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� <br /> u,�, c���������,:�n <br /> ���Y �� CONSTRUCTION everett i <br /> everett PERMIT <br /> CIiY NALL t5990.95 <br /> FVEPETi.ClASIIINfiION <br /> 99f01 <br /> °F�' °`�°""°"„° gUILDING MECHANICAL PLUMBING <br /> OEVELOP�AENT <br /> OWNF.R MAILADDFE55 ZIV PHONE <br /> 1: �.^fT^ aa 'r '1 ^��ol_Y:�'.� J!�� . <br /> ARCHITECT OR DESIGNER MAIL ADORESS PHONE ��IICENSE NO. <br /> GENEFALCONTRACTOR MAILAODRESS PHONE LICENSENO. <br /> ��u..i . ..._.__.... ..........r, <br /> �:i � �� . � <br /> MECHANICALCONTRACTOft MAILADDRE55 PHONE LICENSENO. <br /> � � <br /> PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICEM1SE NO. W <br /> m <br /> PERMIT CLA55OF WOFK � <br /> z <br /> �BVILDING ❑ PLUMBING ❑MECHl�NICAL f' <br /> ❑NEW ❑ADDITION ❑A�TERATIVN ❑REPAIii � <br /> VAWATION OF WORK �r � <br /> 5 Q-�C,��1 ❑OEMOLISH L;7FENCE ❑SIGN ❑SWIMMING POOL � <br /> a <br /> DESCRIBE WORK ��� ^ <br /> ��'' . ... '.- �'I ..-. . _,. �� v <br /> PFOPO�ED USE <br /> MECHANICAL <br /> LEGAL DES:RIPTION OP PROPEftTY ISHOW 6ELOW OP ATTACH TYPE OF FUEL �OIL ❑Gn5 �LPG. �LLEC. <br /> FOV R COPIES� <br /> r n. �+..t.w��iavi!rtL fC� <br /> LOT ��„''=�6�OCK�oF '-"`�"^3 •� ��' NO. TVPEOF EDUIPMENT FEE <br /> AIR COND. UNITS-H.P. EA. 5 I <br /> REFRIGERATION VNITS-H.P. EA. <br /> BOLLEFS--H.P. EA. I <br /> GAS FIRED A.C. UNITS-TONNAoE EA. <br /> FOFCED AIR SYSTEMS-B.T.U. M EA. I <br /> J06 AODRESS WALL HEATERS-�.T.U. M <br /> �J'� '���' " UMT HEATERS-B.T.U. M I <br /> EVAPORATIVECOOLEPS <br /> PLUMBING CLOTHES DRVERS I <br /> VENTILATION FAN <br /> flANGEH00� � <br /> NO. TVPE OF FIXTURE OR ITEM FEE AIR HANDLING UNIT- 0.F.M. <br /> WATERCLOSETITOILET) � INCINERATOR I <br /> 6ATHTUB <br /> LAVATORY(WASH BASINI � <br /> SHOWEfi <br /> KITCHEN SINK& DISP. ::UB TOTAL 5 I <br /> �ISIiWA511ER I'ERMIT 5 <br /> LAUNDRY TPAV iOTALFEE $ � <br /> CLOTHES WASHER THIS PERMIT AECOMES NULL AMD VOID IF WORK OR CONSTRUC� <br /> VlATER HEATER �_ TION AUTHORIZED IS NOT COMIAENCED WITHIN 120 DAVS, OF IP <br /> URINAL CONSTRUCTION OR WOFK IS SUSPENOE� OR A[3ANOONED FOR A <br /> DRINKING FOUNTAIN PERIOU OF 120 �AVS AT ANV TIME l�FTEF WOfiK IS COMMENCED. <br /> FLOOR-SINK OR DRAIN � HEREFiY CERTIFY 711AT I HAVE READ AND EXAMINED THIS AP� <br /> VACUUM �REAKERS PLICATION AN� KNOW THE SAME TO OE TRUE ANO CORFECT. ALL <br /> PFOVISIONS OF LAVJS AND ORDINANCES GOVEHNING THIS TVPE <br /> ROOF DRAINS-RAINLEADERS OP WORK lh'ILl BE COMPIIED WITH WHETHEF SPECIFIED HEREIN <br /> SINK (SERVICE-BAR, ETC.) OR NOT, THE GRI�NTING OF n PERMIT DOES NOT PRESUME TO <br /> GNE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTHER STATF OR LOCA� LAN' REGULATING CONSTfiUCT10N <br /> OR THE PEftFOFMANCE OF CONSTRUCTION. <br /> SUB TOTAL <br /> PERMIT 5 <br /> TOTALFEE <br /> X 2y��✓?? <br /> SIGNATUREOPCONTRACTORORAUTH.AGENT DATE <br /> SIDE VAFO SETdACK STREET SETBACK FEAF VAR�SFTBACY: PLAN CHECK NUM6EFi PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE 20NE �OT AREA VACANT SITE <br /> ❑YES ❑No FEES VALUATION FEE <br /> I iVPG OF CONST. OCCUPANCV GROVP uN.'OS OWELLING <br /> I <br /> SIZEOF6LDG. NO.OFSTORIES MAX.00QLOAD BUILOING 5 c[v}� ��W <br /> I PLUMBING � <br /> FIFEZONE E3ASEMENT RC�UIREDKLERS � <br /> i ❑VES ❑NO MECHANICAL I <br /> SPECIl�L CONDITIONS: OTHER � <br /> I <br /> PENELTY SEC. 303(a� � <br /> TOTAL �ICXI <br /> PERMIT VALIDATION <br /> WHEN PROPGRLV VALIDI�TED (IN "i HIS SPl�CE) THIS IS YOUF PERMIT <br /> ;a`PIJt'nilONI+CC[PTEDIIV�. PLANSCH[CKEDBY: �PPROV[DFOAISSU�NCEBY. <br /> ?• �• <br /> � I <br />