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' thr Evr.rgreen <br /> i =�T��F CONSTRUCTION everett <br /> � eVel'Ett PERMIT <br /> IIIiY NAII 1591:5"5 <br /> � FVENEiT.lfi511111GtU'1 <br /> j 9¢101 <br /> ' °"` °o��E�a;;,E,;; BUILDING MECHANICAL PLUMBING <br /> IOWNER MAILADDRESS ZIP YHONE <br /> I �'J?' 1TOIl.�.i:�?^.FtCZ�;l -'.����� ��t?i PS�YG �� Mountlake Terrace775-_�':: <br /> I ARCHITECTOR[JFSIGNER MAILAODRE55 PHONE LICENScNO. <br /> ��?7? <br /> IGENERALCONTqACTOR MAILADDRE55 PHONE LICENSENO. <br /> � iRT_CF_ <br /> iMECHANICAL CONTRACTOF MAIL AODHESS PHONE LICENSE NO. <br /> I PLUMOING CONTRACTOF MAIL ADDRE55 PHONE LICENSE NO. � <br /> W <br /> � m <br /> IPERMIT CLASS OF WORK � <br /> I BVILDING ' z <br /> � Q PLUMBING QTAECHANICAL F <br /> d'FJEW ❑AODITION ❑l�LTERATION ❑REPAIR � <br /> VALUATION OF WORK � <br /> 5 �� �Q��� �c� ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMINGYOOL W <br /> a <br /> DESCRIBEIVORK <br /> c:ozsrr;:ct sl:�gle zfa:�ily �:�.i_enr:c 2982 <br /> PROPOSEO USE <br /> Slri�jl�z Pal.'.i?yP,S�,CIE:SCo MECHANICAL <br /> TVFEOfFUEL �OIL �NAT. �LPG. �ELEC. <br /> LEGAL OESCRIPTION OF PPOPERTY ISHOW BELOW OR ATTACH GI�S <br /> FOV R��OPIE$1 <br /> =il. l-7 � :ij I4'311 C'.SCBL NO. TYPE OF EQUIPMENT FEE <br /> LOT BLOCK_UF <br /> AIR COND. UNITS-H.P. EA. 5 I <br /> R[FRIGERATION UNITS-H.P. EA. --� <br /> - — �OILERF-�H.P. EA. � <br /> GAS FIHEO A.C.UNITS-TONNAGE EA. � <br /> f-ORCED AIR SVSTEMS-6.T.U. M EA. I <br /> JIJB AODRESS Wi1LL HEATERS-�.T.V. M <br /> 7�1:) �T'=$t��Lr :41y UNITHEATERS-�.T.U. M I <br /> EVAPORATIVE COOLEFS -_�.�� <br /> PLUMBING CLOTHES DftYERS -}�- <br /> VENTILATION FAN �— <br /> RANGE MOOD •��' . <br /> N . TVPE OF FIXTURE OR ITEM FEE „., /+�R HANOLING UNIT- C.F.M. <br /> WATLF CLOSET ITOILETI g INCINERATOR � <br /> BATHTUB <br /> LAVATORYIWASHBASINI � <br /> I SHOWER _ <br /> � KITCHEN SINK& DISP. SUB TOTAL $ � <br /> OISHWASHEfi PERMIT $ '��—� <br /> I LAUN�RY TRA�' T0Tl1L FEE $ '•� ` <br /> I CLOTHES WASI�ER ^ THIS PERMIT �ECOMES NULL ANO VOID IF WORK OR CONSTRVG <br /> I WATER HEATER TION AVTHORIZEI] IS NOT COMMENCED WITHIN 120 OAVS, OR IF <br /> ' URINAL CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONEO FOfl A <br /> �RINKING FOUNTqIN PERIOD OF 120 DAVS !1T ANV TIME AFTER WURK IS COMMENCED. <br /> FLOOR-SINK O.^, l)qAIN I HEflEBV CEliTIFV THAT I HAVE fiEFO ANp EKAMINEO TNIS AP- <br /> VACUUM �REI�KEPS PLICATIOtJ .1ND KPIOW THE SAME TO AE TRUE AND CORflECT. ALL <br /> ROOF ORAINS-FAIHLEADERS ��OVISIONS OF LAWS AND ORDINANCES GOVEFNiNG THIS TVPE <br /> — OF WORK WILL C+E CO�PLIEO WIThI l^IHCTIiLR SPECIPI[D HEREIN <br /> SINK ISERVICF- eAP.,ETC.� � Ofl NOT, THE GRANTING OF A PERM1IIT OOES NOT PRESUfv1E TO <br /> GIVE AUTHOftITV TO VIOLATE OF CANCEL THE PROVISIONS OF <br /> ANV OTHER STATE OF LOCAL LAW REGULATING CONSTFUCTION <br /> OF THE PLRfORh1ANCE OF CONSTRUCTION. <br /> I SUB TOTAI � ' <br /> PEFMIT 5 <br /> I TOTAL FEE 5 ' J/]./77 <br /> I X <br /> SIGNATUREOFCOIVIfiACT�RORAUTH.AGENT DATE <br /> I 510[ YAR�,Di ETOACK STfi['^SETDACK REAR V}ijDSETRACK PLAN CHECI: NUMBEfi PI.AN CHECK FEE <br /> I •ti •� FEE RECEIPTNO. <br /> � USEZONC- LOTARE V!� NTSITE 77/4��I 71� 71 �'� <br /> I '���' �r�k C]�E5 ❑No FEES VALUAT'ON FEE <br /> I TYPE O��ONST. OCCUPANG„V G90UP UNIOS OWE4LING ' <br /> a. 1 <br /> I3 r y J__ . �� _..� � <br /> I �SIZE OF BLDG. NO.OF STORIES MA%.00Q LOAD 6UILOING 5 <br /> 3'?�:G�:� �. � <br /> PWMDING I �` <br /> IFIRE2QiJE �A$EMEf�T I�IFiESPRINKIF{}5 I <br /> � 1�2.t(:�.�1 RCOUIFlFp s,., „� � .� <br /> ❑VES ❑NO MECHANICAL � <br /> I SP[CIALCONDITIONS: I <br /> I _ _ OTHEF <br /> I <br /> I T-- <br /> I -- � PENELTV SEC.3031e1 I <br /> i TOTAL :� � 1. , <br /> I <br /> I PERMIT VALIDATION <br /> I - NHEN PROPERLV VALIOATED (IN THIS SPACE)iH15 IS YOUR PEfiMiT <br /> I - <br /> I __ <br /> PPPLICNIONACCEPT[C � '. PLM1NSCIIECKCDIIY'. l�PPIIOV[OFp(i65UANC[pY <br /> I .�. . � .. . _. I <br /> I O I <br />