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Ithe fve�y�cen <br /> ��T, oF CONSTRUCTION everett <br /> everett PERMIT <br /> CRY NRtI . ._.. <br /> EV[flfii,RAP�iSuifl'1 � <br /> 9i2G� � <br /> OFFt OF�pvlyYilV <br /> �E,.�,o�.•��r BUILDING MECHANICAL PLUMBING <br /> OWAEq MAILA�DqESS ZIP PMONE <br /> „'3�.'_ 'I',Z'.� 3Gj3 C�.- � �Z_� <br /> � •� <br /> ARCHITECTOqDE51GNER MAILADDFE55 PHONE LICENSENO. I <br /> GENERALCONTRACTOR MAILADDRESS PMONE IICENSENO. ' <br /> I <br /> MECMANICAL CONTRACTOR MAIL ADDHE55 PHONE LICENSE NO. <br /> fi'�� r f� <br /> PLUMBING CONTRAGTOH MAIL AODRESS PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLA55 OF WORK ? <br /> ❑BUILDING �PLUMBING �MECNANICAL z <br /> �EW ❑ADDITION ❑AITEFAT70N ❑HEPAIR ~ <br /> VALUATION OF WORK <br /> � ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL W <br /> DESCRI�F WOflY, <br /> a <br /> �4 g' "��' 18 5 4 <br /> PROPOSED USE <br /> MECHANICAL <br /> LEGALOESCRIPTIONOPPROPERTYISHOWBE�OWOFATTACH TYPEOPFUEL �OIL �GAS. �LPG. �ELEC. <br /> FOUR COPI[SI <br /> LOr �LOCK_Oi NO. 7VPE OF EQUIPMEN7 F[E <br /> A�N COND.VNIT$-H.P. EA. 5 � <br /> REFRIGEFATION UNITS-N.P. EA. <br /> AOILEFiS-H.P. [A. � <br /> GAS FIqED A.C. UNITS-TONNAGE EA. <br /> FORCEDAIft5V5TEM5-O.T.V. MEA. � <br /> J09 ADDPESS yS�yy WALL HEATERS-D.T.U. M <br /> ^ m� VNIT MEATERS-A.T.U. M I <br /> PLUMBING _ �EVAPOFATIVE COOLERS <br /> CLOTNCSORVERS � <br /> VENTI�ATION FAN I <br /> _ PANGE HOOD � <br /> NO. TVPE OF FI%7URE OR ITEM FEE A�R MANDLING UNIT- C.F.M. <br /> \YATENCLOSETITOILET) § �NCINLRATOR � <br /> OATHTUD <br /> LAVATORYfWASMBASIN) � <br /> SIiOWER <br /> KITCHENS�NK& OISP. SUBTOTAL 5 � <br /> DISNWASNER <br /> LAUND�Y 7qqY <br /> PERMIT 5 <br /> � CLOTHESWASHEii TOTALFEE � <br /> YlAT@R /iGATER THIS PERMIT �ECOMES NULL ANO VOID If- WOPK OR CONSTRUC <br /> TION AUTHOR12E0 IS NOT COMMENCED WITHIN 1:0 Dl�VS, OR IF <br /> URINAL CONSTFUCTION OR WOPK IS SUSPENDED OR ABANDONLO Fpq q <br /> DIiINKING FOIiNTAIN PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMEIJCE�. <br /> FLOOR-SIN✓. OH DRAIN I HEPE6V CERTIFV THAT I HAVE flEAU AND EXAMW[D TIIIS FP- <br /> VACUUM �q@nKEfiS PLICATION AND KNOW TH[SAME TO DE TRUE AND CORRECT. ALl <br /> RODF ORAINS-FAINLEA�EPS PROVISIONS OF LAWS AND ORDINANCCS GOV@RNING THIS TYPE <br /> _ OF WORK WILI OE COMPUE� WITH WHETHER SFECIREO HEREIN <br /> SINK ISEAVICE-DAN,ETC.) Oq NOT, THE GRANTINf OF A P[HMIT- DOES NOT PHLSUME TO <br /> GIVE AUTHOFITV t0 VIOLATE OR CANCCL THE PqOVI510N5 OF <br /> ANY OTHEP STATE OH LOCAL LAW REGULATING CGNSTRUCTION <br /> OF THE PERFPqMANCL OF CONSTRUCTION. <br /> SUBTOTAL <br /> PERMIT S <br /> TOTALFEE $ <br /> x <br /> SIGNATUfiEOFCONTRACTOIiORAUTH.AGENT pME <br /> SIJEYARDSLTf3ACK STREETSETOACK PEARVARDSET6ACKPLANCHECKNUM�Efi VLANCHECKFEE <br /> FEE pECEIPT NO. <br /> VSE ZONE LOT AFEA VACANT SITE <br /> ❑vEs ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCVPANCV GROUP NO.OFDWELIiNG <br /> UNITS � <br />' SIZE OF OLDO. NO.OF STORIES MAX.OCQ LOA� BUILDING $ � <br /> I <br />� PLUMBING � <br /> FIREZONE �ASEMENT FIRE:PRINKLERS <br /> RfOUTAED <br /> ❑vE5 ❑NO MECHANICAL v) j�y� <br /> ! "�+M <br /> SPECIAL CONDITIONS�. OTHER I <br /> I <br /> PENELT� SEC.3071e� � <br /> TOTAL ., � <br /> PEqM1T VALIDATION <br /> WN[N PpOPLfiLY VALI�ATED IIN?HIS SPACEI iH15 IS YOUR PERMIT <br /> API'l�Cr1110NACGEPIEDBY'. Pl/.NSP�FCNC�pY' qPPIiOViflfOhI55UA�K[flY. <br /> i� C• <br /> 3 <br />