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nc� Evcrg�cen <br /> CITYOF CONSTRUCTION <br /> everett everett <br /> ��,.„.« 1yg6885 PERMIT <br /> FVfREIi,W�SxINGION <br /> 9!}01 <br /> °"' °"°"""""° BUILDING MECHANICAL PLUMBING <br /> omciovu[x� <br /> OWNEF MAIL AODftE55 <br /> �,,,� Z�P PHONE <br /> �+CHITECT' Z�' 941� C.�c+att_o: G; <br /> ORDESIGAER MAILADDFESS ��� <br /> PHpNE LICENSE NO. ���}�� <br /> GENERALCONTRACTOP MAILADDiiESS - " <br /> PHONE LICENSE NO. <br /> � ` S ASN1L'. <br /> MECHANICAL CONTqqCTOR ��`��{'^� <br /> I MAIL AD�HESS PHpN[ LIGENSE NO. <br /> PLUMBING CONTRACTOF MAIL AODfiESS <br /> I PN7NE LICENSE NO. W <br /> PERMIT m <br /> CLASS OF WORK � <br /> �BUILDING �P�UMBING �MECNANICAL Z <br /> ❑NEW ❑qODITION �qLTERATION ❑REPqIfl ~ <br /> VALUATION O�F�W/�OR1; � <br /> E ����+ ❑OEMOLISIi ❑FENCE ❑SIGN ❑SWIMMING POOL ��yJ <br /> DESCRIBE WOqK a <br /> �ol1:I s�, ±'la.- � „� *: t)!'det ts�Ch��oor ZZs.S <br /> PROPOSED USE <br /> MECHANICAL <br /> FOUALC`D�EPSCRIPTION OF PROPERTY�SHOW�ELOW Oq qTTACH TYPE OF FUEL �pIL �Gns. ��pp, �ELEC. <br /> LOT�gLOCK�oF �r' � ��L NO. rypE OF EUUIPMENT FEE <br /> AIR COND. UNITS-N,P. EA. y � <br /> flEFRIGEFAiION UNITS-N.P. EA. <br /> _ �OILER$-N.P. EA. � <br /> GAS FIRED A.Q VNITS-TONNAGE EA. <br /> JOB ADDRESS FORCED AIR SVSTEM3-�.T.U. M EA. � <br /> 17�� 2�y WALLMEATERS-B.T.U, ry� <br /> �34 YV UNITHEATERS-�.T.U, M <br /> I <br /> PLUMBING EVAPpqATIVECOOLEAS <br /> CLOI'IiES DRVERS � <br /> VENTILATIONFAN <br /> RANGE HOOD � <br /> Na• TVPE OF FIICTURE OR ITEM FEE �+�R HANDLING UNIT- C.F.M. <br /> WATER C�OSET�TOILETI 5 INCINEfiATOq <br /> BAT�ITUB 1 <br /> ��VA'�RY(WASH BASIN) <br /> SMOWER <br /> I <br /> Y,ITCHEN SINK& DISP. �—� <br /> �ISHWASHEH SUB TOTA1. $ � <br /> LAUNORV THAY ---{ PERiN1T g <br /> CLOTHES WASHER TOTAL FEE $ � <br /> WATER HEATER TNIS PERMIT BECOMES NVLL AND VOIO IF WORK OR CONSTRUC� <br /> URINAL TION AUTIiOR12ED IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br /> CONSTRUCTION OR WORK IS SVSPENOED OR ABANDONEO FOR A <br /> DRINKIryG FOUNTAIN PERIOD OF 1Z0 OAV$ AT ANV TIME AFTER WORK IS COMMENCED. <br /> FLOOR-SINK OR DRAIN I HERE�Y CERTIFV 7HAT I HAVE REAO ANO E%AMINE�THIS AP� <br /> VACVUM pPEAKERS PIICATION AND KNOW THE SAME TO BE TRUE AN�CpRRECT. A�l. <br /> ROUF DRqINS-RMNLEADEqS —�—I �HOVISIONS OF Lf�WS AND OFOINANCES GOVERNING THIS TVPE <br /> SINK (SERVICE� BAR,ETQ) "�—}-- OF WORK W�LL BE COMPLIEO WITH WNETNER SPECIF!ED HEqEIN <br /> OR NOT, THE GPANTING OF A PEHMIi OpES NOT PRESUME TO <br /> GIVE AUTMOfi1TV TO VIOLATE OR CANCEL iHE PqOVI510N5 OF <br /> ANY OTHER STATE OR LOCAL LAW q[GULATING CONSTRUCTION <br /> SU� TOTAL �A T��E PEqFOqMANCE OF CONSTRVCTION. <br /> PERMIT q—� <br /> TOTqLFEE g <br /> x <br /> SIGNATUREOF�.ONTRI�CTORJRAUTH.AGENT DATE <br /> SIOE VAqpSET�ACK STqEETSET�ACK qE4R"AqO5ET9AC PLAN CHECK NUMBER <br /> PLAN CHECK PEE <br /> FEE RECEIPT NO. <br /> VSE ZONE LOT AREq VqCANT SITE <br /> ❑vEs ❑No FEES VALUATION <br /> TVPE OF CONST. OCCUPqNCV GROUP NO.OF DWELLING FEE <br /> UNITS <br /> I <br /> SIZL OF pLDG. NO.Of- STGRIES Ml�X.00C. LOA� OUILDING � Y <br /> 5 'r.ruy.Jl <br /> FlREZONE BASEMENT FIIiESPqINKLLRS �LUMpING � <br /> REOUIFED I <br /> ❑VES ❑NO MECHANICAL � <br /> SPECIAL CONOITIONS: <br /> — OTHER � <br /> I <br /> PENELTv SEC.3031a1 —�_ <br /> I <br /> TOTAI 1 <br /> — PERMIT VALIDATION <br /> WHEN PROPERLV VALIDATED(IN TIf15 SPACEI Tl115 Ic YOUR PERMIT <br /> /.PPLICATIONpCtCPTEOBY'. PlANSLHECK[ObY qPPqOVEDlOqI55U�NCEBY. <br /> _.A <br /> Q <br />