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thc Evcrprecn <br /> =�T� oF CONSTRUCTION everett <br /> everett PERMIT <br /> .,IV MAII 'S99F95 <br /> tYEUEii.11ASNlti,iON <br /> 9F.}pl <br /> °"` °"°""°°"° BUILDING MECHANICAL PLUMBING <br /> �EVELOiM[4t <br /> OWNER MAII ADDPE55 21P � PHONE <br /> .r.;�! ��..tv�'. �r305 '?1; 9t4z�j 25�-o�i0 `)73-7�b <br /> AFGHITECTOFDESIGNER MAILADDRE55 PHONE IICEN5EN0. <br /> GENERAI.CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> �iYaR <br /> MECHANICAL CONTRACTOR MAtL AODRESS PHONE LICENSE NO. <br /> PLUA181NG CONTRACTOR MAIL ADDRESS PIIONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASS OF WORK � <br /> ,_j( Z <br /> u•BUILDING �PLUMBING ❑MECHANICAL f- <br /> ❑NEW �ADDITION ❑ALTERATION ❑REPAIR � <br /> VALUATION OF WORK � <br /> 5 ��� ❑DEMOUSH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> DESCRIBE WORK ��� <br /> t!r^cx�r ��.F':�:It 0*a28' <br /> rr�oroseo use . MECHANICAL <br /> TVP[ OF PUEf. �OIL �NM. �LP:. �[LLC. <br /> LEGAL DESCFIPTION OF PqOPERTV ISHOW BEIAW OR ATTACH GAS <br /> FOUR COPiEsI 9}� NO. TYPE OP E�UIPMENT FEE <br /> LOT� BLOCK_OF �'=�� ���' � 3 <br /> AIR CONO.UNITS-Ii.P. EA. S I <br /> REFPIGERATION UNITS-H.P. EA. <br /> �ORERS-H.P. EA. I <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> FORCED AIR SVSTE�".:-B.T.U. M EA. I <br /> JOB ADDRE55 �!�py± WALL MEATERS-B.T.U. M <br /> 7v`Q �<� UNIT HEATLRS-B.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTMES DRYERS I <br /> VENTILATION FAN <br /> RANGENO00 1 <br /> NO. TVPE OF FI%TURE OR ITEM FEE /+IA HqNDLING UNIT- C.F.M. <br /> WATER CLOSET ITORETI g WCINERATOR I <br /> BATHTUB <br /> LAVATORY �WASMBASINI 1 <br /> SHOWER <br /> KITCHEN SINK& OISP. SU[7 TOTAL 5 � <br /> �ISHWASHEF PER�11T 5 � <br /> LAUNDRV TqAV TOTAL FEE 5 � <br /> CLO�HLS WASMER THIS PERMIT OECOMES NULL AND VOID IP WOflK OR CONSTRUG <br /> WATER HEATEft TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DqVS, OR IF <br /> URINAL CONSTRUCTION OR K•ORK IS SUSPENDEO Oli AHANDONED FOR A <br /> DRINKING fOI�NTAIN PERIOD OF 120 DAYS l�T ANV TIME AFTEfl WOftK IS COMMENCED. <br /> FLODH-SINK Ofi ORAIN I HERERV CERTIFV THAT I HAVE READ AN� E%A�11NED THIS AP- <br /> VAGUUMI BREAKERS PLICATION AND KNOW THE SAME?O�E TRUE AND CORRECT. .�LL <br /> FOOF DRAINS-RA�NLEADERS P�OVISIONS OF LAWS ANO OR�INANCES GOVEftNING THIS TYP� <br /> OF WORK WILL BE COAIPLIED WITH WHETHER SPECIFIED HEREIN <br /> SINK (SERVICE-BAR, ETC.) OR NUT, THE GfiANTING OF A P[FMIT DOES NOT PftESUME TO <br /> GIVE AUTNORITY TO VIOLATE OR CHNCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTFUCTION <br /> OR THE PERFOFMANCE OF CONSTRUCTION. <br /> SUBTOTAL <br /> PERMIT 5 <br /> TOTAL FEE $, <br /> x <br /> SIGNATUNEOFCONTf1ACTORORAUTH.AGENT DATE <br /> SIDE 1'ARD SET�ACK STREET SETOACK HEAR VAFDSET�ACK PLAN CHECK NUM�EFl PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> / '�I���� <br /> USE 70NE lOT AREA VACANT SITE ��•�' � "�+r <br /> ❑vES ❑NO FEES VALUATION fEE <br /> + TVPE OF CONST. OCCVPANCV GFOUP `NiOs DWELLING 1 <br /> ISIZE OF �LDG. NO. OF STOFIES MA%,OCC. LOAD BUILDING 5 ��� ,7y��� <br /> i PLUMBING � <br /> FIRE20NE �ASEMENT RC�UIREDKLERS I <br /> ❑YES ❑NO MECHANICAL 1 <br /> SPECIAL CONDITIOhS: OTNER � <br /> IPENELTV SEC.J081a) I <br /> TOTAL � <br /> '�f�l� <br /> PERMIT VALIDATION <br /> W HEN PROPERLV VALIDATED !IN THIS SPACEI THIS IS YpUR PERMIT <br /> �PPLICAlION�CLFFtE011V' PLANSCNELRCOBP. APPPOVEDfORI'JSUANi[BV. <br /> i �� C� <br /> I � a � <br />