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thr Evurgircrr <br /> ��,� �� CONSTRUCT'ION everett <br /> � everett PERMIT <br /> i cvex[tt,nasmNcmrv <br /> 9cmi <br /> °`"` °"°"„'°'°" BUILDING MECHANICAL PLUMBING <br /> i ocvc�ove+[Nr <br /> OWNEF MAILAD�RESS ZIP PH(�NE <br /> 3... . ��,trlin :%,. _:t:; . ':� 2�,:t _g�7-, s,:,t�,� <br /> ._. � <br /> ARCHITECT OR �E51(:NER MAIL ADDRESS PHONE LICENSE NO. <br /> I GENEFiAL CONiRACTOR MAIL AOORESS PHONE I.ICENSE NO. <br /> �.��r.. <br /> MECHANICALCONTRACTOH MqILADDRESS PHONE LICENSE "O. <br /> PLVMBING CONTRACTOR MAIL ADORESS PHONE LICENSE NO. � <br /> W <br /> m <br /> � <br /> PERAIIT C1A550P WORk � <br /> z <br /> ❑DUILDING �PLUMOING �MECHANICAL � <br /> ❑NEW ❑A��ITION QALTERATION ❑REPAIfl � <br /> VALUATION OF WORK � <br /> V � ,�i�4� '�f, ❑nEMOLISH ❑FENCE ❑SIGN ❑SWIMMINGPOOL W <br /> s °- <br /> OESCRIBE WORK /�^/�� <br /> `:;�.l::r�,n iini�� �rcr: ��tilit� , ....- . 1_'�.= :-c '.rcor; LGJ <br /> PROPOSED USE MECHANICAL <br /> LEGAL OESCRIPTION OF PROPERTV ISHOW 6ELOW OR ATTACH TYPE OF FUEL �OIL �GFns. �LPG. �ELEC. <br /> � FOUR COPIE5) <br /> Lo7 BLOCK_oF NO. TYPEOFE�UIPMENT FEE <br /> A�R COND.VNITS-H.P. EA. 5 � <br /> i ,� �,. i _ _ fiEFRIGERATION UNITS-H.P. EA. �— <br /> �.:,:j��1t1�.1..Q3 �ll �-4.1 �t <br /> ❑OILERS-H.P. EA. � <br /> GAS FIftED A.C. UNITS-TONNAGE EA. <br /> FOFiCEO AIR SYSTEMS-�.T.U. M EA. I <br /> JOB ADDRESS WALL HEATERS-B.T.V. M <br /> �7-�1� :-1. '. UNITHEATERS-B.T.U. M � <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTHES DR V ERS � <br /> VENTILIlT10N FAN �— <br /> RANGEHOOD � <br /> NO. TYPE OF FIXTURE OR ITEM FEE �+�R HANOLIIJG UNIT- C.F.M. <br /> W.1TER CLOSETITOILETI 5 INCINERl�TUR I <br /> OATNTU9 <br /> LAVATORV (WASH BASIN) � <br /> SHOWER <br /> KITCHENSINK& �ISP. SUBTOTAL S I <br /> DISHWl�SHER PERMIT 5 <br /> LAUNOHV TRAY 70TAlFEE 5 � <br /> CLOTNfS WASHER TI115 P6(7MIT �ECOMLS NULL AND VOID IF WORK OR CONSTflUC <br /> WATER HEI�'IER TION AUTHOR12E0 IS NOT COMMENCED WITHIN 120 DAVS, OR IF I <br /> URINAL CONSTPUCTIDN OR l OFK IS SUSPENDEO OR A6ANOONED FOfi !1 <br /> DRINKING FOUNTAIN PERIOD OF 720 DAVS :.T ANV TIME AFTER WORK IS CO�iMENCED. I <br /> FLOOF-SINK OR URAIN I HE(iEBV CERIIFV THAT I HAVE REA� AN� E%AMINED THIS AP- � <br /> VACUUM [3REAKERS PUCATION ANO KNOW THE SAME TO t3E TRUE AND CORRECT. ALL i <br /> PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE <br /> ROOF ORAINS-FAINLEADERS OF WORK WII.L DE COAIPLIED WITH WHETHER SPECIFIED HEREIN i <br /> � SINK ISERVICE-BAR, ETC.1 OR NOT, THE GRANiING OF l� PERMIT DOES NOT PPESUME TO I <br /> � GNE AUTHORITY TO VIOLATE OR CANC@L THE PfiOVISIONS Of <br /> ANV OTHEP STAT@ OR LOCAL LAW REGULATING CONSTRUCTION <br /> �_ OR THE PE�FORMANCE OF CONSTRUCTION. <br /> SUO TOTAL <br /> PERMIT S <br /> TOTALFEE S �_ . , -'— � <br /> x i � <br /> SIGNATUREOPCCNTflACTOROFAUTN.AGENT OATE <br /> SIDEVAqD5ET8ACK STREETSET6ACK REARYA4DSETBACKPLAkCHECK}NUMBER PLANCHECKFEE <br /> 7�I"CJl. FEE I�. . ��, RECE�IPTNO. <br /> VSE ZONE LOT AREA VACANT SITE GZ7t•��JL` <br /> ❑vEs �NO FEES VALUATION FEE <br /> TYPEp� CDNST. OCCUPAry�V GROUP NO.OF DW�LLING <br /> `'-.( j UNITS � <br /> SIZE OF 6LOG. NO.OF STOflIES MAX. OCC. LOA� DUILDING S�� '��'}��' �," JG I' � <br /> 1 PLUMDING � <br /> FIRE Z04E UASEMENT FI(iESPRINKLE{75 <br /> J RC(]UIRED <br /> ❑VES �O MECHANICAL � <br /> I <br /> SPECIAL CONDITIONS: OTHER � <br /> PENELTY SEC.303(a) � <br /> � �r <br /> TOTAL 1 <br /> I PERMIT VALIDA710N <br /> WHEN PROPERLV VALIDATED(IN THIS SPACEI THIS IS YOUR PERAIIT <br /> MPLIC/TIONACCEPT[OOY: PIANSCHCCKC00Y�. A1'PpOVEUfONiSSV�NC[OY. <br /> t. e , <br /> � 3 <br />