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i <br />1hr F.�i�r,a„rn <br />C�TY Of <br />everett <br />LIIY II�LI t59tlAiM <br />fVLNEiI.I'.4VIIAGiOY <br />JJLI <br />IifPI �! 1'�'.':',ll':IiY <br />uEetiorv.en <br />BUILDING <br />rONSTFCUCTION <br />PERMIT <br />MECHANICAL FLUMBING <br />everett <br />OWNEH MAILADDFE55 ZIP PHONE <br />I;;�:: o2'L�s3 .. � -, <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />�"S� "�' 'F'3�°b�.... <br />raW� <br />GENERALCONTRACTOR MAILADDRE55 PHONE ��CENSENO. <br />,7�.r1; C',:.I'f"1�+ 2�9.di3'� <br />MECHl1NICALCONTRACTOR MAILADDRESS PHONE LICENSENO. <br />PLUM1iBING CONTRACTOR MAIL ADDFESS PHONE LICENSE NO. � <br />S1J <br />m <br />� <br />PEFMIT CLl�SS OF WORK � <br />e z <br />�'J 6UILOING � PLUMBING � MECHANICAL � F- <br />❑NEW ❑ADDITION ❑ALTEPATION ❑RGPAIR � <br />VALUATION OF WORK [t <br />SZa'�`Ni�'i ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br />DESCRIBE WOPK <br />«:s: �-. _..... _ . :. 215 U <br />vaoaoseo use MECHANICAL <br />�'C�• <br />LEGAL OESCFIPTION OI' PRpi'ERTV �SHOW 6ELOW OR ATTACH iVPE OF FUEL �OIL �G'T. �LPG. �ELEC. <br />FOUfl 60PIE;1 r. _ <br />�•:' ���� Qi ����� `•��9� NO. TVPE OF EQUIPMENT fEE <br />LOT EILOCK—OF_ <br />AIP CONO. VNITS-H.P. EA. S I <br />REFRIGERATION UNITS-H.P. EA. �— <br />�OILERS H.P. EA. I <br />GAS FIREfJl�.C. UNITS-TONNAGE EA. <br />FORCED AIR SVSTEMS-B.T.U. M EA. 1 <br />JOI3 ADD}1E55 WALL HEAT[HS-ft.T.U. M <br />�,�jiT;i tT� �J_?'YL,t(�'j UNIT HEATEPS-6.T.U. M I <br />EVAPORATIVECOOLERS <br />PLUMBING CLOTHES DflYERS IL.V <br />VENTILATION FAN <br />RANGEHOOD I <br />Np. TVPE OF FIX7URE OR ITEM F E AIR HANDLING UNIT— C.F.M. <br />WATEF CLOSET ITOILETI 5 INCINERATOR I <br />1— <br />BATHTUB <br />LA\%ATORY�WASH BASIN) I <br />51iOWER <br />KItCHEN SINK & DISP. SU6 TOTAL 5 ��� <br />UISHWASHER PEHMIT 5 <br />LAUNDf1Y TRAV _ TOTAL FEE 5 Iv� <br />_ CLOI HES WASHER THIS PERMIT pECOMES NULI AN� VOID IF WOFiK OH CONSTRUG <br />NJATEH HEATEF TION AUTHORIZEO IS NOT COM1IMENCED WITHIN 120 pAY$, OR IF <br />VFINAL CON3TRUCiION OR WORK IS SUSPENOED OR A6ANDONED FOR A <br />DRINKING FOUNTAIN �ERIOD OF 120 DAVS AT ANV TIM[ AFTER WOqK IS COM1IMENCED. <br />FLOOR-SINK OF DRAIN � HERE9V CERTIFY THAT I HAVE fiEAD AND EXAMINED THIS AP- <br />VACUU�vI RftEAKERS PLICf�TION AND KNOW THE SAME TO �E TRUE AND COftflECT. ALL <br />PROVISIONS OF LAWS AND ORDWANCES GOVERNING THIS TYPE <br />ROOF DRAINS-RAWLEAOERS CF WORK WILL BE COA9PLIE0 WITH \NHETH[R SPECIFIED HEREIN <br />SINK ISERVICE-'dAR, LTC.) OH NOT, THE GRANTING OF A PERR7IT DOES NOT PRESUME TO <br />— GIVF AVTHOfiITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANV Ol'HER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />?,i1� OFl THE PERFOFMANCE OF COOISTRUCTION. <br />SUB TOTAL �1V <br />PERMIT 5 <br />_ TOTAL FEE _5 ; � ��M�yi i <br />�X �c �. �� ,i ^. � � -ri ...: .,�" L� <br />SIGFTATUREOFCONTRACTORORI�UTH.AGENT DATE <br />SIO[VAH�SETOACK STfiELTSET6ACK REAflYARO5ET6ACKPLANCHECKNUAIOEP PLANCHECKFEE <br />��� j� FEE ��� RECEIP���.��' <br />USE 20NE LOT AREA VACANT SITE <br />❑vE5 ❑No FE:S VALUATION FEE <br />TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING <br />VNITS I <br />SIZE OF BL�G. NO.OF STORIES MAX.000. L9AD 6UILDING 5�5��� � � � <br />PLUM1i81N:i �'� � <br />FIREZONE 6ASEMENT FIRESPRINKLERS � <br />RfOUI(iEU <br />❑VES ❑NO MECHANICAL 9 I �� <br />I <br />SPECIAL CONUITIONS. OTHER � <br />1 <br />--- PENEL'tY SEC.3031a) � <br />' TOTAL �jQ j � <br />PERMIT VALIDATION <br />tNH[N PROP[RLV VALi�ATGO IIN THISSPACE) THIS IS YOUR PERMIT <br />APPIICFiIONPLLEPiE00P PLANSGHECNLL)OV IliPPiiOVGUiO{IISSUAl10E9T <br />