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I <br />the Evergreen <br />CITY OF <br />CONSTRUCTION everett <br />everett <br />PERMIT I <br />I+I xl li µ�S�liH i.l �lY <br />' <br />9E1 <br />UlI101 LOYYUK1 I1 <br />BUILDING <br />MLCHANICAL <br />PLUMBING <br />[it vn nPYr w I <br />I <br />1 <br />OWN[ R MAIL ADDRESS <br />G,stl�e lladutnlrrc► 2ft add 80. <br />AR SNITECT OR DESIGNER MAIL ADDRESS <br />:IP I.11<INI <br />?o2Q3 _ 3�3 r.�7 <br />PHONE LICENSE NO. <br />I155-'i <br />� <br />w <br />m <br />� <br />Z <br />� <br />� <br />GENERAL CONTRACTOI MAIL. ADDRESS <br />MECHANICAL CONTRACTOR MAIL ADDRESS <br />PLUMBING CONTRACTOR MAIL ADDRESS <br />PERMIT CLASS OF WORK <br />�� tlUIIDING []PLUMBING ❑MECHANICAL <br />❑NEW <br />PHONE LICENSE NO. <br />PHONE LICENSE NO. <br />PHONE LICENSE NO. <br />!! <br />[]ADDITION pALTERATION ❑REPAIq <br />VALUATION OF WORK <br />s <br />DESCRIBE _WOR�K <br />b�n Mi++La C <br />❑DEMOLI611 <br />[]FENCE []SIGN ❑SWIMMING POOL <br />� <br />W <br />o_ <br />{ 063 <br />1 <br />PROPOSED USE <br />LEGAL DESCRIPTION OF PROPERTY ISIII�IV IiLLOW !lR AT TACH <br />FOUi�gyi rll � �oft � ` <br />LOT tlLOCK __OF --- <br />MECHANICAL _ <br />TYPE OF FUEL OIL HAT. CPO. ❑F. LEG. <br />GAS <br />NO. TYPE Of EQUIPMENT - FIE - <br />AIR COND. UNITS-H.P. EA. S I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS- H.P. EA. <br />1 <br />OAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SV6TEMS-B.T.U. MEA. <br />1 <br />JOoo nnaaOH <br />Y� � � <br />_ <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERO-B.T.U. M <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGE MOOD <br />I <br />AIR HANDLING UNIT- C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />I <br />WATER CLOSET (TOILET( <br />S <br />BATH 'B <br />LAV A'•ORV (WASTE BASIN) <br />I <br />SHOWER <br />KITCHEN SINK d DISP. <br />SUBTOTAL S <br />( <br />DISHWASHER <br />PERMIT S <br />LAUNDRY TRAY <br />TOTAL FEE S <br />I <br />CLOTHES WASHER <br />THIS PERM( E BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR If <br />CUNS7RU CTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAV6 AT ANY TIME AFTER WORK ISCOMMENCED. <br />. HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />W/.TER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAI_N <br />