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The Evergreen <br />CITY OF <br />CONSTRUCTION everett <br />everett <br />PERMIT <br />CITY xAtt ISSens <br />(VlNHi WASHINGTON <br />~NI BUILDING <br />Of PI OI COXNurinr <br />MECHANICAL <br />PLUMBING <br />orvHOrut Nl.e <br />OWNER MAIL. AODHESS <br />ZIP PHONE <br />c-a" FictrlIIIIII -a- 27,:7 <br />13 115)d9m <br />llf.+?c <br />ARCHITECT OR DESIGNER MAIL ADDRESS <br />HONf L TENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS <br />PHONE NO <br />ommu BMW(l) ft <br />m <br />�.�LICENSE <br />7aK1:�7 VON;*1"% Lm <br />MECHANICAL CONTRACTOR MAIL ADDRESS <br />PHONE Lh]ENSE N0. <br />cc <br />PLUMBING CONTRACTOR MAIL ADDRESS <br />_ <br />PHONE LICENSE NO. <br />W <br />Go <br />PERMIT <br />s <br />❑BUILDING []PLUMBING ❑MEC,IANICAI. <br />CLAS80F WORK <br />LT'!'1 EW <br />❑ADDITION ❑ALTERATION ❑REPAIR <br />Z <br />~ <br />VALUATION OF WORK <br />s 31 <br />❑DEMOLISH <br />❑FENCE ❑SIGN ❑SWIMMING POOL. <br />a: <br />LU <br />CL <br />-- <br />DESCRIBE WORK <br />-- -- <br />1909 <br />PROPOSED USE <br />MECHANICAL <br />TY FF, OF FUELQOIL QNAT. LPG. ELEC. <br />OAS <br />LEGAL DESCRIPTION OF PROPF RTY [SHOW BELOW OR ATTACH <br />FOUR C /,i IESI p <br />me 7M <br />NO. <br />TYPEOF EQUIPMENT <br />FEE <br />LOT BLOCK --OF <br />AIR COND. UNITS -WA EA. <br />S <br />--T <br />REFRIGERATION UNITS-H.P. EA <br />_ <br />BOILERS- He EA. <br />I <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED A.R SYSTEMS-B.T.U. IAEA. <br />1 __ <br />JOBA�p,I�pp RJ�E� S <br />- <br />-- <br />WALL HEATERS-L.T.U. M <br />_ <br />repN <br />" M- <br />7�L?sJ, 1iy <br />UNIT HEATERS-B.T.U. M <br />I <br />_ <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />!— <br />- <br />— <br />VENTILATION FAN <br />RANGE HOOD <br />---------- I _ <br />AIR HANDLING UNIT- C.F.M. <br />L_ <br />N <br />TYPE OF FIXTURE OR ITEM <br />F E <br />INCINERATOR <br />'—L_ <br />I <br />WATER CLOSET (TOILET) <br />6 <br />__ <br />BATHTUB <br />--- <br />LAVATORY (WASH BASIN( <br />SHOWER <br />KITCHEN SINK d DISP. <br />I <br />SUB TOTAL $ <br />DISHWAS4ER --_— <br />LAUNDPY TRAY <br />_ _ _ <br />----- PERMIT t <br />707AL FEE S <br />I <br />IF <br />CLOTHES WASHER <br />04W-- <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />WATER HEATER <br />URINAL. <br />DRINKING FOUNTAIN <br />_.t __ _ <br />+- <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />PLICAT ION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS -R AINLEn DE PS <br />{. <br />_t <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />SINK (SERVICE --BAR, ETC.) <br />�{-- <br />-{ <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SUB TOTAL <br />PERMIT <br />3 <br />_ <br />TOTALFEE <br />S___y_ <br />x <br />SIGNAT UBE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE +'A b ETBACK STREET SEiv REAELyJR ruETB AC <br />uno <br />.•YY�*t•jfl(1 <br />PLAN CHECKMBER <br />FEE LAN CHECKFIFC.EVIIP(T�NO. <br />USE Fes!! LOT jVj�yAV V ANN7T'SIETEE <br />Y�1/N YES ONO <br />IBA <br />FEES VALUATION FEE <br />I YPE OqY6[F5T, OCCU ANC GROUP 0.0 ELLING <br />jNNW <br />UNITS <br />M <br />SLOE L1�N G. O. OF STIES A X. �C. LOAD <br />��EEII ■■ ii�r l�' W <br />BUILDING E <br />iffy w <br />PLUMBING <br />FI ONE ES INK <br />REOUIREO <br />❑YES ❑NO <br />-- <br />mu <br />MECHANICAL I <br />—_—F_— <br />SPECIAL CONDITIONS <br />OTHER I <br />- <br />PENELIY SEC. 7071N1 <br />-- - <br />TOTAL1�- <br />PERMIT VALIDATION <br />.--- <br />WREN PROPERt Y VALIDATED TIN THIS SPACEI THIS IS YnUR PE RMIT <br />1 <br />APPLICATION ACCfPTfD BY PLKNSCIRCKWV By <br />JAITROVICIFSIIONff <br />A <br />