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Utr: Evcrg�cen <br /> I ��T�- �� CONSTRUCTION everett <br /> everett PERMIT <br /> ❑fY IIAIt 159P2?5 � <br /> EVCP[i1.0'A:'tliNGinh ' <br /> \ <br /> ovrm <br /> °E°' °`�°�"°°"� BUILDING MECHANICAL PLUMBING <br /> oEv[iaru[n� <br /> UWNEFy.� MAIL AODFESS 21P PHONE / y+ <br /> �YiC�A EI^S `��T�&i <br /> ANCMITECT OR OESIGNEfi MAIL AODflE55 - PMONE LICENSE NO. <br /> GENEPAL CONTRACTOR MAIL ADOHESS PHONE � LICENSE NO. <br /> s 9 t"C�;: rw 3�t2 <br /> MECMANICAL CONTRACTOR . MAIL ADDFESS PHONE LICENSE NO. � <br /> PLUMBING CONTFACTOR MAIL ADOFESS PHONE LICENSE NO. � <br /> _ W <br /> . . . . m <br /> � <br /> PERMIT CLASS OF WORIi ' � <br /> z <br /> [3'OUILOING ❑ PLUMDING �ME <br /> CHANICAL �NEW ❑AOOITION ❑I\LTEfiATION ❑RF.PAIR � <br /> VALUA'i ION OF WORK CC <br /> � S yy) M ❑�EMOLISH ❑FENCE �SIGN ❑SWIM17MING POOL a <br /> (VV�'d' <br /> �ESCRIB[WORK - <br /> . '"'�':�Cu�'� :�i�_ . �.l° ..i:i:';}..� :L':��' r• ,. .ik.`.."n . 2467 <br /> PROPOSED USE MECHANICAL . <br /> LLGAL OESCRIPTION OF PROPEFTV ISHOW UELOW OR ATTACH TVPE OF FUEL QOIL �Gns. �LPG. �ELEC. . <br /> FOUR COPIESI <br /> NO. TVPE OF EQUIPMEN7 FEE <br /> LOT OLOCK_OF <br /> AIR COND. UNITS-H.P. EA. 5 I <br /> FEFRIGEqATION UNITS-H.P. EA. —r— <br /> DOILERS-H,P. EA. I <br /> � " GAS FIRED A.G UNITS-TONNAGE EA. <br /> FORCED AIR SVSTEMS-6.T.U. M EA. � I <br /> JOB ADORESS WALL HEATERS-B.T.U. M <br /> 5030''�:"c<'fT'zl U;eX UNIT HEATERS-B.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTHES DRVERS i <br /> . VENTILATION FAN <br /> RANGEHOOD I <br /> . AIR HANDLING UNIT- 0.f-.M. �— <br /> N0. TVPE OF FIXTURE OR ITEM FEE — — � - <br /> WATERCLOSE7 (TOILETI 5 �NCINERATOR I <br /> T— <br /> UATHTUB -�— 1-- <br /> LAVATOf1Y (WASH F3ASIN1 � <br /> SHOWER <br /> KITCHENSINK & �ISP. SUBTOTAL 5 � <br /> DISIiWA511ER __�_ PEFMIT 5 _ <br /> LAUNDRV TRAY TOTALFEE I <br /> CIOTHES\VASHER THIS PERh11T BECOMES NULI.�AND VOID IF Y:'ORK OP CONSTRUC� <br /> W4TER FIEATER � —I TION I�VTHCRIZED IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br /> URINAL CONSTRUCTION OR NJORK IS SUSPENDED OR ABANDONED FOq A <br /> ORINKING FOUNTAIN PERIOD OF 120 DAY$ AT ANY TIME Af-TER WORK IS COMMENCED. <br /> FLOOH-SWY. OF DRAIN �— I HEREI3V CERTIFV �HAT I HAVE NEAO AND E%AAtINEU THIS AP� <br /> VACUUM RREAKERS —f— PLICATION AND KNOW THE SAA1E TO �E TRUE nN� COFRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCLS GOVERNIP:G '(HIS IYPE <br /> ROOF DRAINS-RAINLEADEflS OF IVORK WIIL �E COMPLIED WITH LNHETHEH SPECIFIED HEi9EIN <br /> SINK ISERVICE-0AR, ETC.) � OR NOT, THE GRANTING OF A PEHhIIT DOES NOT PR@SUME TO <br /> ' GIVE nUTHOPITV TO VIOLATE OR CANCEL THE PFl�VI:IONS OF <br /> l�NV OTFIER STATE OP I-OCAL LAW FEGUTATING CONSTIiUCT10N <br /> ORTHEPERPORMANCEOFCONSTFlUCTION. <br /> _ SUDTOTAL F <br /> PER1r11T 5 � <br /> TOTALFEE 5 � f�/ <br /> X NY��� <br /> SIGNATUREOfCONTRACTORORAUTN.AGENT OATE <br /> SIOE VAflD SET�ACK STREET SET6ACK FGAR VAR�SET�ACK P�AN CHECK NUMDER PLAN CHECK FEE <br /> FEE RECEIPT NO. ' <br /> VSE ZONF: LOT AREA VACP.NT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWEL�ING <br /> VNITS � <br /> — 1 <br /> SIZE OF FiLDG. NO.OF STORIES MPY OCC. IOAO OUILDING $ ��� ti�C7J� <br /> PWME3ING � <br /> FIREZONE f3ASEMENT . FIIiESPFlINKLERS _ � — <br /> REOUIpED � <br /> �Ql'ES ❑NO MECHA�JICAL I <br /> SPECII�L COMOITIONS: ' OTHER � <br /> 1 <br /> �— <br /> _ PENELTY SEC.9031a1 ( <br /> — rorn� �i� <br /> PERMIT VALIOATION � <br /> WHEN PROPLFLY Vl�LIfIAT[O (IN THIS SPACE)THI: IS YUUR PE(aM1tIT <br /> nri�ucnnor:ncurrurnv viarco�[u:rnr.r. ncrnov[uro0ii,unut[o� <br /> . `�7'"2`�� <br /> !� <br />