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� the fvcrG�c��n <br /> � ��T� �F CONS'TRUCTION everett <br /> evere�:t PERMlT <br /> piv Nqll ]:9AFl05 <br /> (YL F[il.IYASIIINGiGN <br /> 9Ahll <br /> I °f�i °°�°°^'°°,r° BUILDING MECHANICAL PLUMBING <br /> ofvciarctr.r <br /> � OWNER h1AIL ADDRE55 ZIP PHONE <br /> ,. �- , , . - 3�z..Fpi,G iti02�7b <br /> ..,i��:.u, '���.' ' , c'r".k? �, '_ :��.. <br /> AFCHITECTORDE51GNER MAILADDRE•.S PHONE LICEN;[ NO. <br /> GENERAL�C�OjNTRA1C�TOF MAILADDRESS PHONE LICENS: NO. <br /> tt� C a: �.L�� a7� <br /> MECNANICAI.CONTRACTOR MAIL AD�RE55 PHONE LICENSE NO. <br /> PLUMOINGCONI'RACTOR MAILADORESS PNONE LICENSENO. � <br /> W <br /> m <br /> � <br /> PERMIT CLASS OF WORK � <br /> Z <br /> s��UILDING ❑ PLUM9ING ❑MECHANIC�+L ~ <br /> ❑NEW ❑ADDITION C�ALTEflAT10N �REPAIR � <br /> VALUATIONQ F WORK � <br /> l� ❑DEMOLISH ❑FENCE ❑51GN ❑SWIMMING POUL W <br /> 5 a <br /> DESCRIBEWORK .'_ . . ' :: '.`�' �']ZO <br /> � 0 <br /> aaoroseo usE MECHANICAL <br /> rrveoFvuE� poi� ❑GlAiS ❑LPG. �ELEC. <br /> LEGAL DESCRIPTION OF PqO�@RT\' ISNOW BE�OW OR ATTACH <br /> fOUR COPIESI <br /> NO. TVPE OF EDUIPMENT FEE <br /> � LOT OLOCK--OF qIR COND.VNITS-��.�'. EA. 5 � <br /> REFRIGERATIr�; •_���.irc_H.P. EA. <br /> �OIlERS-M.P. EA. � � I <br /> GAS FIRED A.C. VNITS-TONNAGE EA. <br /> FORCEO Alft SVSTEMS-�.T.U. M EA. I <br /> JOBl�DDRL55 � ,-.r,- - , M. WALL HEATERS-U.T.U. M <br /> • '� '" � ���� UNITHEATERS-B.T.U. M I <br /> EVAPOFi/1TIVE COOLERS <br /> PLUMBING CLOTH[5 DRYERS � <br /> I VENTILATION FAN <br /> � HAIaGE HDOO � <br /> NO. TVPE OF FIXTURE OR ITEM FEE �+�R HANJLING UNIT- C.F.M. <br /> WATER CLOSET (TOILETI g INCINEflATOR � <br /> �ATNTUB <br /> LAVATORY (WASH BASINI � <br /> SHOWER <br /> KITCHEN SINK& DISP. SUB TOTAL 5 I <br /> DISMWASHEP PERMIT 5 <br /> LAUNDHVTRAV TOT4LFEE 5 I <br /> I� CLOTHES WASYER THIS PEPMIT DECOMES fvULL AND VOI� IF WORK OR CONSTRUG <br /> WATER HEATER TION AUTHORI2ED IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br /> UFINAL CONSTRUC?ION OR WORK IS SUSPENDED OR ABANDOt.IED FOR A <br /> DRINKING FOVNTAIN P�RIOD OF 120 DAVS AT ANY TIME AFTER WOfiK IS COMMENCED. <br /> FLOOR-SINK OR DRAIN � HEREI3V CERTIFV THAT 1 HAVE READ ANO E%AMWEO THIS .1P- <br /> PLICATION AND KNOW THE SAME TO �E TRUE AND C0f9RECT. l�LL <br /> VACUUM 6REAKEFiS PROVISIONS OF LAINS AND ORDIN/1NCES GUVERNING THIS TVPL <br /> ROOF ORAINS-RAINLEADEFS OF \NOFK \NILL BE COMPLIED WITH \NHETFIER SPE.:IFIED IiEf�EIN <br /> SINK (SEFVICE-6AR,ETC.) OR NOT, TNE GRANTING OF A PEPMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITV TO VIOIATE OR CANCEL THE PqOVI510N5 OF <br /> ANY OTHER STATE OR LOCAL LAW FEGUTATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SUO TOTAL <br /> I PERMIT 5 <br /> TOTAL FEE $ y� J��/4nt. <br /> I X s,y.L ( ISi <br /> SIGNATURtOFCONT(iACTOROPAUTH.AGENT DATE <br /> I SIOEVAR�SETUACK STREETSETBACK REAR1'AROSETBAGKP�ANCHECKNVI.7�E(i PLANCHECKFEE <br /> IFEE RECEIPT NO. <br /> � USE 20NE LOT AREA VACANT SITE <br /> ❑ves ❑No FEES VALUATION FEE <br /> i T�PE OF CONST. OCCUPANCY GROUP NO.OF DWEL�ING � <br /> UNITS <br /> � s/�y� �y� <br /> � SIZE OF 6LDG. NO.OF STOflIES MA%.00C. LOAf� �UILDING S �yIW� �OIV.i <br /> i PLUMDING � <br /> FIREZONE fIl1SEh1ENT FIRESPRINKLEFlS � I <br /> Rf4UIRED � <br /> I ❑VES ❑NO MECHANICAI � <br /> I SPECIALCONDITIONS: OTHER I <br /> I <br /> I PENELTV SEC. J031a) � <br /> TOTAL Z�I� <br /> I PERMIT VALIDATION <br /> WHEN PROPERLV VALIDATED IIN THIS SPACE)THIS IS YOUR PERMIT <br /> I <br /> I <br /> � <br /> �) �PPLICATIONALCCPiE�OY' �lANSCNECRC1IfIY'. �PPflOV[DF0015SUANC[IIY. <br /> I �• �:• <br />