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1 <br /> tlrc Ever�recn i <br /> CITYOF CONSTRUCTION everett <br /> everett PERMIT <br /> ��TY��A4 ]598F85 <br /> EVE11Fii,1YAS�IINGiON <br /> 9R101 <br /> ocvr.ortaemunnr BUILDING MECHANICA! ?i i nR ir_ <br /> o[vuorucr�r Jr�vl�.0 � <br /> OWNEfl MAI�ADORE55 ZIP pryCy� <br /> —�-• .,.., 3�5-17.35 G7^,�•'�'r I <br /> JN1.•t.l, �l .r�?;:;:r?;. <br /> ARCHITECTORDESIGNER MAILADORESS PHONE <br /> LICENSE NO. , <br /> GENEP.ALCOh7f;q�.�pR MAILADDfiE55 PHONE LICENSENO. <br /> '�r�. <br /> MEGlANICAL CONTRACTOR MAIL ADORE55 PHONE �ICENSE NO. <br /> PLUMBING CONTRACTOR MAIL ADDqE55 PHONE LICENSE NO. � <br /> W <br /> m <br /> �EP��" CLASS OF WORK � <br /> � <br /> Z <br /> DUILDING �PLUMBING �MECHANICAL F <br /> ❑NEW ❑qDDITION ❑qLTERATION ❑q[pq�q <br /> VALUATION/OyF�W� O/yR�K � <br /> S n��lMJ �DEMOLISIi ❑FENCE ❑SIGN ❑SWIMMING POO� W <br /> �ESCRI9[WpRK a <br /> lx"'��LI.'?.f �T.:1('�'' ;�f.".;i�L :"'c/f't..'.,�.3(S Z�8 � <br /> PROPOSED USE <br /> MECHANICAL <br /> LEGAL DESCHIPTION OF PqOPERTV ISHOW�ELOW OR ATTACH TYPE OF FUEL �pIL �NAT. �LPG, nELEC. <br /> FOUR CO IE51 GAS <br /> LOT� pLOCK_pF. � 4�Y� NO. TVPE OF EOUIPMENT FEE <br /> AIR COND. UNITS-H.P. Eq, 5 � <br /> u REFR�GERATION VNITS-H.P. EA. <br /> ❑OILERS-H.P. [q. � <br /> GAS FIR[D A.C. VNITS-TONNAGE EA. <br /> FORCED AIR SVSTEMS-D.T.U. M EA. � <br /> JOBADOIiESS {/}��/ ry;yy� WALLIiE11TEfi5-�.T.U. �q <br /> � " �r �'� UNIT HEATERS-B.T.U. M � <br /> PLUMBING EVl�PORATIVE COOLERS <br /> CLOTHHS�RYERS � <br /> VENTILATION FAN <br /> RANGEHO00 � <br /> NO. TVPE OF FIXTURE OR ITEM FEE A�R HANDLING UNIT- C.F.M. <br /> WATEfl CLOSET�TOILET) g INCINEfiATOFi � <br /> BATHI'VB <br /> _ LAVATORY �WASH BASIN) � <br /> SHOWEF <br /> KITCHLN SINK& DISP. — <br /> OISHWASIiEF _ SUB TOTA(. $ � <br /> I.AUN�RY TRAY PE�M�T S <br /> CLOTHES WASHER TOTALFEE 5 � � <br /> WATER MEATER THIS PEqMIT BECOMES NULL AND VOID IF WOiiK OF CONSTRUG <br /> TION AUTHORIZEO IS NOT C067MENCED WITHIN 120 DAVS, OR IF <br /> URINAL CONSTRUCTION OR WORK IS SUSPENDED OR A�I�NDONED FOq A <br /> �RINKING FOUNTAIN PEFIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COM1IMENCED. <br /> FLOOR-SINK OR ORAIN I HEREBV CERTIFY THAT I HAVE REAO AN� E%AMINED THIS AP- <br /> VACUIIM OR[AKERS PLICATION AND KNOW THE$AME TO OE TRUE AND CORRECT. ALL <br /> Fi00F ORAINS-RAINLEADERS PAOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE <br /> SINK ISERVICE-DAR, ETC.) �F �vORK WILL AE COMPLIED bV�TH WHETHER SPECIFIED NEflEIN <br /> OR NOT, THE GI;ANTING OF A PER�i1T �OES NOT PRESUME TO <br /> GIVE AUTHOFiITV TO VIOLATE OR �qNCEL THE PqOVI510NS Of <br /> ANV OTHEF STATE Ofi IOCAL LAIY REGULATING CONSTfiUCTION <br /> SUB TOTAL Oq THE.^ERFORMANCE OF CONSTRUCTION. <br /> PERMIT 5 <br /> TOTA�FEE $ <br /> x r <br /> SIGNATURF.OFCONTRACTORORAUTH.AGENT DATE <br /> SIDEYARDSETHACK ISTRFETSETOACK REARYARDSETBACKPLANCHF�KNUMOER PLANCHECKFEE <br /> FEE FECEIPT NO. <br /> USE 20NE LOT AREA VACANTSITE <br /> ❑vES ❑nl0 FEES VALUATION FEE <br /> TVPL OF CONST. OCCUPANCY GROUP NO.OF DWELUNG --r <br /> UN�TS � <br /> SIZE OF OLDG. NO. OF STORIES Mq%.00C. LOA� 6UILDING $ M � <br /> W �RI <br /> FIFiF 20NE OASEMENT FIR[SPRINKLERS PWMBING � <br /> RE�UIRED <br /> ❑YES ❑NO ��ECHANICAI � <br /> SPECII�L CON�IiIONS: OTHER I <br /> I <br /> PENELTY SEC. �03101 I <br /> TOTAL � <br /> � <br /> PERMIT VALIDATION <br /> WHENPROPERLVVALIOATED��NTHISSr iH151SY0URPERA7IT <br /> FI'PIIff�T10NACCFPTEDOY: FLANitIIE[K[UOY' RPPIIOVLpFOB15$UFNCEOY. <br /> '1 r.r� <br /> .� I <br /> -�.�.�,L. . . _. <br />