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i .� :.::..+'�:,-1 — . <br /> thc Evergrcen <br /> ���� o� CONSTRUCTION everett <br /> everett PERMlT <br /> ❑!Y IIALL j590F45 <br /> EVEflEtt,1YA5NING104 <br /> 98}pl <br /> °"` °` `°'.'",°""� BUILDING MECHANICAL PLUMBING <br /> ncvc!ovnicHr <br /> OWNGR M0.�4QD�RE55 21P PHONE <br /> !�e 23�5 �� �a� 4�1. 3i�'�G <br /> ARCHITECT OR DESIGNER MAIL ADDRE55 PHONE LICENSE NO. <br /> GENEFAL CONTRACTOR MAIL AODRE55 PHONE IICENSE NO. <br /> MECNANICAI CONTRACTOR .M�AyI.L�ADORESS PHUN1'Ee4» LICENSE NO. <br /> °ati'� CII'� i.�OCI�'�.E .r�ac. gF11lh � 4r� � <br /> PLUMDING CONTFACTOR MAIL A��RESS PHONE LICENSE NO. w <br /> � <br /> PERMIT CLASS OF WORK � <br /> � <br /> z <br /> ❑6UILDiNG � PLUM6ING �MBCHANICAL r <br /> �NEW ❑AODITION ❑ALTERATION ❑REPAIR � <br /> VALUATION OF WOfiK � <br /> 5 ❑�EMOLISH ❑FENCE ❑SIGN ❑SWIMMING FOOL a <br /> DESCRIBE WOflK <br /> �tbo12 2S} �d t`rJ�4c�a I'�l�1 <br /> I PROPOSED USE MECHANICAL <br /> I <br /> TYPEOFFUEL �OIL �Nr�T. �LPG. �ELEC. <br /> LEGAL DESCRIPTION OF PROPERTV �SHOW 6ELOW UR ATTAChI GAS <br /> FOUR COPIES) <br /> LOT BLOCK—oF NO. TYPE OF E�UIPMEN7 FEE <br /> AIF COND. UNITS—H.R EA. 5 I <br /> REFqIGERATIOfJ UNITS-H.P. EA. <br /> BOILERS-H.P. EA. � . <br /> GAS fIRED A.C. UNITS-TONNAGE EA. <br /> FOftCEO AIR SYSTEMS-6.T.U. M EA. I <br /> J06 A�DRESS `' ` VJALL HEATERS-8 T.U. M <br /> ^ ( — <br /> .. G . f��.._ UNIT HEATERS-e.T.U. M I <br /> EVAPOR4TIVE COOLERS <br /> PLUMBING CLOTHES DRVERS <br /> I <br /> VENTII.ATION FAN � <br /> RANGEHOO� I � <br /> 111R HANOLING UNIT- 0.F.M. <br /> NO. TVPEOFFIXTUREORITEM FEE iNCiNEr�nToa j <br /> WATER CLOSETITOILETI $ _ __ _ <br /> �ATHTUO j 4j <br /> LAVATORY (WASH 6ASIN) � �'' <br /> SHOWEfi �— �:I <br /> KITCHEN SINK & DISP. �UB TOTAL 5 �� �� <br /> �ISHWASHER T— PERMIT $ I <br /> LAUNDftV TRAV TOTl�L FEE 5 � <br /> CLOTHES WASNER THIS PERfdIT �ECOMES NULL AND VOID iF WORK OH CONSTRUC- <br /> WATER HEATER 'iION AUTNORI2ED IS NOT COMMFNCEU WITHIN 120 C AVS, OR IP , <br /> URINAL CONSTRVCT-ON OR YJOf1Y. IS SUSPENDEO OF A�ANDONED fOfi A . <br /> DRINNING FOUNTAIN PEFlIOD OP 120 OAvS AT ANV TIME AFTER WORK IS COMMENCED. � <br /> FLOOR-SINK OF DHAIN -�— I HEREE3Y CERTIFY TNAT I HAVE qEAD ANO EXAMINED THIS AP� � <br /> VACUUM �REAKERS � PLICATION 11ND KNOW THE SAh1E TO�E TRUE �INO COFRECT. ALL <br /> ROOF ORAINS-RAINLEADEFS P��V�SIONS OF LAWS AND OfiDINI�NCES GOVERNING THIS TVPE <br /> OF WORK WI�L E3E COCiPLIED WI'fH INHETFILR SPECIFIGO HEREIN <br /> SINK ISEFVICE-�AF, ETC.) OR NOT, THE GRANTING OF A PEIifdIT DOES NOT PRESVME TO <br /> GIVE AUTHORITV TO VIOLl1TE OH CANCEL THE PROVISIONS OF <br /> ANY OTFIER STME OR LOCAL LAW FEGULATING CONSTRUCTION <br /> OR TNE PEFFORMl�NCE OF CONSTRUCTION. <br /> SUB TOTAL <br /> PERMIT 5 —� <br /> TOTALFcE 5 �] <br /> x %!`+J�� <br /> SIGNATUR60FCONTNACTOROFALTH.AGENI' DATE <br /> SIUE YARD SETE3ACK STFiEET SETBACK REAR VARDSETBAGK !'LI�N CH[CK NUMUEF PLAN CHECK FEE <br /> FEE ftECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPAKCY GfiOUP NO.OF�WELLING <br /> 11NITS I <br />� SIZE OF �LD3. NO.OF STORIES M/�%. OCC. LDAD 9UILDING > � <br /> I <br /> FIFEZONE BASEMENT FIRESPRINKL[FS �LUMBING ; <br />� FEOUIRED I}iIN1 <br /> ❑YES ❑NO h�ECNANICAL � w <br />' SPECIAI.CONDITIONS: t�THER � <br /> I <br /> — PcNELTV SEC. 3031a1 I <br /> TOTAL �j� <br /> PEHMIT VALIDATION <br />, — lVH[N PROP[HLl' VALI�ATED IIN THISSPACE7 THIS IS YOUF PERMIT <br /> nvPLIL/+TIONACCLPTE09Y'. �LANSCHCCKE�(1Y: APPHOV[OLOIiI55U�NCE9V. <br /> tt1C• ��• I <br /> � <br />_ �f _._'.__ _ <br />