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I <br /> dre Evergreen <br /> ��,� ��. CUNSTRUCTION everett <br /> everett PERMIT <br /> LIIY IIA1I 1FYAAAS <br /> EVEIi.ii.t9n5111riG10B <br /> ON].1 <br /> �,F��� °� �°•���,°^°° BUILDING MECHANICAL PLUMBI <br /> u[vciovn�u+t <br /> O6YNEF MAIL /1DDRESS 21P PNONE <br /> ...y��-.ii �,%"}+ �M'.) w�)::! :��� �h�7+ <br /> ARCHITECT OR DESIGNEP. M19AIL.P.DDHESS �IIOGE LICENS[ NO. <br /> GENERAICONTFACTOR M1SAILADDRE55 PHONE LICENSENO. <br /> MECHANICALGONTRACTOfl fdA:L ADDRESS PHONE LICENSE NO. <br /> �2 i: F' [L <br /> PLUM�INGCONTRACTOIi Ms�IL/1DDFESS PHONE LICENSENO. W <br /> m <br /> � <br /> PERMIT CLASS OF WORk 7 <br /> ❑ 6UILOING ❑ PLUMBING �MECIiANICAL ~ <br /> �NEW ❑/.00ITION ❑ALTERATION L�REPAIR � <br /> _ � <br /> VALUATION OF WORK (yJ <br /> ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIM1IMING VOOL a <br /> O�SCRIR[WOFK `.:*�;�'�.L+. .. . r ... ....� �kl�u� .. . . .� VV� <br /> � :.t'. <br /> PROPOSED USE MECHANICAL <br /> TVPEOFFUEL �OIL �G�S� ❑LPG. �ELEC. <br /> LEGA�DESCRII'TION OF PROPERTV ISNOW E3ELOW OF ATTACN _ <br /> FOUR CoalE51 NO. TYPE OF EQUiPMEN7 FEE _ <br /> �p7 BLOCK—OF ------ q�ry COND. UNITS-H.P. EA. 5 � <br /> REFRIGERATION UNITS-H.P. EA. —�— <br /> r - -- <br /> BOILERS-H.P. EA. � <br /> GAS FIflED A.G. UI.ITS--TONNAGE EA. <br /> y-- FOFCED AI(. .iYSiEMS-B.T.U. M EA. I <br /> JOB AD�RESS +yy� e� �y d. WnLL HEl�TLRS-6.T.U. M � � <br /> J�...� Gr'ffF �=fr• UNIT FIEl�TERS-B.T.U. M � <br /> _�_ <br /> LVAPORATIVECOOLEflS <br /> PLUMBING CLOTHES OF1'EFS � <br /> VENTILATION FAN <br /> RANGEHUOD � � <br /> — AIFl IIANDLING UNIT- QF.M. <br /> Np, TVPE OF FIXTURE OR ITEM FE�_ iNCiNEanioa � <br /> WATEF C_OStT (TOILETI _5�_ —+�.�,—r�—, ��,� .R _�_�_ <br /> .W <br /> BATNTUB — I <br /> LAVATOHV (WASH 9ASIM — �--- -' T <br /> _ SHOWER �_ --- � <br />� KITCHEN SINK & �ISP. _ SUU TOTAL S <br /> UISHWASHER PERMIT 5�— <br /> LAVNDRV TRAV TOTALFEE 5 <br /> IGLOTHES WASNER _� THIS PEFMIT 6ECOMES NULL AIJO VOIn IF WOFK OR CONSTRUC- <br /> WATEF HEATER TfON AUTHOHIZEO IS NOT CO��MENCEU WITHIN 120 DAVS, OR IP <br /> UflINAL .ONSTRUCTION O� WORK IS SUSPENDED OR ApANDONED POF A <br />�� — --'T PERIOD OF 120 DAVS AT ANV TIM11E AFTER WORK IS C0�IMENCED. <br /> �FINKING FOUI�TAIN — <br /> FLOOfi-SRJY. OR DRAIN I HcAE6� CEftTIFV THAT I HAVE flEA� AND E%AMWED THIS /�P- <br /> PLICAT "1N AND KNOVJ TNE SAME TO[3E TRVE AND CURfiECT. ALL <br /> VACUGM11 �REAKERS PRUVISJNS OF �AWS AtJ� OFDIN/�P10ES GOVERN�NG THIS TVPE <br /> fiUOF �RAINS--RAINLEAO[FS OF WORK WILL BE COPdPLI[D WITH WNETNEH SPECIFIED HHREIN <br /> SINK (SERVICE-�AR, ETC.1 � OR NOT, TIIE GRANTING OF A PERMIT DOES NOT P14ESUME TO <br /> GIVE PUTHORII'V TC VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTHER STATC- OR LOC�1L Ll1W REGULATING CONSTfiUCTION <br /> OR THE PEPFORMANCE OF CONSTftUCTION. <br /> __ _ SUR TOTAL �_ <br /> PERMIT 5 <br /> TOTl1L FE[ 5 i <br /> -- x ''/1'/'!�i <br /> SIGNATUHEOfCUNTFlACTORORAUTH.AGENT D/1TE <br /> SIDE �l�RD S[T[31Ch: STFlE6T 5@TL3ACK F�EAR YAHUSET6,9CK PLAN CHECK NUMDER PIAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USEZONE I.OTAREA VACANTSITE _ <br /> ❑YES ❑No FEES VALUATION FEE <br /> TY'NE OF CONST. OCCUPANCV I:ROVP UNiT.S �WELLING � <br /> — I <br /> SIZE OF 6L�G. NO. OP STOftIES MAX.000. LOAO 6UILDING 5 � <br /> PLUMBING � <br /> - FIRESPfiINY.LERS � <br /> FIHE: ZONE 6ASEMeNT RF.�UIRED b � <br /> ❑VES ❑NO Id[CHANICAL _ � <br /> I <br /> SPECIALCONOITIONS: JTHER I <br /> f <br /> PENELTY SEC. 30310) � <br /> __ _--_— -- � _ <br /> — — TOTAL A '� <br /> PERMIT VAL�UATION <br /> _ WHF.N PflOPERLV VALI�ATED UW THiS SFACEI TH1^ IS VOUR P@PINIT <br /> APVLILf�TIONPQCPT[DOY�. �LFIlSLHFCN[DOY: APP�pVEOfOHISSUANCC�I. <br /> �i1 �i� I <br /> i <br /> � <br /> (�T1__,-.._ _.._. ... ._: <br />