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, the Everrp�vrn I <br /> ' ��r� ��F CONSTRUCTION everett ' <br /> i <br /> everett PERMIT <br /> ! ���r�t<< ;:��_., <br /> I [Vl41il.C.4:��qll[IY <br /> I �yl <br /> , °"' °` `°'""°"'" BUILDING MECHANICAL PLUMBING <br /> Iucvuoreerrt <br /> OWNEq MAILADDHES$ ZIP PMONE <br /> .'3tB11 ".S33�C 2221 L'011zS � I1►;:L'�Ct o�? }1 :i�-d7$� �:";�;f <br /> AqCMITECTOFDE51GNEq MAILADORESS PMONE LICENSENO. <br /> GENERALCONTRACTOF MqILADORE56 VHONE �ICENSENO. <br /> Ev+arett 9utildess SGQG �.tias�qrtpn Nap 353-7161 223-�1-�i•-. �-:� <br /> MECIiANICAL CONTRAC70R MAII ADDRE66 PHONE LICENSE NO. <br /> PLUMBINGCONTAAL70R MAILAUDRESS PHONE LICENSENO. � <br /> W <br /> m <br /> PEHMIT CLASSOF WONK ? <br /> Z <br /> �BUILDING �PWMBING �MECHANICAL� � <br /> ❑NEW []ADDITIDN (]ALTEHATION ❑REPAiR � <br /> VALVATION�f OF WORK <br /> S 1�6n�.S�� ❑UEMOL�SH ❑LF.NCE ❑SIGN ❑SWIMMING POOL LL7 <br /> OESCRIB[WORK <br /> a <br /> raun:tatioh, xa�►ir porch 2 3 9 0 <br /> PAOPOSED USE <br /> MECHANICAL <br /> TVPLOt' FU[l �OIL �NAL �LPO. `'IEL6l. <br /> LE[iqL�ESCAIPTION OF PROPERT V ISHOW BELOW OR ATTACM GAS <br /> FDUH PIyE 5 <br /> �oi �� ^ �OCK`=� oF �'d�=�t ND• NPE OF EOUIPMENT FEE <br /> AIR COND.UNITS-H.R EA. s � <br /> titFRIGER�TION UNITS-N.P. EA. <br /> 1 BOiLERS-Ii.P. EA. <br /> �Ct• � ��9��OL��QOQZ GASfIREDA.CUNITS-TONNAGEEA. --�- <br /> POFCEO AIR SVSTEMS-F1.T.U. M EA � <br /> JOBA��2�SS�l� WALLHElaiERS-B.T.V. M <br /> UNIT NEATERS-E.T.V. M � <br /> PLUMBING EVAvpqATIVECOOLEPS <br /> CLOTHESDiiVERS � <br /> VENTILATIONFAN <br /> RANGE MODD � <br /> NO. 7VPE OF FIXTURE OR ITEM FEE �+IR HANDLING UNIT- C.i.M. <br /> WAT[RCLO;ETITOI�ETI f INGNERATOR � <br /> [lA1 HTU� <br /> LAVATORYIWASMBASINI � <br /> $HOWER — <br /> _ KITCHENSINKbDISP. SUBTOTAL $ � <br /> pi5HWA5HER <br /> — PERMIT $ <br /> L�UNOPV TRqV <br /> CLOTH45WIl5�aER TOTALFEE E � <br /> WATER HEFTEfl THIS PEqMIT BECOMES NVLL FNO VOIIJ IF WORK OP COIJSTRUC <br /> — TION AUTViOR12ED IS NOT COMMENCEO WITHIN 120 DAVS, OR IF � <br /> URINAL CONSTf1UCTION OR WORK IS SUSPEN�EO OR A9ANDONED FOF n <br /> ORINKING FJUNTAIN PERIOD OF 170 DAVS AT ANY TIME AFTEP WORK ISCOMMENCE�. <br /> FLOOR-SINK OR ORAIN I HERE9V CERTIFY THAT 1 HAVE REAO AND EXAMINED THIS AP� <br /> _ VACVUM eRENKENS PLICATON ANIJ KNOW THE SAMF TO BE TFUE ANU CORRECT.ALL <br /> ROOF DRPINS-HAINLEAOEAS PROVISIONS OP LAWS pND ORDINANCES GOVEHfJING THIS TYPE <br /> OF WpqK WILI BE COMPUED WITH WHETHEF SPECIFIEO HEREIN <br /> SINK (SERVICE-BAR,ETC.) OR NOT, TME �RANTING OF A PERMR 00[S NOT PRESUME TO <br /> I GIVE AUIHORITV TO VIOLATE OH CAhCEL THE PROVISIONS Of <br /> ANV OTH[A STATE OA LOCAL LAW qEGVl.ATING CONSiqUGTION <br /> I __ SUB TOTAL OR TME PERFORMANCE OF COfvSTRUCt IDN. <br /> PERMIT f <br /> I TOTALFEE f <br /> x <br /> SIGNATUIiEOFCONiIiACTOROFAVTH.AGENT OA E <br /> SIOEVARDSETBACK STREETSETBACK REARYAROSETAACKPL/lNCHECKNUMB[R PLANCHECKFEE <br /> FEE qECE1FT NO. <br /> USE 20NE LOT AREA VACANT SITE <br /> ❑vEs ONo c�ES VALUATION FEE <br /> TVFE OF CONST. 6CCUPANCY�flOUP NO.OF OWELUNG <br /> UNITS � <br /> SIZE OF BLDG. NO.Of$TORIES MAX.00Q LOAO BUIL�INO f J�ZOO�G� YH� OO <br /> PLUMBING I <br /> FIRE20NE Bq5 NT FIR 5 RI KL�pS <br /> RfOUIPEO <br /> ❑YES ❑NO MECHANICAL � <br /> SPELIAL CONDITIONS: OTHER � <br /> I <br /> PENEL?Y SEC.707(el —.��Iy��-. <br /> TOTAL "`�� w� <br /> I <br /> PERMIT VALI�ATION <br /> I = WHENPROP[RLVVALIDATEDIWTHI55°ACE)THISISYOUAPEfiMli <br /> I <br /> /PPLILqT1pNRCCFVTEDOY'. PLFHSCNCC fpNY: MPqOYCDFO ISSURNCLBV. <br /> �.c. L.C. <br /> 0 <br />