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the fveryretvr � <br /> ' CITVOF CONSTRUCTIUN everett <br /> everett PERMIT <br /> LIiY N4LL }596865 <br /> CVFflEli,1Y�SHIH610N <br /> 9fi101 <br /> "E"' °`°°M�°�"� BUILDING MECHANICAL PLUMBING <br /> ocvEioeME�ur <br /> ow� �� ��no�o'�s zir i o �e <br /> ARCHITECT OR DESIGNER MAIL ADORESS PHONE LICENSE NO. <br /> GENERAL CONTRACTOR � MA�L ADDRE55 PHONE UCENSE NO. <br /> M�A ICA C TRACTOR MAII AQDFj�55 PHONE LICENSE NU. <br /> �� <br /> PLUM3INGCONTRACTOR MAILAODRESS PHONE I_ICENSEIJO. � <br /> W <br /> m <br /> PERMIT GLA55 OF WORK � <br /> Z <br /> ❑BUILDING ❑PLUMBING�JMECNANICAL nNEW ❑AODITION ❑ALTERATION ❑REPAIR ~ <br /> VALUATION OF WORK � <br /> $ ❑DEMOLISH ❑FENCE ❑S�GN ❑SWIMMING POOL n <br /> DESCPIBE WOqK <br /> � �W� ��, ax,� a a�r ,um aa� ax� 0 2 4 <br /> PROPOSEO USE MECHANICAL <br /> LEGAI DESCRIPTION OF PROPERiY ISHOW�ELOW OR ATiACH TYPE OF FVEL QOIL �GAns. �LPG. �£LEC. <br /> FOUR COPIESI <br /> LOT BLOCK—OF NO. TYPEOFE�UIPMENT FEE <br /> AIP COND. UNITS-H.P. EA. $ I <br /> AEFFIGERATION VNITS-H.P. EA. <br /> - BOILERS-H.P. EA. I <br /> GAS FIRED A.C.UNITS-TONNAGE EA. <br /> FORCED AIR SVSTEMS-B.T.U. M EA. I <br /> JOB ADDRE55 � � WALL HEATERS-B.T.U. M <br /> UNIT HEATERS-B.T.U. M 1 <br /> PLUMBING EVAPORATIVECOOLERS <br /> CLOTHESDRVERS � <br /> VENTILATION FAN <br /> RANGEMOO� <br /> NO. TVPE OF FIXTURE OH ITEM FEE A�R HANDLING UNIT- C.F.M. <br /> WATER CLOSET ITOILETI g �NCINEFATOF � <br /> dATHTUB <br /> LAVATORVIWASHdA51N) I <br /> SHOWER <br /> KITCHEN SINK b DISP. SUB TOTAL 5 <br /> DISHWASIiER � PERMIT 5 <br /> LAUNORYTRAY TOTALFEE 5 <br /> CLOTHES W�ISHER THIS PERAUT BEGOMES NULL AND VOID IP WORK OR CONSTRUG <br /> WATER HEATER TION AUTFIORIZEO IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br /> URINAL CONSTRUCTION OR WORK IS SUSPENDED OR A13ANDONED FOR A <br /> ORINKING FOUNTAIN PERIOD OF 170 DAYS AT ANV TIME AFTEq WORK IS COMMENCEO. <br /> FLOOR-SINK OR DRAIN I HEREB\' CEiiTIFY THAT i HAVE READ AND E%AMINED T�115 AP� <br /> VACUUM BREAKERS �LICATION AND KNOW THE SAME TO BE TRVE AND CORRECT. ALL <br /> qOOF ORAINS-RAINLEADERS P�OVISIONS OF LAWS AND OHUINANCES GOVERNING THIS TYPE <br /> OF WORK WILL 8E COAIPLIED WITH WHETHEF SPF.CIFIED NEREIN <br /> SINK ISEFlVICE-BAR, ETC.) —{ Ofi NOT. THE GFANTING OF A PERMIT DOES NOT PFESUME TO <br /> GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISIONS OF <br /> — ANV OTH@R STATE Ofi LOCAL LAW fiEGVLATING CONSTFUCTION <br /> OR THE PEFFOPMANCE OF CONSTRUCTION. <br /> SUB TOTAL <br /> PEFMIT 5 ///��� <br /> TOTAL FEE S x / _ � n �C� _ -_ • _ <br /> (/l% N 7`�� <br /> SIGNATUREOFCONTRACTORORAUTH.AGENT ❑ATE <br /> SIDEVARDSETDACK STPEETSET�ACK REARVqflOSET9AC PLANCHECKNUMI3EH PLANCMECKFEE <br /> FEE �RECEIPTNO. <br /> USE 7.ONE LOT AR[A VACANI'SITE <br /> ❑YES ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING <br /> VNITS I <br /> SI2E OF OLDG. NO.OF STOqIES MAX.00C. LOAU BUILDING S � <br /> 1 <br /> PLUMBING � <br /> FIRE NJNE QASEMENT FIRESPRINKLERS <br /> RfOUIREO � M <br /> ❑VES ❑NO MECNANICAL w <br /> SPECIALCONOITIONS_ OTHER � <br /> PENELTV SEC.J071o1 I <br /> TOTAI. � ryi/ <br /> PERMIT VALIDATION <br /> WH[IJ PftOPERLV VALIDATED(IN THISSPACEI THIS IS VOUR PERMIT <br /> APFIIGTIONACCCCfE08Y: PlANSCNE[REUBV: /FPOOVEDGO ISSUAfiCEOY. <br /> � 4� �r L�� O� li• <br /> � <br />