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Ihe Evergreen <br /> �,T��� CONSTRUCTION everett <br /> everett PERII�IT <br /> LItY XALL 159flRA5 <br /> fV[PE11.K45NIM1G104 <br /> ,���r0� C0A�4CYIlY gUILDING MECHANICAL PLUMBING <br /> nrvtiove��.� <br /> MNl ADDRE55 ZIP PHONE {y��.� <br /> OWNEN V'JF�!6 <br /> A. '�R.�'i�"'IE3 ?.bt5 �''��"' - <br /> MAILAODRE55 FHONE LIC[NSENO. I <br /> ARCHIlECT OR DESIGNEFi j <br /> 1 <br /> MAIL ADDPE55 PHONE LICENSE��0. I , . <br /> GENERALCONTRACTOF � <br /> MKHANICAI CONTHFCTOR <br /> MAI../ODfiE55 PHONE LICEhoE NO� <br /> 1� Q 4 � <br /> Ml+IL ADDRE55 PIiONE LICENSE ND. {y� <br /> PWM�ING CONiRf�CTOfI m <br /> � <br /> PEPMIT ClAS50F WORK Z <br /> F" <br /> ❑pUILDING ❑PLUMf11NG �MECMl�NICAL ❑NE� �qDDITION ❑ALTERMION �REPA�R � <br /> - � <br /> VHIUATION OF WORK r� w <br /> ❑DEMOLI511 u�CNCI ❑SiGN ❑SWIMMING POOL a <br /> 5 — — 797 <br /> OESCRBCWOHK ,�A�� <br /> i:...A..� L� 1'.:'�i <br /> PROPOSED USE MECHANICAL . <br /> I tY6 VF FUtL UUiL Giv U�r�. V EL'ci.. <br /> GAS <br /> �[GAL DESCRIPTION Of PROPENTY ISHOW(3ELOW OR ATTACH FEE <br /> �ouR COriGs) ryp, TVPE OF EDUIPMENT <br /> LOT BLOCK_OF - AIRCOND.UNITS-H.P. EA. 5 � <br /> _---Y— <br /> REfRIGERATION UNITi-H.P. LA. <br /> BO�L[FiS� IIP. EA. � <br /> - GAS FlfiL�A.C. UNITS-TONNAGE EA. <br /> FORC[D AIR S�STEMS-�.T.U. M EA. � <br /> Jpti ADOPE55 —�}I"Y"ALL MEA1[P.5--6.T.U. M <br /> wt!�t! �f�^'Y1Y �NIT NEATCfiS-F1.T_U. M � <br /> d�17 - <br /> FVAPONAiIVECOOL[RS <br /> CLUTHESUFVERS � <br /> PI.UMBING — — <br /> VENTILATION FAN <br /> RANGEHOOD � <br /> qiq 11ANDlING UNIT- QF.M. <br /> NO. TVPE OF FIXTURE OR ITEM FEE INCw[RnroN � <br /> WPl LR CLOSET(TOILET) ____ $ �.— �- � _' ._—J <br /> ❑qTNTU❑ � <br /> _ LAVATOFY IWASH 91151N) � <br /> SHOWEfi — SUBTOTl1L 5 <br /> KITCHEN SINK& �ISP. - PERMIT 5 <br /> DISHWASHEH _— <br /> T01AL Ff:E 5 I <br /> LAUNDHV TfiAV - <br /> CI.OTH[S WASMER �— THIS PERhUT 6ECOMES NULL AND VOID IF WORY. Ofi CONSTHUC- <br /> WATER MEATEit _ ___. TION AVTI�ORIZEO IS NOT COM�dENCEO WITHIN 120 OAVS, OR IF <br /> --� CONSTRUCTION OR WORK IS SUSPENDED OH AOANUUNbU FUH A <br /> URINAL PERIOD Of 120 DAYS AT ANV TIME AfTER WORK IS COMMENCEO. <br /> Df11NKING FOUfJTA1N +— � ��ERE[SV GERTIfV THAT 1 HAVE FEAD �ND E%AMINFU THIS AP� <br /> FLOOP-SINK OR �RAIN �-1 PLICATION AND Y.NOYJ THL SAM[ TO UE T�UE �N�COHRECT. l�LL <br /> VACVUMl3REAKERS PIiOV�510N5 OF Ll+WS FND OFDINl�NCES GOVERNING 1�H15 TYPE <br /> ROOF UflA1NS-Ft�INLEADERS OF WONK �VIIL 0[ COh1PL1ED WIT11 WHETHER SPECIFifO HEFEIN <br /> SINK(SERVICE-OAR,ETC.1 O(i NOT, TME GRANIING OF !+ �[RMIT DOES �OT PN6VId[ TO <br /> GNE AUTHORITY TO VIO�ATE OR CANC[L THE PROVIS�ONS OF <br /> - ANV OTHER STAT[ OR LOCAL Ll�N1 REGULATING CONSTflUCTION <br /> ORTHEPERFORMANCEOFCONSTRUGTION. <br /> SU6TOTAL _i <br /> — PERMIT 5 <br /> TOTALFEE g �� <br /> � 91GNATUREOFCONTRACTOHOIlAUTH.FGENT OAT@ <br /> PLAN CHECK FEE <br /> SIDE Y�RD SETRACK STRF[T SET�ACK REl�P YARDSETRACK PL�N CHECIC NUMOER FEE fiEGEIPT NO. <br /> USE 20NE LOT i�REA VACANT SITE —_ _ <br /> ❑vEs ❑No FEES VALUA710N FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELI�NG � <br /> UNI15 <br /> -- I <br /> 5 � <br /> SIZE OF pIOG. NO.OF STOFIES MAX.OCC. LOAD fiUILDING -- <br /> 1 <br /> PLVMBING <br /> FIRE ZONE 13ASLMLNT FIRESPPIYKLERS /!f/y� <br /> fiEOUINED pqLCHANICAL p �'� <br /> ❑VES ❑N� � <br /> SPECIAL CONOITIONS. <br /> OiHER � <br /> --- 5[G.3031a1 � <br /> PENELT� � <br /> TOTAL y �� <br /> PERMIT VALIDATION <br /> WHEN PIiO�CRLY V/�LI�ATEO IIN THIS;�'ACtI THI515�'OUR PF.Fh11T <br /> � nr�— novuovtniun�ssur.r:r[Pv � <br /> � iu:nnavncur�to��r i��nHsn�mrc[nxv. <br /> I � Z� <br /> 3 <br />