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fhc [vc{qrr.en <br /> ��TYo� CONSTRUCTION everett <br /> everett PERMIT <br /> CIIY NPII 1598P8: <br /> EVEPEtt,CinLUNGfOH I <br /> 9AI01 • <br /> °E" °` °°'"'°°^r gUILDlNG MECHANICAL PLUMBING <br /> o��«o�„<<:r � <br /> OWNER MAIL ADDRE55 � ZIP PHONE <br /> ?'sQ ��rtna iC�C?tAq G41;: CypreNs. t�v<3ru�t 93203 353-4475 ;57-7:; � <br /> AFiCHITECT OR DESIGNER MAIL ADDFiE55 PHONE LICENSE NO. <br /> GENERAL CONTRACTOR MAIL ADDRESS PHONE LICEN E NO. 1) <br /> Tuwn & Countty Fmnca inc. u41U 212 II.41. Lynmaca�a 2I30238b� <br /> MECHANICAL CONTRACTOfl MAIL ADDRESS PHONE LICENSE NO. <br /> � <br /> PLUMOING CONTRACTOR MA�L ADDPE55 PHONE LICENSE NO. W <br /> m <br /> � <br /> PERMIT CLASS OF WOHK � <br /> �,( Z <br /> L]'BUI�DING �PLUMI3ING �MECMANICAL F <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR � <br /> VALUATION OF WOfll: � <br /> �.i:JDO. UO ❑DEMOLISH [']FENGE ❑SIGN ❑SWIMMINGPOOL W <br /> s a <br /> DES�FIUE WORK ��`7� <br /> n ..rect C:�ain Link Far.ce 42"' tiig'.i � <br /> PROPOSEO USE MECHANICAL <br /> IEGALDESCRIPTIONOF PROPERTY ISMOW BELOW OR ATTACH TVPE OF FUEL �OIL ❑GAS ❑LPG. �ELEC. <br /> FOUR C P. G51 <br /> Lo7 ��� U�OCK—oF ���r�y t{�Zis F�i�. � NO. TVPE OF E�UIPMENT FEE <br /> AIR COND. UNITS-H.P. EA. S I <br /> REFRIGERATION VNITS-H.P. EA. <br /> �ORERS-H.P. [A. I <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> FORCED AIR SVSTEAIS-6.T.U. M EA. I <br /> JOB p R 5 WALL HEATtRS-B.T.U. M <br /> ���� ���'Y�9$ UNIT HEATERS-P.T.U. M � II <br /> EVAPOPATIVECOOLERS <br /> PLUMBING CLOTHES DRYERS I <br /> VENTILATION FAN <br /> RANGEHOOO I <br /> NO. NPE OF FIXTURE OR ITEM FEE A�R HnrvDLING UNI7- C.F.ti!. <br /> WATER CLOSET(TOILET) g INCINERATOR 1 <br /> '1 <br /> BATHTUO — <br /> LAVAI'ORY IWASH BASIN) � <br /> SHOWER <br /> KITCIiEN51NK& DISP. SUBTOTAL 5 � <br /> DISHWASHER PERMIT 5 <br /> LPUNDFiY TRAV TpTAL FEE 5 I <br /> CLOTHES WASHER TIiIS PERMIT OEC0�7E5 NULL AND VOIO IF WORK OR CONSTRUC� <br /> WATER HEATEP I_. TION AUTHORIZED IS NOT COM�IENCED WITHIN 720 �AVS, OR IF <br /> URINAL CONSTIiUCTION OR N'ORK IS SUSFENDED OR ADANDONED FOR A <br /> DRINKING FOUNTAIN PERIOO OF 120 DAVS �1T ANY TI�1E AFTER WOiiK IS COMMENCEO. <br /> FLOOR-SINK OR OFAIN _ I � HEPE�Y CERTIFY THl�T I HAVE READ AND E%AMINEO THIS AP- <br /> VACUUM OREAKEHS PLICATION AND KNOW THE SA�1E TO �E TRUE AND CORRECT. 11LL <br /> PROVISIONS OF LAWS AND ORDINAI�CES GOVERNING THIS TVPE <br /> ROOF ORAINS-RAINLEADERS � OF WORK WILL BE COMPLIED WITH WHETHEF SPECIFIEO HEREIN <br /> SINK (SERVICE-OAP. ETC.) OR NOT, THE GRANTING OF A PEFMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEI. THE PROVISIONS OF <br /> ANV OTHER STnTE OP IOCAL LA1V FEGULnTING CONSTRUCTION <br /> OR THE PERFORh1ANCE OF CONSTRUCTION. <br /> SUB TOTAL <br /> PERMIT 5 <br /> TOTALFEE S <br /> x <br /> SIGNATUREOFCONTRl1CTONOFil�VTH.AGENT �ATE <br /> SIDEVAPDSET6ACK STREETSETBACK itEARVARDSETUACKPLANCHECKNVMBER PLANCHFCKFEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANTSITE <br /> ❑vEs ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF OWELLING <br /> UNITS � <br /> ♦ • � � <br /> SIZE OF �LOG. NO.OF STORIES MA%.00C. LOAD 6UILDING 5 � <br /> t-- <br /> PLUMBING � <br /> FIREZONE BASEMENT ��F�UIREDKLERS <br /> ❑VES ❑NO MECHANICAL I <br /> SPECIAL CONDITIONS: OTHEF � <br /> I <br /> PENELTY SEC.3031>> ��� <br /> l.� I �!'7 <br /> TOTAL I <br /> PERMIT VALIDATION <br /> WHEN PROPEflLY VALIDATED (IN THISSPACE)THIS IS'�OUR PEFiM1T <br /> pPPLIfNiON�CC[PIIUOV. �LAI:;UIECNC�IIY'. APPPOVCDFOIIISSUANC[PY. <br /> •.t�• r�1Z• <br /> � I <br />