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i7At: Er..�mm�n � <br /> ��T� �� CONSTR UCTION everett <br /> everett PERMIT <br /> r.rv ncii >Fueras <br /> lYLPfli.K4�MIYf10N <br /> 9P.I�]I <br /> "`°' °"°""°""" BUILDING MECHANICAL PLUMBING <br /> on�nooucxi <br /> OWNER MAILPDDqE55 Zlf' PHONE <br /> :�mrG �t7.iipelT �, � �, � � <br /> aP.CHiIFCTORDE5IGNEF MAI�qDDflE55 PMONE LIChNSENO. ti_9�Y_� <br /> Jy.1T <br /> GENERALCONTqACTOR MAI�A�DflESS PHONE LICENSENO. <br /> � <br /> MECHqNICALCONTflACTOR MAILADORESS PHONE LICENSENO. <br /> PLUMUINGCONTRACTOq MAILADDqE55 PNONE LICENSENO. � <br /> W <br /> m <br /> PE HM IT C�ASS OF WORY. � <br /> � <br /> z <br /> OUILDING �GLUMBING �MECNANICAL r <br /> ❑NEW ❑A�DITION �ALTEPATION ❑REPAIF <br /> VALUATION OF Wp�Y, 2� <br /> ❑O[MOLISH ❑F[NCE ❑$IGN � <br /> 5 � ❑SWiMIdINf, POOL W <br /> DLSGRI9C WOFK — -- a <br /> m�1. n sv a�r aoas, ,sQ reafaw, emcQ ta� �. arlc� lbm� c�• I 3 5 9 <br /> PROPOSED VSE <br /> MECHANICAL <br /> L6GALDESCFIPTIONOf PqOVLRTV ISHOW pELOW OP ATTACH TVPEOP f�U[L �OIL QNAT. �LPG. �ELEC. <br /> FOVR COPIESI GAS <br /> Lo7 BLOCK_oF NO• TVPEOFEWIPMENT FEE <br /> AIN CON�. UNITS—H.P. EA. y � <br /> REFRIGERATION VNITS—/1.P, EA. <br /> BOILERS-Ii.P. EA. � <br /> GAS FIREO A.C. UNITS-TONNAGE EA. <br /> FOPCED nIR SVSTEMS-�.T.V. M EA. � <br /> JOB ADp�SS� -- -- <br /> x��i LVAL1. NEATERS-�.T.U. M <br /> UNIT HEATERS-fl.T.U. M � <br /> PLUMBING EVAPOfiATIVE COOLERS <br /> CLOiNESDRYERS � � <br /> VENTILATION FAN <br /> RANGEHO00 � <br /> N�• TYPE OF FIXTURE OR ITEM FEE A�q ��ANOLING UNIT- C.F.M. <br /> WATEHCLOSET(TOIIETI $ �NGNERATOR � <br /> BATHTU� — <br /> LAVATORV (WASH BASINI '1 <br /> SHOWER � <br /> _ KITCH@NSINKbDISP. SUBTOTAL $ � <br /> �ISHWASIIEF � <br /> LAUNDRVTRAY <br /> PEflM1T $ <br /> CLOTMES WA511ER TOTA� FEE 5 � <br /> WATGR NEATER THIS PERMIT pECOMES NULL AND VOIO IF WORK OR CONSTFUC� <br /> URINAI -� TION AVTHOFIZ[O IS NOT COMMENCED WITHIN 720 DAVS, OR IF <br /> CONSTHUCTION OR WORK IS SUSPEI9DED OH /��ANDONED FOfi q <br /> DRINKING FOUNTAIN PEql00 OF 120 DAVS AT ANV TIME AFTEii WORK IS COMMENCED. <br /> FLOOR-SINK OR DRAIN I HEREAY CERTIFV THAT I HAV[ READ AND EXAMINED THIS AP� <br /> VACUUM(iREAKERS � PLICATION AND KNOW TNE SAME TO BE TRl1E AND CORAECT. ALL <br /> ROOP DFAlIJS-PAINLEAOERS PAOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE <br /> SINK ISERVICE-OAF,ETC.) �F WOHK WILL 6E COMPLIED WI7N WHETIiEIl ,",PECIFILO IiEREIN <br /> OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROb'ISIONS OF <br /> ANV OTHEfl STATE OR LOCAL LAW nEGULATING CONSTRUCTION <br /> OR THE PEHFORMANCE OF CONSTf9UC.TION. <br /> SUBTOTAL <br /> PEHMIT $ <br /> TOTALFEE S � <br /> x <br /> SIGNATVflEOFCONTFACTORORAUTM.AGENT DATE <br /> SIOE YARD SEIQACK STREET SETOACK qEAfi YAROSETDACK PLIW CHECK NUMB@R PLAN CHECK FEE <br /> FEE RECC-IPT NO. <br /> USEZONE LOTAREA VACANTSITE <br /> ❑vEs ❑NO FEES VALUATION F[E <br /> TYPEOFWNST. OCCUPANCYGROUP NO.OPDWELUNG <br /> UNITS . <br /> 1 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOt.D �UIL�ING 5 ��/'+��M I W <br /> FIRE20NE BASEMENT FIFESPqINKLERS PLUMBING � <br /> PEaVIflE� � <br /> ❑YES ❑NO MECHANICAL � <br /> SPECIAL CONDITIONS: OTHEfl 1 <br /> I <br /> PENELTY SEC.3031e) 1 <br /> TOTAL ��� <br /> PERMIT VALIUATION <br /> WHEN PROPENIV VALIDATED IIN THIS SPACE)THIS�5 YOUR PERMIT <br /> � UCAil01 P^CCPifO[1Y� i`iANStNECRE08Y: APPqOVCDFO+I55VANCEOV. <br /> , a.c. ��. <br /> � � <br />