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Ihe Ew•ryican <br /> ��T�oF CONSTRUCTION everett <br /> everett PERMIT <br /> an n�u esveees <br /> [Vf P(!I.W.15NINf1(IN <br /> 9E101 <br /> °�°� °° °MM°^^� BUILDING MECHANICAL PLUMBING <br /> ot�tiuvutx� <br /> OWNER t "�AILAODfl1:55 ,�/� ZIP YNONE <br /> M�W M NV� Vii �T�S� �� / '� �� <br /> ARCHITECT OR OESIGNER MAIL ADDRESS PHONE LICENSE NO. <br /> la��P? <br /> GENERAL CUNTRACTON MAIL AODRE6S PNONE LICENSE NO. <br /> �� <br /> MECHANICALCONTR.4CTOR MAILADDRE55 PNONE LICENSENO. <br /> PI UMOING CONiRACfOR MAIL AOORE55 PHONE LICENSE NO. � <br /> W <br /> m <br /> YERMIT CLASS OF WORK � <br /> s Z <br /> ❑BUIL.DING �PLUMBING �MECHANICAL �NEW ❑AODITION �ALifPATION ❑fiEPAIR ~ <br /> � <br /> VALUATION OF WORK C <br /> S 7_IM_M ❑OEMOLISIi ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> AV n�-v�i <br /> DESCRIFIE WORK + ��Z <br /> DIC=p� `�'0lIIl11� i <br /> PROPCSED USE MECHANICAL <br /> TVPEOFFUEL Q�IL �NAS. �LPG. �ELEC. <br /> LEGAL OESCPIPTIOH OF PiIOPERTY ISHOW BELOW ON AT1�1C11 <br /> fOU f�0�51 ♦�( — <br /> LOT��� BL.oCK_"r'UF � �� � �Eb NO. __ TVPE OP EOUIPMENT FEE <br /> AIR CONO. UNITS-N.P. EA. S I <br /> REFRIGERATION UNIT:�-H R EA. <br /> COREfi$ -H.P. FA. I <br /> GAS FINEO A.C. UNITS-�TONNAGE EA. <br /> FOqCEO NF SYSTEMS-O.T.U. M EA. I <br /> !O6 ADORE55 WALL MEATEPS-B.T.U. M <br /> � �1�� �� UNIT IIEATERS-O.T.U. M I <br /> EVAPOPATIVECOOLENS <br /> PLUMBIN6 CLOTNESDRVERS I <br /> VENTILATIONFAN <br /> RANGEHO00 � <br /> NO. TVFE OF fIXTURE OR ITEM FEE AIR MANOLING UNIT- C.F.M. <br /> WATEHCLOSETITUILETI S �NCINEIiATOR I <br /> BATNTUB <br /> LAVATORV(WASH BASINI _ � <br /> SHOWEN <br /> KITCMEN SINK 6 DISP. SUA TOTnL S I <br /> OISHWASNER PERMIT E -��— <br /> LAUN�RVTFAV TOTALFEE E I <br /> CLOTMES WASHEH iHIS PCRMR �EGOMES NULL ANO VOID IF WORK OR CONSTHUC <br /> ' WATER HEATER _� TION AUTIIORI2EO IS NOT COMMENCE�WITIIIN 120 OAVS, OP IF <br /> URINAL COi�STRUCTION OR WORK IS SUSPENDED OR Al3ANDONED fGR A <br /> DRINKING FOUNTAIN —�— PERI00 OF 170 �AYS AT ANV TIME AFTER WORK ISCOMMENCED. <br /> FLOOR--SIIIK OR DIiAIN I HEHEfIV CEFiIFV THAT I MAV@ fIEAD AND E%AMINEO THIS AP- <br /> VACUUM OREAKERS PI�Cl�TiON AND KNOW THE SAME TO OE TRUE AND fORHECT. ALL <br /> PRJVISIONS OF LAWS ANO ORDINANCES GOVERNING TMIS TVPE <br /> ROOF DRAINS-NAINLEADERS pF WONK WILL 0E COMPLIEO Wlill WHFTNER SVECIFIED HEFEIN <br /> SINK (SEFVICE-BAP, ETC.) � � OR NOi, THE GFANIING OF A PERMIT OOFS NOT PRESUME TO <br /> GIVE AUTHORITV TO VIOLATE OR CANCFL TME PROVISIONS OF <br /> --� AN� OTMER STATE OP LOCAL LAW REGIiLATING CONSTRUCiION <br /> __�_ OR TI1E PERFOPMAIJCE OF CONSTRUCTION. <br /> SUBTOTAI <br /> PEHMIT 5 <br /> TOTALFEE___S _ i • 1� <br /> X y S <br /> SIGNMUPEOFCON7R/�CTORORAUTM.AGENT DATE <br /> SI�E VARO SETBACK STNEEi SETDACK PEAR VARDSETBACI PLAN CHECK NUMPLli PLAN CMECK FEE <br /> FEE RECEIPT NO. <br /> VSE ZONE LOT AFEA VAf:ANT SITE <br /> ❑vEs ❑No fEES VALUATION FEE <br /> TVPE OF CONST. OGCUPANCV uFOVP NO.OF DWELLING � <br /> UNIiS � <br /> SIZEOF �LO�. ND.OFSfORIES MAx.00C. lOAO [iU1LDING E � <br /> PLUMOING � <br /> FIREIONF BAFEMFNT FIqESPR�NKLERS _ <br /> FfOU�HED MECHANICAL I <br /> ❑vE5 ❑NO <br /> SPECIAL CONDITIONS OTHEH � <br /> _—' __ � <br /> ___ ._.— — PENELiV SEC.:1031a1 � <br /> — — TOTAL �"Y'� <br /> PEHMIT VALIDATION <br /> . N'MEN PROP[flLY VALIOA7[D IiN THISSVACEI iM1315 VOUR PEHMIT <br /> I ,.w����,��. .�:�-..—„�. 4...���,..�..,�..,�... � s. 1 <br /> �.�. <br /> 4 <br />