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� thc Ev��r9rC•,n I <br /> ��T� oF CONSTRUCTIOIV everett <br /> , <br /> everett PERMIT <br /> L11V up�! )59tlFf5 <br /> !1'IPEii.L'.=',�IIHf.1�N <br /> 9fi)I11 <br /> otri o, «,�N���„ BUILDING MECHANICAL PLUM6ING � <br /> o[vuavutxt <br /> OWNER MAILADDFi@SS ZIP PHONC <br /> :i'1�, f� �r3r���% i1f' .:in�. y� :�.;,....1:, r -.�i�� .l� vJ-�7 , <br /> " '�f : <br /> ARCNITECT OR DESIGNER MAIL ADDRE55 PHONE LICENSE NO. <br /> GENEPAL CONTFACTOR MAII AOORESS PHDNE LICENSE NO. <br /> D.I ':iN:ldaor. "')r.'^ :.1:: 257-�^':: <br /> MECHANICAL CONTRACTOR MAIL ADDRESS PMONE UCEN'iE NO. <br /> � <br /> PLVMBING CONTRACTOR MAIL ADDRESS PNONE LICEhSE NO. W <br /> m <br /> � <br /> PERMIT CLASS OF WOftK � <br /> Z <br /> QBUILDING ❑ PLUMBING QMECHANICAL ~ <br /> QNEW ❑ADDITION ❑ALTERATION ❑AEPAIR � <br /> VALVATIONOF WORK <br /> � <br /> �,j� �.j"�� ��.� ❑nGMUUSH ❑FENCE ❑SIGN ❑SW�M1�MING NOOL � <br /> 5 <br /> DESCRIeE WORK ��0� <br /> :i:, -_ni: ;::;,a.rt-�_�i <br /> PROPOSED VSE MECHANICAL <br /> ._:L31 <br /> LC.GAL DESCRIPTION OF PROPERTV ISHOW BELOW Ofi ATTACII i�Pt UF FULL �OIL �GA�S. �LPG. �ELEC. <br /> �OUA COPIESI . — <br /> . �,ib ':VE'Y'!L= NO. TVPEOFE�UIPMENT FEE <br /> LOi�__ OLOCK__Oi <br /> AIR COND. V:JITS-H.P. EA. 5 � <br /> RE6qIGE?A�!'JN UNITS-H.P. EA. <br /> HGI�ERS-�NP. EA. i <br /> GAS FIFEO A.C. UNITS-TONNAGE EA. � <br /> FORCEO AIR SVSTEMS-B.T.U. M EA. I <br /> JO(3 AOO9FS5`.13 • � H'nLL HEATERS-B.T.U. M _ <br /> � • <br /> VNIT NEAT[RS-B.T.U. M I <br /> EVnPO(1ATNE COOLERS <br /> PLUMBING � CLOTNES DRVERS • I 'n <br /> . VENTILATION FAN � �__ <br /> � RANGENOOD I <br /> NO. TYPE OP FIXTUHE Oq ITEM �FEE� . AIR NAN'JLING VNIT- C.P.M. <br /> WATLRCLOSET(TORET) g � �NCINERATOR I <br /> OATHTUO <br /> lnVI�TOFV IWASN BASIM � � <br /> -- -�HOWER 7 <br /> —~ KIlG1EN51NK W DISP. ^ "1 It/1 SUBTOI'Al S � -" <br /> DISIilNASHER �� PEfiM1T 5 � <br /> LAUNDRVTRAV =l,+ y� 7pTALFEE 5 � � <br /> CLOTHES WnS�lEP �� THIS PFRMIT �ECOMES NULI CNO VOIU If WOHK OR CONSTRUG <br /> ' WATER HEATER TION AUTNORI2ED IS NOT COMMENCEU WIiH�N 720 DAVS, OR IP <br /> URINAL CONSTqUCTIOtJ OR WORK IS SVSf'ENDED OR A[3ANDONEO FOR A <br /> URINKING fOVNTAIN � I — PERIOD OF 120 �AYS AT ANV TIME AFTER WOfiK IS COMMENCED. <br /> FLOOR-SINK Oii DRAIN T I HEREDV CERTIFY THAT I HAVE READ FNf] E%AMWEU THIS AR <br /> v vt.;"V OREAKEP.S PLICAiION AND KNOW THE SAM@ TO F3E TRUE AND COHNLCT. ALL <br /> _.1 --- - T-- PAOVISIONS OF LAWS AND CRDINANCES GOV[RNING THIS TVFE <br /> �'v -:: fn;�. INS-�RAINLEADE(i5 <br /> _ �_ , _ , . _ ___'J�y OF WOqK WI�� gE COMPLIED WiTll \NHETHEF SPEC�FICD HEREIIJ <br /> „�+1; 'SEH1 ICE-UAR,ETC.) OF NOT, TIIE GfiANTING OF A PLRMIT �OES NOT GRESVME TO <br /> '�j�-'�----�— GIV[ AUTHORITY TO VIOLATE OR CI�NCEL THE PROVISION$ OF <br /> a__ ..___ a-- ---- qNV OTNER STATE OR LOGAL LAW REGULATING CONSTRUCTION <br /> - Ori THE PEFFORMANCE OF CONSTfiVCT10N. <br /> SUB TOTAL _ ��I� QD" <br /> PERMIT '� _ ,3: OO- <br /> _ __ TOTAL FEE _ 5� OO � <br /> x ��,;:'f^ <br /> SIGNATUNEOFCONTRACTORORAUTM.AGENT DATE <br /> SIDE V �fi�SEjUl1CK ST(7EET'i6T�PCK RfAR YA`�E18ACK PLAN CNqECK NUMBER PLAN CHECK fEE <br /> �� L I�I�E33 FEE 167.1�J nECE1PT.��N0� . <br /> VSEZONE `^� LOTAREA VF�GD.NTSITE C�ry.i <br /> I C,YES ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GHCVP NO.OF OWELLING <br /> UNITS {i � <br /> SIZF,4Fal�l,p�.� NO.OFSTOR�ES MAX. 00C. LOAD �UILOING 5 �� � , �^— <br /> ` ` I <br /> PLUMBING � � � � <br /> PIREZOf�E BASEMENT RE�UTAEOK �5 1 I ' .. <br /> } iQO MECHANICAL I <br /> ❑vES NO _ � <br /> SPECIAL CONDITtONS: OTMER � <br /> PENELTY SEC.3031e1 � I <br /> : � �'1 . <br /> TOTAL � <br /> PERMIT VALIDATION <br /> — WH[N PROPE(iLY VALIDATEO (IN THIS SPACE) TMI515 VOUR PERMIT <br /> AF^LIC�1104ACLf�'1II1pY Il4 ifnlLK![IPY PPPHJVIf110R1,`..`,iltillfCUY <br /> � <br />