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� �i;:, �,:•,,:,,..,, I <br /> i =��� �� CONSTRUCTION everett <br /> � everett PERMIT <br /> urrnau ;yneaes <br /> LVLPEii.W45NiN610M <br /> 91fi1 <br /> °�°' °'�°M^'°�"r BUILDING MECHANICAL PLUMBING <br /> on•uavMcxr <br /> OWN}�ER}y��� p���y�� MAILADDNESS ZIP PMONE M <br /> .Ys".'i4� tJll'A,L L♦ r'�(? <br /> ARCHITECT OR DESIGNEfl MAIL AODRESS PHONE LiCENSE NO_ <br /> CENERA�+y.CO�NyT�RACTOR MAILADDFESS PHONE LICENSENO. <br /> �� �L :�"W <br /> MEC1iAliICAICONTRACTOR MAILADDflE55 PHONE LICENSENO. <br /> PLUM�INGCONTRACTOR MAILADDRESS PMONE LICENSENO. � <br /> W <br /> m <br /> PEHMIT C1A55 OF WOHK � <br /> z <br /> (��uILDING ❑PLUMBING ❑MECHANICAL H <br /> ❑NEW ❑ADDITION ❑ALtERATION ❑REPAiil � <br /> VALUATION OF WOAK Q <br /> $ ��� N ❑DEMOLISH ❑FENCE �SIGN ❑SWIMMING POOL a <br /> DESGFIBE WORK 2643 <br /> P t>l'''7'7i,"� `aiv <br /> PfiOPOSED USE MECHANICAL <br /> TVPEOPFUEL �OIL �NAT. �LPG. �LLEC. <br /> L EGAL DESCRIPTION OF PROFERTV �SHOW BELOW OR ATTAGI/ GAS <br /> FOUfl COPIESI <br /> LOT BLOCK_OF NO. TVPEOFEQUIPMENi FEE <br /> AIRCOND.VNITS—fi.P. EA. S I <br /> REFRIGERATION UNITS-HP. EA. <br /> ❑ORERS-H.P. [4. I <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> FORCED Alfi SVSlEMS-D.i.U. M EA. I <br /> JO8 A�DRE55 WALL NBATERS-6.T.U. M <br /> � ���-� UNIT HEATERS-B.T.U. M I <br /> EVnPORniN[COOLERS <br /> PLUM8ING CLOTliES DIiVEFS I <br /> VENTILATION FAN <br /> RAKGEHO00 I <br /> NO. TVPE OF FI%TURE OR ITEM FFE /+IF HANDLING UNIT— 0.F.M. <br /> WATEfl CLOSETITOIIET) E ' INGINERATOR � <br /> pATHTUB <br /> LAVATORV(WASH BASIN) I <br /> SIIOWER <br /> KITCIIEN SINK&DISP. SUB TOTAL 5 � <br /> DISHWASMER PEfiM1T S <br /> LAVNDRV TpAV 70TA1.FEE 5 <br /> I <br /> CLOTHES WASHER THIS PERMIT 9ECOMES NULL AND VOIO IF WORK OR CONSTPVC- <br /> VJATER NEATE�i TION AUTHOqIZED IS NOT COMMENCE� WITNIN 120 DAVS, OF IF <br /> UFINAL CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONE� FOR A <br /> DRINKING FOVNTAIN PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCEO. <br /> FLOOP—SINK OR DRAIN � HEREFiV �EftTIFV THAT I HAVE READ AND ExAMINED TNIS AP <br /> VACUUM AFEAKERS PLICFTION ANO KNOW THE SAME TO 6E TqUE AND COFfiECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANC@S GOVEliNING iHIS TVPE <br /> FOOF DRAINS—fiAINLEADERS OF WORK WILL DE COMPLIED WI1H WHETHER SPECIFIED HEREIN <br /> SINK ISERVIC!—�AR,ETC.) OFi NOT, THE GRANTING OF A PERNIT DOES NOT PqESUM[ TO <br /> GIVE AUIHOPITV TO VIOLATE qq CANf.EL THE PqOV1510N5 OF <br /> ANV OTHER STATE OR LOCAL LAIN PLGULATING CONSTRUCTION <br /> OR TNE PERPOFMANCE OF CONST�VCTION. <br /> SU6 TOTAL <br /> PERMIT S <br /> TOTALFEE S /.� <br /> x <br /> C'f� <br /> SIGNATUREOFCONTqACTONORAUTH.qGENT DATE <br /> SIDEVARDSETBACK STREETSETBACK REARYAROSE?BAC PLANCHECKNUMB(ii1 PLANCFIECY. FEE <br /> fEE RECEIPTNO. <br /> USE ZONE l0T AflEA VACANT SITE <br /> ❑vES ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY OPOUP UN.'OS DWELUNG � <br /> SIZE OF BLDG. NO.OF STOFIES MA%.00C. LOAD BUILDING S �,� f� j� <br /> PLUMBING � <br /> f-IRE20NE BASEMENT FIRESPqINKLERS <br /> REOUIRED <br /> ❑VES ❑NO MECHANICAL � <br /> SPECIALCONDITIONS: OTNEP � I <br /> I I <br /> PENELTV SEC.30�1�) � <br /> ' TOTAL � � <br /> PERMIT VALIDATION <br /> W HFN PIiOPERLV VALIDATEO(M 1HIS SPACLI THIS IS VOU(i PLRMIT <br /> APVLIf.ATIONACCEPTEOBY' >LANSCNECKEOBY: RFFPOVCOFOAISSVPNC[dY. <br /> "i� C� <br /> :� <br />