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thc Evr.rgre�en <br />ciTv or- <br />e•i��rett <br />[i1Y �mLl 159 Afl55 <br />EVf PEii, 1:ASIIINGTON <br />9BI01 <br />o[rr. or cou�aurvrtv <br />u[vc�avrn[r�t <br />BUILDING <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL PLUMBING <br />everett <br />OWNER MAILl�UDRE55 ZIP PMONE <br />....... t.f...,-..-; •. . .-n-.:• _i,w �+.�.�A:.M:=� ,r .-. .._: ilt�: <br />� . : _ , . , _ . ,_, . '�µ7G <br />AFCHITECT OR DESIGNER MAIL AODRESS PHONE I.IC[NSE NO. <br />GENERALCONTFACTOR MAILADDRE55 PHONE LICENSENO. <br />. .'..K' I: . , _. ..�. i <br />MECHANICALCONTRACTOR MAILAOORE55 PHONE LICENSENO. <br />PLUMUING CONTqACTOR MAIL ADOflE55 PIiONE LICENSE NO. � <br />W <br />m <br />PERMIT CLASS OF WOftK � <br />z <br />� DUILOING � PLVMBING � MLCHANICAL F' <br />❑NEW ❑ADDITION ❑ALTERATION ❑REFAIR � <br />VALUATION Of WOflK �^' �,�_ � <br />5 �'�' ❑�EMOLISH i�AQ"F �SIGN ❑SW�MMING POOL a <br />DESCRIB[ WORK -7 <br />� w'.s,.2? 2 :S:�,r,r.; t�. �'/:$1'u['.t� �iC� � p74�G £';if1 I �S <br />PFOPOSED USE MECHANICAL <br />TVPEOFFUEL �OIL �NAT. �LPG. �ELEC. <br />LEGAL DESCfiIPTION OF PROPERTV ISIiOW eELOW OR ATTACH GL,S <br />FOVR COPIE51 <br />LOT ULOCK—oF NO. TYPE OF E�UIPMEN7 FEE <br />AIR CON�. UNITS-H.P. EA. 5 I <br />REFFIGERATION VNITS-H.P. EA. <br />BOILERS-H.P. EA. I <br />GAS FIRED A.C. UNITS-TONNAGE EA. <br />FOFCED AIR SVST@MS-B.T.U. M EA. I <br />J08 ADDRESS .y�_ ..,-! ...�y.�„«' �,1�; WALL HEI�TERS-B.T.U. M _ <br />t �lCl: _ <br />UNIT HEATEPS-B.T.U. M I <br />EVAPOFATIVECDOLEflS <br />PLUMBING CLOTHESORVERS I <br />VENTILATION FAN <br />RANGEHOOD I <br />NO. TYPE OF FIXTURE OR ITEM FEE AiR HnNDLING UNIT- C.F.M. <br />WATER CLOSET (TOILETI 5 INCINERATOF _ I <br />BATHTUB <br />LAVATORV (WASH BASIN) I <br />SHOWEft <br />KITCIiEN SINK & DISP. _�_ SUB TOTAL S � <br />DISHWASHER PERMIT 5 <br />LAUNDRY TRAY <br />TOTAL FEE $ � <br />CLOTHES WASHER THIS PERMIT BECOMES NULL AND VOID IF WOFK OR CONSTRUG <br />WATER HEl�TEI'i TION AUTHORI2E� IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />UFINAL CONSTRUGTION OR NlOF1K IS SUSPENDED OR ABAflDONE� FOR A <br />DRINKING FOUNTAIN PERIDD OF 120 DAYS AT ANY TIME AFTER WORK IS C01.�1.1ENCED. <br />FLOOR-SINK OR DRAIN I HEREBV CERTIFV THAT I HAVE REAO AND EXAMWED THIS AP- <br />VACUUM f3REAK@RS PLICATION AND KNOW THE SAME TO OE TRVE AN� COHRECT. ALL <br />ROOF DRAINS-RAINLEAOERS P�OVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TVPE <br />OF WOftI: INILL DE COMPLIED WITH NlIiETHER SPECIFIED HEREIN <br />SINK (SERVICE-DAR, ETC.I OF NOT, THE GFiANTING OF A PERMIT OOES NOT PqESUME TO <br />GIVE AUTNORITV TO VIOI.ATE Oft CANCEL THE PROVISIOIJS OF <br />ANY OTHER STATG OR LOGAL LAW REGULATING CONSTFUCTION <br />OR THE PERFORMANCE OF C(�NSTFUCTION. <br />SU�TOTAL f <br />PERMIT S <br />TOTAL FEE 5' �— ' . <br />i <br />x ,... .rr/°�/:;t� <br />SIGNATUFEOFCOYTRACTORORAUTH.AGENT DATE <br />SIOEVARDSET�ACK STREETSETBACK REARVARDSET6ACKPLANCHECKNUMBER PLANCHECKFEE <br />FEE R[CEIPT NO. <br />USE ZONE LOT AREA VACANTSITE <br />❑vES ❑No FEES VALUATION FEE <br />TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING <br />UNITS I <br />SIZH OF BLDG. NO. OF STORIES MAX.00G LOAD BUILOING 5 ���� �� �'� <br />PLUMBING � <br />FIREZONE BASEMENT FIFESPftINKLERS I <br />R QyE ED �ry� MECHAPIICAL � <br />SPECIAI CON�ITIONS: OTHER � <br />I <br />» PENELTV SEC.309(al I <br />'�!.3 a.�t1Y�i:'? 4`n �-ir�. �jS:�r1 �_1'� .�..r,�i;�l, uJt:tl �'I �� <br />TOTAL <br />.z �y �1'••�,•� •�.••-•�•r ��r_T( PERMITVALIDATION <br />WNEN PROPERLY VALIDATEO (IN?HIS SPACE) THIS IS VOUR PERMIT <br />�PfLIC4T10NACLEPTED�Y: PLANSCHECKEOOY: APVIIOVEOFOHISSl1ANC[OY�. <br />'�' a <br />�_ <br />