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(Lc fvcryrec:i <br />� ��TYo� CONSTRUCTION everett d <br />� everett PERMIT <br />� CItY11ALL )59u'fiP5 <br /> IVIP[i1.15d�NiVl'Itl <br /> � 9lI01 <br /> �E°� °< <°^'��°�°° BUILDING MECHANICAL PLUMBING <br /> L[VEIOPMENi <br /> OWNER MI�IL ADORESS Z�P PHONE �'�w� <br /> e vTi�i 7� <br /> i :JirN"w� �1�•L,:.l 6�i. r.�:."' :s „': e:� <br /> ARCHITECT OR DESIGhEH MAIL ADDflESS PHONE LICENSE NO. <br /> GENERALCONTRACTOR MAILADDRESS PNONE LICENSENO. <br />' "'' :?I:'T: '-'..N'?' �^� 2�..� �A <br /> MECHANICAL CONTRACTOR MAIL ADORESS PNONE LICENSE NO. <br /> i PLUM�ING CONTRACTOR MAII.ADDRESS PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASS OF WORK � <br /> Z <br /> a6UIL�ING � PLVMBING ❑MECHANICAL ��JEW ❑AODITION UALTERATION ❑R@PAIR ~ <br /> � <br /> VALVATION OF WORK � <br />� �� ['DEMOLISH �ENCE ❑SIGN ❑SWIMMING POOL W <br /> s a <br /> DESCRIB[WORN �i{I� � er � �3 ��+ � 534 <br /> S"' L� <br /> PROPOSE�USE MECHANICAL <br />, TVPEOFFUEL �OIL ❑GAS ��PG. �ELEC. <br /> FOUR COPSESI�PTION OF PqOPERTV ISHOW BELOW OR FTTACH <br /> NO. TVPE OF E�UIPMENT FEE <br /> LOT OIOCK—OF IIIR CONU. UNIiS-HP. EA. 5 � , <br /> REFIiIGERf�TION UNITS-H.P. EA. <br /> �OIL[RS-HF. EA. I <br /> GAS FIfiED A.C. VNITS-TONNAGE EA. <br />. f-ORCED AIR SYSTEMS-D.T.V. M EA, I <br /> JO� ADORE55 �}� .,� WALI HEATERS-�.T.U. M <br />^ "'�` ��"� �� R1�£ n��+� VNIT HEATEflS-f3.T.U. M � <br />� Bb�/1PORATIVE COOLERS <br /> PLUMBING c�ori+es oavEas I <br /> VENTILATION�AN � <br />� RANGEHOOD I <br /> AIRHAIJDLINGUNIT- QF.M. � <br /> NO. NPE OF FIXTURE OR ITEM FEE — INCINEfiATOR I <br /> WATEF CLOSET ITOILETI 5 <br /> DATHTUR <br /> LAVATORV (WASH �ASIN) — � <br /> SHOWER <br />� KITCHEN SINK& DISP. SU�TOTAL 5 I <br /> �ISHWA�HER PERMIT 5�� <br /> � LAUN�RV TRAY TOTALFEE S I <br /> CLOTHES WASHER 7M15 PERMIT BECOMES NULL AN� VOID IF WORK OH CONSTRUG <br /> WATER IiEATER TION AVTIiORIZED 13 NJT COMMENCED WITHIN 120 DAYS, OR IF <br /> UHINAL CONSTRUCTION OR WORK IS SUSi'ENDED Ofi AfiANOONE� FOR A <br />' DRINKING FOUNTAIN - PEFIOD Of 120 DA�B AT ANV TIME APTER WOfiK IS COMMENCED. <br /> � FLOOR-SINK OF ORAIN 1 HEREUY CERTIF : THAT 1 HAVE READ AND E%AM1IINED THI; AP� <br /> VACUVM OREAKERS — �'I.ICAtION AND KNON'THL SAAtE TO liL TfiUE AN�COfiRECT. ALL <br /> Pf10VI510N5 OF LAWS I1ND ORDINANCE$ GUVERNING TNIS TVPE <br />� POOf- DRAINS-PAINIFADEFS O� WOAK WILL �E fOh1PLIED IVITH WHCTHGR SPECIFILD HEfiEIN <br />' SINK (SERVICE-UtR, ETQI �— Ofi NOT, THE �RANTING Of A PGR\11T DOES NOT �fiESUME TO <br /> GIVE AUTHORITV TO VIOLATE OR Cl�NCEL THE PROVISIONS Of- <br />' ANV OTH[q STATE Ofl LOC�1L LA\V REGULATING CONSTRUCTION <br />� OR THE PERFORMANCE OF CONSTfiUCTION. <br /> SV6 TOTA� � <br />� PERMIT 5 � <br /> TOTALFEE S ��.� <br /> x _�T :�� i�v.2� <br /> SIGNATUREOFCONTRACTORORAUTH.AGENT D <br /> SIOE VAR�SET�ACK STR[El'SETUACK REAii VAflO5ET0ACK PLAN CMECK NUM�Efi PLAN CHECK FE[ <br /> FEE RECEIPT NO. <br /> VSE ZONE LOT ARLA VACANi SITE <br /> ❑vE5 ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING � <br /> UNITS <br /> I <br /> 512E OF �LDG. NO.OF STORIES MF%.00G LOI�D BUILOING ���^ f I <br /> PLUMBING � <br /> FIRE20NE DASEMENT FIRESPRINKLERS � <br /> RCQUIRE� <br /> ❑VES ❑NO MECHANICAL I <br /> SPECIAL CONDITIONS: OTHER � <br /> 1 <br /> PLNE�TV SEC.9031a1 � <br /> I <br /> TOTAL �� I� <br /> PEflMIT VALIOATION <br /> - WH[N PROPERLV VALI�ATED(IN TNIS SPACEI iHIS IS VOUR PERMIT <br /> AITIIUTIONACCLPT[DIIY� PLANSCufCKC00Y�. APPPOVEOfO(1155pANCEBY. <br /> � �• <br /> 3 <br />