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tho Everyrcen <br /> �„Y �F CONSTRUCTION everett � <br /> everett PERMIT <br /> C11Y NALI 159AA65 <br /> (VFP[il.wASNiNGLON <br /> 9A101 <br /> �EP� �� =�M^,���,r BUILDING MECHANICAL PLUMBIN <br /> oevnovM[xi <br /> O\VNER rc <br /> MAIL ADDRE55 ZIP PMONE <br /> W�A� <br /> jr��� 'D �,�� MAIL`A DR�ESS �HONE LICENSE NO. <br /> ARCHITECT Ofi OESIGNEIi <br /> GENERALCONTRACTOR <br /> MAIL ADDRE55 PHONC- LICENSE NO. <br /> MECHANICALCONTRACTOfi <br /> MAILADDRESS PNONE LICENSENO. <br /> f{ 4 !; � <br /> h1'11L AODRESS PHONE LICENSE NO. uJ <br /> P�UMOING CONTRACTOR m <br /> � <br /> PERMIT CLASS Of-WORK Z <br /> �"' <br /> ❑6UILDING ❑PLUMBING �N1ECIIANICAL ❑NEW �npDITION ❑ALTERATION �REPA�R � I <br /> � <br /> VALVATIONOf Wc'flK W <br /> ❑OEMOLISH ❑FENCE ❑SIGN ❑SWIAIMING POOL a <br /> $ <br /> DESCRIB[WORK �,S,X� 1567 <br /> � � flP � � <br /> PROPOSED USE MECHANICAL <br /> TVPEOFFUEL �O�L ❑GnS. ❑LPG. �ELEC. <br /> FOUR COPSESIIPTION OF PROPEfiTV ISHOW�ELOW OF ATTACH <br /> NO. TYPE OF EQUIPMENT FEE <br /> LOT-- OLOCK--OF AI�COND.UNITS-H.P. EA. 5 � <br /> fiEFRIG[RATION UNITS-H.P. EA. <br /> DOILEiiS-N.R EA. � <br /> GAS FIRED A.C. UNITS-TOI�NAGE EA. <br /> FORCED AIR SYSTEMS-D.T.U. M EA <br /> WALL NFATERS-B.T.U. M <br /> JJB ADDRESS �^^ � <br /> �'19 V.��� UNITHEATEPS-B.T.U. M <br /> EVAPOPATIVECOOLERS <br /> PLUMBING CLOTHESOR�ERS � <br /> VENTILATION FAN <br /> RANGEHOOD � <br /> AIR HANOLING UNIT- C.F.M. <br /> NO. TYPE OF FIXTURE OR ITEM FEE �NCI�:EFATOF � <br /> WATER CLOSET (TOILETI 5 <br /> BATHTUB I <br /> I.AVATORV IWASM BASIN) <br /> SHOWER SU�TOTAL 5 <br /> KITCHEN SINK& DISP. pEFM1T 5 <br /> DISHWASHEP - <br /> LAUNDFiY TRAV TOTAL FEE 5 <br /> CLOTFIES WASHEfl TMIS PERMIT BECOMES NU�L AND VOID IF 1YORK OP CONSTRUC- <br /> 1VATER HEATER TION AUTHORI2ED IS NOT C(1MMENCED WITHIN 120 �AVS, OR IF <br /> CONSTRUCTION OR WORK IS SUSPENOED OR AOANOONED FOR A <br /> URINAL pERIOD OF 1�0 DAVS AT ANY T�ME AFTER WORK IS COh1MENCED. <br /> ORINKING FOUNTNN I NEREAY CERTIFV THAT I HAVE READ AN� E%AMINED THIS AP� <br /> FLOOR-SINK OR DRAIN PLICATION ANO KNOW THL SAME TO�E TRUE AND CORRECL ALL <br /> VACUUM �REAKERS PROVISIONS OF ln�^15 AND ORDINIINCES GOVERNING THIS TVPE <br /> ROOF DRAINS-RAINLEADERS OF WORK WILI BE COMPtJE� WITIi WHETHER SPECIFIED HEREIN <br /> SINK (SERVICE-0AR, ETC.) OR NOT. THE GR/�NTING OF A PERMIT OOES NOT PRESUME TO <br /> GIVE AUTHORITV TO VIOLATE OR CANCEI. THE PflOVI510N5 Of <br /> C.NV OTHEF STATE OR LOCAL L/1W REGVLATING CONSTRUCTION <br /> OR THE PEftPORMANCE OP ('ONSTRUCTION. <br /> SUB TOTAL <br /> PERMIT 5 <br /> TOTAL FEE 5 ,��� <br /> SIGNATUREOFCONTRnCTORORAUTH.AGEN� DATE <br /> PLAN CHECK FEE <br /> SIDE VAFD SETBACK STREET SETOACK REAR�'AROSETDAC PLAN CHECK NUMBER FEE ftECEIPT NO. <br /> VSE ZONE LOT AREA VACANT SITE <br /> ❑vEs ❑No FEES VALUATI(1N FEE <br /> TYPE OF CONST. OCCUPANCV GflOUP fiO.OF OWELLING I <br /> VNITS <br /> I <br /> SIZE OF OLDG. NO.PF STOFIES MA%.00C, IOnD BUILDING <br /> 5 I <br /> I <br /> PLUA101NG � <br /> FIFE20NE BAS[MINT FIRESPRINKLERS -- IM <br /> I R OUI SED ❑NO MECNA���CAL � W <br /> I <br /> SPECIALCONDITIONS: OTHER � <br /> PENELT� SEC. �0310) � <br /> TOTAL „ � <br /> PERMIT VAIIDATION <br /> WHEN PROPERLV VALIDATED UN THISSPACE)THIS IS VOUfi PEFh11T <br /> qpPUf,nTIONACCEPiE011Y- F�RNSCHELKCDBY: /�P�OV[OFOP`SSUA'Ir,CCBV <br /> �� 7 <br /> ' <br />