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i :hc EvPi�rcen <br /> � =�T��� CONSTRUCTION everett <br /> ! everett PERmIT <br /> IfCtSC:•NA�v'Mr,i'ON <br /> ( � <br /> e[mr <br /> "" `° ""'.°""" gUILDING MECHANICAL PLUMBING <br /> uEvuorv¢xr <br /> OW��N.rER �p� MAI�ADOHE55 ZIP PHONE �/ <br /> .ri��L� + �_m.."_ '6?. ii_�" 3�7! .l'". �' t�,r�+{{a <br /> ARCHI7ECT OH DESIGNER MAIL ADDRE55 PHONE LKENSE NO. <br /> GENERALCDNTHACTOR MAILADDPESS PMONE LICENSE NO. <br /> !�t'ZF' f. 618P^r <br /> MECHANICAL CONTflACTUR MAIL ADORE55 PNONE LICENSE NO. <br /> PIVMBING CONTRACTOR MAIL ADDRESS PHONE LIGENSE NO. � <br /> W <br /> m <br /> PERMIT CLA55OF WORK ? <br /> ,y Z <br /> �]BUILOING �PLUMBING �MECHANICAL F <br /> ❑NEW ❑ADDITION ❑ALTEftATION �REFAIR � <br /> VALUATION OF WORK � <br /> 5 �� ❑DEMOLISN ❑FENCE ❑SIi:N ❑SWiMIAiN, FOOL W <br /> a <br /> OESCRI9E WORK -�—� � <br /> '�"A,."�� �A4i'} 77.3 <br /> vraoPosEo use <br /> MECHANICAL <br /> �ecn�oesc�ivnowo�- vnorer�risHoweE�owonntTr.ai r .rEorruei poii.--�Gn�.—��v,. L,E�ec. i <br /> FDUR COPIESI , <br /> �07__B�oGK_OF N�• TYPE OF E�UIPMENT fEE <br /> AIR CONO.UNITS-N.P. EA. § � <br /> REPRIGERATION VNrtS� M.P. EA. <br /> �OI�ERv-HR EA. � <br /> GAS FIqE�A.C. UNITS �TONNAGE EA. <br /> FOqC[D Alq SVSTEMS-B.T.V. M EA � I <br /> JOfI Af�pRE55 ��J�y, K'ALL HEATERS-B.T.U. M <br /> -f �s�� UNITHEATERS-B.T.U. M I <br /> � -- EVAPORA7NECOOLERS <br /> PLUMBING c�orHesoFveAs i <br /> VENT11.l+TION FAN <br /> RntJGE HJOO � <br /> NO. TVPE OF fl%TURE OR 11"EM fEE /+Iti HANDLING UNIT- GF.M. <br /> WATEHCLUSETITOILETI s � INQNfRAiOR � <br /> f3ATNTU6 <br /> LAVATOqVIWASHBA51N1 � <br /> ^vHpWER -- <br /> _ CITC��ENSINK6DISP. SUBTOTAL 6 � <br /> DISNwASMER <br /> LAVNURVTRAY PERMIT 5 <br /> CI.OTHESWASHER tOTAIFEE 4 � <br /> IHiS VERKIT BECOMEB NULL AND VOID IF WORK OA CONGTfiUC <br /> _ WATER NFATER TIUN nUTHORIZED IS NOT COMMENCED WITHIN 120 OAYS, OP If <br /> _ URINAL CJNSTRUCTIOY pq WOHK IS SUSPENDED OP AOANOCNED FOR n <br /> DnIhKING fOUNTAIN fERIOD OF 120 DAYS AT ANV TIME AFiER WORK ISCOMMEI�CED. <br /> �LOOR .^,INK OR ORNN I HEfiEBY CERTIFY T1iAT i NAVE REFD ANO EXAMINED THIS nP <br /> VACUVM AR�nKEiiS PLICATiON l�NO KNOW THE SI+ME TO DE TIiVE �1JD CORRECT, nL�_ <br /> ROOG ORAIldO� ft41N�EADERS F �'ROV�SIONS O� LAWS AND ORDIlJANC[S GOVERNING TH6 TV'[ <br /> --- � OF WOIiY, WILL BE COMPUED WITH WHETHER SFFCIFIEO NEHEIN <br /> FINK ISERVICE� f3qR, ETG.) � OR NOi, THE GRnNTING OF A PERMIT �OES NOT PRESUME i0 � <br /> G;VE AUTHORITV TO VIOLATE OF CANCEL THf PROVISIONS Of <br /> ANY pTHER ST/aTE OR LOCAL LAW PEGVLnTING CONSTRUGTION <br /> _ OA THE PE�FORMAtJCE OF CONSTNUCTION <br /> SU9 TOTAL <br /> PEHMIT ! <br /> TOTALFEE E <br /> — X � <br /> SIGNAfUfiEOfCONTRl1CTORORAUTH.AGEfJT OATE <br /> SIUE vARD SETBAGK STHEET SETBACK REAPY/�RDSETBACY. PLnN CHECK NUM9EA FLAN CHECK FEE <br /> PEE RECEIPT NO. <br /> USL ZONE LqT AREA VACAN"f SITE <br /> ❑vES ❑No FEES VALUATION FEE <br /> TYP[ OF CONST. OCCU ANCV GROUP NO.OF OWELLING <br /> UMTS � <br /> I <br /> 512E OF BLOd. NO.OF STORIES MA%.UCC. IOAD Ot11LDING s � ��� <br /> PLVMBINO I <br /> FIRE ZO E BAShMElJT f-IFESPNINKLEqS <br /> REOUIREO � " <br /> ❑vE5 ❑NO MECHANICAL � <br /> SPECIAL CONDITIONS' OTHER � <br /> I <br /> _—� <br /> — P[NELiv SEC.70llel � <br /> _J— <br /> TOTAL � � <br /> 2��� <br /> I _ _ PERMIT VALIDATION I <br /> WHEN PROPERLV VALIOATEO �IN THIS$PACE)THiS 16 VOUf1 Pf:R�nn <br /> PVPUCPTIUNl.CCt�'1fI1HY �L�HSMECKFOBY: �PPNOV[D(O 65U4NC[BY. <br /> - �M Qi � I <br />