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!hC Ever9rnCn � <br /> ��r� �� CONSTRUCTION everett <br /> everett PERMiT i <br /> CIiY pFLI }59AAA5 <br /> NENETi,WdSNIN4TON <br /> ?8291 <br /> °", °"°"':�°'°'° BUILDING MECHANICAL PLUMBING <br /> ccvnnv.�e�r <br /> OWNER MAILAODqE55 ZIP PHONE <br /> - - t.;�,,,.,_ <br /> ARCHITECTOR�DESIGNER MAILADORESS PHONE LICENS[ �O. <br /> GENERALCONTf1ACTOF MAILADDRE55 ��y P��MOyNE� LICENSENO. <br /> '• �i�..� L'1r� 3� J/'�Jt�'GI:� <br /> MECHANICALCONTRACTOR MAILADDRESS PHONE LICENSENO. � <br /> PLUM0ING CONTRACTOP MAIL AD�RES$ PHONE LICENSE NO. � I <br /> W <br /> m ' <br /> PEFMIT CLASS OF WOftK � <br /> z <br /> �BUILDING � PLUMBING ❑MECHl�NICAL �- <br /> ❑NEW ❑PDDITION [�ALTERATION ❑R[PAIH � <br /> Vl�LVATION OF WORK � <br /> S �� ❑DEYlOLISH []FENCE ❑SIGN ❑SWIh1MING POOL � <br /> DESCRIBH WORK 7 <br /> f.IiA��s 1l'.1.� � ... � . � . � ' � . ...1.�. . .. . �. ��L �� 1 � <br /> PROPqSEO USE <br /> ns�;iinNica� <br /> l[GAL UESCRIPTIONOf- PqOPERT'" (SHOW BELOVJ OH ATTACH TYPE OF FUEL �OIL ❑Grt5 ❑LPG. �ELEC. <br /> FOUF GUPI�SI <br /> LOT -�'�—'��� nLOCK�OP ~'�^�? ' ' '�• `� NO. TVPE OF EQUIPMENI" FEE <br /> �AIF COND. UNITS-H.P. EA. $ I <br /> REFRIGERATION UNITS-H.P. EA. <br /> CiO1LER5-H.P. EA. � <br /> GAS FIRED A.C. UNITS-TONNAGE EA. � <br /> FORCEO AIR SVSTEMS-B.T.U. M EA. I <br /> JOB ADDRE55 ���y n WALL FIEATERS-BS.U. M <br /> CiyiA V�:� +•�^�s{ UNITHEATERS-B.I.U. M I <br /> PLUMBING EVAPOaATIVECOOIERS <br /> CLOTHESDFYERS I <br /> VENTILATION FAN <br /> RANGEIi00D I <br /> NO. TYPE OF FIXTURE OR ITEM FEE __ A�R HANOLING UNIT- C.F.M, _� <br /> YJATERCLOSGTITOILET) g IWCINERATOR � <br /> pATHTU� + <br /> LAVATORVIWASN �ASIN) — I � <br /> SHOWER <br /> KIT(;li[N�INK& DISP. � SVBTO'i L 5 � <br /> OISHWASHGR PERMIT 5 <br /> LAUNDFV TRAV TOTALFEE 5 � <br /> CLOTHES WASHER THIS PERMIT BECOMES NULL AND VOI� IF WOf1K OFl CONSTRUC- <br /> WtITER HEATER . TION AUTHJRIZ[p IS NOT COMMENCE� WITHIN 120 DAYS, OR IF <br /> URINl�L CONSTRUCTION OR WORK IS SUSPENDED OR A[tANDONED FOR A <br /> UHINKING FOUNTAIN — �ERIOO OP 120 DAYS AT ANY TIME AFTER VJORK IS COMMENCED. <br /> FLUOR-SINK Ofi URAIN I HEREBV CEflTIFV THAT I HAVE REAfI AND E%AMINED THIS AP <br /> VACUUht F3qEnKERS P�ICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT. A�� <br /> ROUf Df1lUN5-FAINI.EADERS P�OVISIONS OF LI�WS ANO ORDINANCES GOVEP.NING THIS TVPE <br /> — OF WORK WILL HE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> SINK 1iERV10[-linR, ETC.) �— OR NOT, THE GRANTING Of- A PERMIT DOES NOT PRESUME lU <br /> GIVE AUTIiOflITY TO VIOIATE OR CANCEL THF PiiCVISIONS OF <br /> AIJV OTHER STATE OR LOCAL LAW REGULATING CONSTl�UCTION <br /> OF THE PENFOFMANCE OF CONSTRUCTION. <br /> I _ -- SU6 TOTAL__ I <br /> PERMIT 5 { <br /> � __ TOTl�L f-EE _ 5 i <br /> x -514� <br /> SIGNATUREUFCONTFAGTORORAUTH.AGENT DA E <br /> SIOE VARD SETFiACK SifiEFT 5[T�ACi; fi[Aq Yr�ROSETF3ACK PIAN CHECK NUMBER PLAN CHECK PEE <br /> FEE flECEIPi NO. <br /> USE ZONE LOT AFEA VACANI'SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF I�WELLING <br /> VNIT's I <br /> _1— — <br /> SI2E OF 6LDG. NO.OF STOFIES MA;(.00C. LOAD �VILDING $ ��� GI O? <br /> PI.UM�ING � - I <br /> FIPEZONL �ASEMLNT FIRESPqINKLEFS I <br /> RE(]UIRBD I I <br /> ❑YES ❑NO h7EC/1ANICAL � <br /> SPECIAL CONOITIONS: OTHER � I <br /> - — — PENELTY SEC.3031a1 I <br /> TOTAL � <br /> e.�cm <br /> PERMIT VALIDATION <br /> — WH[N PROP[RlV VALIDATED (IN TY.IS SPACEI THIS IS VOUR P[fiMll <br /> P�PLICAIIONPCCCVTEpBY' �L�:.'SCIIfO:lD[IV PI'ptlOVCD�OR155UANCE�Y. <br /> �. G <br /> �� i <br />