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� the EvR[yrBell <br /> CITYOF CONSTRUCTIi�N everett <br /> everett PERMIT <br /> , <br /> LItY NnLI ISI8535 <br /> EVEIIE�i,lYh$Ili!Illifl'J <br /> pdIDl <br /> °E°' °` °°'",°'�^° BUILDING MECHANICAL PLUMBING <br /> uEv[iovn+Ei�t <br /> OWNER MAILADDH[SS ZIP F;�ONE <br /> `'t�i3�.0 i:i�,r? .•.s �^iiG�. <br /> . . .e �:.'7.. � �t�,'� �,^F. <br /> ARCMITECT OR OESIGNEF MAIL ADDRES; PHONE LICENSE NO. <br /> C]fi.� <br /> GENERALCONTFACTOR MAILADDRESS PHONE LICENSENO. <br /> MECHANICALCONTRACTOR MAILAODRE55 �HONE LICENSENO. <br /> PLUMBING CONTRACTOR MAIL AODRESS PHONE LICENSE NO. � <br /> W <br /> m • <br /> PERMIT CLASS OF WORK � <br /> z <br /> �UILOING � PLUM8ING �MECHANICAL F�' <br /> ❑NEW ❑ADDITIOM �ALTERATION ❑REPAIR � <br /> VALUATION OF WORK � <br /> S �lN�ft /� ❑OEMOLISfi ❑fENCE ❑SIGN ❑SWIMMING POOL a <br /> tJ•s�Jy <br /> DESCRIB[WORK <br /> wv-T 'eRzs��s ,: �a�;+�r `�as� 2 3�6 <br /> PROPOSED USE MECHANICAL <br /> TVP[ O�= FUEL �OIL �NAT. �LPG. �ELEC. <br /> LEGAL�ESCRIPTION OF PROPERTV ISHOW BELOW OR ATTACH Gl�S <br /> FOUF COPIE51 <br /> LOT BLCLK—oF NO. TY'PE OF E�UIPMENT FEE <br /> AIR CON�. UNITS-H.P. EA. 5 I <br /> i.V � �!!� /,i � "l T� � �' � �; �� REFRIG[RATION UNITS-H.P. EA. <br /> �OILERS-N.P. EA. I <br /> ��_ t„��� T��. �� G4S FIRED f�.C. VNITS-TONNAGE EA. <br /> t FORCED AIFi SVSTEMS-�.T.U. M EA. I <br /> JOD ADOyFE55 WALL HEl�TERS-B.T.U. M <br /> �ijy� �� UNIT HEATEFS-B.T.U. M � <br /> � EVAPOFATIVECOOLERS <br /> PLUMBING CLOTHES DRYERS I <br /> VENTILATION FAN <br /> RANGEHOOD I <br /> NO. TYPF.OF FIXTURE OR ITEM FEE �11fl HAN�LING UNIT- C.F.M. <br /> WATERCLOSETITOILETI g — INCINE�".70R I . <br /> �ATHTUU � <br /> LAVATORV(VlASH BASIN) � � <br /> SHOWER <br /> KITCIiEN SINK& OISP. SUfI TOTAL 5 I <br /> �ISHWASHER PERMIT 5 <br /> LAIiNDRVTRA�' TOTALFEE 5 I <br /> CLOTHES WASHER TNIS PEflMIT 6EC01AES NULL AND VOID IF WORK O(i CONSTRUG <br /> WATER HEATER TION AUTHORIZEO IS NOT COMMENC[O 6VITHIN 120 DAVS, OR IF <br /> URINAL CONSTRUCTION OR WOflK IS SUSPENDED OR A�AN�ONED FOR A <br /> �RINKING FOUNTAIN PERIOO OF 120 DAVS AT ANV TIME AFTER WORK IS COMMEf�CEO. <br /> FLOOH-SWK OR DRAIN � HEREBV CERTIFY TNAT I HAVE READ AND E%AMINED THIS AP� <br /> VACUUM �flEAKERS —� NLIC/1TION AND KNOW THE SAME TO 9L TRUE AND CORFECT. ALL <br /> ROOF ORAINS-RAINLEADERS P�OVISIONS OF LAWS AN� OFiOINANCES GOVERNING TNIS TVPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SP[CIFIED HEREIM <br /> SINY. ISERVICE-�AF, ETC.) OR VOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO <br /> — GIVF AUTHORITY TO VIULATE OR CANCEL THE PROVISIONS OF <br /> - AN`. OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFOFMANCE OF CONSTRUCTION. <br /> $UBTOTAL <br /> PERMIT S � <br /> TOTALFEE $ i �f?fA._"�`� <br /> v�i„ <br /> x <br /> SIGNATUREOf-GONTfiI�CTORORAUTH.AGENT DATE <br /> SIDE VAqD SETOACK STREET SET�ACK REAR VARDSET6ACK PIAN CHECK NUMOER PLAN CHECK FEE <br /> FEE fiECEIPT NO. <br /> USE 20NE LOT AREA VACANT SITE <br /> ❑VES ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING <br /> VNITS � <br /> SIZE OF BLOG. NO.OF STORIES MnX.OCC. IOAD �UIIDING �!,� �µ�j � <br /> - PLUMBING � <br /> I �FIRE20NE B/15EMENT FIRESPqINKLERS <br /> � Rf�UIREU <br /> ❑VES ❑NO MECHAGICAL I <br /> SPECIAL CONDITIONS� OTHER � <br /> I <br /> - PENELTY SEC. 3031a1 � <br /> I <br /> TOTAI. �I � <br /> � PEqMITVALIDATION <br /> WNEN PROPERLV V ALIDATED 1 W THIS SPACEI THIS IS VOUR PEFM1!IT <br /> ;.�i'llf.:i1011a�._Ixl{ul�r PLANSLHECKEOBY: ACPpOVEpFOPI55UPNCCOY. <br /> �V <br /> � � <br />