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thc Everyrcen <br />QTY OF <br />PVP rPtt <br />v � va va... <br />CITY MALL 1598605 <br />EYEOfR, 1VASNINGiON <br />98101 <br />nevr. ov con+rauxrtr <br />OEVELOPMENT <br />BUILDING <br />CONSTRUCTION <br />P�RMIT <br />MECHANICAL PLUMBING <br />everett <br />OWNER MAIL ADDRE55 ZIP PHONE <br />{,�as�. V r�A. � A . ..�.fi i�w.rl�� <br />t <br />ARCIiITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERALCONTRACTOR MAILADDRESS PHONE LICENSENO. <br />MECHANICALCONTRACTOR MAILA�DRESS PHONE LICENSENO. <br />1�' �' in <br />PLUMBING CONTRACTOR MAIL AO�RESS PHOIJE LICENSE NO. � <br />W <br />m <br />PEflMIT CLASS OF WORK � <br />z <br />❑ BUILDING � PLUMOING [�,MGCHANICAL f- <br />❑NEW ❑A�DITION ❑ALTERATION �REPAIF � <br />VALUATION OF WORK � <br />S ❑DEMOLI�H ❑FENCE ❑SIGN ❑SWIMMING POOL a <br />GESCRIBE WORK <br />c��•-•.•- �r A�•r;? 0 9 3 2 <br />PflOPOSED USE MECHANICAL <br />TVPEOFFVLL �OIL �NAT. �LPG �ELEC. <br />LEGAL DESCRIPTION OF PftOPERTV ISHOW PEI.OW OR ATTl�CII GAS <br />FOUR COPIE51 <br />Lo7 __ oLOCK—oF NO. TYPE OF EQUIPMENT FE[ <br />AIR COND. UNITS�-H.P. EA. 5 I <br />REFRIGERATIpN UNITS-�H.P. EA. <br />DOILERS-II.P.EA � <br />GAS FIfiED A.C. UNITS--TONWAGE EA. � <br />f-ORCEO Alfl SVSTENIS-�.T.U. M EA. I <br />JOB A�DRE55 u__ � „�Sp WALL HEATERS-B.T.U. M _ _� <br />��j � � � UNIT HFATERS-B.T.U. M I <br />EVAPORATNE COOLERS r <br />PLUMBING CLOTHES DRVERS I <br />VtNTILATION FAN <br />qPNGEHOOD I <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />AIF HANOLING UNIT- C.F.M. � �— <br />WATER CLOSET(TOILETI $ INCINERATOR � <br />BATHTUB �� '� �I?18'�i@S� <br />LAVATORV(WASH6ASIq) I <br />SHOWER <br />KITCHEN SINK �S DISP. ; SUB TOTAL 5 � <br />DISHWASNEii PERMIT 5 <br />LAUNDRV TRAY <br />TOTAIFEE 5 J� <br />CLOTHES WASMER THIS PERMIT RECOMES NULL AND VOID IF WpRK OR CONSTFiUC- <br />WATER HEATER TION AUTHORI2ED IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br />URINAL CDNSTRUCTION OR WORK IS SUSPENDED OR AE3AN�ONED FOR A <br />ORINKING FOUNTAIN PEA��D OF 120 DAYS AT ANV TIME AFTER WORK IS COM�SENCED. <br />FLOOR-SINK OF OPAIN I HERERV CERTIFY THAT I NAVE READ AN� EXAMINED THIS AP� <br />VACUUM 6REAKERS PLICATIC?1 AND KNOW THE SAME TO �E TRUE AND CORftECT. ALL <br />ROOF DFAINS-RAiNLEADERS P�OVISIONS OF IAWS AND OROINANCES GOVERNING THIS TYPE <br />_ OF WORK WIIL DE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />SINY (SEqVICE-BAR, ETf.) OF NOT, THE GH�INTING OF A PERMIT OOES NOT PflESUME TO <br />GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br />- ANV 07HEq STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PE7FOftMANCE OF CONSTRUCTION. <br />SUBTOTAI <br />PERMIT 5 <br />TOiALFEE 5 <br />X <br />SIGNATUPEOFCONTRACTORORAUTH.AGENT DATE <br />SIDEVAHDSEiBACK STREETSET�ACK REARYARDSET6ACKPLANCHECKNUM6ER PLANCHECKFEE <br />FL . RECEIPT NO. <br />USEZONE LOTAREA VAC4NTSITE <br />❑VES ❑NO FEES VALUATION FEE <br />TVPE O•' CONST. OCCUPANCY GROUP NO.OF �WELLING <br />VNITS ( I <br />SIZE OF �LDG. NO.OF STORIES MAX.00C. LOAD BUILOING 5 � <br />_ I <br />PLUM[31NG � <br />FIREZONE �ASEMENT FIRESPRINKL[RS I <br />IifQUIRED I <br />❑VES ❑NU MECHAHICAL ;'� <br />SPECIAL CONDITIONS: OTHER � <br />— PENELTY SEC. 303 (al I <br />TOTAL � <br />j I� <br />PERMIT VALIDATION <br />WHEN PROPEliLY V�ILIDATED (IN THISSPACEI THIS IS VOUR PERAAIT <br />pPPLICl�TION RfL[PTT OP I`LPNSf,HECKEO �Y: f�PPPOVEO FOB ISSUANCE OT�. <br />.�.� ti� <br />� <br />