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(he Evergreen <br /> CITY OF CONSTRUCTION everett <br /> everett PER�.71T <br /> CIIY IIALL }598PB5 <br /> EVEN[iL WAS�IINGION <br /> 99101 <br /> °E°, °°°°M��°���� BUILDING MECHANICAL PLUMBING <br /> oevEiovu[xi <br /> OIVNER MAiL ADORESS ZIP PHONE <br /> 11� l�el h9�ff CiQIR �. �.�. t�s�• � l7� 91�35 �.g�, <br /> ARCHITECT OR OESIGNER MAIL ADOFESS PMONE LICENSE NO. <br /> GENERALCONTRACTOR MAILAUDRESS PI10NE LICENSENO. <br /> � <br /> MECHANICAL CONTRACTOR MAIL AODFESS PHONE LICENSE NO. <br /> � <br /> PLUM�ING CONI ACTOR MAII_AODRESS PHONE LICENSE NO. pJ � <br /> m <br /> � <br /> PERMIT CLA55 Of-WORK � <br /> Z <br /> ❑BUIIDING ❑ PLUAIUING [�IICCHANICAL ~ <br /> ❑NEW ❑AUDITION ❑ALTERATION ❑REPAIR � <br /> VALUATION OF WORK � <br /> � ❑DEM1IOLISIi �FENCE ❑SIGN ❑SWIMMING POOL W <br /> $ a <br /> DESCRIDE WORK C�� <br /> � �� � �� o <br /> PROPOSED USE MECHANICAL <br /> TYPEOfFUFL �OIL OGAS ❑LPG. �ELEC. <br /> LEGAL DESCRIPTION OF PROPERTY ISHOW OELOW OR ATTACH <br /> FOUR COPIE5) <br /> Np, TVPE OF EDUIPMENT FEE <br /> LOT BLOCK—OF_ — q�q CpNO.UNITS-H.P. EA. � <br /> REFRIGERATION UNITS-H.P. EA. <br /> UOILE(i5-1i.P. EA. � <br /> GAS RRED AG. UNITS-TONNAGE EA. <br /> FOHCED AIR E lSTEMS-B.T.U. M EA. I <br /> JOD ADOPESS �y� ��"� � WALL HLATAS-A.T.U. M <br /> �M/ �i/�w UNIT IiEA'efiS-B.T.V. M � <br /> EVAPORATIVECOOLCPS <br /> PLUMBING CLOTHCSORYERS i - _ , <br /> VENTILATION FAN <br /> RANGEHOOD � <br /> NO. TVPE OF FIXTURE OR ITEM FEE _ nIN HANDIING UNIT— C.F.M. - � <br /> WATER CLOSET ITOI�ETI 5 INCWEHATOR � <br /> onrHrun _� — — � <br /> LAVATORVIWASNBASIM _— <br /> SHOWER — <br /> KITCMEN SINK A. DISP. � SU� TOTAL 5 I <br /> DISNWASHER PERMIi 5 <br /> LAVNDRVTRAV TOTALFEE 5 I <br /> CLOTHES WASHEfi THIS PGPb11T �ECOMES NUI_I. AND VOIO IF WqRK OF CONSTRUC <br /> WATEF HEATI-R �_ TION AUTHOfl12EO IS NOT COh1MENCEL•WITNIN 120 �11Y5, OR IF <br /> URINAL CONSTIiUCTION OR WORK IS SUSPf-.`lUFO OH AUANDONED FOP A <br /> ORINKING Ft UNTAIN <br /> —� PERIOD OP 120 DAVS AT ANV TIMG AFTER WORK IS COMMENCeD. <br /> FLOOR-SIN�, OR DRAIN �— � HEREl3Y CGfiTIfV 1HM' I HAVE NEAC AND EXnMINED THIS AP� <br /> PLICATION AND KNnW THE SAME TO �E T^UE AND CORfiECT. ALl <br /> VACUUM R��EAKERS pqOVI510NS OF LAWS ANO OfiDINANCES GOVERNING THIS TVPE <br /> ti(`^. OMnINS-�ARJ�EADERS pF WpRK WILL �E CUh1PLIED WITH WHETNEP SPECIFIED HGNEIN <br /> SINK ISEHVICE-6AN, ETQ) OR NOT, THE GRANTING OF A PEFAIIT DOES NOT PRESUME T<i <br /> GNE nUTHORITV t0 VIOLME OR CANCEI THE PpOVISIONS 0�= <br /> l�NV OTH[R STATE OR IOCI�L LAW REGULATING CONSTRUCTION <br /> OR THE P[HfOFM�NCL OF CONSTRUCTION. <br /> SVB TOTAL <br /> P�RMIT 5�_ <br /> TOTAL FEE 5 � <br /> X <br /> S�GNATUREOf-CU�'iRI�CTOIiORAVTH.AGENT �ATE <br /> SIOEYARDSETL�ACK STREETSETUACK REAqYAfiDSET�ACKPLANCHECKNU61'3ER PLANCHECKPEE <br /> FEE FECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑vEs ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GPOUP UNIOS OWELUNIu � <br /> � � <br /> SIZE OF �LDG NO.OF STOFIES MA%.00C. LOAO 6UIL�ING 5 I <br /> PLUAI�ING � <br /> FIHCZONE BAS[MENT 1°IFtSPRINKLERS � <br /> HfQUIfiED � <br /> ❑VFS ❑NO MECHANICAI <br /> I <br /> SPECIAL CONDITIONS: OTHER I <br /> — PENELTY SEC..l031a) � <br /> _ � <br /> TOTAL � <br /> - PERMIT VALIDATION <br /> WHEN PROP[RLY VALIDATEO UN TMISSPACE)THIS IS VOUR i[HMIT <br /> /�CPLILATIONPCL(PICIIpY. PLl�NSLN[CKE��Y'. FPPBOV[DFO(1155UANCFIIY. <br /> �N�• O�li• <br /> I 3 <br />