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� rhe Everyr��en <br /> � =�TYOF CONSTh�UCTI0IV everett <br /> everett PERMIT <br /> LIl1'NRLL 898665 <br /> EVLPEti.1•;aSNINGLON <br /> 98:0� <br /> °`�` °' °°`°.,°�"" f3UILDING MtCHANICAL PLUMBING <br /> ocv[iaru[xr <br /> OWD!EF MA;LADDRESS ZIP 1'HONE <br /> �'_1�' :Y�U�'P G`�2? `�''�:'„A--' �t7,y"�i <br /> ARCHITECT OR DESIGNER MAIL AD�RESS FHONE LICENSE NO. <br /> GENERAL CONTRACTOR MAIL AD�RESS PHONE LICENSE NO. <br /> MECHANICAL COqNT.�R^ApCTOR MAIL AODRESS PHONE LICENSE NO. <br /> �i r: U'.t��R <br /> PLUMF3ING CONTRACTOR MAIL ADDRESS PNONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASS OF WORK � <br /> Z <br /> ❑6UILDING �P�UMBING �MECHANICAL ,_7( H <br /> ❑NEW ❑ADDITION ❑ALT[RATION VAEPAIR � <br /> VALUATION OF WORK � <br /> 5 ❑OEIv70LI5H ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> DESCRIDE WORK � �-a �� �O l � <br /> / <br /> 'Vl y <br /> PROPOSED USE MECHANICAL <br /> TYP[ OF FUEL �OIL �NAT. �LPG. �ELEC. <br /> LEGAL DESCRIPTION OF PROPERTV ISHOW BELOW OR ATTACH GAS <br /> FOUR CO�IE51 <br /> �OT OLOCK—OF NO. TYPE OF EDUIPMENT FEE <br /> AIR COND. UNITS-H.P. EA. 5 I <br /> REFRIGERATION UNITS-N.P. EA. <br /> 601LER5-H.P. EA. I <br /> GAS FIFiED A.C. UNITS-TONNAGE EA. <br /> FORCEO AIF SVSTEMS-B.T.U. �1 EA. I <br /> JOO A�DRESS �� V WALL HEATERS-6.T.U. M <br /> � :='-114 YL t� <br /> UNIT HEATERS-9.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTHESDRVERS � <br /> VENTILATION FAN <br /> RANGE FIOOD I <br /> NO. TVPE OF FIXTURE OR ITEM FEE _ AIR MANDLING UNIT- C.F.M. <br /> WATER CLOSET(TOILETI 5 INCINEflATOR I <br /> �ATHTV� <br /> LAVATORV �WASHBASIN) I <br /> SIiOWER <br /> KITGMEN SINK R DISP. SUD TOTAL 5 <br /> �ISHWASHEF PERMIT 5 <br /> LAUND(iY TRAV TOTAL FEE 5 <br /> CLOTHES WASHER TIilS PEPMIT OECOMES NULL AND VOID IF WORK Ofi CONSTRUC� <br /> WATER HEATER TION AVTNORIZED IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br /> UFlINAL CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br /> DFINKING FOUNTAIN PEFIOD Of- 120 DAYS AT ANV iI�1E APTER WORK �5 COMMENCED. <br /> FLOOR-SINK OR �RAW � �1EREOV CERTIFV THAT I HAVE READ AND E%AMINED THIS AP- <br /> VACUUM 6PEAKERS PLICATION ANO KNOW THE SAME TO OE TRUE AND CORRECT. ALL <br /> flOOF DRAINS-RAINLEADERS PROVISIONS OF LAWS ANO OF�INANCES GOVERNING THIS TVPE <br /> OF WOFK WILL 6E COMPLIED WITH WHLTHEF SPECIFIEO HEREIN <br /> SINK (SERV IGE-DAR, ETC.) OR NOi, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL TNE PliOVIS10NS OP <br /> ANV OTHLR STATE OR LOCAL LAW HEGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF WNSTRUCTION. <br /> SUB TOTAL <br /> PEfiM1T 5 <br /> TOTAL FEE $ +�,/y/�� <br /> X !) l� t�� <br /> SIGNATUPEOFCONTRACTOFiORAUTH.AGENT OATE <br /> SIOE YARD SETUACK STPEET SETOACK RE/�R VARDSETOACK PLAN CHECK NUM[3ER PLAN CHECK FEE <br /> I FEE RECEIPT NO. <br /> USE20NE LOTAREA VACANTSITE <br /> ❑VES ❑NO FEES VALUATION FEE <br /> TVPL OF CONST. OCCUPANCY GROUP UNIOS OWELIING I <br /> 512E OF BLOG. NO. OF STORIES MAX.00C. LOAD UUIL�ING S � <br /> I <br /> PLUMDING � <br /> FIRE 2ONE BASEMENT FIRESPqINKLERS <br /> RCOUIRED <br /> ❑YES ❑NO MECHANICAL <br /> SPECIAL CON�ITIONS: OTHER � <br /> I <br /> PENELTV SEC. 3071a1 � <br /> TOTAL l+ � <br /> PERMIT VALIDATION <br /> Wli[N PROPERLV VALIDATED IIN TIilSSPACE)THIS IS VOUR PERM1IIT <br /> n�PUCntiannCC[Pitopv vlaNSCHECKE00Y: aVPpOVEOFOBi55UANCE�v. <br /> � Q� <br /> Q <br />