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the Everyrcen � <br /> I <br /> ! ��TYOF CONSTRUC710N everett <br /> everett PERMIT <br /> cnv xnu i595t55 <br /> EV[PEiI.NASMiIltiiOp <br /> 9B)01 <br /> °`°' °"°°"°"„� BUILDING MECHANICAL PLUMBIN� <br /> OEVELOP4ENi <br /> OWNEfl MAILADDFESS ZIP YHONE I <br /> �.'x!'i:'T�!! C.. T.;<'C,.:, : _ j' y's"�'q7' � <br /> ARCHITEC:OR OESIGNER' MAIL AODRESS PHONE LICENSE NO. ( <br /> GENERAL•�CONTRACTOH MAIL AODRE55 PHONE UCENSE N�. I <br /> fT!�(=Y`"aV �.,�'.n,�l�.. . <br /> MECHANICAL CONTRACTOR MAIL ADORESS PHONE LICENSE NO. li <br /> PLUMOING CONTRAC70N MAIL ADOPE55 PNONE UCENSE NO. � I <br /> ^.�q� W I <br /> '..��^:i�6 � .� � � <br /> PERMIT CLASSOFfNOPK <br /> � <br /> z <br /> �DUII�ING �PLUMBING �MECNANICAL F- <br /> ❑NEW ❑ADDITION �AITERATION ❑REPAIR � <br /> VALUATION OF WORK � <br /> 5 '�1�+� ❑DEMOLISH ❑FENC[ ❑$IGN ❑SWIMMING POOL � <br /> DESCPIOH WORK g�. ry� ���� <br /> GYy. _.. - . t y <br /> FFOPOSED USE MECHANICAL <br /> TYPEOFFU[L �OIL �NAi. �LPG. �ELEC. <br /> FOUq`�O{]pS�C5HIPTION OF PROPERTY ISNOW BELOW OR ATTACH GAS <br /> ,�N�'TC � BP"F� NO. TVPEOFEUUIPMEN7 FEE <br /> lOT BLOCK— P - <br /> AIR COND.UNITS-H.P. EA. S I <br /> REFRIGERATION UNIT.".-H.P. EA. <br /> BOI�ERS-Ii.P. EA. I <br /> G/!S FI{7E0 A.C.UN175-TONNAGE EA. <br /> I FnRCED 41R SVSTEMS-B.T.U. M EA. I <br /> J06 AODRESS �y WALL kF.ATERS-B.T.U. M <br /> � �'�'�'� UNIT HEATERS-B.T.U. M I <br /> EVAPOIiATIVECOOLERS <br /> PLUMR�NG c�on�es oavens i <br /> VENTILATION FAN <br /> RANGEIi00D 1 <br /> NO. TYPE OF FIXTURE OR ITEM FEE �+IR IIANDLING UNIT-- G.F.M. <br /> WMER CLOS[T (TOILETI § INpNEHATOR I <br /> �ATNTUI3 <br /> LAVATORV IWASH BASINj I <br /> SHOWER <br /> KITCHEN SINK d DISP. SUB TOTAL S � <br /> OISIiWA5f1ER PERMIT S <br /> LAUNDRv TfiAY TOTAL FEE 5 � <br /> CLOTHESYJASMER 7���5 PER'AIT �ECOMES NULL AND VOID IF WORK OR CONSTRUC� <br /> WATER NEATEA TION l�VTHOfl12ED IS NOT COMMENCED WITHIN 120 OAVS, OR IF <br /> URINAL CONSTRUCTION OF WORK IS SUSPENDED OR AOANDONEO FOP A <br /> DPINY.IhG FOVNTAIN PERIOD OF 1Y0 DAVS AT ANV TIME AFTER WORK IS COMMENCED. <br /> FLOOR-SINK OR�qA1N � HEFE9V CERTIFV THAT 1 HAVE FEII� AND EXAMINED THIS AP� <br /> VACUUM OREAKERS PLICATION AND KNOW THE SAME TO�E TIiVE AND CORNECT. ALL <br /> ROOF DRAINS-RAINIEAOERS P�OVISIONS OF Ll�WS AND ORDINANCES GOVERNING THIS � YPE <br /> OF WOflK WILL BE CO�dPLIED WIiH WMETHER SPECIFIE� HEREIN <br /> SIYK ISERVICE-�AR,ETC.1 Ofi NOT, THE GRt1NTING OF A PEFMIT DUES NUT PfiESUME TO <br /> GIVE AV7'HORITY TO VIOLnTE OR CANCEL THE PfiOVI510N5 OF <br /> � ANV OTHER STATE Oq L��C�L I_A\V REGULATING CONSTRUGTION <br /> Ofi iHE PERPORhanNCL r�b rr.�:::T NUCTION. <br /> S1/8 TOTAL <br /> PEPMIT S r^.�r �y�` <br /> I TOTAL FEE S � 7•'Jy'��/[ � '�J�L�.� �Jw�� <br /> I x (�' Q��C_ �.11l'�7 �_����:� D �i�/ ll <br /> SIGNAT'VREOFCOtJII'nC1UnUHnUTM.AGENT OATE <br /> SIDEVAR�SETBACK STflEETSETBACK REAflYARO5ET6ACKPLANCHECKNUMR[11 PLANCNECKFEE <br /> � FEE ��.� RECEIPT NO. <br /> VSE 20NE lOT AREA VACANT SITE <br /> iN�jj <br /> ❑vES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF OWELIING <br /> JNITS I <br /> SIZE OF OLOG. NO.OF STOFIES MA%.00C. lOAO OVILOIN� S �1�wlf'� 6G(� W <br /> PLUMUING � <br /> FIREZONE �ASEMENT FIRESPRINKLERS <br /> RfOUIRED <br /> ❑VES ❑NO MECHAN�CAI � <br /> SPECIAL CONDITIONS: OTHEH � <br /> I <br /> PENELTY SEC.3031a1 I <br /> TOTAL y�„y� �] <br /> PEPMIT VALIDATION <br /> WHEN PROPERLV VALIDATED(IN THISSPACE)THIS IS VOUIi PERMIT <br /> I <br /> I <br /> lAPUC/�TIONACLEPiFf10Y: VLNNSCNLIXEDOY'. APYROVEOiQPISS}�(�.CCBY. <br /> i� C <br />� Q <br />