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thn Evcrq�een <br /> CITYOF CONSTRUCTION everett <br /> everett PERMIT <br /> urriau rs�sews <br /> [vesni,naswrvcrnx <br /> �eici <br /> pFP1.Of LtIIdAlpYliY BUILDING MECHANICAL PLUMBING <br /> �EVElOirttEHt <br /> OWNEF MA�I ADDRE55 ZIP PNONE I <br /> �� r•1�.��i.�:�....�� �3�i _�...�y� �ll�r[/ <br /> ARCHITECTORDESIGNEFi MAILADDRESS PHONE IICENS(: NO. <br /> GENEFALCONTRACTOF MAILADORESS PHONE LICENSENU. <br /> MECHANICALCONTRACTOR MAIL ADJRESS PHONE LICENSENO. <br /> i� Q �u' OC <br /> PLVMDING CONTRACTOR MAIL ADDRE55 PHONE LICENSE NO. W <br /> m <br /> PERMIT CLASSOFWORK � <br /> z <br /> �DUILOING ❑ PLUMOING �MECHANICAL F"' <br /> �NEW ❑ADDITION ❑ALTEflAT10N ❑REPAIR � <br /> VALUATION OF WORK � <br /> ❑DEMOLISIi ❑FENCE ❑SIGN ❑SWIMMING POOL W <br /> s a <br /> DESCRIDE WORK <br /> z�z, �..:�a:-� 5�c� � 19 5 4 <br /> PNoaoseo use MECHANICAL <br /> �FGAL DESCFIPTION OF PROPERTY (SMOW BELUW OR ATTAChI T�PE OF FUEL �011 ❑GAS ❑LPG. �ELEC. <br /> FOUP COPIE5) <br /> NO. TVPE OF E�UIPMEN7 FEE <br /> LOT BLOCK—OF <br /> AIH COND. UNITS-N.Y. EA. 5 I <br /> REFFIGERAT�ON UNIT'�-H.P. EA. <br /> �OILEflS-H.P. EA. I <br /> GAS FIRE� A.C.UNITS-TONNAGE EA. <br /> FORCED AIR SYSTEMS-�.T.U. M EA. I <br /> JOB ADORESS ��� z-�r�y WALL HEATERS-B.T.V. M <br /> � UNIT IiEATERS-B.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTHES DflVERS I <br /> VENTRATION FAN <br /> RANGEHOOO I <br /> NO. TYPE OF FIX7URE OR ITEM FEE _ �IR HANDLING UNIT- C.F.M. <br /> WATERCIOSETITOILETI 5 � �NCINERATOR I <br /> (tATHTUB � ' <br /> LAVATOFY �WASHBASIN) � <br /> SHOWER <br /> KITCNEN SINK&DISP. SUB TOTAL S <br /> DISNWASHER VERMIT 5 <br /> LAUNDRV TRAV TOTALFEE 5 I <br /> CLOTHES WASHEfl THIS PEFMIT BECOMES NULL AND VOID IF WORK OR CONS?(iVC- <br /> WATER HEATER TION AUTHORIZED IS NOT COMMENCED WITHIN 120 Dt1VS, OR IF <br /> UfiINAL CONSTqUCTION OR WOFK IS SUSPENDED OR AUANDONE� FOfi A <br /> DRINKING FOUNTAIN PERIOD OF 120 DAVS !1T ANY TIME AFTER WORI( IS COMMENCED. <br /> fLOOR-SINK OR DFAIN I HEREBV CERTIFV THAT I HAVE REA� AND EXAMINED THIS AP� <br /> VACVUAI 6REAKERS PUCATION ANO KNOW TNE SAM@ TO eE TRUE AND COFRECT. ALL <br /> ROOF �RAINS-RAINLEAOERS PR041SION5 OF LAWS AND OflDWANCES GOVERNING TNIS TVPE <br /> OF WOflK Wlll BE COMPLIED WITH WHLTHER SPEGFIEU HEfiEIN <br /> SINK (SERViCE-0Afl,ETC.) OR NOT, THE GFANTING OF A PERAIIT DOES NOT PRESUME TO <br /> GIVE AUTHORITV TO VIOLATE OR CANCEL THE PFOVISIONS OF <br /> ANY OTHER STATE Ofl LOCAL LAW FEGULATING CONSTRUCTION <br /> OR TME P[fiFOfiMANCE OF CONSTRUCT�ON. <br /> SUB TOTAL <br /> PERMIT 5 I <br /> TOTAI.FEE S � <br /> x <br /> SIGNATUREOFCONTRACTORORAUTFI.AGENT �AiE <br /> SIOEYARDSETDACK STREF.TSET�ACK REARYAROSETOACKP�ANCHECKNUMAER PLANCHECKFEE <br /> PEE RECEIPT NO. ' <br /> USE ZONE LOT AREA VACANT SITE <br /> �vES ONo FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF�WELLING <br /> UNITS � <br /> SI�E OF BLDG. MO.Of STORIES MA%.OCC. LOt.D BUILDING 5 � <br /> I <br /> PLUM�ING � <br /> FIRE20NE BASEt;ENT FIFESPRINKLERS � <br /> RCQUIREU MECHANICAL 71� <br /> ❑YES ❑NO <br /> SPECIALCONDITIONS: OTHER � <br /> I <br /> PENELTY SEC.70�1a) � <br /> TOTAL (I� <br /> PERMIT VALIDATION <br /> _ WH@N P(iOPERLY VALIOATED(IN THIS SPACE)THIS IS VOUR PER�t1T <br /> nVPiiC:aiP�l•CCIPIlUur PLnNSLNECI(ED�N: n�fnOV[�ry(ONISSUnNC[f1v <br /> F� r.� <br /> I � <br /> y- .'i <br />