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th�� Evrrqn�rn <br /> _��� �� CONSTRUCTION everett <br /> ever. ett PERMIT <br /> 111� ��411 :5'�AMPt <br /> ' fVINI'� K�\�IINIiI11M <br /> 9A>m <br /> °,"' °;;�,°"�,;„; gUILDING MECHANICAL PLUMBING <br /> OWNER M41L �[>DFEtiS liP 1'uUNt <br /> M',Y'�'.11.�1 T�Q,^� �J l'�'!`�ti�. 7.�i�'�x1 <br /> ARCHIIECTORDESIGNEfi MMLf�0URE55 PIIONE LICEN:CNO <br /> GENERALCONIRNCTOF MAILADORESS PHONE LICENSENO <br /> MECHA���CONI RqCTOR MAIL A[tDRE55 PHONE VCENSE NO. <br /> �LUMBING CONTRACTOR MAIL ADnRE55 PHONE LICF.NSE NO � <br /> W <br /> m <br /> PERMIT CLASSOF WOftk ---�'� � <br /> 7 <br /> Z <br /> ❑BVILDING � PLUMflING �]MLCIIANICAL �NCW ❑qDDIfION ❑ALTEF�ITION ❑qEPNN ~ <br /> VALUATION OF WOqK - � - � <br /> s ❑OF.MOLi511 ❑f[NCE ❑SIGN ❑;WiMMIN, 1'001. W <br /> DESCRIBfWOHK �-_-___ . ._. . ____. __'______-____ a <br /> .�►,�� r,,. -- ----- 14 8 9 <br /> PRUPOSEO USE <br /> MECHANICAL <br /> —. -- <br /> LFGALDESCRIVTIONOFPROPEHTVISHOWPELOWOR .4TTACH ivPFOffUFI �(NI .. ..ON^T ��IPG �F.l6C. <br /> FOVH COPIESI <br /> �or BLOCK-oF NO. TVPE OF EOUIPMENT FEE <br /> niAcoNo. uNits-�H.P. en. S i <br /> REFRIGER�TION VNITS N.P. EA. --�- <br /> � �NOIlERS RP EA- -'-'-"---- � <br /> � GAS FIREO A C. UNITS- ipNNAGE EA. <br /> __ ___ _ PORCEO AIR SVSTEMS N.T.U. M EA. I <br /> JOB AOORE;S � �.�n WAIL HEATERS lI.T.0 M <br /> UNITNEATERS�-N.T.U. M I <br /> EVAPORATWECOOLENS <br /> PLUMBING CLOTHESDRVFRS � <br /> VFNi�I ntIONI l�N �- <br /> ��� RANGI IIOOO . . , � <br /> NO. TVPE OF fIXTUHE OR ITEM FEE ___ ^��� �'^��oi wc uwr_ aF.M. <br /> WATE/i CLOSET ITOILLTI s iNCINf nntOn I <br /> AATMTVB � � f� <br /> _ _ . . _ - -.-�___ <br /> �AVATONV IWASH BASINI � <br /> __- SNOWER .__.- _ __ __-" _._._T—_ <br /> KITCHEN SINK h OISP. .� <br /> -- oI5HWA5HER - _--' ---_____�'"_- SUBTJTAL S __ �j�- -_ <br /> .. -� LAUNOflv TRAV _ .__' PERMIT $ <br /> TOTAL FE[t S J� <br /> ___ CIOTHES WASNEP � THIS PEHMIT OECOMES NULL 4NU VqID IF WOFK OH CONSTRUC <br /> _Wl1iCR HEATE:1 -� TION AUTIIOH�2En IS NOT COMMENCE� WITHIN 170 D4V5, OR IF <br /> URINAL �—� CONSTRUCTION OR WORK IS SUSPENDED OR ABAN�ONED FOR A <br /> ORINKING FOUNTAIN PEHIO� OF 170 OAVS AT 4NV TIME AFTERINORK IS COMMENCED. <br /> FI.00F-SINK OROFAIN _ I MFqEflV CFRTIfV iHAT I NAVE REAO ANU E%�MWED TNIS 11P� <br /> VACUUM pREAKERS �- PUCATION l�NO KNOW THE SAME TO 13F iRUE AND CORRECT. ALL <br /> ROOF pRAINS��RAINLEA0ER5 --' PAOVISIONS OF �AWS ANp OROIN�NC[S GOVEPNING THIS TYPE <br /> - . Of WORK WILL PE COMP�IEO WITII WHITHER SPLCIFIED HEPEIN <br /> SINK (SEPVICE OI�R, EfC.i Ufi NOT, iHE aR�NTING OF A PERMIT OOE i NOT PRESUME TO <br /> --- (iIVE AUTIIORIiV TO VIOIAiE U!i CANCEL THE PROVISIONS OF <br /> -- �NV OTHCfi ;T/1iE OR LOCAL I.AW REGULAI'INGCONSTRVCTION <br /> --- aR iHE PEPFOPMANCF OF CONSTRUCTIUN. <br /> SUH iOTAL <br /> -_ _'_ _"__-_'- _ _-_ _. ____ .- <br /> ____.___ PEFMR _E__� -�-" <br /> _ _ _ __70TAL FEE . . E _ ,,.`_ `I <br /> x ��AI�� <br /> SIGNATUREOFCONiRACTURORAUTM.qGENT OATE <br /> SIDE VAROSETOACK STfiEEf 5ETl1I1CK qEARyAppSFT(tACK f`I.ANCMECN NUMBER PLANCHECK FF.E <br /> FEE qECEIPT NO. <br /> USE 20N! LOT AREA VACANT SITE <br /> ❑v=5 ❑No FEES VALUATION FEE <br /> TVPf. OF CONST. OCCUPANCV GROUP NO.Of DWELIING � <br /> UNITS � <br /> _-____"-_ � <br /> S12E OF BLOG. N(1. OF 510li1E5 M4k.00C. ���D FUIIDING 5 ( <br /> I <br /> __ _� <br /> P�UMBING I <br /> FIPE20NE flASEMFNI 1'iPESPRINKLERi <br /> REUVIPEU ----- <br /> ❑vE5 ❑'10 MFCNANICl1�_- - --_ S�� <br /> SPECIAL CONDiT10NS pTHER � <br /> - _ I <br /> ------ VFNFL�V -_- SEC. :tOHlal �-- I <br /> _ . _-..____ "_. ._". "_.____ . _.___'___-___ _..._-_"'__�. <br /> - -- rorn� 5iC0 <br /> � PENMIT VALIDA7'ION <br /> ------ W`IEHNfiOPfR1YVlUlf)l�tEf111NT11155PACf.ITI11515VUURPFRMIT <br /> � nvinnlinNnfifl9fl�T nleN".iul�YIUN� �PPI��Nf11lU ISSIi�NCIPv <br /> � w� �� <br /> I Q <br />