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i <br /> tlle EC2rJrCCR <br /> CITYOF CONSTRUCTION everett . <br /> everett PERMIT <br /> ritrxu� esseees <br /> (VEP[ii.R45NIKLiCN <br /> I ����^� BUILDING MECHANICAL PLUMB�NG <br /> 0[fl.Oi C041A1LN11Y <br /> ONlIOCMCNT <br /> OWNER MAILAODRE55 21P PliON[ <br /> '",'"�*i !X i"P "�3?�s� �77 <br /> ARCHITECT OR DESIGNEH MAIL ADDFE55 PHONE LICENS[ NO. <br /> GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. � <br /> .i�.� ';°'_.x' "','� t�. 2�-+79`.70 � <br /> MECHANICAI CONTRACTOR MAIL ADORESS PHONE LICENSE NO. <br /> PLUM9ING CONTPACTOR MAI�AD�RE55 PI/^NE LICENSE NO. � <br /> W <br /> m <br /> PERMIT ClASSOF WOflK � <br /> Z <br /> �BUIL�ING ❑PLUMBING ❑MECIiANICAL �NEW ❑ADCITION ❑ALTEPATION �EPAIF ~ <br /> � <br /> VAWATION OF WO K � <br /> S �� ❑OEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> DESCRIOF WORK <br /> II�:�t,t. [90� IF.'TL�^ :�7' •-.:�» �5�� <br /> vRcrqseo use MECHANICAL <br /> TVPEOFFUEL �OIL �NAT. �LPG. �[LEC. <br /> LEGAL DFSCRIPTION OF PROPERTV (SNOW OELOW OH ATTACH GAS <br /> FOUR COPIE51 <br /> Loi BLOCK—oF NO. TVPE OF EQUIPMENT FEE <br /> AIR COND. UNIiS—H.P. EA. $ I <br /> RFPFIGERATION UNITS--M.V. EA. <br /> f301LER5-H.P. [A. I <br /> GNS FIHED A.C. UNITS-TONNAGE EA. � <br /> FORCED AIR SYSTEMS-B.T.V. M EA. I <br /> JOD ADDRESS �f��J'� Q WALL HEAIERS-B.T.V. M <br /> +"�� �' �����`+ UNIT HEATERS-A.T.U. M I <br /> [VAPORATIVECOOLERS � <br /> I PWMBING CLOiHESDRVEPS i <br /> IVENTILAiION FAN � � <br /> I RFNGEHOOD � <br /> i - AIR HANDLING UNIT- C.F.M. <br /> �NO. TVPE OF FI%TUNE OR ITEM FEE � <br /> A7ERCLOSETIIOILETI s INCINERATOfi � <br /> BATHTI'B <br /> L^VATOR:'IWASHBASIN) � <br /> SHON'FR <br /> KITCMEN^INK &DISP. SUB TOTAL S I I <br /> DISNWASIIEF PERMIT S <br /> LAUIJDFVifiAV TOTALFEE 5 I <br /> CLOTN[S WASMER _ THIS PERMIT 2ECOMES NULI AND VOI� IF WOFK OR CONSTRUG <br /> WAT[R HEHTEF 710N AUTNOR12ED IS NOT COMMENCEO WITHIN 120 DAVS, OF IF <br /> URINAL CONSTRUCTIOIJ OF WORK IS SUSPENUED Ofi A6ANOO4ED FOR F <br /> ORINKING FOUNTAIN PEFIOD OF 120 DAYS AT ANV TIME AFTEH WO•�K IS COMMENCED. <br /> FLOC.^-SINK OR DRAIN I HEfiEAY CERTIf V THAT 1 11AVE REAO /�ND E%AMINE� THIS AP- <br /> VA�:UUM I�REAKEHS PLI�ATION ANO KNOW TNE SAM[ TO DE TRUE PND CORFECT. ALL <br /> PROVISIONS OF LA1VS AND ORDINANCES GOVERNING THIS TVPE <br /> ROO° OR/'.INS-RAWLEADERS OF WORK WILL 6E COMPLIEO WITH WNETHER SPECIFIE� HEREIN <br /> SINK (SERVICE-BAR, ETC.) 4�7 NOL THE GFANTING OF A PEPMIT DOES NOT PqESUME TO <br /> GIVE l+VTMORITV TO VIOLATE OF CANCEL THE PNOVISIONS OF <br /> ANY OTHEfi STATE OR LOCAL LAW REGULATING CONST�UCTION <br /> OR i'Nk'.PERFORMANCE OP CONSTRUCTION. <br /> SUB TOTAL <br /> PERMIT $ <br /> TOTAI. FEE E � r�� <br /> X :� i'f�� ���� f� <br /> SIGNATUREOFCONTfiACTOf10RAViH.AGENT DATE <br /> SIDF. VARDSET�ACK STPEETSETOAGK F7EARVARDSETBACKPLANCHECKNUM6@ii PLANCMECKFEE <br /> FEE REGEIP? NO. <br /> USE ZONE :OT AFEA VACANT Sil'E <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TYPE OF CONST. OCCVPANCV GROUP NO.OF DWELLING � <br /> UNITS <br /> SIZE OF 6lDG. NO.OF STORIES Ml1X.00C. LOAD UUIL�ING S �j� �jj� <br /> PLUMBING � <br /> FIfiE ZON[ DAS[MENT RRESPPINKLEFiS � <br /> Ff�UIfiED MECHANIGAL I <br /> ❑YES ❑NO <br /> SPECIAL CONDITIONS: OTHER � <br /> 1 <br /> 4�-v���n �y-� �+,.y�/pwv��ffy� �p PENELTV SEC.J051e) � <br /> Ru'}i' lawi li�r'a�RI: � ��{.�♦W XZM Q� WI ' I <br /> TOTAL I <br /> PERMIT Vl1LIDATION <br /> WH[N PROPERI.V VALIUATEO IIN THISSPAC[) THIS IS VOUftFERMIT <br /> mTiiCnnn!�nfGCViCfJBV: PLANSCHRKCD�V. APPHOVCOPoRIS'U�NCftrv <br /> L c. <br /> 3 <br />