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Ure fvrrgmen <br /> ��TY �F CONSTRUCTION everett <br /> everett PERMIT <br /> I.ilYH4lt )`JBB6a <br /> lvEPtil.WpS1uNLifIN <br /> 9P)91 <br /> °�°� °� �°�M°�°� BUILDING MECHANICAL PLUMBING <br /> �����o�H�„, <br /> OWNER MNL ADOR[SS Z�N N���N� ��/ <br /> �!�i:f. �'r..�g�LCII «zi'r� <br /> AFCHITECT OP DESIGNEF MAIL ADDFE55 PMONE LICENSE NO. <br /> GENERAL CONTFALTOR MAII ADDRE55 PNONE LIGENSE NO. <br /> •,t'��4 � :Y:3y_*�. 3.'7�1,w'� <br /> MECHANICAL CONTRACTOR tdAIL AODRESS �'��ONE LICENSE NO <br /> PLVM�ING CONTRACTOR MAII ADDFE55 PHONE LICENSE NO. � <br /> W <br /> m <br /> � <br /> PERMIT ClAS$OF WORK � <br /> Z <br /> �DUILOING ❑PLUM�ING �MECHANICAL ~ <br /> ❑NEW ❑ADDITION ❑ALTEFATION ���PAIR � <br /> VALUAT�ON OF�'dONK � <br /> � ❑DEMOLI511 ❑FENCE ❑SIGN ❑5H'IMMING POOL W <br /> $ a <br /> DESCNIBB WORK �O I T <br /> ?'r'PAZ" r:.'E L:h�iA� (c7.3t!`. ,C^t.A�,'�'ti A•'P� 7 / <br /> PROPOSED USE MECHANICAL <br /> TYPtOFfUEL �O�L ❑GAS ❑LPG. �EIEC. <br /> LEGAI OESCHIPTION OF PROPERTV ISI10W 6ELOW OR ATTACIi <br /> FOUR COPIE5) <br /> NO. TVPE OF E�UIPMENT FEE <br /> LO? 6LOCK__OF AIRCOND.UNiTS-H.P. EA. S � <br /> fiEFFIGERATIOfI UNI�S-H.P. EA. <br /> �OILEPS-H.P. EA. I <br /> GAS FIFED A.C.UNITS-TONNAGE EA. <br /> fORCC7 AIR S�"STFMS-O.T.U. M E11. I <br /> J09 ADDRESS � �y �I.��T� WALL NEATERS-0.".U. M - <br /> i/t - UNIT HEATERS-U.T.Ii. M � <br /> tvnronnTivecoo�eas <br /> PLUMBIAG CLOTHES ORVERS � <br /> VENTIIATION PAN <br /> fiANG[ HOOD � <br /> AIR HANDLING UNIT- 0.F.M. <br /> NO. TVPEOFFIXTUREORITEM FEE INCINEflATOR � <br /> WATER CLOSETITOILETI 5 — <br /> 6ATHTUO — -- <br /> LAVATOFY�WASHBAS�N) � <br /> SHON'ER — <br /> K�TCHEN SINK t4 DISP. _+ SUB TOTl�L S I <br /> DISHWASHER PERMIT 5 <br /> LAVN�RV tRAV { TOTAL FEE 5 I <br /> GLOTHES Wl�SHER THIS PERMIT 6'_'COMES NULL AND VOID IF WOflK Ofi CONSTRUC- <br /> WATEH HEMEfi 110N AVTHOR2ED �5 NOT COMh1ENC[�WITHIIJ 1.0 DAVS. OR IF <br /> URINAL CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br /> OFINKING FOUNTAIN —�—_— PERIOD OF 120 DAVS AT AN� TINE HFTER WOFK IS COMMENCED. <br /> �FLOOR-SINK Oii ORNN 1 HEFEdV CERTIFV TNAT I HAV@ READ AND EXAMINED THIS AP- <br /> PLICATION l�ND KNOW TNE SAMF.TO 8[ TRUE l�ND CORRECT. ALL <br /> —�VAGVVM 6REAKEIiS PqOVI510N5 OF LAWS ANO ORO!NANCES GOVERNING THIS TYPE <br /> CUF DRAINS-RAWLEADEAS__ OF WORK WILL L1[ COMPUED WIT11 WHETHCR SPECIFI@� H[li[IN <br /> SINK ISERV ICE-RAR, ETC.) OR NOT, TNE GRANTING OF A PERMII OOES NOT �'HESUME TO <br /> GIVE AVTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> _ ANV OTH[R STATE Of. LOCAL L�1lV PEGULATING CONSTFUCiION <br /> OR TNE PERFORMANCE OF WNSTfiUCTIJN. <br /> SUB TOTAL <br /> PERMIT S <br /> TOTALFEE 5 i <br /> — __ _—. x <br /> SIGNAIURLOFCONTRACTOnaP.AUTH.AGENT DATE <br /> SIOE VAR�SET�ACK STREET SETBACK REAR YAftDSETOACK PLf1N CHECK NUM�ER PLAN CHECK FEE <br /> FGE AECEIPT NO. <br /> USF 20NE LOT AREA VACAN151TE <br /> ❑vE5 �]NO FEES VAI.UATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP UNIT�S OWELLIN.: � <br /> SI2E OF 6LOG. NO.OP STORIES MAX.00C. LOAD BUILOING 5 Lyl�qt�.s �„y I�J <br /> PLUM0ING � <br /> FIRE20NE UASEMENT FIf�ESPRINKLEFS <br /> FEOUIPED <br /> ❑V[5 ❑NO MECNANICAL � <br /> I <br /> SPECIAL CONDITIONS: OTHER � <br /> PENELTV SEC.�031a1 � <br /> - - TOTAI 2Q <br /> PE.2MtT V AUDATION <br /> WHG� PRO�'�RLV VAUDATED IIN TMISSPACEI TH1515 VOUR P[RMIT <br /> AP�LICATION�CL[PTEO pY� �LnNSC�rtCKLDPv Ai'PNOVfOFOP155UANCEBY. <br /> 1� c� I <br /> n <br />