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I (llL' EVC(lJICGI �` <br /> \ <br /> =�T� oF CONSTRUCTION everett <br /> everett PERMIT � <br /> GiY NAIL 2590285 <br /> IV(N[li,NASIIIHGION <br /> 9P101 <br /> °`°' °oE�";o;ME„; BUILDING MECHANICAL PLUMBING <br /> OWNER MAIL AODRE55 ZIP PHltNF <br /> �ac�: in cn� �nx 210G Lvarett Ava 9?7-77 <br /> ARCHITECT OR DESIGNEFi MAIL AODRESS i`NONE LICENSE NO. <br /> GENER4LCONTfi/�CTOR MAILADDRESS PIiONC IICEN5EN0. <br /> F'roatiEr St n Co. P.O. Rox 111U2 Taccrae 93Ai1 <br /> MECHANICAL CONTRAC7�OR MAIL A�DRE55 PHONE LICENSE NO. <br /> PLUMUING CONTFACTOR MAIL ADDRESS PHONE LICENSE NO. � <br /> W <br /> m <br /> PEflM1T CLASS OF WORK � <br /> z <br /> ❑ DUILOING �PLUMOING �MECHANICAL F <br /> ❑NEW ❑A�DITION ❑ALTERATION ❑REPAIR � <br /> VALUATION OP WOflK <br /> 5 ��� n�a ❑DEMOLISH ❑FENCE �SIGN ❑SWIMMING POOL W <br /> DESCRIBE WORK — a <br /> er*sct aiyn 2790 <br /> PROPOSED USE ' <br /> MECHANICAL <br /> rvPEorFue� paC �NAT. �LPG. �EIEC. <br /> LEGAL DESCRIPTION OF PROPERTV ISHOW BELUW OR ATTACH GAS <br /> FOUR COPIE51 <br /> Lo7 oLOCK_oF . NO. TVPE OF E�UIPMENT FEE <br /> Alli CON�. UNITS-N.P. E/1. S I <br /> 9EFRIG[fiAT10N UNITS-H.P. EA. <br /> 301LER5-N8. EA, � <br /> GAS FIRED A.C. VNITS-TONNAGE EA. <br /> FORCED AIR SVSTEMS-�.T.U. M EA. I <br /> J06 AD�RE55 WALL IIEATERS-O.T.U. ' I <br /> x104 'varett L���E1��S4 UNIT HEIITGFS-�.T.U. M I <br /> EVAPORATNE COOLERS <br /> PLUMBING CLOTHESDRVERS <br /> i <br /> VENTII.I�TION fqN <br /> ftANGEHOOD � <br /> NO. TVPE OF FIXTURE OR ITEM FEE AIR IiANDLING UNIT- C.F.A1. <br /> WATER CLOSET ITOILET) § �NCINER:TOR � <br /> BATHTUO --�— <br /> � LAVATORY IWASH OASINI � <br /> SHOWFR <br /> KITCHEN SINK ft DISP. SUU TOTAL 5 � <br /> OISHWASIIER PERMIT 5 <br /> LAUNDRI' TFAV <br /> CLOTHES WASIIER TOTAL FEE S I <br /> WATF.R IIEATER THIS PERMIT BECOMES NIJLL ANO VOID IF WORK OR CONSTRUC� <br /> TION AVTIIORIZED IS NOi COMMENCED WITIiIN 120 DAVS, OR IF <br /> VRINAL CONSTRUCTION OR WORK IS SUSPEN�ED OR A�l�NOONEO FOR A <br /> DRINI:ING FOUNTAIN PERIOD OF 120 DAV^, M ANV TIME AFTER WORK IS COMMENI'ED. <br /> FLOO(i-SINK OH �RAIN ~ I VIEREAV CERTIFV THAT I HAVE REA� AND E%AMINED TII15 AP� <br /> VACUU�1 fiREAKERS N�ICATION AND KNOW THE SAME TO ESE TflUE AND COR(iECT. ALL <br /> ROOF ORAINS-RAWLEADERS PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK VlILL BE COMPLIEO WITH WHETIiER SPECIFIED FIEREIN <br /> SINK ISERVIC[-OAR, ETI:.) OR NOT, T11E GRANTING OF A PEHMIT DOES NOT PRESUME TO <br /> GIVE AUTIiORITV TO VIOLATE OF CANCEL TI1E PROVISIONS OF <br /> ANV pTHER STATE Op LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERf-ORAAANCE OF CONSTRUCTION. <br /> SUBTOTAL <br /> PERMIT S <br /> TOTALFEE 5 � Ch¢cF. 1123 E���f77 <br /> x <br /> SIGNATURECFCONTR�ICTORORAUTH.AGENT OATE <br /> SIDEVARDSETOACK STREETSET�ACK REARYARDSETBACKPLANCMECKNUMOER PLANCHECKFEE <br /> FEE qECEIPT NO. <br /> USE 20NE LOT AREA VACANT SITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING <br /> UNITS � <br /> SIZE OF OLOG. NO.Of STORIES MAX.00C. LOAD OUILOING 5 'QQQ�0� S� �O <br /> PLUMUING 1 <br /> FIRE70NE �ASEMENT FIRESPRINKLERS <br /> RCOUIRED <br /> ❑VES ❑NO MECHANICAL � <br /> SPECIAL CONDITIONS: OTHER � <br /> I <br /> PEN[LTV SEC. J09 Lil I <br /> TOTAL S� C�!1 <br /> PERMIT VAIIDATION <br /> — 1VHGN PROPERLY VALI�ATED(IN iHI55PAC[)TliIS IS VOUR PERMIT <br /> 1 IAI'PV[OTIONALLCViCDOV�. PIAN[[uF�vCnnT+.^• noonnv[nsj..wai..��rov I� <br /> l L. <br /> � <br /> m <br />