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� the tvcrgn!cii � <br /> CITY OF CONSTRUCTION everett <br /> evere�� PERMIT <br /> cnr�mu ps�eees <br /> FVEPEiT.WRSII�HGION <br /> 9AID1 � <br /> oEPrOiCOMYUNILY BUILDING MECHAI�ICAL PLUMBING <br /> ocvc�ovu[rvr <br /> OWIJER -�y� ��[�MAIL ADDRESS ZIP PHONE <br /> Y.'���_s �r�i1Y���• y7iU :1f t:.� ��� <br /> ARCIiITECT OR DESIGNER MAIL A�DRE55 PHONE LICENSE NO. <br /> GENERALCON�.TqRACTOR MAIIAODRESS PHONE LICENSENO. <br /> J.1�7�.Q .*.�i�'.:GJ <br /> MECHANICALCONTRACTOR MAIL A�DRESS PHONE I.ICENSE NO. <br /> PLVMDING CONTFACTOR MAIL ADURESS PHONC IICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASS OF WpRK � <br /> z <br /> �BUILDING �PWM�ING �MECHANICAL F- <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR � <br /> VALUATION OF WORK � <br /> S 2('� ❑DEMOLISIi ❑FENCE �SIGN ❑SWIMMING POOL � <br /> DESCRIBE WORK p� ^/�/��7 <br /> 4� ♦� �..y.��-u.,. � V V� <br /> �.�A.u.Ta ��.Y�3a� .. . a:':1 J�'°..O <br /> PROPOSED USE MECHANICAL <br /> LEGALDESCRIPTION Of PROPERTV ISHOW 9EL0\NOR ATTACfi TYPE OF FUEL �OIL ❑GAS ❑LPG. �ELEC. <br /> FOUR COPIESI <br /> LO7 oLOCK—OF NO. TVPE OF E�UIPMENT FEE <br /> AIR COND.UNITS�-H.P. EA. 5 I <br /> REFRIGEFiATION UNITS�-H.P. EA. <br /> OORERS-N.P. EA. I <br /> G1�5 FIFEO A.C. VNITS-TONNAGE EA. <br /> FORCEO I�IF SYSTEMS-�.T.U. M EA. I <br /> JOB ADORE55 �n � r�.�p,� WALL HEATLRS--B.T.U. M <br /> 1[7LV .+'. . . �l �� <br /> UNIT HEATERS-B.T.U. M I <br /> EVAPOR�ITIVE COOLERS <br /> PLUMBING c�orr+es oa•�Eas i <br /> VENTILATION FAN <br /> RANGEHOOO I <br /> AIR HANDLING UNIT- C.F.M. � <br /> NO. TVPE OF FIXTURE OR ITEM FEE — <br /> WATER CLOSET ITOILETI 5 �NCINEPATOR I <br /> DATHTUU I <br /> LAVATORY (WASH BASINI � <br /> SHOWER <br /> KITCHEN SINK& DISP. - SUB TOTAL 5 � <br /> - DISHWASHER PEftMIT 5 <br /> _ Li.UNDR'i iRi�V TOTAI. fEE S <br /> CLOTHESWASHER ' <br /> — THI.^� PERMIT 6ECOMES NUIL ANO VOI� IF WORK OP CONSTRVC� <br /> WATER HEl1TER TION AVTHORIZED IS NOT COM\tENCED WITHIN 120 DAVS, OR IF <br /> UHINAL CONSTRUCTION OR WORK IS SUSPENDEO Ofi ABANDONEO FOR A <br /> � DRINAING FOUNT4IN PEFiI011 OF 120 �AVS AT ANY TIME AFTER WORK IS COMMENCED. <br /> FLOOF-SINK OR UfiNN I HEREF3V CERTIFV TNAT I HAVE REA� AND E%AMINED TNIS AP- <br /> VACUUM1I PREAKEliS �'LICATION AND KNOW TME SAME TO B[ TRUE AN�CORRECT. ALL <br /> FOOF DNA�NS-ftAINIEAOERS P�OVISIONS OF LAWS AND OROINANCES GOVERNING THIS TVPE <br /> OF WOFK WILI BE COMPLIED WITH WHGTHER SPECIFIE� liEREIN <br /> SINK (SERVICE-BAR, ETC.) OFi NOT, THE GliANTING OF A PEfiM1T DO@S NOT PRESUME TO <br /> GNE AUTHORITV TO VIOLATE OR CANCEL TNE PROVISIONS OF <br /> -�-- ANV OTHEP STaTE OR LOCAL lAW NEGULATING CONSTNUCTION <br /> ORTHEPERFORMANCEOFCONSTRUCTION. <br /> S110 TOTAL ' , <br /> PERMIT S <br /> TOTALFEE S ��� �/�. <br /> x tt��IV <br /> SIGNATUREOFCONTRl1CTORORAUTH.AGENT DATE <br /> SIDEVARDSET[3ACK STREETSETOACK REARYARDSETOACKP�ANCHECKNUAIB[R PLANCHECKFEE <br /> FEE RECEIPT NO. <br /> USEZONE �OTAREA VACANTSITE <br /> ❑vES ❑NO FEES VAIUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP UNIOS OWELLING � <br /> I512E OF OLDG. N0.Of STOFIES MAX.00Q LOAD OUILDING 5 M.:rv�W �a �I <br /> PLUMUING � <br /> FIRE 20NF f3A5[A1ENi FIHESPFINKLERS � <br /> Ff�UIFED � <br /> ❑VES ❑NO MECHANICAL I <br /> SPECIAL CONDITIONS: OTHER � <br /> _ I <br /> IPENELTV SEC. 9031a) I <br /> iTOTAL '� � <br /> PERMIT VALIOATION <br /> WHEN PROPERLY VALIDATED(�N THIS SPACE)TMI515 VOVR PERMIT <br /> I <br /> i �PPLiG1T1[INACCCPTEDBY: PL�NSCIIFCKEDOY�. l.PPI10VEDFOfiISSUANCEOY. <br /> � � �� � <br /> � — <br />