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(i1:' .._ �:lf... <br /> ��T� o� CONSTRUCTION everett <br /> everett PERMIT <br /> �,r.,,a�. �s�:�, � <br /> [VkPf11.OdSu4Li0'1 <br /> 9AI01 <br /> °F°' °°�°N''°��� BUILDING MECHANICAL PLUMBING <br /> o�vciovu[vr <br /> OWNER �it�� MAIL ADDRESS ZIP PHONE ! .,E <br /> �',�+���`.�� �:4�.�'. c7i,:J .. . .... `: 0.4!'.♦ ��� 4��i V <br /> ARGHITECT OR DESIGNEq MAIL AODRESS PHONE LICENSE NO. <br /> GENERALCONTRACTOR MAILADDRE55 PHONE LICENS' NO. <br /> •,1�Si`� ���.i.l��i�7 S.^,'.Tj('I'. � . � (� - �, � r � <br /> MECHANICALCONTRACTOR MAIL AUDRE55 PHONE LICENSE NO. <br /> PLUMBING CONTRACTOR MAIL ADDflE55 PHONE LICENSE NO. � <br /> W <br /> m <br /> � <br /> PERMIT CLASS OF WORK � <br /> z <br /> �6VILOING ❑ PLUMBING ❑MECHANICAL ~ <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR � <br /> VAWATION OF W�'lRK ,�[ � <br /> �^!«f� ❑DEA90LISN QFENCE ❑SIGN ❑SWIA1M111NG POOL W <br /> 5 a <br /> OESCRI�E WORK C <br /> CSfiPQT`'Z'S �iA F.'"'"Y.Y' ':: ..' N^ 5.9''t}I►Lt, 4'i r,.�BL:si' F��; a`"� d 9� <br /> PROPOSED USE MECHANICAL <br /> LEGAL OESCRIPTION OF PROPERTV ISHOW BELOW OR ATTl1CH TYPE OF FUEL �OIL �GAAS. �LPG. �ELEC. <br /> FO V R COPI E51 <br /> LO7 oLOCK—OF NO. TYPE OF EOUIPMENT FEE <br /> AIR COND. UNITS-H.P. EA. 5 � <br /> �r,�.-ri� t�R�t1C� ���fn. k' REFRIGERl�TION UNITS-H.P. EA. <br /> •• * W "7�/7 BOREPS-H.P. EA. 1 <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> f-OftCED AIF SVSTEMS-B.T.U. M EA. I <br /> JOO A�DREDS WALL HEATERS-U.T.U. M <br /> 29I„5 r�+- -"R: RLt_'• <br /> UNIT HEATERS-B.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTHESDRVERS I <br /> VENTILATION FAN <br /> RI.NGE MO00 � <br /> NO. T'PE OF FIXTURE OR ITEM FEE �+IR /IANDIING UNIT- C.F.M. <br /> WATEfl CLOSETITOILETI g INCINERATOR I <br /> 6ATHTUB <br /> LAVATORV I1NAtifi BASIN) � <br /> SHOWER <br /> KITCHENSINKF. �IS!'. SUBTOTAL S � <br /> OISHWASNEH PERMIT S —� <br /> — I <br /> LAUNOFYTRA� TOTALFFE 5 I <br /> CLOTN[S WnSHEfi THIS PEFMIT �ECOM17ES NULL ANO VO10 IF WORK OF CONSTRUG <br /> WATER HEAT@R TION AUTIIORIZED IS NOT COMMENCED WITHIN 120 DAYS, OF IF <br /> URINAL CONSTRUCTIpN OR WORK IS SUSPENOED OR AOANDONED FOR A <br /> ❑pINKING FOUNTAIN ' PERIOD OF 120 OAVS AT ANY TIME AFTER WOFK IS COMMENCED. <br /> F{.C10R-SINK OR ORAW �— � HEREBV CERTIFV THAT 1 Hl�VE READ AN� E%1�h11NED THIS AP� <br /> V�1t'UUM �REAKFRS PLICATION AND KNOW THE SAME TO[3E TRUE ANO CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVEFNIN� THIS TVPE <br /> RGuF Df1AIN5-FNNLEAOERS OP WORK WILL �E COMPLIED WITN WNETHER SPECIPIED HEPEIN <br /> SINK ISERVICE-[3AR. ETC.) OR NOT, THE GRANTING OF A PEflMI l' DOES NOT PqESUME TO <br /> GIVE AUTHOFITY TO VIOLATE OR CANC[L THE PROVISipNS OF <br /> — ANV OTHER STATE OR LOCAL LAW REGVLATING CONSTRUCTION <br /> OR THE PERFOFMANCL OF CONSTRUCTION. <br /> SUOTOTAL <br /> PERMIT 5 <br /> TOTALFEE 3 <br /> x Ct' �,u t:�'rtiiG <br /> SICNITUREOPCONiRACTORORAUTH.AGEN� OATE <br /> SIDE Yl�RO SETDACK STREET SETUACK REAF VARDSET�ACK PLAN CHECK NUM1I�ER PLAN CHECK FEE <br /> FEE FECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YE5 ❑NO FEES VALUATION FEE <br /> T'!PE OF CONST. OCCUPANCV i+ROVP NO.OF OWELLING � <br /> UNITS <br /> SIZE OF 9LDG. NO.OF STORIES MA%.OCC. LOAD BUILOING 5 �� 5j ,� <br /> � PLUMBING � <br /> FIREZONE DASEMENT FIRESPRINKLERS <br /> RFQUIFED � <br /> ❑YES ❑NO MECHANICAL I <br /> SPECIAL CONDITIONS: OTHER I <br /> I <br /> PENELTY SEC.7071a1 � <br /> I <br /> TOTAL I j <br /> PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED (IN THIS SPACC)THIS IS YOUR PERMIT <br /> APVIICAiI@IACCCPTF�NY PIAN±CNECKE08Y' IPPNOVEf1i0RI5511A'iCCOY. <br /> w• Q� <br /> I a <br />