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� Ih„ f�t': _ . <br /> i �,T��F CONSTRUCTION everett <br /> everett PERMIT <br /> ; �,.,�o,� �,0,.-5 <br /> [':fl.[:i V:Ai4:Y:•i94 <br /> 96)'ll <br /> i' °`" °"°""'°""" BUILDING MECHANICAL PLUMBING <br /> ntvfiuov[ui <br /> OW(N�ER y� }� p.� MA�IL�ADDyR.�E�5�5 ae�� ZiV PMpNt <br /> '^''��i �"�'A C� Yi {i � 31�iiYy(W'++ �'Yti! � <br /> ARCNITECT OF DESIGNER MAIL ADDflE55 PMONE LICENSE NO. <br /> !'.�:A �i � LF'�,'S'+J' 6�•��p <br /> GENERAL CONTNACTpR MAIL ADDFiESS PMONE /��py��� LICENSE NO. <br /> I � .+� Q u�i `� � � �� G7W� <br /> MECHANICAI.CONTRAGTOR MAILAODRESS PHONE <br /> LICENSE NO. <br /> IPLUMBINGCONTRACiOR MAILAD�fiE55 PNpNE � <br /> I 110EN5E NO. W <br /> I PERMIT m <br /> CLASSOF WpqK � <br /> I /y� = <br /> Z <br /> OU1lDING �PLUMffING �MEC�IANICAL 1�, � <br /> ❑NEW a�ADDITION ❑ALTEqATION ❑REPAIR <br /> VALUATIONCf WpqK � <br /> � g ��Q�yy ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL W <br /> I DESCPIBC WOFK d <br /> I �� � 26� <br /> PROPOSED USE <br /> � ��fi �� MECHANICAL <br /> , LEGALDESCf21PTIOFJ OF PROPENTV ISHOW 6ELOW OR ATTACH �Y�� ��� f�U[L OpIL �GAJ, �LPG. �ELEC. <br /> . �OURCO�IES) <br /> �oT�OLo[rc�oF � NO. TVPE OF EQUIPMENT FEE <br /> AIflCO1vD. VN175-H.P. EA, s � <br /> REFRIGEFl.1 iOH UNITS-NP. EA. <br /> BOILGR` HP. LA. � <br /> G�1S fIRED A C. UNITS--TONNAGE EA. <br /> F�RCED Alq SVSTEMS-B.T.U. M EA. � <br /> JOB ADUHE55 � � WqL� NEATERS-B.T.U. M <br /> I U/JITMEATEHS-B.T.U. M � <br /> PLUMBING EVnPpRqTIVECOOLEPS <br /> I CLOTHCS UiiV[RS � <br /> VENTILATION FqN <br /> I fi/�NGE HOOO � <br /> I N�. TYPEOIFI%TUREO(i1TEM __FEE A�R �{ANDUNGUNIT- �.F.M. <br /> WATERCLOSET !TOIIETI c INCINEHATOq � <br /> I BAT'HTUB <br /> I LAVATORY(WASHBASIN) _ — I <br /> SHOWER <br /> KITCHENSINK 8 DI6P. SUB TOTAL S <br /> UI_HWAS��ER � <br /> Ll�UNDR\ TPAV - PERMIT L <br /> CLOTHES WASHEF TOTALFEE S � <br /> W/,TEH HEATEH iH15 PERMIT BECOMES NUIL AND VOI� IF WORK UR CONSTRUC <br /> URINAL TION AUTHOR�ZED IS NOT COMMENCEO WITHIN 120 DAVS, UR IF <br /> GONSTqVCT'ON OR WOAK IS SUSPENOED OR ABANDONEO FOR A <br /> DFINKING FOUNT'A�N PEHIOV OF 720 DAVS AT ANV TIME AFTEti WORK IS COMMENCED. <br /> _ f�ppq_SINK OR DRAIN I NEREOV CERTIFV THAT I HqVE READ ANO E%AMINED TNIS qV� <br /> VACUVM PREAKERS PLICATION AND KNOW THE SAME TO 9E TRUE AND CORRECT. ALL <br /> ti00�OiinINS-qpINLEAOERS }-- P�DV�SIONS OF I.qWS ANn ORDINANCES GOVERNING THIS TVPE <br /> SINK 19ERVICE-pA(i, ETC.) �- nF WpRK WILL BE COMPLIEp W17H WHETHER SGEGIFIEO HEREIN <br /> — _ OF IJOT, TNE GRANTING OF A PEAMIT DOES NOT PRESUME iCl <br /> — GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVI$IONS OF <br /> _ ANV OTHER STATE OR LOCAL LAW REGULATINC CONSTPUCTION <br /> SVA l'OTAL OR THE PERPORMANCE OF CONSTRVCTION. <br /> PERtd1T s <br /> TOTALFEE $ � <br /> X <br /> SIGNATUFEOFCONTf1ACTORORAUiH.AGEtJT OA7�E <br /> � � � SI�EYARDSET�ACK STRECTSETDACK qEARVARDSET�ACYPLANCHECKNU�96ER <br /> � PLAN GiECK FEE <br /> � FEE RECEIPT NO. <br /> USEZUNE LOTAPEA VACANTSITE �'�: <br />' ❑vE5 ❑NO FEE6 VALUATION FEE <br /> TVPE OF CONST. OCCUFANCY GROIiP NO.OF OWELLINO <br /> VNITS <br /> I <br /> SIZE OF BL�G. NO.OF STORIES MAX.OCG LOAD BUIL�ING g •lYyyy� M <br /> aL:N�4w <br /> i iRE M1NC BASE.MENT PLUM0ING � <br /> IRES PINKLEHS <br /> FF.�ViPEO <br /> ❑VES []NO MECHANICAL <br /> I <br /> SPEC�AL CONDITIONS: - — <br /> _ OTHER j <br /> 1 <br /> —' PENELTV SEC.3031e1 � <br /> TOTAL ,yr� 1► <br /> �l7 �J <br /> PERMIT VALIDATION <br />� WHEN PROPERIY VALIDATLD IIN THISSPA�E) THIS IS VOUR PERMIT <br /> rlmil�AlNf1AGCC�1fBOY� �'LPIJSGHCCKCOOY: AVP11pVEDFO 165U4NCEBY. <br /> I <br /> .�.r Cr � '.�� C R� ��• <br /> • <br />� I 9 <br /> \ <br />