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!he Everyiren <br /> "„ �,f CONSTRUCTION everett <br /> everett PERMIT <br /> �n� nai� tsrenxs <br /> cvexcn wnewncioe <br /> extm <br /> �F�� ���°^,^�°�°� BUILDING M�CHANICAL PLUMBIN <br /> OFYF.IIPMFN[ <br /> MAIL ADDRESS ZIP PH F <br /> OW NE R .�! ,a�.A�l. <br /> .� ♦ t� �J Lf� all►�� <br /> ARCHITECT OR DESIGNEH <br /> MAIL ADOFESS � PHONE LICENSE NU. <br /> GFNERAL CONTFACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> � MAIL I�JDRESS PHONE LICENSE NO. <br /> MECHANICALCONTRACTOR <br /> � <br /> MAILAODRES$ PHONE LICENSENO. W <br /> PLUMBING CONTPACTOR m <br /> I � <br /> PERMIT CLASS OF WORK � <br /> z <br /> F <br /> �BUILDING ❑PIUMBING ❑MECHANICAL �NEW �qDDITION ❑ALTERATION �EPP.IF � <br /> � <br /> VALUATION OF V���i W <br /> ��M ❑DEMOLISH ❑FENCE ❑S�GN ❑SWIMMING POOL d <br /> $ <br /> DESCRIBE WORK ,���y l�if9 � 836 <br /> stnTAk• {i�W� <br /> PROPOSED USE MECHANICAL <br /> TVPEOFFUEL �OtL �Gqs� ��PG. �ELEC. <br /> LEGAL�ESCRiPTION OF PROPERTV ISHOW BELOW OR ATTACM <br /> FOUP,COP.Es; ryp, TVPE OF EQUIPMENT FEE_ <br /> LOT BLOCK—OF qIRCOND. VNITS–H.R EA. $ � <br /> REFRIGERATION UNITS–H.R EA_ <br /> BOiLERS–H.P. EA. � <br /> GAS FIRED A.G UNITS–TONNAGE EA. <br /> FORCED AIR SVSTEMS–B.T.U. M EA. � <br /> WALL HEATERS–B.T.U. M <br /> J08 ADDRESS �y �syy � <br /> �,� Rxrrc.a UNIT HEATERS–B.T.U. M <br /> EVAPORATIVECOOLEFS <br /> PLUMBING CLOTHESDRYERS � <br /> VENTILATIONFAN <br /> PANGEHOOD � <br /> AIR HANOLING UNIT– C.F.M. <br /> Np. TVPEOGFIXTUREORITEM FEE �NCiNEanTOR � <br /> WATER CLOSET(TOIIET) $ <br /> 6ATHTUB I <br /> LAVATORV (VJASH BASIN) <br /> SHOWEP --SUBTOTAL $ I <br /> KITCHEN SINK& DISP. PEAMI'T $ <br /> DISHWASHER <br /> LAUNDFY TRAV TOTAL F[E $ I <br /> CLOTHES WASHER THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUG <br /> WATER HEATER TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br /> � CONSTRUCTION OF WORK IS SUSPENDED OR ABANOONED FOF A <br /> UPINAL PERIOD OF 120 DA�S AT ANV TIME AFTER WORK IS COMMENCED. <br /> DRINKING FOUNTAIN I HEPEBY CERTIFY THAT I HAVE READ AND E%AMINE� THIS HF <br /> FLOOF–SINK OR DRAIN PLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. 4Ll <br /> VACUUM BFEAKERS PROVISIONS OF LRWS AND OR�INANCES GOVERNING THIS TVPE <br /> ROOF ORAINS–RAINLEADERS OF WORK WILI BE COMPLIED WITH WHETHEFSPECIFIED NEREIN <br /> SINK (SEflVICE–BAF,ETC.) OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> ANY O MER�STATETOR LOCAL LAW REGULATING CONSTP�CTION <br /> OR THE PEPFOHMANCE OF COWSTpUCTION. <br /> SUB TOTAL . .. <br /> PERMIT $ � <br /> TOTALFEE $ <br /> � SiGNATUREOFf,ONTRACTOfiORAUTH.AGENT DATE <br /> PLAN CHECK FEE <br /> SIDEVARDSETBACK STRECTSETBACK REARVARDSETBAC Pl-ANCHECKNUMBER FEE IRECEIPTNO. <br /> USEZONE LOTt1REA VACANTSITE <br /> ❑YES ❑No FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GflOUP VNIT�S DWELLING I <br /> 1 <br /> SIZE OF BLDG. <br /> NO.OF STOFIES MAX.00C. �OAO BUILDING $ �� <br /> I <br /> P W Mei NG � <br /> RREZONE BASEMENT FIRESPRINK�ERS — I <br /> R O�ESED ❑NO MECHANIf.AL � <br /> — I <br /> SPECIAL CONDiTIONS'. OTHER � <br /> PENELTV SEC. 3031a1 � <br /> TOTAL <br /> PERMIT VALIDATfON <br /> WHEN PROVFRLY VL�LIDATED IiN tH15 SPFCE� THiS i5 vOUR PERMIT <br /> pPVLIf4T10NACCEPTE�BV� �LPNSCNECKWBY�. PPFflOVE�FOIVI55Ul�NCEBV <br /> I LN <br /> I 9 <br />