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It6e Evcrgreen I <br /> ( ��r� oF CONSTRUCTION everett <br /> � everett PERMIT <br /> CI1YNTll ]]9FSFS <br /> F VI Nf Il.IYASu:i10'. <br /> Jil.11 <br /> �,�.� ��� �° ��^°r BUILDING MECHANICAL PLUMBIN <br /> ,t:<<��:�E�� <br /> ownen n}n�rnooiit:;s zia riiorvE <br /> t9�a Ardres '� i�.21 9aBs3 ]95 cf,90 �!G <br /> AFCHITECT OR DESIGNGR A1AIL ADDRESS PMONE LICEf<5[ NO. <br /> pG�E.N�ERqL GONTPACTOfl MALL AODFE55 PHONE LICENSF NO. <br /> M�G_HANICAI CONTRACTOR MAR AOORESS PHONE LICENSE NO. <br /> � <br /> PLUMQING CONTRACTOR MAIL A�DFiE55 PHONE LICENSE NO. uJ <br /> m <br /> � • <br /> PERMIT CLASS OF VJORK � <br /> z <br /> a �UILDING � PLUMBING ❑MECHANICAL ~ <br /> ❑NEW �nODITION ❑ALTERATION ❑fiEPlUR � <br /> � <br /> VAWATION OF WORK W <br /> •/M\NY ❑D[MOLISH ❑FENCE ❑SIGN ❑SWIMMINGPOOL a <br /> 5�M7/N _ /� <br /> DESCftl9C WOfiK /Q� <br /> � � � 4 V T <br /> rr�o��oseo use MECHANICAL <br /> TVPEOFFUEL �OtL �Gn1� �LPG. �ELEC. <br /> LLGAL D[SCRIPTION OF PfiOPERTV ISMOW fiELOW OR.1p�TeTACH <br /> roUa�ril.$) �� ]�,rf P� NO. __ 7YPE OF E�UIPMENT FEE <br /> lOT 6LOCK—OF AIR CON�.VNITS-H.P. EA. 5 � <br /> RfFRIG@RATION UNITS��HP. EA. <br /> 601LER5--H.P. @A. � <br /> Gl�S FIRED A.C. UNITS-TONNAG[ El�. <br /> fORCEO AIR SVSTEMS-B.T.U. M EA. � <br /> J013 AD�S� WALL H[ATENS-B.T.U. M <br /> UNIT HEATERS-t3.T.U. M � <br /> EYAPOfiATNE COOLERS <br /> PLUMBING c�oTHesoavens � <br /> VENTILl�TION FAf< <br /> RANG@HOO� � <br /> AIR 1111NDLING VNIT- C.F.M. <br /> NO. TYPEOFFIX7UREORITEM FEE �NCIN[Rl�TOR � <br /> WATEfi CLOSET ITOR[T) 5 -�— - <br /> ❑ATHTUH � <br /> LAVATORY�WASHtlASINI — <br /> SHOWEf; <br /> Y.ITCHEN SItJK & DISP. $UB TOTAL S �_ <br /> DISNINGSHER �� PEPMIT 5 <br /> LAUNDHY TR 1V TOTAL FEE 5 I <br /> CLOTHES WASHER — THIS P[R�dIT �KOME; NU4L ANC� VOID II° WORK OR CONSTRUC� <br /> WAT[ii HEAT[R TION AUTH0�12BD IS NOT CUMM[NCEO WITHIN 12� ��YS, OR IF <br /> URINAL CONSTHUCi'ION OR WORK IS SUSPENDED O1� AfiANOON[O FOR A <br /> PERIOD OF 120 OAVS AT ANV TIME APT[H WORIi IS GOAIM1IENCED. <br /> OfiINKING FOUNTAIN <br /> F�OOR� SINK OR DRAIN _� � ��[FE6V CEfiTIFV THAT I HAVE READ AN� E%AMWED TIiIS AP� <br /> PLICf�TION �1ND KNOW THE SAt.tE TO OE TAUE AND CORR[CT. ALL <br /> VACUU�� [3(i@AKEfiS ..I PNpVIS10N5 OF LAVV; ANU GH�INAIJCES GOVERNING THIS TVP[ <br /> ROOF OHAIN$-fiA1NLEADERS OF WORK �VILL 6E 1:0�1P11ED WITH WN[THER SPECIHED HEREIN <br /> SINK ISEfiVICE-13AH.ETC.) Ofi NOT. THE GRl�NTING Of- A PER��IT UO[5 NOT PIiESUME TO <br /> GIVE l�UTIIOIiITV TO VIOLATE OR CANCEL THE PFO`/610�5 OF <br /> � ANY OTH[R ;L�T@ UR IAUL L!N' !i[GULAi WC3 CUNSTliUCTION <br /> _ OF THE PERFOHh1�YC!'_OF CONSiRUG�1pN- <br /> SUBTOTAL <br /> PEIIMIT � 5 —� <br /> �___ TOTALFE@ __ 5 � � <br /> x <br /> SIGNATUREO�CUfJTfin[TOfiOFAUTN.AGENT OATE <br /> SIDE YARO S[16�f,A :;TNEET$ET[3ACY. REAR YAIiDS[T�ACK RIAN CHECK NUh1f3[R PLAN CNECK FE[ <br /> F[L RECEIPT NO. <br /> US[ ZONE LOT AREA 'JACANT SITL <br /> ❑vEs ❑No FEES VALUATION FEE <br /> �TVPE OF CONST. OCGUPANCV GflOUP UNIOS OWELLING � <br /> I _— IM <br /> �512F OF BL�G. NO.OF STORIES MAX.OCC. LOAO eUIL�ING 5 IW <br /> PLUM�ING � <br /> FIRE20NE UASEMENT FIHESPRINKLERS � - <br /> R�(]UIRED MECNANICAL � <br /> ❑VES ❑NO <br /> I <br /> SPECIAL CONDITIONS: OTHEP I <br /> PENELTV SEG 3031a1 � <br /> — I <br /> TOTAL S j� <br /> I PERMIT VALI�AT�ON <br /> WHEN PROPERLV VALIUATEO (IN THIS SPACEI TNIS IS�OUFi PERMIT <br /> I <br /> � cPI'IlCnliO'.ct.r;L�111J0V PLA�:�C��ICG[�NY. NOPflOVEOFOA�+'JM:CEGY. <br /> A.C. X.C. <br /> � <br />