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the Everyrern <br /> CITYOF CONSTRUCTiON everett <br /> everett PERMIT <br /> CiIY nnl l i5988A; <br /> EV[PFii,C:ASHiNG1pN <br /> 99]01 <br /> °", °"°"".'°""` BUILDING MECHANICAL PLUMBING <br /> oEvc�avrnFrn <br /> OWNER MAILAODRE55 ZIP PHONE <br /> �:�,��, •�. �,�^a e�� �� ��. ��,r, 3�3�20 <br /> ARCHITECTOROESIGNER MAILADC1RE55 PHONE LICENSENO. �q� � <br /> A.J:��1,- <br /> GENERAL CONTRACTOfl MAIL ADORESS PNONE LICENSE NO. <br /> :� <br /> MECHANICAL CONTRACTOR MqIL ADDFESS PHONE LICENSE NO. <br /> PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASS OF WORK � <br /> z <br /> �6VILOING ❑ PLUMBING �MECNANICAL � f- <br /> ❑NEW ❑AODITION ❑ALTERATION ❑REPAIR � <br /> VA�VATION OF WORK � <br /> 5 ��� ❑DEA90LISH ❑FENCE ❑SIGN ❑SWIMMING PODL a <br /> DESCRIO[WORK <br /> �tsild 3.0� : ?�� ::Caau�o S�' �..306 <br /> PROPOSEO USE MECHANICAL <br /> TVPEOFFUEL �OIL �NAL �LPG. �ELEC. <br /> LEGAL DESCFIPTION OF PROPERTV ISHOW�EIOW OR ATiACN GAS <br /> FOURrGOP1E51 ��,� ..�.� .'y�� <br /> LOT L� pLOCK_OF °��µ � NO. TYPE OF EQUIPMENT FEE <br /> AIR CONO.UNITS-H.P. EA. 5 I <br /> REFRIGERATION UNITS-H.P. EA. <br /> liO1LEF5-H.P. EA. � � <br /> GAS FIRED A.C. UNITS-TONtiCGE EA. <br /> FORCED AIR SYSTEMS-O.T.U. M EA. I <br /> JOE3 ADDRESS y� WALL HEATEFlS-B.T.U. M <br /> � ��� �'Y� UNIT HEATERS-H.T.U. M � <br /> EVAPORATIV[COOLERS <br /> PLUMBING CLO'iMES OfiYERS � <br /> VENTII.NTION FAN <br /> RANGEHOOD I <br /> NO. 7YPE OF FI%TURE OR ITEM FEE AiR HANDLING UNIT- C.F.M. <br /> WATERCLOSETITOILETI $ �NCINEFATOp � <br /> BATHTUB <br /> L/1VATORY IWASH 6ASIN) � <br /> SNOWER �— <br /> � <br /> KITCHENSINK& DISP. SURTOTAL $ � <br /> DISNWASHER PERMIT 5 <br /> Lf_UNORVTRAV TOTALFEE 5 � <br /> CLOTH[S WASHER TI115 PERMIT �ECOMES NULL �ND VOID IF WORK OF CONSTRUC� <br /> __ 'WATER HEATER TION AUTHORI2ED IS NOT COAIMENCED WITHIN 170 �AYS, OR IF <br /> URINA� CONSTRUCTION OR WORK IS SUSPENDED UR Al7ANDONED FOF A <br /> DRINKING FOUNTAIN - �ERIOD OF 120 DAYS AT ANY TIME AFTER IYORK IS COMMENCED. <br /> fLOOH-SINK OR �RqIN I HEflEBV CERTIFY THAT 1 HAVE 9EAO AND EXAMINED TMIS AP� <br /> VACUUM OREAKERS �— PLICATION AND KNOW TN[SAh7E TD BE TRUE AND CORRECT. ALL <br /> ROOF DFAINS-RAINLEADEFS PAOVISIONS OF LAWS AND OfiDINANCES GOVERNING THIS TVPE <br /> OF WORK WILL BE COAIPLIED WITH WNGTHEF SPECIFIEO HEFEIN <br /> SINK (SERVICE-DAR, ETC.) OFi NOT, THE GRANTING OF A PEFiM1T OOES NOT PRESUME T� <br /> GIVE AUTHORITV TO VIOLATE OR CIINCEL THE PROVISIONS UF <br /> — ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR TIiE PERFORMANCE OF CONSTflUCTION. <br /> SUB TOTAL <br /> PERMIT 5 <br /> TOTALFEE S �_�l <br /> x � <br /> SIGNATUREOfCONTRAf.TO11URAUTH.AGENT DATE <br /> SIOE VARD SET[IACK STREET SETUACK REAR YARDSET6ACK PLAN CHKK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT A3EA VACANTSITE <br /> ❑vES ❑NO FEES VAIUATION FEE <br /> TVPE OF CONST. OCCUPANCV GHOUP NO.OF OWELLING <br /> UNITS I <br /> 512E OF BLDG. NO.OF STORIES MAX.OCC. LOAD �UILOING 5 �W � �C3O <br /> FIRE ZONE DASEMENT FIRESPRINKLERS PLUMBING � <br /> RCaUIRED <br /> ❑YES ❑NO MECHANICAL � <br /> SPECIAL CONDITIONS: OTHER � <br /> I PENELTY SEC.30310) I <br /> TOTAL > j � <br /> PERMIT VALIDATION <br /> WHGN PROPLHIV VALIDM'FU(IN TNIS SPACLI TNIS IS VOUR PERAtIT <br /> N`fUC�11UNPCCf1'1CIlIlY PIANSCHEIXE^�Y: AFPqOVEOFO�ISSUFNCf�Y. <br /> �+r <br /> l'.�� <br /> � <br />