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the Evergieen <br /> ��r� oF CONSTRUCTION everett <br /> everett PERMIT <br /> crtrnnu tss�eaes <br /> EVCqETi.lYASNiNfiON <br /> 9B1p1 <br /> °`°� °�,�E«P;°„ BUILUING MECHANiCA.� PLUMBING <br /> OWNER MAIL ADDRE55 ZIP I'HOf�[ <br /> J��� !' ^�.A ��TG <br /> ARCHITECT OR DESIGNER MAIL AO"�RESS PHONE LICENSE NO. <br /> GENERAL CONTRACTOR MAIL ADDRESS PHONE IICENSE NO. <br /> MECHANICAICONTRACTOR MAILADDRESS PHONE LICENSE k0. <br /> PLUMeING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. � <br /> W <br /> �'_'�'�i � <br /> ❑EftM1T CLASS OF WORK � <br /> z <br /> �BUILDI:VG �] PLUM6ING �MECHANICAL r <br /> �NEW ❑ADDITION ❑ALTERl�TION ❑RGPAIR � <br /> VALUATION OF VJORK � <br /> 5 ❑UEMOLISH ❑FENCG ❑SIGN ❑SWIfdMING PGOL a <br /> DESCRI9E WORK <br /> 466 <br /> PROPOSED USE MECHANICAL <br /> TYVEOFfUEL �OIL �NI�T. �LPG. �ELEC. <br /> LEGAL OESCRIPTION OF PHOPERTV ISHOW [iELOW OR ATTACH G/�S <br /> FOUR COPIESI <br /> LO7 oLOCK_—oF_—_ NO. TYPE OF EQUIPMEN7 FEE <br /> AIR COND. UNITS-N.P. EA. 5 I <br /> � I REFRIGERl�TION UNITS-H.P. LA. <br /> �BOILERS--H.P. EA. I <br /> GAS FIRF.D A.C. UNITS TONPoi1GE El�. <br /> FORCE�AIR iVSTEMS-6.T.1�. M EA. I <br /> JOqB�A.�DOR��E/�55p y WALL HEATERS-Es.T.U. M <br /> �:.iL� li%I/l U� �7 UNIT HEATEPS-B.T.l1. M I <br /> EVAPORATIVcCOOLERS <br /> PLUMBING CLOTHFSDRVEFS I <br /> VLNTILATION FAN <br /> RANGFIi00D 1 <br /> TYPE OF FIXTURE OR ITEM EE _ nIR IiANDLING UNIT- C.F.M. � <br /> WATF.R CLOSET ITOILETI g INCINERr1TOP _ I <br /> BATHTUB <br /> LAVl1TORY IWASH BASIN) I <br /> SHOWEF +— <br /> KITCHEN SINK& DISP. SUD TOTAL S � <br /> �ISHWASHEF PERMIT 5 <br /> LAUNDFV TRAV TOTi1L FEE 5 <br /> I <br /> CLOTIIES WASHEF THIS PERMIT �ECOMES NULL AND bJ�D IF WORK OR CONSTRUG <br /> WATER HEATEfl l'ION AUTHOFIZEJ IS NOT COMMENCEJ WITHIN 120 �4YS, OR IP <br /> URINAL CONSTFUCTION OR WDPK IS SUSPENDF� OR ABAN�ONED FOrI A <br /> ORINKING FOUNTAW — PER�OU OF 120 DAY$ AT ANY TIML AFTER WORK IS COMIdENCED. <br /> FLOOR-SINI: OR DRAIN I HEREBV CEHTIFV iHAT I HAVE fiEAO AND [Xl�MINED THIS AP� <br /> VACUUM �REAKEFS PLICATION AND KNpyy THE SAME TO �E TRUE AND CORRECT. ALL �; <br /> --�— PROVISIONS nF l.iWS AND OROINl.NCLS GOVEHNING THIS TVPE <br /> ROOF URAINS-qAIN�EADEPS OP WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> SINK (SEFVICE-(3A(1, 'eTC.) —1 � OR NOT, THF GRANTING OF A PERh11T DOES NOT PRESUME TO <br /> �— GIV[ AVTNORITY TO VIOLATE Ofl CANCEL THE PROVISIONS OF <br /> -�--- ANV OTHER STATE OR LOCAL LAW REGVLATING CONSTRUCTION <br /> _ OR TIiE PERFORMANCE OF CONSTRUCTION. <br /> SUBTOTAL <br /> PERMIT S <br /> TOTALFEE 5 <br /> x �3[�<, <br /> SIGNATUREOf-CONTRACTOROFAUTH.AGENT DATE� <br /> SIDE YARD ScTBI�CK STREET SETBACK REAR YARDSET6ACK Pl�1N CHECK NUMOER PLAN CHECK FEE <br /> FEE FECEIPT NO. <br /> USE20NE LOTAREA VACANTSITE <br /> ❑vEs ❑nt0 FEES VALUATION FEE <br /> TVPE OF CONST. OCCl1PANCY GROUP NO.OF DWLLLING <br /> UNITS I <br /> SIZE OF BLDG. NO. OP STORIES MA%. OCC. LOAD BUI�DING 5 � <br /> I <br /> PLUM6ING �y i� <br /> FIftE 20NE B/1SEMENT FIRESPRINKLEFS ! <br /> RC�UIRED � <br /> ❑YES ❑NO MECHANIGAL � <br /> SPECIl�L CONDITIONS: OTHER � <br /> — PENELTV SEC. 3031n1 I <br /> I — TOTAL � <br /> ��� <br /> PERMIT VALIDATIO� <br /> WHEN PqOPERLV VALIDATED (IN THISSPACE) THIS IS VOUR PERMIT <br /> AGYLIf,�tIpN�CCCPiE00Y' PLAf6CHECNCppV- FPPNOYE�FOFISSU�M1C[BY. <br /> 3� C.� <br /> � <br />