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rAc Eveiyirrn <br /> CITY Of CONSTR UCTION everett <br /> everett PERMIT <br /> CIiY II4lL ]59f::5 <br /> EVEFEi1.1VA5NING10N <br /> 98:01 <br /> °E°' °o���°�o;wE�; BUILDING MECHANICAL PLUMBING <br /> OWNER MAIL ADOFESS i.IP PHONE <br /> ,i. }� 0�'a;?f*:'�479 '.�.r::'!i' tlq". �'�'' 3a`�.r�t93�! � <br /> AfiCHITECT OR DESIGNEF MAIL ADDfiE55 PHONE LICENSE NO. / - <br /> ( ��� <br /> GENERAL CONTR/1CTOR MAIL AD�RESS PHONE LICENSE NO. <br /> .1�'�r. <br /> MECHANICALCONTRACTOR MAILADDRE55 PHONE LIGENSENO. <br /> PK���./,��ii Z�.:.r.r���i�� <br /> PLUAI�ING CONTRACTOR MAIL ADDRE55 PHONE LICENSE NO. � <br /> fr W <br /> %�ii�w�� _' 11�1T!'„J�.`(1 � ' <br /> PERMIT ClAS50F WORK � <br /> z <br /> �DUILDING [�PLUMBING [�MECHANICAI �NEW ❑ADDITION ❑ALTERATION ❑REPAIR ~ <br /> � <br /> VALUATION(.�WORK � <br /> 5 1.1. �,jY� ❑OEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL � � <br /> WNr..�..� <br /> DESCRIOGWORK � _�,.� �SHO <br /> (�,`Tll"•1'YR ,;J�1� ' �c :&,• , • <br /> PflOPOSE�USE MECHANICAL <br /> LEGAL DESCRIPTION OF PROPFRTV ISHOW[IEI.OW OR ATTACH TVPE Of FUEL �OIL �Gns. �LPG. �EL[C. <br /> FOUR�PIES) <br /> LOT �Y BLOCK_oF �A*� 'I� '?;~' NO. TYPEOFE�UIPMENT FEE <br /> AIR CON�. UNITS-H.P. EA. 5 I <br /> REPRIGCf1ATION UNITS-II.P. GA. � <br /> �OILERS-II.P. EA. I <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> f-ORCED AIR SVSTEMS-6.T.U. M EA. I <br /> JOO ADDRESS r���yy ��y�. WALL HLATERS-B.T.U. M <br /> G�`� �����j'� VNITHEATF.RS-O.T.U. M � <br /> EV APOI�AT I V E COO LE(i5 <br /> PLUMBING CLOTHES ORVEfiS I <br /> VENTILATION FAN <br /> , RANGEHOOO I <br /> N . TVPE OF FIXTURE OR ITEM FEE nlfl HANDLING UNIT- C.F.�i. <br /> WATER CLOSETITOILETI 5 INCINERATOR I � <br /> BATHTUB <br /> LAVATORY (WASHBASIN) � � <br /> SHOWER �y�.���� <br /> KITCHEN SINK & �ISP. SU�TOTAL 5 — �7�w <br /> DISHWASIIER �, PERMIT 5 <br /> LAUNDfiY TRAV TOTAL FEE 5 <br /> I <br /> CLOTHES WASIIER THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC� <br /> WATER NEATEA TION AUTHORI2ED IS NOT COMMENCED WITHIN 120 DAVS, OF IF <br /> UPINAL CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br /> �RINKING FOUNTAIN PERIO� OF 120 DAVS AT ANY TIME AFTER WOfiK IS COMMENCED. <br /> F�OOR-SINK OR DRAIN I HERE�V CERTIFV THAT I NAVE READ ANO EXAMINED THIS AP� <br /> VACUUM [1REAKERS PLIGATION AND KNOIN THE SAME TO DE Tf7UE AND CORRF.CT. ALL <br /> NOOF DRAINS-RAINIEA�ERS P��VISIONS Of LAWS AND OROINANCES GOVLRNING THIS TYPE <br /> _ OF WORK WILL �E COMPLIEO WITH WHETHER SPECIFIED IIEREIN <br /> SINK ISERVICE-OAR, ETC.) OR NOT, TN8 GFll�NTING OF A PER�91T OOES NOT PRESUME TO <br /> -- GIVE AUTHOfiITY f0 VIOLATE OR CANCEI THE PROVISIONS OF <br /> ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION � <br /> _�_ OR THE PERFORMANCE OF CONSTRVCTION. <br /> SUA TOTAL <br /> PERMIT 5 <br /> TOTALFEE 5 <br /> x W�� <br /> SIGNATUREOFCONTRACTORORAUTH.AGENT �ATE <br /> 9DE YARD SETf7ACK STflEET SETOACK REAfl VAMRDSET6ACK PLAN CHECK NUM6Ef1 PLAN CHECK FEE <br /> �,j� �{ LyT �� FEE �1�(xi RECEIPT lN�O. <br /> USE ZQJJE LOT AREA VACANT SITE ��r' <br /> Z L�YES ❑No FEES VALUATION FEE <br /> TYPE O� CONST. OCCUPAkCV GqOUP UNIOS DWEI}.ING I <br /> Z m <br /> SIZE OF BL�G. NO.OF wORIES MAX.000. LOAD BUILDING 5 �N� ��( � <br /> L M <br /> PIUMBING w <br /> FIRE ZO� BASEMEN�Q FIRESPHINKLERS }� <br /> �� R ❑VESED �O MECHA�JICAL �N � <br /> SPECIAL CONOITIONS: OTHER � <br /> . I <br /> - -- PENELTY SEC.3031a) I <br /> TOTAL � <br /> I <br /> PEflM17 VALIDATION <br /> WHENVROF�FLVVALIDATEDIINTHISSPACEITHISISVOURPERAIIT � <br /> nrrucnnorvn¢[�icoov: rinnstl�¢a[oxr. nrt•��ovmroh¢s��n::c[e.�� <br /> � Cr� i'� �%� ���'X• <br /> 3 <br />