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- - --- . ._, . <br /> I dre Svergrer.n I <br /> ��T� oF CONSTRUCTION everett <br /> everett PERMIT <br /> tltv NAII 159A905 <br /> f V F NEl t.1Y0.5111YGION <br /> 98101 <br /> ��P, �� ����M����r BUILDING MECHANICAL PLUMBIN <br /> OEYFIOPIaINt <br /> OWNEF MAILADDRE55 21P PHONE ry� <br /> _/�! l^.i.^-.fy� i5)�(l <br /> «.Ci <br /> ARCHII�ECT OFi DESIGNEfl MAIL ADDRE55 PHONE LICENSE NO. <br /> GENEFALCONTRACTOR MAILA�DRESS �HONE LICENSENO. <br /> MECHANICAI CONTRACTOR MAII AO�RE55 PHONE LICENSE NO. <br /> J'���� �' M+�� � � � <br /> PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. uJ <br /> m <br /> � <br /> PERMIT CLASS OF WORIi � <br /> z <br /> ❑6VILO�NG ❑PLVMBING p��4ECHANICAL ~ <br /> �N[W ❑A�OITION ❑ALTEFlATION ❑REPAIR � <br /> � <br /> VALVATION OF WOiiK W <br /> ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> 5 — /� <br /> UESCRIBE WORK s� m� �st r�e� /�O� <br /> F�+ eli� rt.' !i���.0 b Y <br /> PROPOSE�VSE MECHANICAL <br /> TVPEOffUEL �OIL �Gns. ��PG. �ELEC. <br /> F UR COPSESI�PTION OF PfiOPERTV ISNOW 6ELOW OR ATTACH <br /> NO. TYPE OF E�UIPMEN7 FEE <br /> LOT �LOCK_OF q�q CONO. UNITS-H.P. EA. S � <br /> r— <br /> REFRIGLRATION UNITS-H.P. EA. <br /> [301LERS-H.P. EA. � <br /> GAS FIRED A.F UNITS-TONNAGE EA. <br /> FORCEO AIR SYSTEMS-6.T.U. M EA. � <br /> JOB ADDRESS WALL HEATERS-6.T.U. M <br /> �s ��� yx'� l:'11T HEATEFS-B.T.U. M � <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTHES ORVEF$ � <br /> VENTILATION FAN <br /> FANGEHO00 � <br /> AIR HANOLING UNIT- 0.F.M. <br /> NO. TVPE OF FIXTURE OR ITEM FEE INCINERATOfi � <br /> WATER C�OSET(TOILETI 5 . <br /> BATHTU� � <br /> LAV/1TORY IWnSN F3ASIN) t <br /> SHOWER <br /> KITCHEN SINK& DISP. SUB TOTi1L S I <br /> PEfiM1T 5 <br /> OISHWASNER <br /> I.AUNDHY TRAY � TOTAI f-EE S 1 <br /> CLOTHES WASHER TNIS P@RMIT �ECOMES NULL AND VOID IF WOPK OR CONSTRUG <br /> WFTER lIEATER TION AVTIiOR12E0 IS NOT COMMENCED WITHIN 120 DAVS, OP IF <br /> CONSTRVCTION OR WORK IS SUSPENDED OF A9AN�ONED FOR A <br /> URINAL PERIO� OF 120 OAVS AT ANV TIM17L AFTER WORK IS COMMENCED. <br /> �RINKING FOUNTAIN <br /> FLOOR-SINK OR DRAIN 1 I1ERE��' CEPTIFV THAT I HAVE FlEAD /1ND E%AMINED THIS AP� <br /> PLICATION AND KNOW TIIE SAME TO 0E TRUF ANO CORRECT. ALL <br /> VACUUM [1REl�KERS PROVISIONS OF LAWS AND OROINANCES GOV[RNING THIS TVP@ <br /> ROOF DRAINS-PAINLEADERS _t__ Of- WORK WILL BE COMPLIED WITH WHETHER SPECIf-IFD HEREIN <br /> '.,NK ISERVICE--6AR, ETC.1 Ofi NOT, THE GRANTING OF A PERAIIT �O@S NOT PRESUME TO <br /> GIVE AUTHORIT�' TO VIOLATE OR CANCEL THE PHOVISIONS OF <br /> ANY OTHER STATE OR LOCAL L!�'N REGU�ATING CONSTRUCTION <br /> OR THE PERFOFMANCE OF CONSTRUCI'ION. - <br /> SUB TOTAI <br /> PERMIT S <br /> TOTAL FEE 5 „�+ <br /> x � <br /> SIGNATUREOFCONTPACTORORAUTH.AGENT DATE <br /> SI�EYAF�SET�ACK STREETSETBACK REARVARDSETBACKPLANCHECKNUM1IOER PLANCHECKFEE <br /> FEE REC[IPT NO. <br /> VSE 20Nf LOT AREA VACANT SITE <br /> ❑VES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OGCUPANCV GROUP UNIT�S DWELLING � <br /> I <br /> SIZE OF 6LOG. NO.OF STORIES MA%.00C. LOAD BUILDING S I <br /> I <br /> PLUAI�ING � <br /> F�PEYONE OASEMENT FIRESPRINKLERS � <br /> R aVESE� �NO MECHANICAL �� <br /> I <br /> SPECIAL CONDITIONS: OTHER � <br /> �r— <br /> PENELTI' SEC.30310) � <br /> — _-- � <br /> � TOTAL �T ��I <br /> PERMIT VALIDATION <br /> WHEN PROPEflLV VALIOATED IIN THIS SPACEI THIS IS VOUR PERMIT <br /> I <br /> I <br /> qa�LICAIIDNPCLCPi[DDY' �1AN501CCKCDIIY�. AFPflOV[DF011155U�tlCCPY I <br /> �L� �r� Q <br />