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the Ere�4rcen � <br />� � CiTYOF CONSTRUCTION everett <br /> everett PERMlT <br /> nrr Hau tsseaes <br /> (V[PETi.N4Y1'i4'uiC4 <br /> 9C1�' <br /> ;", °: `°°"''"' BUILDING MECHANICAL PLUMBING <br /> nu t t urv[xr <br /> OWl.1� �rt� MAIL AOD�iE55 ZIP Y�+ONE �[ <br /> •0 � �ry <br /> ApCHITECT OP DESIGNER MAIL ADDRE55 PNONE �iCENSE NO <br /> GENERALCONTRACTOR MAIL A�DRE55 PHONE LICENSE NO. <br /> MECMAaNICFL CONTPACTOF MAIL A��RESS PFONE LICENSE NO. <br /> � S� <br /> PLUM8ING CONTRACTOR MAIL ADDRE55 FHONE IICENSE IJO. � <br /> W <br /> m <br /> PERMIT CLASSOF WORX � <br /> Z <br /> ❑BUILOING �PIUMBING �MECHANICAL mNEW ❑ADOITION ❑ALTERATIDN ❑REPAIR `' <br /> VALUATION OF WORK Q <br /> g ❑OEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> DESCRIBF.WORK <br /> 213 <br /> PROPOSEO USE MECHANICAL <br /> LEGAI.DESC�IPT�ON OF PROFtRI v �[MOLN [3ELOW Ofi ATTACH TVPE OF FUGL �OIL �GAns. �LPG. �ELEC. <br /> FOUR COPIF51 <br /> LOT 9LOCK___OF NO. TYPEOFE�UIPMENT FEE <br /> Alq CpND. UNITS—H.P. EA. $ I <br /> . REFRIGERATION UNITS�-N.i. EA. <br /> BOILERS—H.P. EA � <br /> GAS FIREO A.C.UNITS—TONNAGE EA. <br /> � FORCED l+�R SYSTEMS—P.T.U. M EA. I <br />_ JOB AD�RE55 � � WAL�HGATEfJS-B.T.U. M <br /> UNIT MEATERS-A.T.U. M <br /> EVAPORAIIVECOOLERS <br /> PLUMBING c�oTH�soavEas i <br /> VENTILATION FAN <br /> � RANGEHOOD I <br /> AIP HANDIING UNIT- C.F.M. <br /> 'C NO. TYPE OP FIXTURE OR ITEM FEE iNCiNERA7oR I <br /> WATER CLOSETITOILETI $ I <br /> OATHTUB �_ _ <br /> LAVAlORVIWASH9ASIN1 I <br /> SHOWER � <br /> KITCHEN SINK b OISP. RU�TOl'AL 5 <br /> DISHWA$NER PERMIT 5 <br /> LAUNDRVTRl1Y lOTAIFEE 5 <br /> CLOTHES WHSNER THIS ^ERMIT BECOME$ NULL AhD VOIO IF WORK OR CONSTRUG <br /> WAtER HEnTER TION AU7HOR�ILO I$ NOT COMqiF.NCE� WI7HIN 170 DAVS, OR IF <br /> UPINAI CONSTRUCTION UR tJOfiK IS SUSPBIJDED OP ABANDONED FOF A <br /> DRINKING FOUNTFIN PERIOD OF 1Y0 OAYS AT F.NY TIMF AFTER WORK IS C�JMMENCEO. <br /> FLOOF-SINY, OR DPAIN ! NEREElY CENTIFV THAT I HAVE REAL AND EXf.MINGD THIS nP� <br /> VACUVM OFE/+KERS PUCATION AND KNOW TNE SAME TO OF TRUE AND COPNCCT. ALL <br /> PROVISIONS OF LAIN^v AND ORpINnNCES GpVEPNING TMIS TYPE <br /> PODf- O�AINS-HAIM.EADEAS UF WORK WILL 8E COMPUFO VJITN WHElHER SPECIFIED NEREIN <br /> SIIJK f5[FiVICE-O�R, ETC.1 ON IJOT, 7ryE GRl�NTING OF A PERMIT DOES NOT PRESUME TC <br /> �IJE AV'NOf+ITV 10 VIOLATE OR fAlJCLL THL PROVISIONS OF <br /> pWv OTHEli STATt Ofi LLCn� I.nVJ RLGULATiNi: :;qNSTRUCTION <br /> OR 1HE PEFlPDRMnNCC OF CG'J.^,TRUCt'ON <br /> SUATOTAL <br /> IPERMIT E <br /> TOTALFEE 5 a� ����� �/ ���/ <br /> 9GNAiUP OFC�I..+�V�AClOROliAUTH.AGENT OlaTL � ' <br /> SIDE VARU SETCACK STiiEET SETBACK PEAR VAFOSETBACK PLAN CHECY. NUMBER VLAN CHECK F[E <br /> FEE RECEIPT ND. <br /> USE ZONE LOT AREA VACANT SITE . <br /> ❑vE5 ❑NO FEES VALUATION FEE <br /> TVPE UF CONST. OCCUPANCV GROUP uN'OS DWELLING I <br /> SIZE OF �LDG. NO.OF STORIES MAX.00C. I.OAO �UIIDING 5 � <br /> I <br /> PLUM9ING � <br /> FIRE20NE BASEMENT f�qESPqINKLERS <br /> flEQVIREO <br /> ❑VES ❑NO MECNAPIICAL �� <br /> SPECIALCONDITIONS: OTHER � <br /> ___ I <br /> _ FENELTY SEG 3031e1 I <br /> — TOTAL �j� <br /> PERMIT VALIUATION <br /> WH[N PROPERLV VALIDl�TED(IN TH135�ACE)THI515 YOUR PERIdIT <br /> n�rLiCn�inrincUrif00v �ln��'���i�Y.[uCr� nrprpvFOFp I;SunNcfeY <br /> la e� <br /> 0 <br />