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� !h� fvr,ry�ran <br /> ��T� �F CONSTRUCTION everett <br /> I eVVECp,TCtSt PERMIT <br /> 991oi <br /> °E�r °°�°°�^,°N°Y BUILDING MECHANICAL PLUMBING <br /> oEv[iovuExr <br /> OWNER MAIf.ADDRESS ZIP PHONE <br /> V r �" �Lt�_� <br /> �1.:':A :;^::il-•S?' L . � ai� <br /> ARGMITECT OR DESIGNER MAIL ADDRE55 NHONE LICENSE NO. <br /> GENERAL CONTRACTOR MAIL ADDRE55 PIiONE LICENSE NO. <br /> MECMANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> .���.�'� �[ ��t� <br /> PLUM6ING CONTfiACTOR MAIL ADORE55 PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASS OF WORK � <br /> Z <br /> ❑UUILDING ❑ PLUMBING �MECHANICAL TEW ❑�1DOITION ❑AITERATION ❑REPAIR ~ <br /> LJ'��1 � <br /> VALUATION OF WORK � <br /> ❑DEMOLISli ❑FENCE ❑SIGN ❑SWIMMING POOL W <br /> s a <br /> DESCR�BE WORK <br /> �,< �a .� r,:�� 15 96 <br /> PROPOSEO USE MECHANICAL <br /> LEGAI DESCRIPTION(1F PROPERTV (SHOW[3ELOW OR ATTACH T�PL CF FUEL �OIL ❑GAS ❑LPG. �ELEC. <br /> FOV P COPIE51 <br /> NO. TYPE Of EQUIPMENT f-EE <br /> LOT U�OCK—OF qIR COND. UNITS-II.P. [A. S � <br /> R[FRIGERATION UNITS-H.P. EA. <br /> ❑OIL[RS-H.P. EA. I <br /> GAS F I R E D l�.C. U N ITS-TONNAGE 'c/�. <br /> FORCED AIR SVSTEMS-�.T.U. M EA. I <br /> JOO ADDRE55 WALL HEATERS-�.T.U. M <br /> �� �;(�,y���.{T VNITHEATERS-B.T.U. M � <br /> EVAPORATIV@COOLERS <br /> PLUMBING CLOTHESDRVERS I <br /> VENTII.ATION FAN <br /> RANGEHOO� � <br /> NO. TYPE OF FIXTURE OR ITEM FEE AIF HANDLING UNIT- C.F.M. <br /> W/1TER CLOSET(TOILET) 5 INCINERATOR � <br /> DATHTUB — <br /> LAVATORV(WASH9ASIN1 � <br /> SHOWEH <br /> KITCHEN SINK& OISP. SUD TOTAL S -�{I <br /> DISI!WASHER PEFMIT 5 �/ <br /> LAUNORVTfiAV TOTALFEE S I <br /> CLOTHES WASHER THIS PEFiM1T B[COMES NULL AND VOID IF WORK OR CONSTRUC� <br /> R'ATER NEATER � TION l�UTHORI2ED IS NOT COMMENCED WITNIN 120 DAVS, OR If <br /> URINAL CONSTfiUCTION OR WORK IS SUSPENDED OR A[3ANDC�NED FOR A <br /> �RINKING f-OUNTAIN � PEftIOD OF 120 DAYS AT ANY TIME AFTER WOflK 1"COM1IMENCED. <br /> FLOOH-SINK Ofi DRAIN --� � HEREDY CEfil'IFV THAT I h1AVE READ AN� E%AMINED THIS AP- <br /> VACUUb1 OPEAKERS —� PLICAI IUN AN� KNOW THE SAME TO OE TftUE AND CORRECT. ALL <br /> ROOF OfilJNS-Rl11NLEADERS —� PROVISIONS OF LAWS 4ND ORDINANCES GOVERNING THIS TVPE <br /> OF WORK WILL [3E COhiPLIE� WITH WNETHER SPEGF�ED HER[IN <br /> SINK ISERVICE-DAR, ETC.1 —��- OFi NOT, THE GRANTING OF A PERMIT DOES NOT PqESUME TO <br /> GIVE AVTIIORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> -� ANV OTHER STATE Ofi LOCAL LAW REGULATING CONSTRUCTION <br /> �_ OR TIiE PERFORM/1NCE OF CONSTRUCTICN. <br /> SVB TOTAL <br /> PERMIT $—T <br /> � TOTALFEE $ �— � <br /> i� �� <br /> SIGNATUREOFCONTIiACTOFORAUTH.AGENT OATE <br /> SIDE VARO SET�ACI: STPE@T SET�ACK FEAR VARDSETBACK PLAN CNECK NUMAER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE20NE LOTAREA VACPNTSITE <br /> ❑vE5 ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GFOUP NO.OF DWELLING � <br /> UNITS <br /> I <br /> 512E OF BLOG. NO. OF STORIES MA%. OCC. LO/\� DUIIOING S � <br /> --i <br /> PLVMBING � <br /> FIIiE20NE �1ASEMENT FIRESPRINKLERS <br /> RCOUIREO <br /> ❑YES ❑NO MECHANICAL pl� <br /> SPECIAL CONDITIONS: OTHER I <br /> I <br /> PENELTY SEC.9031a1 � <br /> TOTAL SI �JO <br /> PERMIT VALIDATION <br /> WHEN PROPERIY V/1LIDATED (IN THIS SPACEI THIS IS YOUR PEHAIIT <br /> AI'PLIC�TIONALCCPTEDflY'. PLRNSCHECKEOOY: APPPOVEOFOPISSUANCCIfT. <br /> � ri� <br /> n <br />