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� .AC [VnlfjleC/I <br /> =�T� �F CONSTRUCTION everett <br />� everett PERMIT <br /> .,s�, �,>_: <br /> tuIPFII CE;rvIhGtI:H <br />' qq,iJ <br /> °"° °"°""°°'" BUILDING MECHANICAL PLUMBING <br /> oEv[�owcwr <br /> OWNEH MAIL AODfiE55 ZIP PNONE <br /> �t�� fYt':,'tf � <br /> ARCHITECT OR DESIGNER MAIL ADOFE55 VHONE LICENSE NO. y!',�_ZLS <br /> L'! T <br /> GENEPAL CON7HACTON MAIL ADDRESS PHONE LICENSE NO. <br /> MECNANICALCONTAACTOH MAILADONESS FHONE LICENSENO. <br /> �' <br /> PWMBING CONTHACTOR MAIL ADURE55 PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT ClAS50F WORK � <br /> � <br /> ❑�VILDING �PLUMBING�]MECHANICAL � <br /> �NEW ❑ADOITION ❑qLTERATIOIJ ❑REPAIR � <br /> VA�UATION OF WORK � <br /> 5 ❑DEMOL�511 ❑f[WCF ❑SIGN ❑SWIMMING POOL a <br /> DESCIiBC WORK <br /> 699 <br /> vRovoseo usE <br /> MECHANICAL <br /> LEGALOESC�IIFTIGN Of PROPERTV ISMOW BELOW O(i ATTACH TYVE OF FU61 �OiL ❑GAS ����� ❑[LEC. <br /> FOVR COPIE51 <br /> I NO. TVPE OF EOUIPMENT F E <br /> LOT BLOCK—OF <br /> AIR COND.UNITS-M.R EA. 5 <br /> fiEFqIGERATIOIJUNlTS-H.P. CA. -~ <br /> __ 601LER5-H.P. Fa. � <br /> GAS FIFED A.C. UNITS-TONNAGE EA. <br /> FOfiC@O AIF SYSTEMS-B.T.U. M EA. � <br /> JO� G�UPF55 WALL NEATENS-p.T.U. M <br /> �r'-• �� UNIT HEnTERS-B.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTHE..`+ORYERS � <br /> VENTILATION KAN <br /> RANGEHOOD � <br /> NO. TVPE OF FIXTURE OR ITEM FEE Ain r�nn�DUNG VNIT- aF.M. <br /> WATERCLOSETfTOilEi) s INCINEIYATOP � <br /> [3nT1iTUB <br /> LAVATORY(WASH BASIN) � <br /> ;IIOWER — — <br /> 1 <br /> Y.1ICHENSINKtYO15P. SUBtOTAL $ <br /> OISNWl�SHER - <br /> -- PEFIdIT S <br /> I.AUNDRY TPAV -- <br /> CLOTH[SWASHER T0T4LFEE 5 u m <br /> WnTEfi HEqTER TNI: PEFIAIT BECOMES NULL ANO bOID If WOli��. OR CONSTRVC- <br /> TIDtJ AVTNOR12ED IS NOT COMMENCEU WITNIN 170 DAYS, OP IF <br /> UNINPL CON9TRUCTION OR WORK IS SUSPEIJDED OP Afl.\NDONEO fOR A <br /> ORINKING FOVNTAIN PEF10� OF 110 OAYS AT ANY TIME 4FTER WO(iM IS COMM1IENCED. <br /> FLOOR-SINK OR DqAIN I NEHE�V CEATIFV THAT I HAVE PIdA� ANO EX�iMINLD THIS AP� <br /> VM1CVUM �REAKEfiS PLICL.TION AND KNOW iHE SAM[TO�E TFUE AND COFiRECT. ALL <br /> POOF OqAlIJS-RAWLEAOENB PROVISIONS OF L�WS ANU ORDINANCES GOVEFVING TFi15 TYPE <br /> OF WDRK WILL DE COIdPL1EO WITN WHET4EF SPi:CIFIEC MEfiEll� <br /> S�NK /SERVICE-BAq,ETC.) OR NOi, THF_ GRCNTING OF 4 PENNIT UOES N(? PRE:UME TO <br /> � GIVE AUTHORITV TO VIOLATE OR I:AWCEL TNE PROVISIONS Oi' <br /> ANV OTNE(i STMIf OR LOCAL LAW PEGUL�TING CONS'fRUCTIOIv <br /> OR THf PERFORMnNCE OF CONSTRU�:l1�N. <br /> SUBTOTAL <br /> PERMIT S <br /> TOTALFEE $ <br /> SGNATUREOFCORTRACTORORAUTH.AGENT G�C� <br /> SIDEVARDSETUACK RREETSET6ACK AEARVAfiD5ET6AC1' PL4NCHECKNUM6ER P�ANCHECNFEE <br /> FE@ RECCIPT NO. <br /> USE 20NE LOT AREA VACANT SITE <br /> ❑vEs ❑No FEES VALUATION fEE <br /> TVPE OF CONST. OCCUPANGV GROVP NO.OF�WELLING T <br /> UNITS � <br /> .__� <br /> SIZE OF OIOG. NO. OF STORIES MAX.OCC. LOAO �UILOINQ $ � <br /> I <br /> —y <br /> PLUMBING I <br /> Flp[ ZONE �ASEMEIJT FIRESPRINKLERS � <br /> FE�UIRED "�--� <br /> ❑YES ❑NO MECHAN�CAL — � �� <br /> ____F`s� <br /> SPECIAL CONDITIONS'. pTHEq I � <br /> —' I <br /> _T <br /> PENELTV SEC.30JIe1 I <br /> —l— <br /> T07AL ��� <br /> PERMIT VAL�DATION I <br /> WHBN PROP[FiLV VALIbMED 1W TIII;SPi1CC)TIIIS 19 Y(.�UR PCfifdli <br /> nP��tiC41i0NACLCPTCOBY: PLRNSCNFCItE08Y: APPfVO�'E�fO(itS.UFNCE6Y. <br /> l.a. <br /> 0 <br />