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the Evergreen <br />=�T� �� CONSTR UCTIOIV <br />everett PERMiT <br />CIIY �6111. 1L0P�i5 <br />EVEPEii. WA.HINGiON <br />98201 <br />0[VLOOEVElOiMEN( BUILDING MECHANICAL <br />VEF MAIL ADDftE55 Z�p <br />Ja�eph x'sllia2la�<1 7I� :�:;�1 Strr_st <br />PLUMBING <br />PHONE <br />2Sc1-1���� <br />e'a'ad��SC^ 1�0.^.3f:I'Qti.'�.},tlR (;O. ',�-hZ �i it�1 vLIC'`i: iS::s::C..'–�J–.?b?::?' <br />dECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NC <br />'LUMBINGCONTftACTOR MAILADDRE55 PHONE LICEf�SENC <br />'ERMII CLASS OF WORK -- <br />Q�.BUILDWG �PLUM6ING �MECHANIrqL <br />❑NE\N ❑AODITION ❑a.�TERATION ❑REPAIR <br />/ALUATIUN OF WORK <br />S Z ;�� 't:} ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />)ESCRIB[ WORK <br />P1t5.C�R +�1i:i; CL':>?':h��l:: rCc•:: <br />LEGAL DESCRIYTION OF P <br />FOUR COPIES) <br />LOT D�OCK__ <br />��'.�:1-'J <br />RTY <br />.i"�J J <br />JOB AODPESS <br />%..+ .�i3r:! JtiL't� <br />PLUMBING <br />I[X�-�c� <br />K �STREET <br />SPECIAL CONDITIONS: <br />.:.0 1 '.:. v`—��7_ <br />Ynrtin iR j�i�v7�:i <br />...s.t.... �::�_���� <br />f'� <br />ATTACH <br />RYARD <br />❑YES ❑NO <br />MECHANICAL <br />everett <br />z,;: _�7 <br />� <br />W <br />m <br />� <br />� <br />z <br />�"' <br />� <br />� <br />W <br />201Qa <br />AIR COND. UNITS-H.P. EA. 5 I <br />liEFRIGERATION VNITS-H.P. EA. —� <br />BOILERS-H.P. Eq, � <br />GAS FIflED A.C. UNITS-TONNAGE EA. _� <br />FOFCE� AIR SYSTEMS-6.T.U. M EA. I <br />WALL HEATERS-R.T.U. M i <br />UNIT HEATERS-B.T.U. M � <br />EVAPORATIVECOOLERS <br />CLOTHESDRVERS � <br />VENTILATION FAN <br />HANGEHOOD � <br />AIR HANDLING UNIT- C.F.M. __� <br />INCINERATOfl i <br />� - SU�TOTAL 5 j <br />PERMIT 5 T— <br />TOTALFEE 5 ' <br />1 <br />THIS PERMIT QECOMES NULL ANLt VOID IF 1'JORK OR CONSTRUG <br />TION AUTHORIZEO IS NOT CUMMENCED WITHIN 770 �AVS, OR IF <br />CONSTRUCTION Ofl WOFK IS SUSPENDED OR A6AN�ONED FOR A <br />PERIO� OF 120 DAVS AT ANY TIME AfTER WORK IS COMMENfLD. <br />1 HEftEGV CERTIFY THAT I Hl�VE FEi1D AND EXAMWEU THIS AP- <br />PLICATION ANU KNOW TME SAA1E TO (3E TRUE AND CORPECT. ALL <br />PROVISIONS OF LAWS AND ORLIINnNC[5 GOVERNING THIS TYPE <br />OF WOFK .VILL OE COMPLIED WITF WHETHER SPECIFIE� HEREIN <br />OR NOT, THF. GfiANTING OF A PERMIT �OES NOT PRESVME TO <br />GIV[ AUTHORITV TO VIOLATE OR C4PJCEL THE PROVISIONS OF <br />ANV OTHEH STATE OR LOCl1L LAW REGULATING CONSTRUCTION <br />OR TNE PERFORMANCE OP CONSTRUCTION. <br />%�i��i <br />x <br />SIGNATUREOFCONTRACTORORAUTH.AGENT DATE <br />'LAN CHECK NUh1(3ER PLAN CHECK FEE <br />FEE RECEIPT NO. <br />%7�'iIJ 1.•S.�)I� z'J:�L_� <br />FEES VALUATION I FEE <br />OAD BUILDING 5 �lVJV��^l� ���L �?'1 <br />I <br />PLUM�ING I <br />LERS � <br />MECHANICAL � <br />❑NO � <br />OTHER � <br />:C?OL'; � � — <br />T— <br />PENELTV SEC.3031a) I <br />TOTAL �� �� )' <br />�� <br />— � <br />PERMIT VAUDATION <br />-- WHEN PftOPE RLY VALIDATED �IN THI$ SPACEI THIS IS YOUIi PENMIT <br />