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!he Evergreen <br /> ����o� CONSTRUCTIOIV everett <br /> everett PERMIT <br /> CRYN�II ]5988;5 <br /> EVIPLf1.1':4fi�1.NL�ON <br /> 9E1lll <br /> °��, °��°^'�^°�^' gUILDING MECHANICAL PLUMBING <br /> o�vnnrv[xt <br /> OWN[fi MAIL ADOfiG55 21V PHON[ <br /> Pa:blic Pi•�ar.r.c li"1-'77 <br /> ARCHITECTOq DESIGNER MAIL ADDIiE55 PMONE LICENSL NO. <br /> GENERALCONTPACTOR MALL ADORE55 PMONE UCENSENO. <br /> S. 6 �. Sian Ca�pany <br /> MECHANICALCONTRACTOF MAIL AODRESS PMONE LICENSE NO. <br /> � <br /> PLUMBING CONTHACTOR MAIL ADORE55 PHONE LICENSE NO. w <br /> m <br /> � <br /> PEPMIT TCIA55OF WOflK � <br /> Z <br /> ❑9UILUING ['j PLUMBING �MECHANICAL ~ <br /> ❑NEW ❑nDDITION ❑ALTERATION I�HEPAIfi � <br /> VALUAT�ON Of WOIiK �y, � <br /> S ,:�:} �n ❑DEMOLISH ❑F[NCE �JSIGN ❑SWIMM'N, YOOL W <br /> a <br /> DESCftIOC WOFK 29�9 <br /> eracC illu:�ln9`cr! niqn <br /> PROPOSED US[ MECHANICAL <br /> rrr�orcue� �oii ❑cns. ❑�ac. �e�ec. <br /> L[GAL DESCRIPTION OF PROPERTV (SHOW 6ELOW OR ATTACM <br /> FOVR COPIE51 <br /> NO. TVPE OF EOiJIpMEN i FEE <br /> �OT ULOCK_OF AIftCOND.UIJITS-H.P. E/l. 5 I <br /> AEFFIGEfiATION VNITi-N.P. EA. <br /> -- f301LER5-NF. [A. I <br /> GAS FIFED A.C. UNITS-TONNAGE EA. <br /> FORCGDAIRSVST'M11S-6.T.V. MEA. I <br /> J06 ADp[i F�S$ WALL MEATERS-O.T.II. M <br /> 7j�i1/ ri�,�i.�'4.IZ�Q UNITHEATEPS-A.T.0 M I <br /> [VAPOFATIVECOOIEPS <br /> PLUMBING e�on+es onveas i <br /> VENTILAI ION FAN <br /> PANGEHOOD � <br /> NO. TVPE OF FIXTURE OR ITEM FEE �`�R HnNIJLING UNIT- C.F.M. <br /> WATERCLOSETITOILETI S INCINEPATOR � <br /> p/�TNTUO <br /> LAVATORY IWASIi Jl�SIN) ____ � <br /> -- SHOWER — — { <br /> KITCMCNSINKF. DISP. SUBTOTAL S I <br /> UISHWl�SHHi PERMIT S <br /> LAUNDqYiRAY TpTA�FEE 5 � <br /> CLOTH[S WASHEH THIS PEFMIT �[COME` NULL AND VOID IF WORK OR CONSTRUG <br /> WATER H[AT@R TION AUTHOFIZED IS NOT COMMENCED WITNIN 120 OAVS, OR IF <br /> URINAL CONSTRUCTION JR ',VORN IS SUSPENOEO OR At1ANOONED FOR A <br /> DRINKING FOUNTAIN �ERIOD OF 120 �A`.S AT ANV TIML 11� TEfi WORK IS COMMENCEO. <br /> FLOOR-SINK OR DRAIN � HEF[f3Y CERTi;-V 711AT 1 HAVE FEAD AND EXAMINED THIS l�P- <br /> — PLICl�TION ANf KNOW THE SAM[ TO DE TqUE AND COl�PFCT. AL� <br /> VACUUM OHEAY.EPS f fiOVI510N5 Cf LAW.�i AND OROINANCES GOVERM1ING T�11� TYPE <br /> RO.iF DRAINS-RAINLEADEFS � OI' WOPK WI�L 13E COMPLIEO WITII WMETMER ;FECIFIE� HEPEIN <br /> SINK (SERVICE-OAR, ET�'.) OR NOT. TNE GRANTIkG OF A PERMIT DOES NOT PRESUME TO <br /> � GN[ AUTHOqITV TO VIOLATE OR CANCLL tNE FRGVISIONS OF <br /> � ANV OTH[F ;TATE OR LOCAI LAW REGUTAtING CONSTfiUCT10N <br /> OH THE PERFORMANCE OF CONSTRUCTION. <br /> SUB TOTAL __� <br /> __ PEFMIT 5 '�/al/7? <br /> TOTAIFEE S i <br /> x <br /> SIGNATURf:OFCONTRACTORORAVTH.AGEN1 DATE <br /> SIGL +AfiD SElOACK STREET S[TO/1CK REAq V�1qD5ETUACK PLAN CMECK NUMBEN PLAN CHECK FEE <br /> FEE �LC[IPT WO. <br /> US[ ZONE LOTAPEA VACANTSITE <br /> ❑Ycs ONo FEES VAIUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING � <br /> UNITS <br /> 512E OF OLDG. ND.OF STOHIES MA%.00C. LOAO [3UILDING 5 O�� � 5� � <br /> P W MBI NG � <br /> FIREZONE ❑AS6MENT FIRESPPINKLERS -—__—_. <br /> RE�VIR[D � <br /> ❑VBS ❑NJ M1^�CNA�:'6AL I <br /> I <br /> SPECIAI CON�ITIONS: OTMER � <br /> — PENELI-v SEC. 3071a) � <br /> �1 ;.". <br /> TOTAL I <br /> � PEPMIT VALIDATION <br /> WH[N PROP[RLV V ALiDAT[D IIN THIS SFf�C[1 iH15IS VOU(i P[fihtlT <br /> I - � <br /> I <br /> nPPiVn1tON(�[CFPlE08V� �LnNSbrfC✓IU�•.v MPROv1Uip���'.:��.�NCIIIr <br /> I .. .t . �.,�t <br /> In <br />