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7hc fvergrcr,rr <br /> =�r� �� CONSTRUCTION everett <br /> everett PERMIT <br /> LIiY IIALL t598805 <br /> EVEHEii,Ga5NIN4i0N <br /> 98101 <br /> °"� °"°"°,°""r BUILDING MECH,4NICAL PLUMBING <br /> OfVELOGIAENi <br /> OW��NyER µ� 1 � ryy� p �,IAILAODflESS ZIP PHONE /�/ ��[ <br /> ti\O'Tlt�l. :1.iL�. jy`./.� ��y;�.r�•L l�.�ii�.� .�' ,'V�(iJ <br /> �i <br /> ARCNITECT OR DESIGNER MAIL ADDRE55 PNONE LICENSE NO. <br /> GENEFA�CONTRAr,TOft MAIL ADDFiESS PHONE LICENSE NO. <br /> r�:; <br /> n <br /> MECHANICAL CONTRACTOR MAIL 4DDRE55 PHONE LICENSE NO. <br /> PLUM�ING CONTRACTOR MAIL ADORESS PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASS OF WOflK � <br /> � <br /> z <br /> �BUILOING ❑ PLVMBING ❑MECIIANICAL F <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR � <br /> VALUATION O� 'p_, <br /> S ❑DEMOLISIi (�FENCE ❑SIGN ❑SWIMMING PJOL W <br /> a <br /> DESCRIBE WOflK �•�yr�, t Rf e}! y�M� <br /> Ct�i:i.+�a S�= '�.�h M� l�f:�!' �'�It� Mff! S�16•, .tA�'W ��� <br /> �W� <br /> PROPOSED USE - <br /> MECHANICAL <br /> TVPE OF FUEL �OIL �N4L �LPG. �ELEC. <br /> LEGAL DESCflIPTION OF PROPERTV �y'h10W BELOW OR ATTi1CH GAS <br /> FOUR COPIE5) <br /> Lor B�oCK—oF NO. TYPE OF EQUIPMENT FEE <br /> AIR COND. UNITS-H.P. EA. 5 I <br /> REFRIGERATION UNITS-Ii.P. EA. <br /> �OILERS-H.P. EA. � <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> FORCED AIR SVSTEMS-B.T.U. M EA. � <br /> JOB ADDRESS �y�[ �v�;�r� `�� y WALL HEATERS-B.T.U. M <br /> IinN ��•'.����s �d`3K� <br /> UNIT HEATERS-Ff.T.U. M I <br /> EVAPORATVECOOLEHS <br /> PLUMBING CLOTHGSDRYEftS <br /> i <br /> VENTILATION FAN <br /> RANGEHOO� � <br /> NO. TVPE OF FIXTURE OR ITEM FEE nIR HANDLING VNIT- C.F.M. <br /> WATER CLOSETITOILETI 5 �NCINERATOR � <br /> BATHTVB <br /> LAVATORVIWASHBASIN) � <br /> SHOWEfl <br /> __ KITCHEN SINK& DISP. SUB TOTAL 5 <br /> DISHWASHEP � <br /> LAVNDFV TFAY PERMIT 5 <br /> CLOTHESWASMER TOTALFEE 5 � <br /> THIS PERMIT BECOMES NULL AND VOID IF WORK OFi CONSTRUC- <br /> WATER HEATER TION AUTHORI2ED IS NOT COMMENCED WITHIN 17.0 DAVS, OR IF <br /> URINAL �— CONSTRUCTION OR WORY. IS SUSPENOED OR AFiANOONED FOR A <br /> DRINKING FOUNTAIN PERIOD Of- 120 DAVS AT nNY TIME AFTER WORK IS COAIMENCED. <br /> FLOOR-SINK OF DRAIN 1 HLREAV CERTIFV THAT I NAV@ READ AND EXAMWED THIS AP- <br /> VACUUM BREAKERS PLICATION ANO KNOW TME SAME TO BE TRUE AND CORRECT.ALL <br /> ROOF DRAINS-RAINLEADERS PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> Of WOPK WILL BE COMPLIE� WITII WH[THER SPECIFlE� HEREIN <br /> SINK (SEFVICE-BAR, ETC.) OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OF LOCAL LAW REGULATING CONSTRUCTION <br /> OFi TI�iE PERFOFMANCE OF CONSTRUCTION. <br /> SUBTOTAL <br /> PERMIT $ <br /> TOTALFEE 3 �� ` � -�- <br /> X y.�O�aG <br /> SIGNATUREOf-CONTRACTORORAUTH.AGENT DATE <br /> SIDE YAftD SET�ACK STREET SET�NCK REAR YARDSET6ACK PLAN CHECK NUM�ER PLAN CHECK FEE <br /> fEE FECEIPT NO <br /> USE ZONE LOT AFiEA VACANTSITE <br /> ❑YES ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING <br /> UNITS � <br /> S12E OF BIDG. NO. OF STOqIES MAX.00G LOAO BUILDING 5 ��W � � <br /> PLUMBING I <br /> f-IFEZONE B/�SEMENT FIFlESPFINKLEPS I <br /> RC�UIRED � <br /> ❑VES ❑NO MECHANICAL � <br /> SPECIAL CONOITIONS: OTHER � <br /> I <br /> PENELTV SEC.3031a1 1 <br /> TOTAL ) � <br /> PERMIT VALIDATION <br /> WHEN PROPERLY Vl�LIDATED (IN THIS SPACE)THIS IS VOUFi PERMIT <br /> MPIICAT10NACCEPTEOOv: PLANSf.MECNEDBY: APPP�V[Df IpliSSU�NCEBY. <br /> .H4� <br /> 3 <br /> �"7 <br />