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thc E�.rrgrcen <br /> ��TYo� CONSTRUCTION everett <br /> everett PERMIT <br /> [rtv Nall 159EP85 <br /> (VlPE1t.RAYUNGION <br /> 99)01 <br /> "" ^' �°^"'°�"° gUILDING MECHANIChL PLUMBING <br /> u�Finw�rn� <br /> OWNEr. ��� MAIL ADDRESS 21P PHON[ <br /> _u;}� t9�Y'FS{ 20� '�'RTiD ��i <br /> PRCHITECT OR OESIGNER MAIL ADDRESS PMONE LICENSE NO. <br /> GENEPAL CONTRACTOR MAIL AODNE55 PMONE L�CENSE NO. <br /> MECHANIC6AL CONTRACTOH MAIL/10DRES5 PHONE LICENSE NO. <br /> � ❑ h <br /> PLUMLi1NGCONTRACTOR MAILAOORE55 PHONE IICEV5EN0. � <br /> W <br /> m <br /> P[RMIT CLASS OF WORK � <br /> Z <br /> �OVILOING � PLUMOING �MECHANICAL �y � <br /> L}N[W ❑AD�ITION ❑ALTERATION ❑REPAIF � <br /> VALUATION OF WOIiK � <br /> s ❑�EMOUSH ❑FGNCE ❑SIGN ❑SWIMMING POOL a <br /> oEscaiarwonr, �„�T� �,��,,,F � r <br /> +� ��, �h� 255 <br /> PROPOSED USE MECHANICAL <br /> LLGAL DESCRIPTION OF PROPERTY ISHOW F3ELOW OR ATTACH T�PE OF FUtiL �C`IL ❑GAS ��PG. �ELEC. <br /> FOU R COPI E5) <br /> Lo7 nLOCK_oF NU. TYPEOFEDUIPMENT FEE <br /> Alii CONp. VNliS-II.P. EA. 5 � <br /> (iEFRIGERArION VNITS-H.P. EA. —�— <br /> �OILERS-H?. EA. I <br /> GAS FIRED A.C.UNITS--TONNAG@ EA. <br /> FORCED AIR SVSTEMS-O.T.U. Id EA. <br /> JOO ADDf;ESS �� ��� N�ALL HEATERS-�.T.U. Id <br /> UNIT HEMFRS-O.T.U. M I <br /> EVAPORATIVECOOLEFS <br /> PLUMBING c�orNesoavens i <br /> VEIvTILATION FAN —� <br /> 1 <br /> FANGEHOOD � <br /> NO. TYPE OF FIXTURE OR ITEM FEE l�IR IIANOLING UNIT- C.f.M. �_ <br /> WATE�LLOSETITOILETI S INCINEPATOR I <br /> �ATIiTUO �— <br /> IAVATORY �bVASH qASIN) -�— I <br /> SI{p\YER-- {— -- -' <br /> KITCNEN SINK& DISP. SUB TOTAL Q <br /> OI�MWASNEF PGRAIIT S <br /> l+UNURV TRAY � TOTl�L FEF: 5 <br /> CIATHES V�ASNER THIS PERMIT �ECOMES NULL ANO VOIO IF WOHK OR CONSTFUC- <br /> Wf�TE1� HBATFR TIpN AUTNOR17C0 IS NOT COMMENCED WITHIN 120 DAV';, OR IF <br /> UfiINAL CONSTRUCTION OR WOfiK IS SUSPfkDED OR A�ANDONED FOR A <br /> ORINKING FOUNTAIN PERIDD OF 120 DAYS AT 11NV TIM[ Af-iER\NORK ISCOYIMFNCFD. <br /> FLOOR-S�NK OR OFAIN I HEIiEl3V CERTIFV THAT I HAVE READ AN� E%AMINLD TH1: AP- <br /> VACVUM pqEAKEN^ PLICATION AND I:NO\Y THE S�1M14E TO flE TPU[ AND CORRECT. ALL <br /> ROOF URAINS-HAINLEADERS P��OVISION:1 OF LAWS AND OP�INAhCLS GOVERNING THIS TVPC <br /> - -� OF WO(iK WILL 6E COMPLIEb WITH WH[THEH SPECIFIEU HEREIN <br /> SINK 152HVICE-DAR, ETC,) Ofi NOi, THE GfiANTING OF A PERMIT UOES NOT YHESUME i0 <br /> GIVE AUTHORITV TO �'IOLATE OF Cl�NCEL THE PROVISIONS OF <br /> ANv OTHER STATE OR LOCAL LAW H[GULAI L':C CONSTf�UCTION <br /> OR THE PERFOHMANCE OF CONSTPUCTION. <br /> ___ SU� TOTAL __I <br /> PERMIT S <br /> TOTALFEE $ /4�,��� <br /> x 2J�lN fV <br /> SIGNATUREOFCONTRACTOpORAUTH.AGENT DAT[ <br /> SIOE YARD S@T[3ACK STP_ET SET6ACK REAR YAq�S[TRACK PLAN CIiECK NUMeER PLAN CH[CK FEL <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVPE OF COf�ST. OCCUPANCV GROUP NO.OF �WELLING � <br /> UNITS <br /> SIZE OF OL�G. NU.OF STOFlIES MA%.00Q LOAD BUILDING S � <br /> I <br /> PLUMPING � <br /> FI(iE ZONE 6nSEMGNT FIRESPRINKLEIiS <br /> REQUIRED <br /> ❑VES ❑NO MECHANICAI. <br /> SPLGIAL CONDITIONS' OTMEH � <br /> I <br /> I <br /> — PENELTY SLC. 3031a1 � <br /> L— <br /> I <br /> TOTAL �I (� <br /> PERMIT VALIDATION <br /> WHEN PflOPERLV V ALI[]nTEO (IN iHl^.SPACE)THIS IS YOUR P@fiMIT <br /> �PPLICAT�ON pLCCPTEppY: PLANSCNECKEDBV. APPROVF�FOPISSUPNCEBY. <br /> � � <br /> .� <br />