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rh�� l�t��°�gi�:��n <br /> ��TY ��- CONSTRUCTION everett <br /> everett PERMIT <br /> fI1T IIAIL 15Y.185 <br /> FVFfl[11.64SIIINGIpN <br /> ?[1�1 <br /> �E°� °° �°'"'°�°r BUILDING MECHANICAL PLUMBING <br /> ocv[iavenrn <br /> OWNER M11AIL ADOFE55 ZIP YHONL ��_� <br /> ���� W:� � <br /> AHCHITECT OR OESIGNER MAIL ADDftESS PHONE LICENSE NO. <br /> GENERAL CONTRACTOR MAI�AODRESS PHONE LICENSE NO. <br /> MECHA��N�ICfA/�ICONTRACTOR MAIL AO�RESS PHONE LICENSE NO. <br /> �M+i'.S/ � <br /> PLUM6ING CONTRACTOF MAII ADDRESS PHONE LICENSE NO. W <br /> m <br /> PERMIT CLA55OF WORK � <br /> z <br /> ❑ �UILDING ❑ PLUMOING �J MECHANICAL F' <br /> ❑NEW ❑ADDITION �ALTERATION ❑REPAIF � <br /> VALUATION OF WORK � <br /> 5 ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> DESCRIBE WORK e� S ♦�y� y�y��� J �+ <br /> C 5�.�• i�r �}Ni E[w:VF• l�tYY•A+{] � u <br /> PROPOSED USE MECHANICAL <br /> TYPEOFFUEI. �OIL �NAT. �LPG. �ELEC. <br /> LEGAL�ESCRIPTION OF PROPERTV (SHOW BELOW OR ATTACH GAS ' <br /> FOU fi COPI ESI <br /> LOT BLOCK—OF NO. TYPE OF EOUIPMENT FEE <br /> AIR COND. UNITS-H.P. EA. S I <br /> REFRIGERATION UNITS-H.P. EA. <br /> BOILERS-H.P. EA. I <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> f-ORCEO AIR SVSTEMS-O.T.U. M EA. I <br /> JOF3 AODRESS WALL HEATERS-B.T.U. M � <br /> � ��~'��� UNIT HEATERS-B.T.U. M I <br /> EVAPORATIVECOOLEPS <br /> PLUMBING CLOTHES DFiVEPS I <br /> VENTIlAT10N FAN <br /> RANGEli00D I <br /> NO. TYPE OF FIXTURE OR ITEM FEE nIR NANOLING UNI7- C.F.M. <br /> WATER CLOSET ITOILETI g �NCINERATOR I <br /> BATHTU[3 , 1-- <br /> LAVATORV IWASH OASINI � <br /> SHOWER <br /> KITCHBNSINK& OISP. SUOTOTAL $ I� <br /> DISHWASHER PERMIT 5 <br /> LAUNORYTRAV TOTALFEE 5 I <br /> CLOTHES WASHER_ THIS PFRMIT fiECOMES NUI_L AND VOID IF WORK OF CONSTRUG <br /> WATER HEATER TION AUTHORIZED IS NOT COMMENCED WITHIN 1^0 DAYS, OR IF <br /> URINAI CONSTFUCTION ON WORK IS SUSPENDED Oft A6/1NDONED FOR A <br /> DPINKING FOUNTAIN PERI00 OF 120 DAVS AT ANV TIME AFTER WORK IS COMMENCED. <br /> FLOOR-SINK OR DRAW � ��ERE6Y CEfiTIFY THAT I HAVE H[AD AND E%AMI�JED THIS AP� <br /> VACVVA1 6REAKERS PLICATION AND KNOW THE SAME Ti)6E TRUE AN�CORRECT. ALL <br /> PROVISIONS OF LAWS ANO OROINANC[S GOVEFNING THIS TYPE <br /> ROOF DRAINS-R111NLEADERS_ OF WORK WILL �E COhiPLIED WITH WHETHER SPECIFIEO HEREIN <br /> SINK (SEFVICE-6AR, ETC.) Of1 NOT, THE GRANTING OF A PERAIIT OOES NOi PR[SUME TO <br /> GIV[ AUTIIORITV TO VIOL:.TE OR CANCEL THE PROVISIONS OF <br /> ANV OTHEF STATE Ofl LOCAL LAW REGULATING CONSTfiUCT10N <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SUB TOTAL <br /> PERMIT 5 <br /> TOTALFEE 5 '�,�.`� <br /> x S11ff ' <br /> SIGNATUREOFCONTRACTORORAUTH.AGEM DATE <br /> SIDEYAFDSET�ACK STREETSETOACK flEAqVARDSET[3ACKPLANCHECKNUM11BEfl PLANCHECKFEE <br /> FEE RECEIPT NO. <br /> USE 20NE LOT AREA VFCANTSITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING <br /> UN17S � <br /> SIZE OF BLDG. NO.OF STORIES MAX.00C. LOAO BUILDING S I <br /> I <br /> PLUMBING � <br /> FIpEZONE D/�SEMENT FIpESPRINKLEFS � <br /> Rf�UIRED � <br /> ❑YES ❑NO �AECHANICAL �" I� <br /> SPECIAL CONOITIONS: OTHER � <br /> I <br /> _ PENELTY SEC. 30a1a1 � <br /> TOTAL II� <br /> I PERMIT VALIDATION <br /> WHEN PROPERLV VAlIOATEO (IN iH�g SPACEI THIS IS VOUR PERMIT <br /> AFPUUi10'1/�CCfPiCIlOY �L1'.'SCN[CKE09Y' �P>POV[0(O(IISSUANC(OY. <br /> L� Ci� � <br />