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, <br /> tAn Evmyier.n <br /> CITYOF COfVS�'RUCTION everett <br /> everett PE�MIT <br /> CiIY Il�ll 1598985 <br /> EVEflLIi.l'LISIIINLIOX <br /> y9I01 <br /> °E°, °°°°''M°�"' BUILDING MECHANICAL PLUMBING <br /> nevciovM�Nr <br /> OWNER M �I �jry MAIyL�ADORESS M, ZIP i'HONE ` e�� <br /> �6.�'.�iT .4:i�s`.J:.�I JJ �'� .:'�'i�..�l�.�l! :�1.�� w� S�dL' <br /> AFCHITECT OR OESIGNER MAIL A�DRESS PHONE LICENSE NO. <br /> GENEfiAL CONTRACTOR MAIL ADDRESS PHONE L�CENSE h0. <br /> s'L.r�'.`l "�i.1�'.'`�a <br /> MECHANICAICONTRACTOR MAILAf]DRESS PHONE LICEk5EN0. <br /> PLUM6INGCONTRACTOR MAILAnDRESS PHONE LICENSENO. � <br /> W <br /> m <br /> PE RMIT CLAS3 OF WOPK � <br /> Z <br /> �OUILDI�3 � PLUMOING [�MECHANIC/1L L F'� <br /> ❑NEW ❑ADDITION ❑AITEqATION LJREPAIR � <br /> VALUATION OF WORK � <br /> l��'�� ❑�EMJLISH ❑FLNCE ❑SIGN ❑SlVIh1MING POOL W <br /> s a <br /> DESCRIU[WORK �r ���� 0956 <br /> i'FOPOSED USE MECHANICAL <br /> �YPEOFFULL �OIL �NAT. �LPG. �EI.EC. <br /> LEGAL UESCRIPTION OF PROPERTV ISHOW 9ELOW OR ATTACli GAS <br /> FOUH COPIESI <br /> Lo7 nLOCK—oF NO. TYPE OF EDUIPMENT FEE <br /> AIR COND. UNITS-H.P. EA. S I <br /> �� � y� REFRIGERATION VNITS-N.P. EA. <br /> ���4� �OILERS-H.P. EA. I <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> FORCEO AIR SYSTEMS-O.T.U. M LA. I <br /> JOO ADDRE55 � �• �i3.:y�y� WALL HEATERS-�.T.U. M <br /> :ATRO <br /> UNIT IIEATERS-D.T.U. M 1 <br /> EVAPORATNE COOLERS <br /> PLUMBING GLOTHES DRYERS I <br /> VENTIIlITION FAN <br /> RANGENOOD I <br /> NO. TYPE OF FIXTURE OR ITEM FEE A�R HAN�LING UNIT- C.F.M. <br /> WATEF CLOSET ITOILET� g �NCINEFATOR I <br /> [3ATliTUB <br /> LAVATORV (WASH BASINI � <br /> SIIOWER �— <br /> Kll'CNEN SINK & DISP. SU8 TOTAL S � <br /> DISHWASHER PEfiM1T 5 <br /> LAUN�RV TRAV TOTAI FEE 5 I <br /> CIOTHES WASHER THIS PERMIT �ECOMES NULI AND VOID IF WOfiK OR CONSTRUC- <br /> Il\'ATER HEATER TION AUTHORIZED IS NqT COMAIENCED WITHIN 120 LiAVS, OR IF <br /> I URIN.IL CONSTRUCTION OR WORI: IS SUSPENOED OR P.BANDONED FOR 11 <br /> DFINKING FOUNTAIN PERI00 OF 120 �AYS AT ANV iIM[ AFTER WORK IS COMMENCEO. <br /> FLOOR-SINK OP DRAIN � HEREBY CERTIFV THAT 1 HAVE RF_AD AND E%A�11NED THIS AP� <br /> VACUUM �REAKCRS PUCATION AND KNOW THE 3AME TO eE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND JRDINANCES GOVERNING THIS TYPE <br /> ROOF DRAINS-RAINLEADERS OF WORK WILL dE C0�IPLIE� WIThI WHETHER SPECIFIE� NEREIN <br /> SINK (SERVICE-�l�R, [TC.) OR NOT, THE GRANTING OF A PERM1IIT DOES NDT PRESUME TO <br /> GIVE AUTFIORITY TO VIOLQ'�[ OR CANCEL THE PROVISIONS OF <br /> ANV OTHER STATE OR LOCAL LnW REGULATING CONSTFUCTION <br /> OF THE PERFORMANCE OF CONSTRUCTION. <br /> SUO TOTl�L <br /> PERMIT $ <br /> TOTALFEE $ �� <br /> x <br /> SIGNATUREOFCONTRACTORORAUTH.l�GENT OATE <br /> SIDE VARDSETBACK STREET SET6ACK REAR VARDSETOACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANTSITE <br /> ❑VES ❑NO FEES VALUATION rEE <br /> TYPE OF CONST. OCCUPANCY GROUP UNIOS DWELLING I <br /> SIZE OF BLOG. NO. OF STORIES MA%.00Q LOAO �UILDING $ ��� � � . <br /> PIUMBING � <br /> �IRE 20NE UASEMENT FIRESPqINKIERS <br /> Rf�UIRED <br /> ❑VES ❑NO MECHANICAL 1 <br /> SPECIAL CONDITIONS: OTHER � <br /> I <br /> IPENELTV SEC. 707�e1 � <br /> TOTAL Sy CJO <br /> I PERMIT VALIDATION <br /> I WHF.N PfiOP[RI.�' VlILI�ATEO lIN THIS SPACG) THIS IS VOUR PLR�11T <br /> APVUC�ii�!oACt[�l[pliY �`U�45C��CCREODY: .�PPOVC�FORISSl1ANCFtlY <br /> 3. C• <br /> � <br />