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thc EvergreCn <br /> =�T� �� CONSTRUCTION everett <br /> everett PERMIT <br /> CRYNAIL ]59APP5 <br /> LVEPCIt,W45NINL10N <br /> 98201 <br /> °`°` °"°"'"°""r BUILDING MECHANICAL PLUMBING <br /> on�uorrn�vi <br /> OWNER MAILADDFESS ZIP NHONE <br /> ;� 14�'.."�.�18 I�1 CC!!r"r�.T.l.�'": � <br /> ARCHITECT OR�ESIGNER MAIL ADDRESS PIiONE LICENSE NO. <br /> GENERALCONTRACTOR MAILAD�RESS PHONE LICENSENO. <br /> MECHANICALCONTRACTOR MAIL ADDHESS PHONE LICENSE NO. <br /> � aE <br /> PLUM�ING CONTRACTOR MAILl1DDRE55 PHUNE LICENSE ND. � <br /> W <br /> m <br /> PEflMl7 GLASS OF\NOflK ? <br /> ❑DUILDING � VLUh101NG,�]MECHANICAL Z <br /> ❑NEW ❑l�DOITION ❑ALTEFATION �REPl11F ~ <br /> VALUATION OF WORK � <br /> 5 ❑OEMOL151/ ❑fENCE ❑SIGN ❑SWIMMING POOL W <br /> DESCRIBE WORK -- a ' <br /> 663 <br /> P{IOPOSED USE <br /> MECHANICAL <br /> TVPEOPFU[L QOI1. QNAT. �LPG. �ELEC. <br /> L@GAL DESCRIPTION OF PROPERTV ISHOW OELOW OR f�TTl1CH C,AS <br /> FOUF COPIE51 <br /> Lo7 oLOCr._oF Na• TVPEOPE�UIPMEN7 FEE <br /> AIR CONO. UNITS-H.P. EA. 5 � <br /> REFtiIGERATIONUNITS--H.P. EA. - ---��— <br /> �OILERS-11.P. Ep, � <br /> GAS FIIiEO A.C. UNITS-TONNAG[ EA. <br /> I FORCLD AIR SVSTEMS-6.T.U. M EA. I <br /> JOB ADDRE55 ��l1�. �� ��pq-Ry� Wl��� HEMERS-�.T.U. M <br /> (V� c� ia. <br /> UNIT HEATERS-��.T.U. M I <br /> @VAPORAi1VECOOLERS <br /> PLUMBING CLOTHESDRYERS � <br /> VENTIL4TIONPAN <br /> RANGEHOOD � <br /> NO. TVPE OF FI%TURE OR ITEM FEE _ nin �inNouNc uNi7- C.F.nn. <br /> WAT@R CLOSET(TOILETI § � IN INERATOfi _ � � <br /> [lATNTU� <br /> IAVATORVIWA5H8A51N) <br /> SNOWER — I <br /> KITCHEN$INK& DISP. --' <br /> SU9 TOT/1L $ <br /> DISHWASHER — - <br /> LAVNUfiV Tfi/�Y PERMiT 5 <br /> CLOTH[5 WASIiER TOTAL F�E 5 <br /> —�—� THIS PEHMIi l3ECOMES NUIL ANO VOID IF WOFK Oq COKSTRUC� <br /> \VATGR HE4TER TION AUTHOfi12E(1 IS NOT COMA1[NCED WITHIN 120 DAVS, Oq IP <br /> URINAL CON;TRUCTION OR WORY. IS SVSPENOED OR A6ANOONED FO�i A <br /> DRINKING FOUNTAIN PERIOD OF 120 DAVS AT ANV TIME AFTER N'ORK IS COMMENCEO. <br /> FLOOR-SINK OR DRAIN 1 HLRE�V CEIITIFV THr1T I NAVE AEAf� nN� E%AMINED THIS AP� <br /> VACUUM1i 6(iC.AK@fi5 � PLICl�TION ",D KNUW TH[$AME TO f3E TRUE ANO CORRECT. ALL <br /> POOF �RAINS-RAINLEAOERS —� P�OVISIONS Of- LAWS AND OPDINANCES t10V[RNING THIS TVPE <br /> OF WORK N9LL B[ COMPLIGD Wllll IVHETHER SPECIFIED HEREIN <br /> _ !iINK (SERVICE-�AR, ETC.) � OR NO'i, THE GNANTING Of- ! PEqMIT DOES NOl' VHESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PqOV1510NS OF <br /> ANV OTHER 5T�11[ OFi LOCAL LAW RLC9ULMING CONSTNUCTION <br /> OR THE PERFORM�NC[ OF CONSTRUCTON. <br /> SU[3l'OTAL <br /> PERMIT S �— <br /> _ TOTAL PEE $ �__ �� <br /> x <br /> SIGNATVR[OFCONTFiACTORO(iAUiIi.AGENT DAT[ <br /> SID13 YqqD SET(3ACK STREGT SCTBACK REAR VARDSET�ACK P�AN CHECK NUMUER PLAN CHECK FE@ <br /> f-EE RECEIPT NO. <br /> USE 20NE LOT ARCA Vl�CANT SITE <br /> ❑vE5 ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GHOUP NO.OF DWELLING <br /> UNITS � <br /> SIZE OF f3LDG. NO.OF STORIES MAX.000. LOAO �UILDING 5 � <br /> I <br /> PLUM6ING I <br /> FIfiE20NE f3nti[MLNT Flfi[SPRINKlERS <br /> REOUIRCD � <br /> ❑V[5 ❑NO ��ECHl�NICAL � <br /> SPECIAL CONDITIONS � <br /> OTHER <br /> I <br /> — PENELIV SEC. J031a1 I <br /> TOTAL q <br /> PERMIT VALIDATION <br /> WHF.N PRO�[fi�_V Vl1LIDATED IIN THIS SVACr-�THIS IS VOUIi PERMIT <br /> n�9•Iif.AiiDNPCCCPi[ONn �l4yqCqlLNE�BY- pPPpOV[DPoP155114NC[8V. <br /> � G <br /> a <br />