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!hs Eririgiren <br /> ���� �� CONSTRUCTION everett <br /> everett PERMIT <br /> �,,,�„�« r,�F��� <br /> iv[i�ur,rvasmrvrmri <br /> 48?III <br /> °`r, °"°''",°""" BUILDING MECHANICAL PLUMBING <br /> �Evuurr.�[rv� <br /> OWNER MI�R AODRESS <br /> Z�P PHONE <br /> J?�'p'S 1�d',:?:,�.,.f ��jr� s:;;%�j <br /> n UtSIGNCfl ���✓`w :�J�{� <br /> MAIL ADORESS PHONE LICENSE NO. <br /> GENERALCONTRACTOR MAILADORESS PHONE LICENSENO. <br /> MECHANICAL CONTRqCTOR MAIL ADDRESS PHONE LICENSE NO. <br /> PLUMBING CONTRACTOR MAIL ADDFE55 PHONE LICENSE NO. � <br /> "��` W <br /> PERMIT m <br /> CLA55 OF WORK � <br /> � <br /> Z <br /> ❑UVILOING QPLUMBING �MECHANICAL F <br /> �NEW ❑qODITION ❑nLTERATION ❑REPAIfi <br /> V.'1LUATION OF WORK � <br /> S ❑DEMOl15`i ❑FENCE ❑SIGN ❑SWIMMING POOL W <br /> OESCRIB[WORK — a <br /> �:`r.zt, :r�`' r' 2 3 9 4 <br /> PROPOSED USE <br /> MECHANICAL <br /> LEGAL�ESCqIP710N OF PROPERTV �SHOW 9ELOW OR ATTACH T�PE OF FUEL �pIL ❑GAS� ❑LPG. �EIEC. <br /> FOUR COPIES) <br /> L07 oLocK_oF N�• TYPEOFEDUIPMENT FEE <br /> AIR COND. UNITS-H.P. EA. S I <br /> REFR�GERATION UNITS-H.P, EA. <br /> BOILERS-H.P. EA. � <br /> GAS FIqED A.C.UNITS-TONNAGE EA. <br /> FORCED AIR SVSTEMS-�.T.V. M EA. � <br /> JOB ADDRESS -- <br /> t�p WAIL HE4TER5-B.T.U. M <br /> WV� ���'�"'� UNITHEATE95-B.T.U. M � <br /> PLUMBING EVAPORATIVE COOLERS <br /> CLOTNESDRVERS � <br /> VENTILATION FAN <br /> RANGENOOD � <br /> NO. TYpE OF FIXTURE OR ITEM FE[ ��A HANDLING UNIT- C.F.M. <br /> WATER ClOSET �TOILET) g INCINERATOR � <br /> BATHTUp <br /> LAVATORY�WASHBASIN� <br /> u�— SHOWER � <br /> _ V <br /> KITCIIFN SINK& OISP. <br /> DISHWASHER SUBTOTAL 5 � <br /> LAUNDRY TRAV PERMIT 5 <br /> Clnrry���yqSHER TOTALFEE 5 � <br /> W;.TER HEATER THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRVC- <br /> TION IIUTHORI2ED IS NOT COMMENCEO \VITHIN 120 DAYS, OP IF <br /> URINAL CONSTf1UCTION OR WORK IS SUSPENDEO OR AE7ANDONE� FOH A <br /> CRINKING FOUNTAIN PEFIOO OF 120 DAVS AT ANY TIh1E AFTER WORK IS COMMENCED. <br /> FLOOR-SINK OR ORAIN I HERE6Y CERTIFV THAT I HAVE REAO ANO EXAMINED THIS AP� <br /> VACUUM OREAKERS PLICATION AND KNOW THc SAA1E TO�E TRUE AND CORqECT. ALL <br /> ROOF DR.11N5-RAINLEADERS �ROVISIONS OF LA\NS AND OROINANCES GOVERNING THIS TYPE <br /> SINK (SERVICE-BAR,ETC.) OF WOFiK W�LL RE COMPLIEO WITN WHETHEfl SPECIFIED NEREIN <br /> Ofi NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTHER STATE OR LOCAL LAW REGULATING CONSTfiUCTION <br /> SU� TOTAL OR THE PEfiFOR�dANCE OF CONSTRUCTION. <br /> PERMIT 5 <br /> TOTALFEE $ <br /> __-- X �/�� <br /> SIGNATUREOFCONTRACTORORAUTH.AGEN7 DATE <br /> SIDEVARDSETBACK STREETSETUACK FEAflYAqDSETBACKPIANCMECKNUMBER PLANCHECKFEE <br /> FEE 'RECEIPTNO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑VES ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROVP NO.OF DWEILING <br /> UNITS <br /> 1 <br /> SI2E OF BLUG. NO.OF STORIES MA%.OCC. LOAO BUILDING 5 I <br /> I <br /> FIFEZONL �qSEMENT FIRESPRIMKLERS PLUMBING r�M <br /> RCOUIRE� � � � <br /> ❑vE5 ❑NO MECHANICAL � � <br /> SPECIAL CONDITIONS: OTHER I I <br /> 1 <br /> PENELTY SEC.7031a) I I <br /> TOTAL ,j� <br /> PERMITVALIDATION <br /> WHLN PqOP[RLY VALI�ATED(IN THISSPAC[)THI515 VOUR PcRAtli ' <br /> I <br /> i <br /> Pt'fLiL�iiC!!n¢fPiCIlOY'. �14f6C�1FCY.CD�V: M'PpOVE�FapISSUAHCEBY. �I <br /> �1� t� <br /> 3 1 <br /> I <br /> _, <br />