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, <br /> � ��,� E����re�,� <br /> =�TYo� CONSTRUCTION evereti <br />', everett PERMIT <br /> LiiY nL�� 'tuFiPS <br /> Il'L�IIt 1'.A.'dn4G:pb <br /> VY.i41 <br /> °'°` °` °°MM°�^� BUILDING MECHANICAL PLUMBING <br /> ocvu ovu[x* <br /> OWNE�R �r �p +(� ry��M�AI�A��flESS ZIP PNONE m� �/ I <br /> .l�^.�lM. :�'.��' L y�� YMwA '-�i�iti <br />� ARCMITECTOROESIGNEFi MA�LADDflE55 PNONE LICEIGSENO. <br /> GENERALCONTRACTOR MAIIADDRE65 PHONE LILENSEN0. � <br /> ��w� f'a _ ". ��'Q� <br /> MECHANICALCONTRACTOR MAILADDftE55 PHONE 110ENSENO. <br /> PLUMBING CONTHACTOH MAIL ADORESS PHOtJE LICENSE NO. � <br /> W <br /> m <br /> PEFMIT CLA55 OF WORK � <br /> z <br /> �UILDING �PLUMBING �MECHANICAL F' <br /> �NEW ❑ADOITIOfd ❑ALTE(YATION ❑REPAIF � <br /> VALUATION OF WORK S <br /> 5 �� ❑�EMOLISN ❑F[NCE ❑SIGN ❑SINIMIdifa a POUL a <br /> OESCRIpE WURK <br /> -:�_:.,r. �atr. � � a s�:✓:�� 749 <br /> eRoroseo use MECHANICAL <br /> TVPEOFFUEL �OIL �Nl+L �LPG. �[LEC. <br /> LEGAL OESCRIPTION OF PROPEPTV ISHOW 6ELOW OR AiTACH GAS <br /> Fp V F COPI E51 <br /> LOT BLOCK—oF NO. TVPEOFEQUIPMENT FEE <br /> AIR COND. UNITS—H.P. EA. $ I <br /> FEFFIGEftATION UNITS-H.P. EA. <br /> AOILEFS -11.P. EA. I <br /> GAS PIRED AL.UtJ1T5-TONNFGE EA. <br /> FOiiCE0AIR5Y5TEM5-6.T.U. MEA. I <br /> JOD ADUFE55 �(y�� WALL HEATERS-O.T.U. M <br />_ i7+i ��•'-� _�UNIT HEMflq$-6.T.U. M I <br /> � [VAPOfiATIVECOOLEFS <br /> PLUMBING 1CLOTHESDPVEFS i <br /> VENTILATION FAN <br /> RANGEIIOOD 1 <br /> AIRHANDIINGUNIT- 0.F.M. <br /> NO. TYPE OF FIXTUHE OR ITEM FEE <br /> WA�ER GLOSET ITOILET) 5 WCINERATOR I <br /> DATIiTUB _ <br /> LAVATOfiY IWASM BASIN) � <br /> SHfJW ER <br /> KITCHEN SINK &DISP. SUB TOTAL S � <br /> OISVIWASFI[R PERMIT $ <br /> LAUNDRV THAY TOTALFEE S <br /> _ � <br /> CLOTHES WA51iER THIS PEPMIT BECOMES NULL ANO V01U �F WOFK ON CONSTflUC� <br /> WATER NEATER TION AVTHORI2E� IS NOT COMMENC£D WITHIN '170 DAVS, OR IF <br /> UFINA� CONSTRUCTION OR WORK IS SlISPEND[O OP ABANDONEO fOR A <br /> ORINKING FOUNTAIN �ERIOD OF 120 DAYS AT ANV TIME AFTEfl WORK IS COMMENCEO. <br /> FLOOR-SINN O{i ORAIN I HEREBY CERTIFY THAT I HAVE READ AN� E%AMINE� i1115 AP <br /> VACUUM AREAKERS PLICAT�LN AN� KNOW THE SnME TO BE TRUE AND CORRECT. ALL <br /> PROVIFIONS OF LAWS AND URDINANCES GOVERNING THIS TVPE <br /> FODF ORAINS-RAINLEFDEPS OF WOPY WILL BE COMP�IE� WITH WHETHER SPECIFIEO HEREIN <br />� SINK (SF.FVICE-BAH,ETC.) OR NOT. THE GRANTING Of A P[RMIT DOES NOT PN[SUME TO <br /> GIVE AUTHORIiV TO VIOLAlE OR CANCEL THE PROVISION$ OF <br /> AfJV OTHER STATE OF IOCAL LAW REGULATING CONSIRUGT'ION <br /> OR 1HE PERFpRMANCE OF CONSTRUCTION. <br /> SU9TOTAL <br /> PEAMIT $ <br /> TOTAI FEE 6 <br /> XIGNA'fIIREOFCONTPACTORORAUTH.AGENT LJA� <br /> SIOE YAFD SETBl+CK GTqEET SETBACK PEAR VARDSETBAC PLAN CHECK IJUM9ER PLPN CHECK FEE <br /> FEE NECEIPT NO. <br /> USE ZONE l0T AHEA VACANT SITE <br /> ❑vE5 ❑No _ FE[S VALUATION PEE I <br /> TVPE OF CONST. OCCUPANCY GqOUP NO.OF DWELIING <br /> UNITS � <br /> 512E OF BL�G. NO.OF STORIES MAX.000. LOA� BUILDINO S .m � <br /> PWM�ING � <br /> f9FE ONE BASEMENi FIRESPRINKLEqS � <br /> HEOUIRED � <br /> ❑YES ❑NO MECHANICAL I <br /> SPECIALCONDITIONS: OTHEP � <br /> I <br /> PENELTV SEC.303�a1 � <br /> I <br /> TOTAL ry� <br /> G <br /> PERMIT VALIDATION <br /> WNEN PFOPERLY VALI�ATEO lIN THIS SPACEI THIS IS VOUH PEiiMIT <br /> �Rf•LicNiONACLEPTEDBY: �O�ANSCf1EC1(EUBY: PPFPOVFOLO IS'vU.1NCEBY. <br />� � �+ :� I <br />