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the Ec�tryrecrr <br /> j ��,Y ��� CONSTRUCTION evereit <br /> everett PERMIT <br /> ❑iveau es�ev.ns <br /> [vFx[tt.naSuvfinrv <br /> nezai <br /> °F�� °<<°°°°�°� gUILDING MECHANICAL PLUMBING <br /> i <br /> nEvciarM[r+r <br /> IOWNER MAILAODRESS ^}}.��Z�IP PtH�ON�Ej�y <br /> I ��y�1 '�Q� ��s �� 7{7f.�: 1�-7-}'�3�li.i <br /> � ARCHITECTOR OESIGNEF MqIL ADDFESS PHONE LIGENSE NO. ���} <br /> i <br /> I GENERAL CONTRACTOR MAIL ADDRE55 PHONE UCENSE NO. <br /> 9e�e (F.aCCY'va$lotl b7 'ai?oC,�e31 'c 1i,-xs) <br /> I <br /> MECHANICALCONTRACTOR MAIL ADDHESS PHONE LICENSE NO. <br /> I � <br /> Pl.UM01NG CONTRACTOR MAIL ADORE55 PHONE LICENS[ NO. uJ <br /> I m <br /> � <br /> p[qryi CLASS OP WORR � <br /> , �ii� 'cuoaat�—�.� i�raiL CtIIQs� F+r ral� z <br /> I �RVILDWG ❑ PLUM�ING �MECHqNICAL F- <br /> ❑NEW ❑A�DITION ❑ALTERATION ❑ftEPAIR � , <br /> VFIUATION OF WORK � <br /> ❑�EMOLISH ❑FENCE ❑SIGN ❑SWIMMING f'OOL W <br /> s <br /> a <br /> DESCRIB[WO�RjKy� 1 <br /> .� 7w �i21 Z� y�$ Q� i��.S'�i �li �+:0 S'QLY7V�it� �.1 �,fY�'1 :�� 1�: 3� �'� �: � i � <br /> PROPOSEO USE MECHANICAL <br /> TVPEOFFULL �OIL ❑GA5 ❑�PG. �ELEC. . <br /> LEGAL DESCRIPTION OF PROPERTV (SHOW BELOW OR FTTACH <br /> FOUH COPIE51 <br /> NO. TYPE OF EDUIPMEM7 FEE <br /> I LOT OLOCK_OF AIRCOND. UNITS-N.P. EA. 5 � <br /> � ♦�. REFRIGERATION UNITS-M.P. EA. <br /> �� .� �` � �: :� � ��� I� k � �OIlEHS-H.P. EA. � <br /> GAS FIf1ED A.C. UNITS-TONN4GE EA. <br /> FORCED AIH SVSTEMS-B.T.U. M EA. I <br /> I ��ppE� ��Y WALL HEATEPS-B.T.U. M <br /> UNIT HEATERS-9.T.U. M � <br /> I <br /> HVAPORATIVECOOLEflS <br /> PLUMBING CLOTHES DRYERS � <br /> VENTILATION FAN <br /> RANGEHOOD � <br /> NP HANDLING UNIT- 0.F.M. <br /> I NO. TVPE OF FIXTURE OR ITEM FEE — irvcwean70a _ � <br /> WATEF CLOSET ITGILEI'1 5 — <br /> I BATHTUB --- ----- <br /> LAVATORV (WASH BASIN) . I <br /> SNOWER _ <br /> KITCHEN SINK& �15�'. SU6 TOTAL 5 _ I <br /> OISHWASHER PERIAIT 5 <br /> I LAUNDRVTRAY TOTFLFEE 5 I _ <br /> I CLOTHES WASHER _ THIS NERMIT F1ECOh1E5 NULL AND VOID IF WORK OR CONSTPUG <br /> WATER HEATEfl i_ TION AUTHORIZED IS NOT COMMENCED \VITHIN 720 DAVS, OR IF <br /> URINAL CONSTHUCTION OR WORK IS SUSPENUED OR AE3AN��NE� POR A <br /> DRINKI?IG FOUNTAIN PEFIOD OF 120 DAVS AT ANV TIME AFTER WORK I;COMMENCED. I <br /> FLOOR--SINK OR�RAIN � HEREDV CERTIFY THAT I HAVE REAO ANO E%n111NEO THIS AP� <br /> PLICATION AND KNUIV THE SAAtE TO UE TRUE AND CORRECL ALL <br /> VACUUM UREl�KERS PROVISIONS OF LALVS ANO ORDIIaANCES GOVERNIIIG TMIS TYPE <br /> I FOOF DRAINS-RAINLEAOEFS OF- WORK WILL DE COMPLIEO WITH \VHETHEH SPECIi'IED HEREIN , <br /> SINK (SERVICc �8l�R.ETC.) OR NOT, TME GRANTING OF A PERMIT DOES NOT PP°Wh1E TO <br /> � � GNE AUTHOFITY TO VIOLATE OR C1NC@L TH[ PROVISIONS OF <br /> ANV OTHER STAT= OF LOCAL LAIY REGULATING CONSTRUCTION <br /> I OR THE PERFORMANCE OF CONSTRUCTION. <br /> ISUB TOTAL <br /> I PERMIT � <br /> TOTALFEE $ <br /> - — - x t�+Iih7fr <br /> � SIGNATUREOPCONTRACTORORAUTH.AGENT DME <br /> I <br /> �, SIDEVAqJSETl3ACK STREEl5ETI3ACK REARVAF�SETOACKPLANCHECKNUM�ER PLANCHECKFEE <br /> � FEE RECEIPT NO. <br /> IUSE ZONE LOT AFEA VACANT SITE <br /> � ❑VES ❑No FEES VALUATION FEE <br /> �� TYPL OF CONST. OCCUPANCV GROUP NO.OF DWELLING � <br /> UNITS <br /> I /� Iryy <br /> SIZE OF BLDG. NO.OF STOHIES MAX.00C. IOAD OUILOING 5 W � W <br /> �— <br /> ��I PLUMOING � <br /> F�RE ZONF BASEMENT FIflESPFINK�ERS � <br /> i RCOUIREO p��CHA�JICAL � <br /> I ❑YES ❑NO <br /> SPECIAL CONDITIONS: OTHER � <br /> I <br /> PENELTY SEC.3031a) � <br /> I <br /> � . TOTAL ��+ Il�i <br /> . I PERMIT VALIDATION <br /> WHEh PROPEFLV VALID/\iED UN T411S SPACE)THIS IS VOV R PERMIT <br /> N'i'IiUTIONPCCEPT[�BP oL11N5[NECK[�9V�. AFPPOVfUfUh15',UNiCCbY I <br /> I � , �• a <br /> � <br />