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�---- � <br /> I the Evergrcen <br /> ��T�oF CONSTRUCTION evereft <br /> everett PERMIT <br /> Li1V 11A1L ]598905 <br /> EVEHETI,t14SNl4Gi(IN <br /> 3en�i <br /> °�°' °`"'°^'°'�°° BUILDING MECHANICAL PLUMBING <br /> r,cv[inrrnern <br /> OWNER -�q� �/y M�A�I/L� A�O,D},FF.L;S Z�P PHUNE <br /> t �.:.� L ��....' Y.��`rf jy�r[.f,: �a.ca i�l�• <br /> � aa rs ,�i,y.�� <br /> AFCHITECT OF OESIGNER MAI�ADDRESS NHONE LICENSE NO. �" ' 7� I <br /> GE�N�E�RApLCONTRACTJF MAILADDRESS PhiONE LICENSENO. <br /> iW.� <br /> MECHANICAL CONTRACTOR MAIL AODRESS PHONE LICENSE NO. <br /> PLUMBIWG CONTRACTOR MAIL ACUftE55 P�iONE LICENSE NO. � <br /> W <br /> m <br /> PEftM1T Q.qSS Of INOFk � <br /> Z <br /> Q6UILOING ❑ PLUMfiING �MECNqNiGAL �hEW �ADDITION ❑ALTERATION ❑REPAIR ~ <br /> � <br /> VALUATIO Oty, F_WORK � <br /> lfi�51_l1A <br /> 5 J.;yrMy� ❑DEMOLISH ❑FENCE SIGN SWIMMING POOL a <br /> DESCFIBF WOFK h O w^� <br /> �-.F���?� _,�. it��J'�i V V � <br /> PROPOSED USE MECHANICAL <br /> TYPEOffU[L (�OiL �NAT. �LPG. �ELEC. <br /> LEGAL DESCRIPTION OF PROPERTV ISNOW BELOW OF ATTACH GAS <br /> FOUR Cj�lE51 <br /> LOT �'�j pLOCK_-OF �r�'�7 N?•�� �'2 NO. TYPE OF E�UIPMENT PEE <br /> AIR CONO. UNITS-H.P. EA. 5 I <br /> REFRIGEPATION UNITS-H.P. EA. <br /> EiOILEPS-H?. EA. I <br /> GAS FIHED A.C. UNITS-TONNAGE EA. <br /> � fOFC[I�nlP SYSTEMS-O.T.U. M EA. I <br /> JOB ADORESS ��.y�� �wR �._ WALL H@ATEFlS-��6.T.U. M <br /> j/INGI� P��i''7h� UNITHEATCRS-�.T.U. M I <br /> EVAVUH/1TIVE COOLERS � <br /> PLUMBING ci_orHes on��eas i <br /> VENTILATION PqN <br /> RANGEHOOD I <br /> NO. TVPE OF FIXTURE OR ITEM FEE —�_nIR IIAN�LING VNIT- C.F.N. <br /> W ATE R CLOSET (TOI LETI 5 :NCI NE RATOli I <br /> BATHTUB <br /> LAVATORVIWASHBASIN) � <br /> SHOWER —�— <br /> I:ITCHEN SINK & DISP. �_ SUB TOTAL 5 � <br /> OISHWASHER PEHMIT 5�— <br /> LAUNDRV TRAY I TOTALFEE 5 I <br /> CLOTHES WASHEFi THIS PERMIT �ECOMES NULL AND VOID IF WORK OR CONSTRUG <br /> WATEF MEATER TION AUTYOPI2ED IS NOT COMMENCED WITHIN 120 OAVS, OR IF <br /> URINAL CONSTRUGTION OR WORK IS SUSPENDED OF ARANDONED FOR A <br /> DRINKING FOUNTAIN �— �'ERIOO OF 120 DAVS AT ANV TIME AFTER WORK IS COh1MENCEfI. <br /> FLOOR-SINK OF DRAIN —T I ViERENV CEFTIPY THAT I HAVE ftEAD nND E%/1MINE0 TIiIS AP� <br /> VACUUM BftEAKERS PLICnT10N AND KNOW THE SAM11L TO BE TRUE AND CORRECT. ALL <br /> FOOF DRAWS-RAW�EADERS �— PnOV:510N5 OF LAWS AND OF�WANCES GOVEFNING THIS TVPE <br /> OF WOftK WILL BE C041PLIE0 WITH WfiETHLR SPECIFlED HEFEIN <br /> SINK ISERVICE-BAH, ETC.) —f-- Oft ^;JT, THE GRANTING OF A PERMIT �OES NOT PfiESUME TO <br /> GIVE AUTIIORITV TO VIOLATE OF CANCEL THE PROVISIONS OF <br /> liNV OTHER STAiE OR LOCAL LAW REGULATING CONSTRUCTIOtJ <br /> _ OR THE PEfiFORMANCE OF CONSTRUCTION. <br /> _ SU� TOTAL � <br /> PERMIT 5 <br /> TOTAL !'EE _ 5 � <br /> X r <br /> SIGNATUREUFCUNTR.4CTOIiORAUTH.AGENT DATE <br /> SIDE YARD SETBACK STREET SETBACK REAR VARDSET6ACK PLAN CNECK NUM�Efl PLAN CHECK FEE <br /> �f!'VS�' FEE �� �i'eCRE'IPT♦�NO. <br /> �V':.�F �.J��i7 <br /> USE �ONE LOT AREA VACANT SITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING <br /> UNITS �(y �M <br /> SIZE OF 6LDG. NO.OF STOfilES WAX.00C. LOAD [�VII DING 5 �'�CWw �-v �w <br /> PLUM8ING � <br /> FIFE20NE l3ASF�AENT PIFESPRINKLEfiS � <br /> RC(lU1FlED � <br /> ❑VES ❑NO MECHANICAI I <br /> SPECIAL CONOITIONS'. GTHER � <br /> I <br /> PENE�TY SEC. 3031a1 � <br /> TOTAL � <br /> �1� <br /> PC-RMIT VALIDATION <br /> WHEN PROP@ft�V VALIDl�TE� (W THIS SPACEI THIS IS VOUR PERMIT <br /> e�i�I�UTIO���CCII`iL�itV ClAti5O1CCNCDBY: uCPPOVC�fCNi9SId1:CfOv <br /> � e• <br /> � <br />� <br />� <br /> �'T ' ". ..__ . .. <br />