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fhe fvergrr.en <br /> CITY OF CONSTRUCTION everett <br /> everett PERMIT <br /> cirv xnu isseees <br /> rv[nn�.wnsuqr,rnx <br /> 9�h11 <br /> °"' 00[VFl01MFN1 BUILDING MECHANICAL PLUMBING <br /> OWN}E�R.,.� ♦,.��_._ Myl��I�L�nDDRESS 21P 1-p/ �.�/� PHONE <br /> +YW �lSfY � �iiY�WLi HI� � yjWR.V.V y' <br /> ARCHITECT ON OESIGNEfl MAIL AUORE55 PHONE IICENSE NO. y��T?' <br /> GENERAL CONTRACTOR MAIL ADORESS PHONE LICENSE NO. <br /> MECHANICAL CONTRACTOR MAIL AOORE55 PHONE LICENSE NO. <br /> C1�'iQ� 35011► 2�I9 �t`Q :7t� 1�IdJ� �"t'J.�Ciy '� ST P:� iC '.�I,�' <br /> PLUMBING CONTf1ACTOR MAIL ADDRESS PHONE LICENSE NO. � <br /> W <br /> m <br /> PEPMIT C�ASS OF WOHK - ? <br /> ❑BUILDING �YLUM8ING �MECMANICAL Z <br /> ❑NEW ❑ADOITION ❑ALTERATION ❑PEPAIR ~ <br /> VAlUAT10N OF WORK <br /> � <br /> s ❑UEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL W <br /> a <br /> DESCRIB[WORK <br /> 1945 <br /> YqOPpSED VSE <br /> MECHANICAI <br /> TYPEOFFUEL �OIL �NAT. �LPG. �ELEC. <br /> FOUR`DPSCFIPTION OF PROPERTV ISMOW pELOW OR ATTACH GAS <br /> �or � �LOCK�ov.—���'� �4� s NO. TVPE OF EUUIPMENT FEE <br /> AIN CONO.UNIiS-H.P. EA. $ 1 <br /> FEfRIGERATION UNITS-H.P. EA. � <br /> AOILERS-N.P. EA. � <br /> GAS FIHED A.C.UNITS-TONNAGE EA <br /> FORCED A1R SVSTEMS-U.T.U. M EA. � <br /> J09 AOURESS WALL MEATERS-B.T.U. M <br /> � � � UNIT HEATERS-B.T.U. M � <br /> EVAPORATIVE COOLERS <br /> PLUMBING CLOTMES DRVER$ � <br /> VENTILATION FAN <br /> RANGEHOOD � <br /> NO. 7VPE OF FIXTURE Op ITEM FEE A�R NANDLING UNIT- C.F.M. <br /> WATEflCLOSETITOILETI § WCINEHATOR � <br /> BATNTUB <br /> LAVATORV(WASM BASIN) � <br /> SHOWER - <br /> KITCHf N'.iMF A OISP. SUB TOTAL S <br /> DIS11Wn6111 Ii — <br /> LAUNOFY THAV PEPMIT S <br /> CLOTNESWASIIER TOTALFEE E <br /> WATER HEATEN TNIS PERMIT BFMMES MVLL ANO VOID IF WpRK OP CONSTRUG <br /> TION AVTNORI2ED IS NOT COMMENCE�WITHIN 120 UAVS, OR IF <br /> UFINAL CONSTRUCTION OR WORK IS SUSPENDEO OR ABANDONEU FOR A <br /> DRINKINO FOVNTAIN PEfl100 OF 170 OAVS FT ANV TIME AFTER WOflK IS COMMENCED. <br /> FLOOR-SINK ORORAIN I HEREDV CEHTIFV TIIAT I HAVE READ AND EYAMINEO TMIS AP� <br /> VACUUM BNEAKEqS PLICATION ANO KNOW THE SAME TO AE TPVE ANO CORRECT. ALL <br /> ROOF DHAINS-RAINIEqDERS PRaVI510N5 OF LAWS AND ORDINANCES GOVERNING THIS TVPE <br /> OF WORK WILL 9E COMPLIEO WITII WHETLIER SPECIFI[O 11EREIN <br /> SINK (SERVICE-BAR,ETC.) OR NOT, iHE GfiANTING OF A PEfiM1T DOES NOl VNESUME TO <br /> GIVE AUTIIOHIiV TO VIOLATE OR CANCEL TME PROVISIONS OF <br /> ANV OTHER STAT[ OR LOCAL LnW qEGULATING CONSTFlUCTION <br /> OR THE PEIiFORMANCE OF CONSTPUCTION. <br /> SUB TOTAL <br /> PERMIT S <br /> TOTALFEE f � <br /> x <br /> SI(:NATURE OF CONTPACTOR OR AUTM.AGENi DATE <br /> SIDEVAROSETBACK STREETSET9ACK HEAPVARDSETBAC PLANCHECKNUMBER PLANCHECKFEE <br /> FEE RECEIPT NO. <br /> USEZONE LOTAPEA VACANTSITE <br /> ❑vEs ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING <br /> UNITS � <br /> 512E OF BLDG. NO.OF STOPIES MA%.OCC. LOAD BUILOINO E � <br /> I <br /> PLUMBING 1 <br /> FIRE20NE BASEMENT FIflESPqINKLERS <br /> HEOVIREO � <br /> ❑VES ❑NO MECHANICAL <br /> SPECIAL CONDITIONS'. OTHER � <br /> — VENELTv SEC. �UJIaI I <br /> TOTAL � <br /> PERMIT VALIDATION <br /> WMEN PROPENLV VALIOATED IIN THISSPACEI TIIIS IS VOUR YERMIT <br /> ♦PPLIGtIONRCCLF1F1�9Y VLRN':G�FCl(OBY �pPPOVFDfO ISSUFNCFBV <br /> � <br /> 0 <br />