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��,�� Evr.rgrcen CONSTR UCTION everett <br /> ��,� o� <br /> everett PERMIT <br /> C�IY NAIL 159P.P25 <br /> EVFeRt.NAL��NGInN <br /> 941�1 <br /> ���� �� _����.������„ BUILDING MECHANICAL PLUMBIN <br /> oevuar�.�eru <br /> OWNEF <br /> MAIL AODNE55 ZIP PHONE � <br /> t��� �� � �� '?'�''� <br /> ARCHITECT OR DESIGNEfi <br /> M1tAILADDRESS PHONE LICENSE NO. <br /> - Ml+ILADORESS PIiONE LI:ENSENO. <br /> GENEFAL CONTflACTOR �_ •-_+ <br /> -:-�,.�r s�t r� 23s� 2� '-'�. �'i'� <br /> MECHANICAL CONTRACTOR MAIL ADDRESS PNONE LICENSE NO. <br /> � <br /> MAIL ADDRESS �HONE LICENSE NO. W <br /> PLVM6�NG CONTilACTOR �1 <br /> � <br /> ����,��� CLASS OF WORK Z <br /> F' <br /> �OUIIDING ❑ PLUMPING ❑M[CHANICAL ❑NEW �qDDITION ❑ALTEfiATION ❑PEPAIR � <br /> � <br /> VALUATION OP N'ORK p{ w <br /> Jr Y ❑DEMOLISH ❑FENCE tltl51GN ❑SWIMMWG POOL a <br /> ` �'"�°" 437 <br /> UESCRIDE WORK ��.yK� ���Y� r�'�� �7'� <br /> "4• i�Piiw <br /> PFOPOS[O USE MECHANICAL <br /> _ TVPEOfFUEL �OIL ❑GAS ❑LPG. �ELEC. <br /> FOUR COPS[SIIPTION OF PROPERTV ISNOW �ELOW OR ATTACH FEE <br /> NO. TVPE OF E�UIPMENT I <br /> LOT IILOCK�OP AIR COND. UNITS-H.P. EA. 5 <br /> REfRIGLRATION UNITS-H.P. EA. <br /> �OI LEftS-H.P. EA. � <br /> GAS FIREO A.C.VNITS-TONNAGE EA. <br /> FORCED AIR SYSTEMS-B.T.U. M EA. � <br /> WALL HEATERS-O.T.U. M <br /> JOB ADORE55 � �.�w� UNIT NEATERS-[1.T.U. M � <br /> �.xCu <br /> EVAPOfil1TIVE COOLERS <br /> PLUMBING CLOTHES�RYEFS � <br /> VENTILATION FAN <br /> RANGE 11000 � <br /> AIR NAN�LING UNIT- C.F.M. <br /> NO. TYPE OF FIXTURE OR ITEM FEE �NCINERnTOR � <br /> WATER CLOSET ITOILLTI 5 <br /> OATHTUB � <br /> LAVATOFY IWASH OASINI � — <br /> SHOWER SU6TOTAL 5 _T_ <br /> KITC11[N SINK F. DISP. PERMIT 5 <br /> DISHWASHER <br /> IAVNDR�' TfiAV TOTALFEE 5 I <br /> CLOTHESH'ASHCR TFI15 PERh11T OECONES NULL AND VOID IF WORK OR CONSTPUC- <br /> WAT[�i HEATER TION AVTIiOF12ED IS NOT COMMENC[O W11HIN 120 DI1Y�, OR IF <br /> CONSTRUCTION OF WORK IS SUSPENDED OR l�BANDONED FOR A <br /> URINAL ' PE(710� OF 120 DAYS AT ANV TIME AFTER WORK IS COMAIENCED. <br /> DfiINKING FOUNTAIN — � HER[6�' CEPTIFY THAT I NAVE READ AND EXAMIqEO THIS AP� <br /> FLOOR-SINK OP 7RAIN PLICnT10N ANO KNOW TNE SAME TO 6E TIiUE AND CORRECT. ALL <br /> VACUUM 13REAKEf15 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE <br /> POOF DRAINS-RAINLEADERS ___� OF WORK WILL OE COMPUED WITII WH@THER SPEQFIED IIEREIN <br /> SINK (SERViCF-�lAR, ETC.) OR NOT THE GRANTING OF N PERAiIT DOES NOT PRESUM@ TO <br /> GIVE AUTIIUFITV i0 VIOLATE OR CANCEL THE PROVISIONS OF <br /> OR THE P[PFORMANCE OF CONSTfiUCTlpry nTING CONSTRVCTION <br /> SUD TOTAL <br /> PERMIT 5 . -�- `- <br /> TOTAI FEE S � 1lA./7R <br /> x �W/ �_ <br /> SIGNATUREOFCONTRACTOPOFiAUTH.AGENT Or1TF <br /> PLAN CHECK FEE <br /> SI�E �AfiD SETBACK STREET SETOACK PEAR YPRDS[T�ACK PLAN CHECK NUMB[R FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑vE5 ❑No FEES VALUATION FEE <br /> 7yPE OF CONST. OCI:UPANCV GROUP NO.OF DWELLING I <br /> UNI�S <br /> � <br /> SIZE OF BLDG. NO.OF 3TORIES MA%.OCC. LOAD F3UILDING <br /> 5 [� <br /> I <br /> P W MDI NG � <br /> FIRGZONE OA$[ME4T qEDU REDKLERS ---�— <br /> ❑YES ❑NO MECHANICAL <br /> I <br /> SPECIAL CONDITIONS: OTHER � <br /> PENEITY 5[C. 7091�1 � <br /> �f I <br /> TOTAL J � <br /> PERMIT VALIDATION <br /> WHEN PflOP[RLY VALIDATED IIN THIS SPl10E1 THIS IS YOUFi P@RM1iIT <br /> __�__ <br /> APPROV[�fORI55URNt[�Y. <br /> ppPLICATION�CCCPTC�OY�. PLPNSCHECKEOBY: � � <br /> � <br /> �� <br />