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Ithe Evergreen <br /> �,TY ��� CONSTRUCTION everett <br /> everett PE�MIT <br /> cnr xaii u�ee.ns <br /> IVEPLIt,11'45111NL1pN <br /> 98101 I <br /> "`°' °` `°"'M°""� gUILDING MECHANICAL PLUMBING <br /> otvRorMENr <br /> OWNEF A1AIL AUDRE55 ZIP Pl10NE <br /> . . ,Y��{ r�.r��.�F.*^""ey l'"-: �1�•I�i <br /> AfiCHITECT OF DESIGNER MAIL ADDRE55 PIiONE LICENSE NO. <br /> GENERA�CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> �,M�t <br /> MECHANICAL CONTfiACTOR MAIL AO�RESS PHGNE LICENSE NO. <br /> PWM�INGCONTRACTOR MAILADORE55 PHONE LICENSENO. � <br /> W <br /> m <br /> PERM�� CLAS$OF WOFK ? <br /> Z <br /> ��UILDING [] PLUMOWf. �MECIIANICAL <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ~ <br /> VALUATION/O��yW�p�RyK� <br /> � <br /> ! 5 �yM�,y QDEMOLI511 ❑FBNCE ❑SIGN ❑SWIMMING POOL a <br /> DESCN��E WORK <br /> �:�t s� ��T��rs ;�-: r�ms 1571 <br /> PfiOPOSE�USE <br /> MECHANICAL <br /> LEGAL O[SCRIPTION OF PROP[flTV (SHOW F3FLOW OH ATTACH TVPE Of FUGL �OIL ❑GAS ❑LPG. �ELEC. <br /> FOUF COPIE5) <br /> Lo7�— ULOCK�OF ��'��r' �� TiaLT1LL1 N�• TYPE OF E�UIPMEN7 FEE <br /> AIR COND. UNITS—H.P. EA. S I <br /> REFRIGERnTION UNITS-H.P. EA. <br /> BOILERS-H.P. EA. � <br /> GAS FIR[p A.G UNITS-TONNAGE EA. —r <br /> fORCLD AIR SYSTEMS-�.7.U. M EA. I <br /> JOB ADDHE55 <br /> WALL HEATERS-U.T.U. M <br /> E� _.�.�,�n,.. V•� - <br /> VNIT H[ATERS-O.T.U. M I <br /> PLUMBING evnronnTivecoo�eRs � <br /> CLOTH[SDRVERS � <br /> VE4TILATION FAN <br /> pnNGEHOOD � <br /> NO. TVPE OF FIXTURE OR ITEM F[E <br /> NH Hl�N�LING UNIT- C.F.M. � <br /> WATER CLOSETITOILET) 5 T INCINERATOR � <br /> BATNTU� <br /> LAVATORV�WASH �ASIN) � � <br /> SHOWER — -- <br /> K.ITCHEN SINK R DISP. SU�TOTAL $ <br /> DI�HWASHEF � <br /> LAUNDRYTRnV fF.RMIT 5 T— <br /> CLOTHLSWASHEft <br /> TOTAI FEE S I <br /> vVATER HEATEfa THIS PERMIT F3ECOiNES NULL AND VOID IF WORK OR CONSTRUC� <br /> TION AUTHOFIZED IS NOT COMMENC[D \YITHIN 12U DAVS, OP IF <br /> URINAL CONSTPUCTION OR WORK IS SUSPEkDED OR Af3ANDONEO FOP A <br /> ORINKING FOUNTAIN - NERIOD OF 120 DAYS 4T ANY TIME AFTER WOfik IS COMA'IENCED. <br /> FLOOR-SINK Oti �RAIN I HEPEUV CERTIFV THAT I HAVE READ AND EK�MWGD THIS AP� <br /> VACUUM Bf;EAKERS —�— FLICAI ION �1NC] RNOW TH[SAME i0 6E TRUE AND CORHLCL ALL <br /> ftOOF DRAINS� RAINLEADERS ��aVI510N5 Of LAWS ANU OftOINANCES GOVE(iNING THIS TYPE <br /> OP W019K IVILL 6� COMPUED WITH WHETHEfl SPFCIFIED HEREIN <br /> SINK (SERVIC[-BAR, ETC.) � Of9 NOT, THC. GRANTING OP A PERMIT DOES NOi PNESUME TO <br /> GIVf AUTHORITV TO b'IOLATE ON CANCEL THE PROVISIONS OF <br /> ANV OtHER STAI L OR LOCAL ln\N (iEGUTATING COKSTRUCTION <br /> OR THE PERPORMANCE OF CONST�UCTIOM. <br /> SUBTOTAL <br /> PERMIT 5 �_ <br /> TOTA� FE[ $ <br /> - — X lt�,�la/?6 <br /> SIGJFTUFiEOFCONTfiACTORORAUTH.AGENT DATE <br /> SIDEVARDSET(3ACK STRELTSETfiACK REANVAADSETRACKPLi.NCHEfKNU�9[3Eii PLl1Nl'HECKFEE <br /> FEE RECLIPT NO. <br /> USE ZONE LOT AFEA VACANT SITE <br /> ❑YES ❑rvo FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING <br /> i UNITS i <br /> 512E OF 131.�G. NO. OF STORIES MAX.00C. LO/�D OUILOING 5 rfW�w � yy <br /> FIRE20NE 6ASEMENT � FIqESPqINKLERS PLUMDING i <br /> HEOUIRED �— <br /> ❑YES CNO MECHANICAL � <br /> 1 <br /> aP[CIAL CONDITIONS: OTHER � <br /> — I <br /> — — PENELTV 3EC. J0:14i1 I <br /> _. 1 <br /> TOTAL � <br /> PERMIT VALIDATION � <br /> WNEN PROPE RLY VALIDATED iIN TIII`:SPnCf-1 iH15 1^. VOUR P[HMIT <br /> AI'�'IIC:.linynf[IPIIUIiY �'In1.tiCMEIXEDOY. AiPP�V(11�0(115.0�1M1CC�V <br /> � � C.� � .• <br />