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�'„' E�:","��'�.° CONSTR UCTION <br /> ��„ �, everett <br /> everett PERMIT <br /> C�T V HAI.I. ?S9 N]SS <br /> Evea�rr, v;,� oaz.,i COMBINATION • BUILDING • NihICHANICAL • PLUMBING <br /> OWNER <br /> '.1AIL AODRESS LtP FHONf: <br /> �1.v,�d Sa�e �c;0 Ifeather Razd 9c7203 259 3�t3� m <br /> nRCMRECT Ofi D[SIGNGR - tAiL ADORESS 19�UNL � <br /> LICLbl;L NO. 3 <br /> GENERALCONTRACIOR MAILADORESS PHONE � <br /> S�lle LICENSE N(). z <br /> MECHANICAL CONTRACTOR MAIL ADDRE55 PHONE UCENSE NQ � <br /> W <br /> PLUMpING CONTRIICTOR m <br /> MAILAD�RESS PHONE LICENSE NO. � <br /> PERMIT CLASSOf-WORK <br /> ❑COMBINATION � � <br /> ❑6WLDING �PLUM8ING �MECHANICAL t� <br /> g,�NEW ❑l1DDITION ❑l�LTERATION ❑RLYt�IR <br /> VALUATIpN OF WORK <br /> 5 ❑[JfMOLISH ❑FENCE �SIGN ❑SWIMMING POOL <br /> DESCRIpE WORK - ---- <br /> 27 I4�7 FU;u1P:C? <br /> PROPOSED USE <br /> MECHANICAL <br /> LEGALDESCflIPT10NOi� PROPERTV �SHOWf3ELOWORATTACH TVVEOFENEqGY <br /> FOURCOPIESI ❑GAS ❑ELEC. <br /> Lorl�=��2 s�ocK—Or.. N�• TVPE OF E�UIPMEN7 FEE <br /> AIR COND. UNITS-H.P. EA 5 I <br /> REFRIGEqI�TION UNITS-H.P. EA. <br /> — [301LEFS I/.P. [A. � <br /> _�. FORCED AIR SVSTEMS--FI.T.U. MEA. � <br /> JO� ADDRESS ( --- - — � - <br /> 3VO tII1.T}IL'I{ SFACE & WALL HEATERS - B.T.U. <br /> UNIT IiEATERS B.T.U. � <br /> PLUMBING _�Evnvo�vn=ivE coo�ens <br /> CLOTMESORYER$ � <br /> VENTILATION FI1N �— <br /> R�1NGE HOO� � <br /> NO. TYPE OF FIXTURE OR ITEM FEE Alfi NANOLING UNIT- C.P.M. <br /> BATH TUBS g -- <br /> CLOTHES WASHER i — _—_ I <br /> DISIi WPSHEflS WATER HEATER <br /> t <br /> DflINKING FpUNTAINS —� �nC. �UILT FIREPLACE & CNIMNEV � <br /> FLOOR DRAIN$ � � �AS. SVST[M: NO OV OUTLETS <br /> KITCHEN SINKS & DISP. � SUo TOTAL 5 - <br /> [3AR $INY.S � PERMI7 5 O <br /> ROOF DHAINS �- RAIN LEADERS -- <br /> � TOTALFE[ 5 Q <br /> $HOWER UATH$ THIS PERMIT p[COME$ NULL ANIJ VOID IF WORK OF CONSTRUC <br /> SERVICE SINKS TION AVTHOflIZ[O IS NOT COMMBNCED WITHIN 120 �f�YS, OR IF <br /> SUMP� - SEWl�GE PUMP GONSTRUCTION OH WOliK IS SUSPENDEO OR A6AN�ONGD FOF (1 <br /> URINALS � PEHIOD OF 120 Ol�YS t1T ANV TIME A1=TER WORK IS COMMENCEO. <br /> WATER CLOSETS I � ����EfiY C@RTIPY THAT I HI�VE liEAfJ f�NO E%AMIN[O THIS AP <br /> WATER HEA7ER$ - ELECTRIC � PLICATION AND KNOW THL SI�M[ TO f1L TRUF ANO CORftLCT. ALL <br /> WASH BASINS � ��OVICIONS OF LI�W; ANO ORDINANC[5 GOVEPNING THIS TVPE <br /> 1 OF WORK Wli_L B[ COAIVLIED W�Try yyryEtHER SPECIFIED HEqEIN <br /> LAUNDflV TRqVS OR NOT, THF GRANTING OF (� YEIiMIT UOES NOT PHESUMG TO <br /> � GIV@ I�UTHORITY TO VIOLATE OR Cl1NC[L TIIE PIiDVISIONS OF <br /> ANV OTHE(i STATL OR LOCAL �nW HlGULl11ING CONSTRUCTION <br /> --_. � Ofi THE PEfiFU(ih1ANCL OF CONSTRUCTIUN. <br /> I <br /> SUB TOTAL � <br /> _ TOTAL FEE S —� 1��/j/77 <br /> WA7ER SERVICE SIZE f3LDG. SUPPLV SIZ.E -Slc niUNiQF� oNTRnCTonOR ,G[NT nn't�[ <br /> SIUEVl1RDSE78ACK STRE[TSET�l�CK REARyqqDSET�ACKPLl�MCIILCY. U1ItC(i P�ANCHECKFEC <br /> PEE RECEIPT NO. <br /> USE20NE LOTAqEA VAUNTSITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVPE pF CONST. OCCUPANCY GROUP NO.OF DWEL�ING <br /> UNITS <br /> I <br /> SIZE OF BLOG. NO. OI' STOfiI[S Ml1x. OCC. 1.0110 HUILUING $ � <br /> I <br /> _ � <br /> 1'IqE 20NE PLUMRING � <br /> A1�5[MLNI RNLSPRINKLERS � <br /> (iEOUIREU <br /> ❑YF:S ❑NO MBCHANICAI � �� <br /> SPGCIAL CON�ITIONS i'{E� ' <br /> I <br /> - VENALTY SLC. 30�1a) I <br /> — --_'_ — I <br /> TOTAL � <br /> _-- — � �� <br /> ___ PERMIT VAUDATION ♦^ <br /> W116NPqOPFRIVVAl.l1]nTLOlINT1a.��.4�E1T11l911,'�'�Ue�_fBR}7 4 <br /> _ T � � <br /> 1 <br /> rou�R ��c�trT <br /> i.����u�cnunni.uruuur rinm�i.iuir,���n nnrnoviuroincsnnnour � � i��l�Nl� Y�:� <br /> �• C• � <br /> n <br /> " "7 <br /> _ , C�.�T , <br />