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the Evergreen <br /> CITY OF CONSTRUCTION everetf <br /> everett PERMIT <br /> CITY H.BI 7591NN <br /> EVI Rf Tt.WXSHINGTON <br /> 91701 <br /> Rf)1 OF CommI1Y <br /> o[VItopunomtxl BUILDING MECHANICAL PLUMBING <br /> OWNER ..,, IVO <br /> ADDRESS 21P PHONE <br /> �� F7 yy.. �. IVO sodb 9" 30wo y <br /> ARCHITEC"OR DESIGNER - MAIL ADDRESS PHONE LICENSE NO IVM <br /> be MAIIIIIIIIS <br /> GENERAL CONTRACTOR MAIL R ADDIIES��S � MM PHONE LICENSE NO. <br /> � I1I1��W�� <br /> 2M T� SM 3% 1% SmUmCmdAW <br /> MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> PLILU•MBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. cc <br /> m <br /> PERMIT CLASS OF WORK <br /> 2 <br /> BUILDING APLUMBING AMECHANICAI F <br /> - ❑NEW ❑ADDITION ❑ALTERATION ❑flEPA1N <br /> VALUATIONK <br /> S ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL DW. <br /> DESCRIBE 761 61 <br /> Ppilifif MECHANICAL <br /> TYPE OF FUEL rjOIL OWA-TO LPG. 0 ELEC. <br /> LEGALE <br /> DSS,�CRIPTION OF PROPERTY (SHOW BELOW OR ATTACH GAS <br /> LOT BLocK_OF__. bun* � � NO. TYPE OF EQUIPMENT FEE <br /> AIR COND.UNITS-H.P.EA. f I <br /> REFR",ERATION UNITS-H.P. EA. <br /> -- - -- - -- BOILERS-H.P. EA, 1 <br /> GAS FIRED A.C.UNITS-TONNAGE EA. <br /> (������ FORCED AIR SYSTEMS-B.T.U. M EA. I <br /> JOFI ^R RKe.. WALL HEATERS-B.T.U. M I <br /> ^^+ �MWY WLtl UNIT HEATERS-B.T.U. M i <br /> EVAPORATIVE COOLERS <br /> PLUMBING CLOTHES DRYERS I _ <br /> - VENTILATION FAN <br /> RANGE HOOD ( _ <br /> TYPE OF FIXTURE OR ITEM _ E AIR HANDLING UNIT- C.F.M. _ <br /> WATER CLOSET(TOILET) f INCINERATOR I <br /> BATHTUB <br /> _ <br /> LAVATORY(WASH BASIN) I <br /> _ SHOWER � — <br /> KITCHEN SINK d DISP. SUB TOTAL S <br /> DISHWASHER PERMIT f <br /> LAUNDRY TRAY _ TOTALFEE 6 I <br /> CLOTHES WASHER _ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC. <br /> WATER HEATER _ TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF <br /> URINAL _ _ _ CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br /> DRINKING FOUNTAIN - PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br /> FLOOR-SINK OR GRAIN I )HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP <br /> VACUUM BREAKERS PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> ROOF DRAINS-RAINLEADERS PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> SINK ISE RV ICE-BAR,ETC.1 OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REOLLATING CONSTRUCTION <br /> --- .----- OR THE PERFORMANCE OF CONSTRUCTION. <br /> SUB TOTAL _ <br /> PERMIT S <br /> SIGNATURE OF CONTRACTOR OR AUTH.AGENT DATE <br /> SIDEYARDSETBACK STREETSETBACK REARYARDSETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE ����yy�� RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE 3p#m 3" <br /> OYES ONO FEES VALUATION FEE <br /> f YPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING <br /> UNITS I <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD BUILDING 1 , ) <br /> 1 <br /> PLUMBING I <br /> r inE ZONEBASEMENT IR RINKL .RS <br /> REQUIRED <br /> OYES ONO MECHANICAL 1 <br /> SPECIAL CONDITIONS: OTHER <br /> PENELTY SEC.303 ISI I <br /> TOTAL W <br /> I <br /> PERMIT VALIDATION <br /> WHEN PROPS ITLY VALIDATED IIN THIS SPACE THIS IS YOUR PE RMIt <br /> ATtlflfl PTfO RY PLANS .NS CIIFC�MAPPROVt +mn fCY. <br /> I <br /> 0 <br /> I <br />