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� nc� Rr.rgieen I <br /> QTYpF CONSTRUCTION everett <br /> everett PERMIT <br /> �, C�iYNMt }59BFY5 <br /> IIFfl[11.FASX14Li0N <br /> 96}0l <br /> °`°, """""�"'" BUILDING MECHANICAL PLUMBING <br /> 0[Y[t01'M[Mi <br /> OWNEF MAILA�OflE55 ZIP 1'110N� j�.�� <br /> i:anaah IIaldmin 1�aR CoZby 582�1 259-1+3a _ _ 77 <br /> ARCMITECTOROESIGN[q MAILADORESS PHONE LICENSEND. <br /> GENERALCONTRACTOR MAILADDPE55 PHONE LICENSENO. <br /> Sil�, <br /> MECHANICAL CONTflACTOR MAIL ADOFESS PHONE LICENSE NO. <br /> PIUMBINGCONTqACTOR MAILAD�RE55 PMONE UCENSENO. r` <br /> W <br /> m <br /> PERMIT CLASSOF WORK � <br /> � <br /> Z <br /> [3,r111LDING �PLUMBING �MECHAN�CAL r <br /> QNEW ❑AODITION ❑ALTERATION �REPAIH � <br /> VALUATION OF WORK <br /> g GSt��OD ❑CeMOLISN ❑FENCE ❑SIGN ❑SWIMMINGFOOL W <br /> d <br /> OESCHI6[WURK <br /> Ra-raof aa�es3tiott :ieu !�utLQ:v "�7� 5 <br /> PROPOSEO VSE <br /> MECHANICAL <br /> rvr� oFrue� poi� pNnt. p�vc. pe�ec. <br /> LEGAL DESCRIPTION OF PRpGERTV ISI10W BELOW OH ATTACM GAS <br /> coun.�c,�orias�27 22N iblf,.� <br /> �oT OLO[rc—oF v; NO. TVPE OF EQUIPMENT FEE <br /> AIH COND. UNITS-M.P. EA. S I <br /> REFii1GEPATION UNITS�-N.P. EA. <br /> BOILER>- N.P. EA. 1 <br /> GAS FIREO A.C. UNITS-TONNAGE EA. <br /> FORCED nIR Sv5TEM5-B.T.V. M EA. I <br /> JO6 ADORESS WALL H[nTERS-B.T.U. M <br /> I220 COl�y uNir�iEnrEas-o.r.u. m i <br /> _ [VAPORI�TIVECOOLEFS <br /> PLUMBING c�orNe� onvens i <br /> VE!lTILATION FAN <br /> RAYGE NOOD 1 <br /> ND. TVPE OF FIXTURE OR 17EM FEE n�R HANDLING UNIT- C.F.M. <br /> WATEiiCLOSETITO1lET1 g �NCINERATOR � <br /> PATHTUB � _ <br /> LANATOtiV(WASHBASINI � <br /> ___ <br /> SHOWEfi <br /> KITCHENSINKlLDISP. SUBTOTAL 8 � <br /> DISHWASNER <br /> LAUNDfiV TRAV —� —_ PERMIT S <br /> CIATH[9WASHEN TOTALFCE $ � <br /> THIS PERMIT l3ECOMES NULL ANO VOID IF WORK OR CONSTRVC� <br /> W/�iFfl HEATER TION AUTHORIZED IS NOT COMMENC[D WITHIN 120 DAVS, OR IF <br /> UHINAL CONSTfiUCTION OR WONK IS SVSPENDED OR nOANDONEO fOR n <br /> ORINKING FOUNTAIN PERIOD OF 770 D4V5 AT ANY TIME AFiEii W0(iK IS COMMENCEO. <br /> FLOOR-SINK Ofi ORAIN � HEREBV CERTIFY THAT 1 NAVE ftEAD AND EXAMW[D THIS AV- <br /> VACVUM RR[AKERS PLICATION AWD KNOW THE SAME TO DE TRUE nN�CORRECT. ALL <br /> ROOF ORAINS-RAINLEADEH3 PAOV1510N5 Of LAWS ANP ORUINANCES GOVERNING TIiIS TYPE <br /> — OF WORK WILL 9E COMPLIEO WITH WHEiHEfi SPECIFIEO HEREIN <br /> SINK (SEfiV�CE-B/+R,ETC.) OR 1.IOT, TNE GRANTING OF A PERMIT DO[5 NOT PRESUME TO <br /> GIVE AUTHOfiITV TO VIOLATE OR CANCEL THC PROVISIONS Of <br /> ANV OTHER STATE OF LOCt1L L�W REGUI.MING CONST(iUCTION <br /> OR THE PERFOPMAhCE OF CONSTRUCTION. <br /> SUI3 TOTAL <br /> PEAMIT S <br /> TOTqI FEE s 6/13/79 <br /> x <br /> SIGNATUREOFCONTRACTORORAViIi.l�GENT DATE <br /> SI�E Vl�RDSETOACK STPEET SE70ACK FEAR VARDSETFIAC PLAN CHECK NUMREii PLAN CHECK FEE <br /> FEE RECEIPT ND. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑VES ❑No FEES VALUATION FEE <br /> TVPE OP CONST. OCCUPANCY aqOUP NO.OF DWELLING <br /> UNITS 1 <br /> � U <br /> SIZE OF BLDG. NO.Of STORIES MAX.00C. LOAD BUIIDING 4 � � <br /> �' <br /> HREZONE BASEMENT F�RESPRINKLERS PLUMB�NG � <br /> RE�UIFED <br /> ❑YES ❑N� MECHANICAL � <br /> SPECIA�CONOITIONS' OTHEq � <br /> I <br /> PENELTY SEC.J031a1 1 <br /> TOTAL � <br /> PEfiM1T VALIDATION <br /> �- WHENPftOPEfiLYVAL10ATEDfIN1H155PACE1THI515�DUfiFERM1T <br /> MPIICPiIONACCEiTEOBY: PI.A45orfC1_(D�Y� RPPnObl�F011155JNiCCOV <br /> �.�1)• <br /> a <br />