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thc Ercrqrcen <br /> I CITVOF CONSTRUCTEON everett <br /> everett F'ERIVI!i <br /> C�.iYHvll ':9E6Fi <br /> [VIP[1:.W<Sx!NLt4N <br /> 9E)fl <br /> °��' °� �°�M°N", BUILDING MECHANICAL PLUMBING <br /> ocvciovuEx* <br /> OWNER ��A�LA�DFE55 ZIP PNONE <br /> VUi�'-3 OS�S�� <br /> ARCMITECTOFDESIGNER MAILA�DRE55 PIiONE LICE�'SLNO. J�r <br /> GENERAL CONTRACTOR MAIL ADDqE55 PMONE LICENSE NO. <br /> MECHAN�11CAt CONTRACTOfl MAIL ADDRESS VHONE LICENSE NO. � <br /> PLUMBING CONTRACTOP MAIL ADDRE55 PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASS OF WORK � <br /> z <br /> �BUILDING ❑PLVMBING �MCCMANICAL �y F <br /> ❑NEW ❑AODITION ❑ALTEFATION TIREFAIf3 � <br /> VALVATION OF WOPK ¢ <br /> R �}��-/y� ❑DEMOLISH ❑fENGE ❑SIGN ❑SWIMMING POO� W <br /> T� w � <br /> oES�R�a�WOAK 2371 <br /> �r��. <br /> raovoseo use MECNANICAL <br /> � _ TVPEUPFVtL �OIL �N/�L �LPG �ELEC. <br /> LEGAL DESCFIPTION OF PRO�'[RTV ISH01Y BELOW OR ATTACII GAS <br /> FOUf1C IESI �y <br /> "� � ���lObL +44'YI► H NO. TVPE OF EQUIPMENT FEE <br /> LOT�` BLOCK_OF qlq COND.UNITS-N.P. EA. S � <br /> REFRIGERAT101J UNITS-H.P. EA. <br /> �OILEfiS-H.P. EA. 1 i <br /> GAS FIFE�A.C. VNITS-TONNAGE EA. <br /> FOPCED Alft SVSTEMS-B."LU. M EA. 1 , <br /> JOB ADDRESS WAI.L HEATERS-B.T.V. b1 i <br /> � �' ' UNIT HEATERS-B.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTHES DRVEfiS i <br /> VENTILATION FAN <br /> RFNGE 1100D � <br /> NO. IYPE OF FI%TURE OR ITEM FEE nia NnNouN� uNi7=_ c.F.M. �, <br /> WATER CLOSET(TOIIET) $ _ INCINEiiATOli I � <br /> onTHruo <br /> LAVATORV (WA�HBASIN) � <br /> SVIOWER <br /> KRCHEN SINK& DISP. SUO TOTAL S � I <br /> DISMWASHER PEflM1T $ i <br /> LAUNDRV TPAV TOTAL FEE S I <br /> CLOTHES WASHE�i TMIS PERMIT BECOMES NULL ANO VOID IF WORK OF CONSTRUC- <br /> WATER HEATER TION AUTNOii12EO IS NOT COMMENCED WITHIN 770 DAVS, OF IF <br /> UIiINAL CONSTflUCTION OR WORK IS SUSPENDED OR ABANDONED FO(i A <br /> DRINKING FOUNTAIN PERIOD OF 120 OAVS AT ANY TIME AFTEF WORK IS GOMMENCE�. <br /> FLOOR-SINK OR �FAIN � HEREBY CE1iTIFV THAT I HAVE READ AND EX4MINED THIS AP� <br /> VACUUM (iR@AKERS �LICATION ANO KNOW THE SAME TO�E TFUE ANU GONHLCT. /�LL <br /> PROVISIONS OF LAWS AND OHOINANCES GOVERNING THIS TVPE <br /> POOF DfiAINS-FAINLEAOERS pF WORK WILL 8E GOMPLIED WITN \NNETHER SPECIFIED HEPEIN <br /> SINK (SERVICE-OAR, ETC.) OR NOT, THE GRANTING OF A PERMIT DOES NOT PqESUME TO <br /> GIVE AUTHpRIiV TO VIOLATE OR GnIJCEL THE PfiOVI510NS OF <br /> ANV GTH[fi STATE Ofi LOCAL LAW REGULATING CONSTFUCTION <br /> Oli THE PEPFOFMANCE OF CONSTRUCTION. <br /> SUB TOTAL I__ <br /> PERMIT $ <br /> TOTAL FEE $ ��N <br /> X rr <br /> SIGNATUF[OF CONTliACTOR OR AUTH.AGENT DATE <br /> SIDEVAfiD5ET8ACK STREETSET6ACK REARVAFOSETOACKPLANCHECKNUM�ER PLANCHECKFEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑vES ❑No FEES VALUATION FE[ <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING <br /> UNITS � <br /> 512EOF 9LOG. NO.OF STOflIES MAX.00C. LOAD DUILDING g �, W SI�+�/ <br /> PLUMBIN(i � <br /> PIREZONE �AS[MENi FIRESPRINKLERS <br /> RE�VIqEO <br /> ❑YES ❑NO MELHANICAL I <br /> 5�@CIAL CONDIT'IONS: OTHER � <br /> I <br /> PENELTV SEC.3031e1 I <br /> TOTAL �j 1(� <br /> PERMITVALIDATION <br /> WHEtJ PROPLf1LV VALIDAT[O(IN THISSPACEI THIS IS YOUFl PERAIIT <br /> i <br /> n�Pt¢�Ti0t1�QfPT[�BY' PlPNSf.HFCR[OBY' APPPOVEpfORIS'.UANCLBY. <br /> I I 3 <br />