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rirc L-r��ror��.��n i <br /> �I =��� ��� CONSTRUCTION everett � <br /> everett PERMIT i <br /> ��,.�A,� �,�H,_. <br /> I FVfPflt.f\Aieihl:l0': <br /> I "`"' °` ""`'``�'���' BUILDING MECHANICAL PLUMBING <br /> I 0t 1�i 1�G:'['.I I <br /> O�YNER Atl�If ADORE55 M^ZIP PHOhH I <br /> uW-Y.NF NW7�12 GlGy � ;f�GY1. 2� ,�'L� <br /> AflC1tITECT OR DESIGNF.R MAIL AODRE55 PHONE LICEHSL NO. ��.��'�� <br /> G�EN.E�RALCO�NT.�ii�A�C�T�O,F� MAILADDR�SS PMONE LICENSENO. <br /> I ME� C�HAN�L ONT�VR CrsTOR �L ADD�R`E$�� � �ON� LICENSE NO. I <br /> � <br /> � VWMBINGCONTRACTOR MAILAODflESS PHONE UCENSENO. � <br /> i W I <br /> m I <br /> ' PCfihllT CLASS OF WORK � i <br /> z <br /> �DUILDING ❑PLUM8ING �M[CHANICAL F- <br /> ❑NEW �A�DITION ❑ALTEflATICN ❑REPAIP � <br /> VALUATION OF WORK [L <br /> 5 `�� ❑�EMOLISH ❑FENCE ❑SIGiJ ❑SWIMMING POOL a <br /> DESCRI6F YJOPK <br /> Cacxr�et 1SrtZiioCe —-�7$9 <br /> vt�u�oseo use <br /> MECHANICAL <br /> LEGHLDESCNIPTIDN OF PR(1PERTY (SHOW BELOW OR ATTACIi TYP[ OF i=UEL �OIL �Gns. ��PG. �E:EC. <br /> FOUR COPIESI <br /> LOr [�LOCK—oF NO. TVPEOFE�UIPMENT FEE <br /> AIR COND. UNITS-H.P. EA. 5 I <br /> REFRIGERl1TIDNUNITS-H.P. EA. �— <br /> -- BOILEftS-H.P. BA. I <br /> Gf�S FIRED A.C. UNITS�-TONNAGE EA. <br /> FOFCED AIR SYSTEMS-B.T.U. M EA. 1 <br /> JDRE55�/W� Wq�L HEATEPS-O.T.V. M <br /> �Y�Y � UNIT IIEATERS-9.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTHESDRVEftS I <br /> —� — VENTILATION FAN <br /> RANGEHO00 _T_ <br /> I f:C. I YPE OF FIXTURE OR ITEfd FEE AIR HANDUNG UNIT- C.F.M. <br /> 1 bVATEfl CLOSET(TOI�FT) y INCINERATOF I <br /> onTHTuo <br /> � <br /> �AVATORY (WASH BASIN) I <br /> SHOWEF <br /> � KITCI{ENSINK& DISP. SU2TOTAL $ <br /> I <br /> DISMWASHER PERMIT 5 <br /> LAUNDRV TFiAV — <br /> TOTNL FEE 5 � <br /> CLOTHES WASHER THIS PERMIi �ECOMES NULL [1ND VOID IF WORK OR CONSTRUC� <br /> WATER HEATER 710N IIVTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, Ofi IF <br /> VPur'4L CONSTRUCTION OR WOPK IS SUSPENOEO Of� ADANDONEO FOP A <br /> � pRINKING FOUNTAIN PEflIOD OF 120 OAVS AT AA�i TIME AFTEfi WOFK IS COMMENCED. <br /> FLOOR-SINK OR DFAIN I HEftEf3Y CERTIFV THAT '. HAVE READ AND [%AMINED THIS AP- <br /> VACUUM 6REAKEFS PLICATION AND KNOW TMe$AME TO �E TRUE ANO CORRECT. ALL <br /> ROOF DPAINS-fiAINLEADERS PROVISIONS OF LAWS ANO OROINANCES GOVERNIN� THIS TVPE <br /> OF WORK WILI BE COMPLIED WITN WHETH[fiSPECIFIED HEFEIN <br /> SINK(SEFVICE-BAH, ETC.1 OF NOT, TNE GRANTING OF A PERA1IT DOES NOT PIlESUM[ TO <br /> GIVE AUTHOflITV TO VIOLATE OR CANCEL TF!E PROVISIONS OF <br /> ANV OTMEfl STME OH LOCAL LAW R[GULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SUBTOTAL <br /> PERMIT 5—� <br /> TOTALFEE $ � <br /> x <br /> SIGNATU9EOFGONTRl1CTOHOqAUTH.AGENT OATE � <br /> Slp[ YARp SETFJACK STR[[T SETpACK REAR VAPDSET�ACK PLAN CHECK NUMpEF PLAN CHECK FEE <br /> FEE RECEIPT Nn. <br /> U::L 70NE LOT AREA VACANT SITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVPF OP CONST. CCUPANCV GPOUP NO.OF DWELLING <br /> VNITS • I <br /> S12E OF fiLOG. NO.OF STORIES MA%.00Q LOAO [3UILUING S�j w � �w <br /> I PLUMBING � — I <br /> FIHEZONE [3ASEMENI' FIRESPqINKLERS I � <br /> FE�UIRED I � <br /> I ❑VES ❑NO MECHANICAL � I <br /> SPECIAL CONDITIONS: pTryEq I I <br /> I � <br /> -- — PENELTY SEC. J031n1 � <br /> 1 <br /> TOTAL �j(,p <br /> I <br /> PERMIT VALIOATION I <br /> WHEN PROP@RLV VALIOAtEO IIN THIS SPACFI THiS 15 VOUR P[Hh111� <br /> I <br /> 4PPlICnT10NACC[Vi[DOV. PLNNSCHCCNEOBY. APPPOVEOfORISSUANClOY I <br /> I <br /> p - • <br /> .�.•• � �.•l � • � � <br /> I _� � <br />