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tAc Ercr�7recn <br /> ��TYOF COEVSTRUCTION everett <br /> everett PERMIT ' <br /> [nr rmii nrreas <br /> fVl9Eif,WAPUH4fOfl �' <br /> 96l111 <br /> °`°` °` "M"°""" BUILDING MECHANICAL PLUMBING � <br /> oE,-«o���� <br /> OWNER MAILADUFESS 21P PHONE <br /> �1G1�3 C• I.r �r_,y..a"u �S f7(5�33� �t •�" Ja. �� <br /> ARCHITECT OR DES�GNER MAIL ADDflESS PHONE LIGENSE NO. <br /> GENEqAL CONTRACTOR MAIL ADDRESS PHONE IICENSE NO. <br /> �� <br /> MECNANICAL CONTRACTOR MAIL AODRESS PHONE UCENSE NO. <br /> PLUN9ING CONTNACTOR MAIL AD�qESS PHONE LICENSE NO. � <br /> W <br /> PERMIT m <br /> CLA55 OF WORK � <br /> �8r � <br /> �BUIlOIN3 �PLUMOING �MECHANICAL Z <br /> ❑NEW ❑qODITION ❑qLTEHA'IION �qEPAIN ~ <br /> VALUATIO�N O�F�WyO.�FK � <br /> g W4I�{M ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL W <br /> DESCRIBB WORK - d <br /> PROPOSED USE <br /> �`� rc��3 10 41 <br /> MECHANICAL <br /> LEGA�OESCFIPTIDN OF PqOPEpTY 1SHOW�ELOW OR ATT4CH TY�E OF FUEL �011 �NnT. QLPG. �[L[C. <br /> roun c,pr�s� cns <br /> LOT t�J p�o[K�oP e-�S'� '� � NO. TVPE OF EQUIPMENT FEE <br /> AIR CONO. UNIiS-H.P. EA. q � <br /> REFRIGERATION UNITS-H.P. �q, <br /> DDILEHS-H.P. EA, � <br /> GAS FIFEU A.C. VNITS-TONNAGE EA. <br /> FOqCEO AIR SVSTEMS-B.T.U. M EA. <br /> JOB AOORESS � -- I <br /> WALL H[ATENS-3.T.U. M <br /> � <br /> UIJIT HEATERS-:.T.U. M � <br /> PLUMBING E\'APOR4TIVECOOL[RS �-- <br /> CLOTH@S�RVERS � <br /> VENiILATION FAN <br /> RANGEHOOD � <br /> NO. TVPE OF FIXTURE OR 17EM FEE nIR HANDLING UNIT- 0.F.M. <br /> WATER CLOSETITOILETI g INCINERATpR � — <br /> �ATHTV� <br /> LAVATORV�WASHBASINI <br /> siiow[a I <br /> K ITCHC.N SINK&OISP. <br /> UI.HWASHFq SUUTOTAL $ � <br /> LAUNURY7qqY PERMIT $ <br /> CLOTHES WASHEq TOTAL FE[ 5 � <br /> WATER HEATER TMIS PEFlh11T DECOMES NULL AND VOIO IF WORK OR CONSTqUG <br /> T�pN AUTHORR[D IS NOT COMMENCE� WITHIN /Z0 �AVS, OR IF <br /> URINAL CONSTFUCTION OR WORK IS SUSPENDL� OF A6ANDONED FOp A <br /> DR14KING POUNTAIN PERIUD OF 720 DAVS /1T ANV TIM[ AFTER WOHY. IS COMMENCE�. <br /> �IOOR-SINK OR �RAIN 1 HEPEUI' CEfiTIFV THAT � Hl�VE FEAD ANO [%AMINEO TMIS AP- <br /> VACW1d f3qBAKERS PLICATION AND Y,NOW THE SnIdE TO O[TRUE AN�COflRECT. ALL <br /> (i00F DRAINS-HAINLEADERS '{- P�OVISIONS O! LAWS AND OROINANCES GOVEqNING THIS TYPE <br /> SINK ($ERVICE-OAfl,ETC.) �F H'�RK WII.L OE COMPUED WITH WHETHEF SPECIfIED HHREIN <br /> OR NOT, LHE GR/1NTING OF A PERMIT DOES NOT PnESUME TO <br /> GIVE AUTHORITV TO VIOLAT[ OR CANCEL TH@ PROVIiIONS OF <br /> ANV OTHBq STATE OR LOCAL LAW REGU�ATIkG CONCTfiUCTION <br /> SUU TOTAL OR TH[PERFORMANCE OF CONSTRVCTION. <br /> PERMIT $ <br /> TOTALFEE y <br /> x 7�/7G <br /> SIGNATUFGOFCONTflACTOHORAUTM.AGENT OATE <br /> SIOEVAROSETOACK STREETSETUACK REARYAR�SETDACKP�qNCNECKNUM6EF PLANCHECKfEE <br /> FEE NCCflIPT!JO. <br /> USEZONE IOTAREA VACANTSITE <br /> ❑VES ❑No FGES VALUATION FEE <br /> TVP[ OF CONST. OCGUPANCV GROUP NO.OF DWELLING <br /> UNITS <br /> 1 <br /> 512E OF ULOG. NO.OF STONIES MAX.OCC. LOAD BUILDING S I <br /> I <br /> F�IiEZONE BASEMENT FIRESPqINKLEfiS P�UMB�NG � <br /> FE�UIFlED � <br /> ❑YES ❑NO MECNANICAL � <br /> SPECIAL CONDITIONS: OTHER I <br /> I <br /> --- PENELTY SEC.7031a1 I <br /> TOTAL �(� <br /> pERMIT VALIOATION <br /> WHEN PROPERLY VALIDATEO IIN THISSPACE)THIS IS VOUA PERMIT <br /> 4 AMUC4TIONALCCPTECBY' VLANSMECKEOBM�. AVPflOVF�FOR�wSpqtlCEBY. <br /> i y ww <br />. � <br />