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Iihe Everqrecn <br /> � ��T�oF CONSTRUCTION everett <br /> everett PERMII' <br /> [itY�IAII ]599885 <br /> EVEFE11,�5ASNINGiOH <br /> 98i01 <br /> ��°� ��«R�M��^Y BUILDING MECHANICAL PLUMBING <br /> ocvEioouExr <br /> OWNER MAILADORESS ZIP PHONE <br /> ..,....,;. !?+7�7, <br /> AFCH TECT OR DESIGNER MAII.ADORE55 PFIONE LICENSE NO. �"���� <br /> GENEflALCONTRACTOF3 MAILADDHE55 PHONE LICENSENO. <br /> MECHANICALCONTRACTOR MAILADDHESS PHONE LICENSENO. <br /> r. as � <br /> PIUMBING CONTflACTOF MAIL AOORE55 PHONE LICENSE NO. m <br /> � <br /> 1'ERMIT CLASS OF WORK Z <br /> ❑UUILDING ❑PLUMBING y;�MECNANICAL 4- <br /> �NEW ❑AD�ITION ❑ALTERATION ❑FE�'AIR � <br /> � <br /> VALUAI ION OF WORK �yJ <br /> ❑DEMOLISN ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> 5 ^ <br /> DESCRIB[WORK t.�„'`,.� ;' ,_;x.. ��� � -,/1 Q S <br /> .�:�� L i <br /> PROPOSED USE MECH,9NICAl <br /> TYPE�iFFUEI �OIL �GAS• �LPG. �ELEC. <br /> LEGAL DESCFIPTION OF PflOPERTV ISHOW BELOW OR ATiACN . <br /> FOUR COPIE51 <br /> NO. TVPE OF E�UIPMENT FEE <br /> LOT OLOCK—OF qIR CONO.UNITS-N.P. EA. S � <br /> RFFFI�EPt�TION UNITS-H.P. EA. <br /> OOII[RS-N.P.EA. � <br /> GAS PIfiED A.C. UNITS-TONNAGE EA. <br /> FOPCEO AIR SVSTEMS-U.T.U. M EA. � <br /> JOB ADORE55 y WALL HEATERS-B.T.U. M <br /> ��} jY.)��iAi VNIT HEA7Efi5-�.T.U. M � <br /> EVAPORATIVECOOLEPS <br /> PLUMBING c�oTHesoAvea� � <br /> VENTILP.T�^N FAN <br /> RnNGEH000 � <br /> Alfl HAhDLING UNIT- C.F.M. <br /> NO. TYPEOFfIXTUBEORITEM FEE iNr.irvEnnTon � <br /> WATER CLOSET ITOILETI S �Z� <br /> OATHTUB — ---`S ���� <br /> 1 <br /> LAVA'(ORV(WASH BASINI ------ <br /> I SHC�WER _ — — <br /> Kltc:llEN SINI(&DISP. SUB TOTAL 5 1•I�+y�-- <br /> DI511WASHER PERMIT 5 ��YV — <br /> LAUNDNVTflAY TOTALFEE 5 ��I <br /> CLOTNES WASNEF THIS PEFMIT OECOMES NULL AND VOID IF WORK OH CONSTRUC� <br /> I -- WMER HEATER TION AUTHOFiIZED IS KOT COMMENCEU WITHIN 120 DA1�5, OFl IF <br /> UfiINAL CON;TRUCTION OR WOPK IS SUSPENDED OR A�AN�ONED FOR A <br /> CFINKING FOUNTAIN — PEflIOD OF 120 DAVS AT ANY TIME AFTER WORK IS CONMENCED. <br /> fLOOF-SINY. 07 DRAIN I HEREB� CERTIFY THAT I HAVE READ AND E%AMINEU Tl115 AY� <br /> PLICATION AND KNOW THE SAME TD 6E TFUF ANO CORNECT. ALl I <br /> I VACUUM 6ftEAKE(iS _._.�__ PROVISIJNS Of- LAWS AND ORDINANCES GOVERNING 'IHIS TVPE <br /> ROOF OHAINS--RAINLSA�ERS OF WORK WI�L �E COIv1PUED WITH WHETHER SP6CIFIE� MERE'N � <br /> SINK ISEfiVICE-DAR,ETC.) OR NOT, THE GRANTIN� OF A PEfiM1T DOES NOT PR"SUME TJ <br /> GNE AVTHORITV TO VIOIATE OR CI�NCEI. TIiG PROVISIONS OF i <br /> ANY OTHEN STATE OR WCAL LAW REGULATINt3 CONSiRUCTION . <br /> OR THE PERFORMANCE OF CONSTRUCTION. i <br /> SUO TOTAL <br /> i <br /> PERMIT E yyy...If <br /> TOTAL FEE S .�/Zt;� <br /> x �.���- <br /> SIGNATUREOFCONTRACTOFORAUTH.AGENT DATE <br /> SIOE YAPD SET�ACK STREET SETUACK REAR YARDSETDACK PLAN CNEGK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE20NE LOTAREA VACANTSITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TVPE OP CONST. OCCUPANCV GROUP UNITS OWELLING � <br /> 1 <br /> SIZE OF �LOG. NO.OF STOFIES MA%.00C. LOAD BUILDING S � <br /> PLUMflING � <br /> FIFEZONE BASEMENT FIFESPRINKlERS t /yr� <br /> REOUIflED MECHANICAL �7�w <br /> ❑VES ❑NO <br /> 1 <br /> SPECIAL CONDITIONS: OTHER I <br /> I PENELT� =`cC.3031a) � <br /> I TOTAL 7�� <br /> PERMIT VALIDATION I <br /> IWNEN PPOPERLV VALIOATED UN THIS SPACEI THIS I'VOUR PEflM1T I <br /> RPPULAt10NACCCPTEDBY: PL�NSCNECKEDBY: APPNOVEDfOBI55U�NCCO�� I <br /> � �' <br /> O <br /> �li <br />