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Nrr Evr.rgircn <br /> =,T� �F CONSTRUCTION everett <br /> everet� PERMIT <br /> ��,.,,.,�� .,��,,. <br /> t�<<,�,� ,.:.,�„�..,.�,,.� <br /> ,��,� <br /> °�°' °�°°^"'°:��� BUILDING MECHANICAL PLUMBING <br /> otvaovorra <br /> OWNEF MAIL nUDF1E55 ZIP PHONE <br /> ,�r.- . � . . ..� ;.. - L'JJ�'llL�i !.lir'�{ <br /> qqrryiTEC�OFi DESIGNEfl' MAR ADORE55 PHONE I.ICENSE NO. <br /> GENERAL CONTRACTOR MA�L A�ORE55 PNONE 1 ICCVSE NO. <br /> .� ' <br /> MECHANICAL CONTRACTOR ♦ MAIL ADORE55 PHONE I���j_�(�,�LICE.IN���SE NO. <br /> . .w��~ ' �j�' 1 y �Z� :�lJ GC/���'JN <br /> PLUtd�ING CONTRACTOfl MAIL ADDRESS PHONE �ICENSE NO. � <br /> ��j� .�p �11 W <br /> '� ii�T : .T.i��:li� �'�H'1 Gf:.,A'7�.J.(T"C:.l.f. m . <br /> PGRMI� CLA55 OF WORK � � <br /> z <br /> '[��UIIUING �PLUMBING �MECHANICAL �- � <br /> �NEW ❑l�DDITION ❑ALTERATION ❑FEPAIR � <br /> VALUl�TION OF WOFK � <br /> S �'f�+�/� M ❑DE�tOLISH U�LN�E ❑SIGN ❑SNIPIMI�C "OOL a . <br /> fWttt <br /> �ESCfileE WORK <br /> .�.���:;�-....� ;i;_.:;,,. �.,. �uc rx:n:r::�: 2413 <br /> PROPOSED USE <br /> MECHANICAL � <br /> TVPEOf i°UEL �OIL �Nl�T. �LPG. nEL[C. � <br /> LEGAL DESCRIPTION OF PROPERTY ISHOW DELOW OR ATTACH GAS <br /> FOUR C ESI <br /> �j F� .T� `Y�(r NO. TYPE OF EUUIPMENT FEE <br /> LOT _ OLOCK_OF _ <br /> 't / nlfl COND. UNITS-H.P. EA. 5 I <br /> � '! „�.-p �S REFRIGERATION UNITS-H.P. EA. <br /> � UOILERS-H.R EA. � <br /> GAS FIREOl�.C. VNIfS-TONNAGE EA. <br /> FORCED AIR SYSTEMS-B.T.U. M EA. I <br /> JO� ADDRESS WALI. HEATERS-B.T.U. M <br /> i <br /> � . ty...�:���.'�� :...�.~• — <br /> VNIT HEATERS-B.T.I' M I <br /> EVAVORATIVECOOLERS <br /> PLUMBING CLOTHES ORVERS 1 <br /> VENTILATION FAN � � <br /> FANGEHOOD I <br /> AIR HAN�LING UNIT- C.r.M. —T— <br /> O. TVPE OF FIXTURE OR ITEM FEE <br /> WATERCLOSETITOILETI 5 �NCINERATOR I <br /> 6ATHTUf3 <br /> LAVATOR\' ItYASH 9ASIN) I <br /> SHOW[R �— <br /> Kll_CHfNSWK& DISP. _ SUATOTAL 5 � � <br /> OISHWASHER pERh11T 5 —�-�+}�,.� <br /> LAUN�RYTRAY TOTAIFEE 5 i„7 �Uj <br /> CLOTHES WASHER THIS PERMIT 9EC0�1E5 NULL AND VOID IF WORK OR CONSTRUC- <br /> = WATER MEATEfi TION /�UTHORIZED IS NOT COMAIENCED WITHIN 120 OAVS, OP IF <br /> URINAL CONSTRUCTION OR 140RK IS SUSPENDLD OR ADAN�ONED FOH A <br /> DRINKING FOUNTAIN PEFIOD OF 120 �AVS AT 1NY TIh1E AFTER WORK IS COA9MENCED. <br /> FLOOR�-SINK OIi ORAIN I HEFEEIY CERTIFV �HAT I HAVE FiEAD ANU LXl�WINED THIS AP� <br /> VACUUM BREAKERS ✓LICATION AND KNOW TME SAME TO OE TRUE AND CORRECT. ALL <br /> ROOP DfiAINS-RAINLEA�ERS -- PROVISIONS OF LAWS AND OR�INANCES GOVERNING THIS TVPE <br /> OF N'OPK WILL BE COAIPLIED WITH WH[TNER SPEfIF1ED HEREIN <br /> SINK (SERVICE-9AR, ETC.) t OR NOT, THF GRANTING l7F A PERh11T DOES NOT PRESU'd[ TO <br /> — GIVE AUTHORITY TO VIOLI�TE UP Cf�NCEL THE PROVISIONS OF . <br /> ANV OTHFH STATE OR LOCAL LAW NEGULATING CONSTfiUCTION <br /> _ OR THE PERFORMANC[ OP CON;TF9UCTIOfJ. <br /> .._ SU� TOl'AL '_�_L _ <br /> PERMIT S <br /> TOTALFEE $ _✓'rp <br /> - -- ,� ,�`>�� <br /> SIGNATUREOFCONTq�1CTOflC�q4VTH.AGENT pATE <br /> SIDE YARD SETOMK STHEET SETOACK qEAR VAHDSET�l�CK PLAN CH[CK NUA1f3ER PLAN CHECK FEE <br /> [�� 2�� �Ty FEI_ NECEIPT NO. <br /> n � ��• I <br /> US[ ZONE LOT AREA VACqN7 SITE �� � � y� �j�; <br /> :�� — <br /> L�IES ❑No FEES VALUATION FEE <br /> TVP[ OF CONST. OCCUPANCV GROUP NO.OF OWELUNG r— <br /> uNi�s 3 i <br /> _'—`� ty� <br /> SIZ[ OF E1l�G. NO. OF STORIES MA%.000. LOAD BVILDING S '�C,.j.rT� y:�� I''.N � <br /> � �� _' <br /> i <br /> PLUMDING ^ � ry� j <br /> FIHE �NE dASEMENT RE�UIREDKLERS F�TW <br /> .rVii �VES i�]NO AtECHA�JICAI 1('�� <br /> ii/ <br /> SPECIALCONOtTIONS: OTHER ' � I <br /> I <br /> PENtLTV $IiC. 30:11a1 I I <br /> 1 i <br /> TOTAL ��j��� I <br /> J <br /> PERMIT VALIDATION <br /> WHEN PROPERLV VAl IDATFf) (IN TNISSPACEI THIS IS YOUIi PIiRNIT <br /> nrPUUI¢lllnC[l��If��::v� ninNSQIECNEO�Y- APPPOVEpFO �SSO/.NC[�Y <br /> � � � <br /> n <br />