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i 7he Erer,qrcen � <br /> I =�i� ��� CONSTRUCTION everett <br /> ! everett PERMIT <br /> I C'�iY Ntll ):9Ei.:h I <br /> I R'fPEli.Vi4:.e,Yl;-llk <br /> ! °,°' ""°""„""' BUILDING MECHANlCA� PLUMBING <br /> � �p'EtOR![xi <br /> OWNEq MI�IL ADDFE55 ZIP PHONE <br /> LiACltO 2• �.��C713• TiA 4?7.7L 1-��� <br /> ARCHI ECT pR' ESIGNER MAIL ADORES$ VMONF LICLIJi[ NO. <br /> Ia�eria2 �oni�:� 3229 Jacksoh. Sverett�:� z� - <br /> GENERAL CONTFACTOR MAIL AD�NESS VNONE ll ENSE NO. <br /> PsaifiC Conatcuction 1�)711 Pe a I-i.�243;�2 <br /> MECHANICALCONTRAGTOR MAILADDHESS PHONE I NSE O. <br /> PWMBIN�G C�ONTFACTOH MAIL ADORE55 PHONE LICENSE NO. � <br /> W <br /> � � <br /> 1 E RMIT CLA55 OF WORK � <br /> Z <br /> I �QVILDING [4PLUM8ING �MECHANICAL H <br /> ❑NEW ❑AODIiIUN �ALTEFATION ❑REPA�R � <br /> VALUATION Oi WOFK � <br /> E ?.,O'� ❑DElAOLISH ❑F[NCE ❑SIGN ❑SWIMMING POOL a <br /> DESCRIf3[WOHK 2881 <br /> vnorosco use MECHANICAL <br /> A¢[s11 .^�LOrO rv�Eoi-rTEi poii_ �NnT. �j�vc. �E�Ec. <br /> LEGAL DEiCRIPT101J OF PROPERiV ISHOW f3ELOW OR ATTACH Gl.S <br /> FOUR OP "1 <br /> LOT ���'�oCr, 47GpF FIrC oE tnerett, �l6 NO. TVPEtirEQUIPMENT FEE <br /> ` AIR COND. UNITS-H.P. EA. S I <br /> F1�r plat racord+�l in Vclnsae 3 0• REFRIGERATION UNIlS-H.P. EA. <br /> BOILEPS-N.P. EA. <br /> p l GAS FIf1ED A.G UNITS-TONNAGE EA. ' <br /> rltts� taqQ 32; racords �1 RZ�y�r.i� FORCED AIR SVSTEMS-B.T.U. M EA. 1 <br /> JOBA�ORESS � WALLNEATERS-B.T.U. M <br /> 2291 11T'08tMaY� 3:vOrcltt� 11A urviT ��EnTERs-e.r.�. rot � <br /> EVAPOfiATIVE COOLERS <br /> PLUMUING CLOIHESORVERS I <br /> VENTIIAiION FAN <br /> iiANGE 11000 I <br /> NO. TVPE OF FIXTURE OR ITEM FEE �+IR HANDLING UNIT- C.F.M. <br /> WATERCLOSETITOILETI 6 T �NCINERATOF � <br /> BAiHTUA <br /> LAVATORV(WASIi BASIN) I <br /> $HOWER <br /> KITCMENSINY. WnISP. SU3TOTAL S � � <br /> UISHWASMER PEF.M:T $ <br /> �AUNO(iY TRnv TOTAI FEE S � <br /> _ CLOTHES WASHF.R . TIilS PERMIT 6ECOMES NVLL AND VCIO IF WORK OR CUNSTRUG <br /> WATER HEATER . TION AU�HOHI2ED IS NOT COMMENCf� WITHIN 120 DAVS, OR IF <br /> VPI/JAL CONSTRVCTIDN OF WORK IS SUSPENDfD OR ABANDONED fOA A <br /> ORINKING FOUNTAIN � PERIGD OF 120 DAVS AT ANV TIb7E AFlER WOFK IS COMM1SENCED. <br /> FLOOR-SINK OR ORAIN I HEREBY CEiiTIFV THqT I HAVE REA� nND EXAMINED TNIS AP� <br /> VACUUM l3REAKEfiS PUCATION ANU KNOW THE SAIdE TD�E TR!,E qN0 CORRECT. ALL <br /> ROOF DPAINS-RAINLEADEHS PROVISIONS Of- �AWS AND ORDINANCES GOVEFiNING 1HI5 TVPE <br /> OF WOAK WILI. BE COMPUED WITH W/1ETHE!i SPECIFIED NEREIN <br /> SINK ISERVICE-BAR, ETC.) Oii NOT, TH[ GFANTING OF A PERMIT UOES NOT fHESUME TO <br /> GI\'E F.UTHOftITV TO VIOLAT'' OR CANCEL TIIE PROVISIONS OF <br /> AhY OTNER STATB Oli IOCAL LAW REGVLATING CONSTRUCTION <br /> OR THE PEFfORNANCE OF CO�STRUCTION. <br /> SUB TOTAL ___f <br /> PERMIT S <br /> TOTAL�EE S 7�14 /77 � <br /> X + <br /> SIGNATUflEOFCONTP./�GTORORAUTH AGENT OA7E <br /> SIDEYARDSETBACK STREETSETBAGK REAPVAR�SET�AC PLAlJCHECKNUMAER PLANCHECKFfE <br /> •�%�4ZO FEE Q�p.�� RECEI"TNO. i <br /> o v �N " <br /> USE ZONE LOT AREA VACANT SITE ��yw <br /> ❑VES ❑N� FEES VALUATION FEE <br /> TVPE OP CONST. OCCUPANCY GROUP NO.OF DWELLING —� <br /> UNITS I <br /> SIZEOFBLDG. NO.OFSlDR1E5 MA%.00C. LOnD BUILDING $ 7���0 4aF00 <br /> PLUMBING � <br /> FIREZONE BASEMENT FIHESPRINKLEFS ' <br /> REQUIRED <br /> ❑VES ❑NO MECHANICAL � <br /> SPECIAL CONDITIONS: OTNEP � I <br /> PENELTY SEC.3031a1 I <br /> TOTAL � <br /> t <br /> PERMIT VALIDATIi7N <br /> WHEN PROPERLY VALIDMED IIN THIS SPACEI TH15IS VOUH PE RMIT <br /> /�VPUCAi�OHnCC(PTF�OY�. PV.N;f�?f.Y[[iBM� APVPOVEOPo ISSUFNLEBY. <br /> � <br /> i <br />