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_ f .s�— <br /> Nm Evergreen <br /> =�TY �� CONSTRUCTION everett <br /> everett PERMIT <br /> ❑Iv NnLL ]59?NPS . <br /> fVfFEli.N4SX�NG101 <br />' 93101 <br /> °`°' °"°""°""� BUILDING MECHANICAL PLUMBING <br /> ocv[�orw[xi <br /> OWNER I�'T �y� ! }+ MAIL ADDPESS ZIP PMON[ <br /> �.i �� \�lY.�i�� `�7 �A.�P'• ^ <br /> ARCHITECT OR OESIGNER MAI�ADDRESS PHONE LICENSE NO. ��`� <br /> GENERALCONTRACTOF MAILA�DRESS PHONE LICENSE NO. <br /> MECNANICALCONTRACTOR MAILADORE55 PHONE LICENSENO. <br /> � (t f� <br /> PWMBINGCONTRAGTOR MAILADDF1E55 PHONE UCENSENO. � <br /> W <br /> m <br /> PERMIT CLASSOFWORK � � <br /> ,y Z <br /> ❑6UILDING ❑PLVMOING �}MECHANICAL �- <br /> ❑NEW ❑AODITION ❑/�LTERAT�ON �LPAIH � <br /> VALVATION OF WORK � <br /> S ❑OEMOLISH ❑FENCE ❑5'.GN ❑SWIMMING POOL a <br /> DESCRBG WORK � <br /> �-:- -�" ''- 1921 <br /> PROPOSED USE <br /> MECHANICAL <br /> TYP[pFfUEL �OIL �NAT. �IPG �ELEC. <br /> LEGAL DESCRIPTION OF PFOPE(iTY (SNOW�E.OW OF ATTACH GAS <br /> FOUF COPIE51 � <br /> LOT oLOCK—oF NO. TVPE OF E�UIPMENT FEE <br /> AIR COND. UNITS-H.P. EA. $ I <br /> RE�FIGEfiATION UNITS�-H.P. EA. <br /> f301LER5-H.P. EA. I <br /> GAS FIFi[O A.C. VNITS-TONNAGL EA. <br /> FOfiCED AIR SVSTEMS-D.T.U. M EA. I <br /> :OB ADDRE55 �M �yy� WALL HEATEFS-D.T.U. M <br /> ',-/ 411`;!➢ UMTHEATERS-U.T.V. M I <br /> EVAPOiiATI V E COOLE RS <br /> PLUMBING c�onie DRVEfiS � <br /> VENTILAiION FAN <br /> Rl�NGE HOOD I <br /> NO. TYPEOFFIXTUREORITEM FEE _ ninHI�NOLIVGUMT- QF.M. l <br /> WATERCLOSETITOILETI s WCWEPATOR I <br /> 9ATHTU� T � � � <br /> LAVATORY �Wq5H8ASIN) I <br /> SHOWER <br /> KITCIIEN SINK W DIiV. SUB TOTAL 5 � <br />� DISHWASNFfl PERMIT 5 <br /> Lt1UNDRVTRAV _T_ TOTALFEE $ I <br /> CLOIH[S WASHER THIS PERMIi 6EGOMES NULL AND VOID IF WORK OR CONSTPUC- <br /> WMEP HEAiE(i TION AUTHOPIZED I$ NOT COMMENCED V:ITHIN 120 �AVS, OR IF <br /> URINl�L CONSTFUCTION OR WORK IS SUSPENOEO OR l,PANDONE� FOp A <br /> DPINY.ING FOUNTAIN PFRIOD Of 120 DAVS AT ANV TIME AFTEIi WOPK i3 COMMENCED. <br /> f-LOOR-SINK OR URAIN I NEREBY CERTIFV TNAT I HAVE REAO AND LXAMINED THIS AP- <br /> VACUUM fiREAKERS PLICATION AN� KNOW THE SAME TO �[ TPUE AND CORRECT. ALL <br /> PROVISIONS OF IAWS AND OFiDINANCES GOVERNING THIS TVPE <br /> ROOP ORl�INS-fiAINLEA0ER5 OF WORK WILL 6E COMPI.IED WIT'FI WNETNER SPECIFI[D HEfiEIN <br /> SINK (SERVICE�-OAR, ETC.) � OR NOT. TliE GfiANTING OF A PEfi�11T UOES NOT PRGSUME TO <br /> GIVG AUTHORITV TO VIOLATE CR Ct1Nf_EL TH[ PfiOVi510t�S OF <br /> ANV OTH[R SfATE OR LOCAL Ll1W REGUL/�TING CONSTRUCTION <br /> ON THE PEfiFOR�dANCE OF CONSTHUCTION. <br /> SUBTOTAL <br /> PERMIT 5 i <br /> TOTAL FEE $ - `� <br /> X .y-r <br /> SIG�JATUREOFCONTRACiORORAUTH.AGENT DATE <br /> SIDEVARDSETlIACK STREETSET6ACK REARYARDSETOACKPLANCHECKNUh1�ER PLANCHECKFEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA V.�CANT SITE � <br /> ❑vE5 ❑No FEES VALUATION FEE <br /> TYP[ OF CONST. OCCUPANCV GqOUP NO.OF OWEL�IIJG <br /> UNITS I <br /> SIZE OF BLDG. NO.OF STORIES MAX. OCC. lOAO BUILDING S � <br /> I <br /> PLUMOING � <br /> FIIiEZON[ BASEMENT FIFESPfiINKLERS I <br /> RE�UIPED I <br /> ❑YES ❑NO MECHANICAL ��� <br /> SPECIAI CONDITIONS: OTHER � <br /> PENELTY SEC. 3031a1 I <br /> l— <br /> TOTAL �j L� <br /> PERMIT VALIDATION <br /> WHF.N PROP[RLV VALIpMED UN THIS SPACE)TFIIS IS VOUR P@R�dIT <br /> nPfliUliOpnLCLFIlbf1V �tPNSCHEGNEDBY- APPHOVC�lOII��SUPHCCCV. <br /> ��� <br /> � <br /> � <br />