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Iihc Frcrqiren <br /> � ��TY �� CONSTRUCTIQN everett <br /> everett PERMIT <br /> crtr na�( }596285 <br /> fOiFOi.%.4.NIXLiOX <br /> 9En1 <br /> °", °"°"�'�"' gUILDING MECHANICAL PLUMBING <br /> �:,,<<��,��, <br /> OWNER MAILADDHE.'"i> 21P PIiONL <br /> � �� � ��� �� �� <br /> ARCHITECTOROESIGNER MAILAO�RE55 PMONE UCENSENO. <br /> GE�N�ER�AL.�COy�NiNMAC,T.O.fl�! �l�MAILADDRFbS PHONE LICENSENO. <br /> .S►:: ��.W6 ,ifJ_Zzrs� � �yy � <br /> MECHANICqLCONTRACTOP MAIL ADORESS PNONE �I[ENSE ND. <br /> PLUMBING CONTRACTOR MAIL ADDflE55 PHONE UCENSE NO. � <br /> W <br /> m <br /> PERMIT CLASS OF WOPK � <br /> �OVIL�ING z <br /> �PLUMBING �MKHANICAL F- <br /> ❑NEW ❑ADOITION ❑ALTEHATION �F[PnIR � <br /> VAWATION OF WORK (t <br /> a ��� ❑OEMOLISH ❑FENCE ❑SIGN ❑SWIMMING vOOL a <br /> DESC�i18[WORK <br /> "�"�saY (:i7�) 1�6 rJ <br /> PpOPOSED USE <br /> MECNANICAL <br /> LEGl+LDESCRIPTIONOFPROPEPTV6HOWBELOWOqATTACH TVPCOFFUEL �OiL ��n�s. QIPG. �ELEC. <br /> FOUR COPIE51 <br /> Loti" nLOCK—OF NO. � TVPE OF EUUIPMENT FEE <br />' AIR CGND. UftlITS-H.P. EA. S I <br /> AEFHIhERAtION VNITS-H.P. EA. <br /> BOIL[115-M.P. EA. � <br /> GAS F�RED A.C. UNITS-TONNAGE EA. �— <br /> f-ORJEDAIRSVSTEMS-0.T.V. MFA. 1 <br /> JO� AUDR[SS WpLI HLM[RS-B.T.U. M <br /> � r��� UNIT NEMEFS-�B.T.U. M 1 <br />" EVAPORATIVECOOLERS <br /> PLUMBING CLOTHES DRYEPS i <br /> VENTILATION FAN <br /> RANGEHOOD I <br /> NO. 7VPE OF FI%TURE OR ITEM FEE AiR NANDLiNG UNIT- C.F.M. <br /> WATER CLOSET ITOILETI s INCINEPATOfi � <br /> �ATHTUB <br /> LAVATORVIWn5H8ASIN� � <br /> SHOWER <br /> K�TCHFN SINK . UISP. SUO TOTAL $ � <br /> _�OISHWASHF.F PEPMIT S <br /> _ I.nUNORV TRAY TOTAL FEE 5 � <br /> _ f�.pTHES WASHFR THIS PERMIT BECOMES NULL ANU VOIO IF WORK ON CONSTPVC� <br /> _ VJnTfR NEATER TION AUTHORIZED IS NOT COMMENCED WITHIN 720 DAVS, OR IF <br /> VHINA(. CONSTqUCTION OR WORK IS SUSPENOED OR A�AN70NED FOR A <br /> DRINKIftlG FOUNTAIN — PER10D OF 140 OAYS AT ANV TIME AFTER WOPK IS COMMFIJCED. <br /> FLOOfi-SINK Oq UAAtN I NEFE9v CERTIFY THAT 1 HAVE FE[�D laND EXAMWED iN15 AP <br /> VACUVN BFEAY.EAS PLICnTION AND KNOW THE SAME l0�E TFUE AND CORRECT. AL� <br /> PROVISIONS OF LAWS AND OfiOINI�IJCES GOV@FNING THIS TVPE <br /> fi00F ORAINS-qA1NLEADERS OF WORK WILI. BE COMPLIEO Wlll/ WHETHEIi SPEGIFIED HEflE1N <br /> SINK ISERVICE-�AR,ETC.) OR NOT, THL GAANTING OF A PERMIT DOES NOT PqESUME TO <br />- GIVE AUTHORITV TO VIOLAT[ OR CANCEL TNE PROVISIONS OF <br /> ANV OiHER STATE OR IOCAL LAW REGULATING CONSTFUCTION <br /> OR THE PERFOfiMANCE OF CONSTRUCTION. <br /> SUBTOTAL + I <br /> PERMIT f <br /> TOTAL FEE $ � ��y� �� ��� <br /> x 4:PO�7� <br /> SIGNATUREOFCONTRFCTOHORAUTH.AGENT DATE � <br /> SIOEYA(i�SETOACK STREETSETBACK IiEf�RVAfl�SETPACY. PLANCHECKNUM6ER PLANCHECKFEE <br /> iEE RECEIPT NO. <br /> USE 20NE LOT AREA VACANT SITE <br /> ❑Yes ❑ND FEES VALUATION FEE <br /> TVVE OF CONST. OCCVPANCV GROUP NO.OF DWEILING � <br /> UNITS 1 <br /> SIZE OP BLDG. ND.OF STORIES MAY.OCC. LDAD eU1L�ING S �.l(�yy p�� <br /> PLUMBING � <br /> FIREZONE BASEMENT FIqESPftINKLERS <br /> REOVIRED <br /> ❑VES ❑NO MECMANICAL � <br /> SPECIAL CONOITIONS: OTHER � <br /> PENELTV SEC.30JIe) � <br /> TOTAL (�j� <br /> PERMIT VALIDATION <br /> - WHEtJ PqOPERLY VALIDAT[D IIN THIS SPACCI TH4. IS VOUfi P[HP.iI� <br /> :.�a•IiO�iIOHALCE0TED9Y: >L1INSPIECKEOBY: RPVPWEUFO 11AtN,CC�Y <br /> w <br /> � <br />