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Ur�� fvergmen ' � <br /> ���� o� LOMSTRUCTION everett <br /> everett PERMIT' <br /> un Hnu �eoeen� <br /> FVLN(�� W�;NiML111H <br /> 9C)Ot <br /> °E°� °°�°^'�°�°° BUILDING MECHATJICAL PI_UMBING <br /> oEVRooutx� <br /> OWNER MAIL/�DDRESS 21P PIIONL <br /> r••,�-�• - 7p99•'K <br /> AHCHITECTORDESIGNEH AILADDHE55 PHONE LICENSENO. <br /> (��:i� ����'.� <br /> GENERAI CONTRACTOF M,�AY�I��AD�RESS P,H�ON�_E/�y� IICENSE NO. <br /> j�� C�i�� ��• v�c� ��,�•�.Y }I!��'.!� JJ.7�a7f! <br /> MECMANICAL CONTRACTOR MAIL ADORESS PNONE LICEN51: fJO. <br /> .�'MT� � <br /> PLVMBINGCONTRACTOR MAILAODRE55 PI/ONE LIGENSENO. W <br /> �!�}�` m <br /> PEqM1T CLASS OF WORK � <br /> Z <br /> �BUIIDING [�PWMBING �MECNANICAL � <br /> �NEW ❑ADOITION ❑ALTERA�ION ❑REPAIP � <br /> VALUATION OF W(1RN � <br /> ,�/� �•• ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL � <br /> al��i�f� <br /> DESCfi18E WURK <br /> c�v r er.�: ��r�x u�r,rs�a 1168 <br /> Y1IUYOSED USE <br /> +���� MECHANICAL <br /> ����'V'�r� �• TVPE OF FUE� nO1L NAT. �LPG. �ELEC. <br /> � LFGAL DESCHIVTION OF PROPERTY ISHOW�ELOW( R �iTTACII- - - - GAS <br /> FOU PIFy) �^ �}y� <br /> �or� fILOCK_OF,�'`II� A�� lY/�'J NO. rvPEOFEUUIPMENT FEE <br /> - AIR COND. I,INITS-H.P. EA. S I <br /> REFqIGEqAT10N UNITS-H.P. EA. _�_ <br /> - AOILISRS NP. EA. I <br /> GAS FIFEU A.C. UNITS-TONN[1GE EA. <br /> FOPf.ED AIR SYSTEMS-B.T.U. M EA. I <br /> JOB ADURE55 WALI MEATERS-B.T.U. M <br /> � ���x'� ,��� UNIT H[ATERS-O.T.U. M I <br /> EVpPORATWECOOLERS <br /> PLUMBING CLOTHES DRVENS I <br /> VENTILATIONFAN <br /> RANGENOOD I <br /> AIRHANDLINGUNIT- QF,M. <br /> TVPE OF FI%TURE OR ITEM FEE <br /> WATEN CLOSET�TOILET) S �NC�NENATOR � <br /> BATHTUB <br /> �AVATORV (WASH BqSINI I <br /> SHOWEH <br /> KITCMEN SINK It OISP. _ SUB TOTAL S � <br /> DISIiWASMEH PERMIT E <br /> LAU�IOfiY Tf1AV _ TOTAL FEE S I <br /> LLCIHES WASHER _ � TNIS PERMIi BECOMES NULI. AN� VOID I{' WORK OR CONSTqUC� <br /> WATER HEATER _ TION AUTIiOR12ED IS NOT COMMENCE�WITHIN 130 OAVS, OR �F <br /> URINAL CONSTRUC�ION OR WOfiK IS SUSPENDED OR ABANDONED FOR A <br /> OIi1NKIN0 FOUNTAIN PERIOD OF 120 �AVS FT Al1V t IME AFTER WORK ISCOMMENCED. <br /> fLOOR-SINK Ofi DRAIN -� � HEREBV CEPTIFV TI/At I IIA'�E READ ANO EXAMINEO THIS AP� <br /> VACUUM BREAKERS PUCATION ANO KNOW THE SAME TO OE THUE AND CORRECT. ALl <br /> ROOF DRAINS-RAINLEA�EqS PAOVISION;i OF LAWS AND ORDINANCES GOVERNING THIS TVPE <br /> OF WORK WILL BE COMP�IEO WITH WHETMERSPECiFIEO HEREIN <br /> SINK(SERVICE-OAN, ETC.I OP NOT, TME GRANTING OF A PERMIT OOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PflOVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGVLATINGCONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SU9TOTAL <br /> PEFMIT f <br /> TOTALFEE E q <br /> x 7 <br /> SIGNATUREOFCONTRACTOROFAUTM.ACENT OATE <br /> SIOEVARDSETUACK STRyEC�TSETBACK REAR�yV�ARDSET�ACKPLANCHECKNUMHER PLANC4/ECKFEE <br /> 6� O{/� �y- FEE REC�EIPyT�N�O. <br /> USE ZONE LOT ARFA VACANT SITE � �.� ��firy <br /> � �vEs ❑No FEES VALUATION FEE <br /> TVPE�ONST. OCCUPANCV GROUP UNITS.WELLING I <br /> ` � W <br /> 512F OF BLDC. NO.OF STORIES MA%.00C. LOAO DUILOING E <br /> ._ � PWMI3ING <br /> FIFE20NE OASEMENT FIR SPRINKLERS _ <br /> RC�UIREO <br /> � � ❑YES �NO M[CHANICAf. I <br /> SYEpAL CONOITIONS'. OTHER � <br /> __ _ � <br /> - - PENELTV SEC. J091e1 I <br /> � TOTAL �'QQ � <br /> I _ PEHMIT VALIDATION <br /> WMEN PROPERLV V�lIOATEO (IN iMIS SPACEI iM15 IS VOUP PERMIT <br /> I -_-_ _- _ _ - <br /> nFVIIf.AIIOry/�CC[VitOtlY PUNSCNFCR[ppY ApPflUVlI)�OQISil1A�N:[DY <br /> � 4 � <br /> � � <br /> } <br />