(i5 PLUMBING �3 IU:J <br /> flEO111RED <br /> •. ❑Y[5 ❑NU MEGHANICAL �1 � rU <br /> SPflCIAL CONUiTIONS: <br /> -- OTNGR � <br /> � P,uilcii.,.� Plli�ait :.`O,"3�J - i <br /> --� — �PF.NALTV � <br /> �~ � _ -- � ___ SEC. JOJ lel <br /> ' .. .. . `S. — TO7AL �,� I �L- <br /> I <br /> t � ._ � PERMIT VALIDATION <br /> �,�p wiit ra rnorr ni.v vni.iontt:o ur�r�i�SPACr� 7,i�y„y,y�y�� r�rar.+� <br /> :� . ���',,,, d iU3S.UU <br /> wV -_ <br /> 1'II :� � (,v <br /> "�° "' ��''Y YOUR RECEIPT� <br /> � �'�'Irtn. N 11'1111Hv vl/.NSINfCFLUNv NT910VIb1p.^•Sp�ppCl NV ' <br /> _�� I _..c.=� THAN:, ,;;.,, U `- <br /> ; ' <br /> - o <br /> � �,,.,�>c•� . , <br />