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the Ever9recn <br /> =�T� o� COhSTRUCTION everett <br /> everett PERMIT <br /> UtV Mq�� }598B85 <br /> [vCPEi1.IVA5xInG10N <br /> 98101 <br /> "`°, °"°""°""" gUILDING MECHANICAL PLUMBING <br /> r[v�iovucxr <br /> OW�NyE}F��ry� y}y��y� ��y M�A�IL A��1DyR�E55 ZIP PHONE <br /> •1:JK� 1:+cv::iiR� �'"lL 1�-^.Rili � <br /> ARCHITECTORDESIGNER Ml�ILADDRESS PI10NE LICENSENO. <br /> G: ..F9ALCONTRACTOR MAILAD�RESS PHONE LICENSENO. <br /> wn�,�+ra r...�;. cv 3t37� 2z�•a16�t4 <br /> MECHANICAL CONTRACTOR MAIL A�DFiESS PHONE LICENSE NO. <br /> PLUMOING CONTRACTOfl MAIL ADORESS PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT GLASSOF WORK ? <br /> �BUILDING ❑PLVAIBING ❑MECIiANICHL Z <br /> ❑NEW ❑ADDITION ❑ALTERATION [�REPAIR ~ <br /> � <br /> VqLUATIONp�F yW�ORK�y� � <br /> $ �i�M ❑DEMOLISN ❑FENCE ❑SIGN ❑SWIMMING POOL W <br /> DESCFI9E WOFK � <br /> �aai � � n,�M.a� ao �,�a �::�� e�a_a 15 7 <br /> PROPOSEV USE <br /> MECHANICAI <br /> LECAL DESCRIPTION OF PROPEPI Y ISHOW ftELOW OR ATTACII TYPE OF FUEL QOIL �Gns. �LPG. �ELEC. <br /> FOUR COPIESI <br /> LO7 oLOCK—oF N�• TVPEOFEQUIPMENT FEE <br /> AIfl COND. UNITS-H.P. EA. 5 I <br /> REFRIGERATION UNITS-N.P. EA. <br /> DOI�ERS-H.P. EA. � <br /> GAS FIRE�l�.C. UNITS-TONNAGE EA. <br /> FORCtD AIR SYSTEMS-B.T.U. M EA. � <br /> J06ADDRESS � � WALLHEATERS-6.T.U. M <br /> UNIT MEATGRS-�.T.U. M � <br /> EVAPORATIVECOOLERS <br /> PIUMBING CLOTHESDflVEPS i <br /> VENTILATION FAN <br /> RANGEHOOO � <br /> NO. TVPE OF FI%TURE OR ITEM FEE A�R MANDLING VNIT- C.F.M. <br /> WATEFCLOSETITOILETI g INGNERATOR � <br /> BATHTUB <br /> LAVATORY IWA511 BASIN) � <br /> SNOWER <br /> KITCHEN SINK b OISP. <br /> D�SHWASHEP — SU�TOTAL S � <br /> LAUNDRY TPAY -- _ PERMIT 5 <br /> CLOTHES WnSHER I TOTAL FEE 5 � <br /> THIS PEPMIT �ECOMES NULL AND VOID IF WORK OR CONSTRUC- <br /> WATER HEATER TION AUTIiON12ED IS NOr COAIMENCED WITHIN 120 OAYS, OR IF <br /> IIRINAL CONSTRUCTION Ofi WORK IS SUSPEN�FD OR A�ANDONEO FOP A <br /> OfiINKING FOUNTAIN PERI00 OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br /> FLOOR-SINK OF ORAIN I MERE6V CERTIFV THAT I IiAVE REAO AND E%AMINED THIS AP� <br /> VACUUM�REAKERS PLICt1TION AND KN01N THE SAME TD OE TRUE AND CORRECT. ALL <br /> ROOF DRAINS-RAINLEADERS P�OVISIONS Of- LAWS AND OROINANCES GOVEHNING THIS TVPE <br /> OF WORK WILL �E COMPLIED WITN �VHETHER SPECIFIEJ HEREIN <br /> SINK ISERVICE-OAH.ETC.) OR NOT, THE GRANTING OP A PERMR DOES NOT PRESUME TO <br /> GIVE 11UTIiOIiITY TO VIOLATE OR C/1NCEL TNE PROVISIUNS OF <br /> ANY OTHER STATE OR LOCAL lAW FEGULATING CONSTRUCTION <br /> ORTHEPERFORMANCEOFCONSTRUCTION. <br /> SUB TOTAL <br /> PERMIT 5 <br /> TOTALFEE $ � <br /> x <br /> SIGNATUREOFCONTRqCTORORAUTH.AGENT A <br /> SIOE V�SETOACK STREET ET ACK REAR Y/�jiD SET�AC PLAN CHECK NUId�ER FEE PLAN CH RECE PT NO. <br /> �7 <br /> USE ZONE LOT AqEA VACANTSITE <br /> �� ❑vEs �o FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GPOVP NO.OF DWELI.ING <br /> UNITS � <br /> SIZEOFOLOG. NO.OFSTORIES MA%.00C. I.OAO BUILOING 5 b�� ��� <br /> PLUM�ING I <br /> Flft[ ZONE �ASEMENT fIRESPRINKLERS _�_ <br /> RE(]UIRED � <br /> ❑�[5 ❑NO MECHAMIC4L � <br /> SPECIAL CONDITIONS: OTHER � <br /> I <br /> PENELTV SEC.3031a1 I <br /> TOTAL � <br /> �I� <br /> PERMIT VALIDATION <br /> WHEN PqpPER�V Vl1LID�tt[D IIN THIS SPACE)THIS IS VOUR PERMff . <br /> GM'LICATI�CCEPi[OBV�. PLGNSCBECNEpBY�. ql'PPOV[Of0(iISSUANCGflV. <br /> C� ]� C� <br /> 0 <br />