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dic Everyrc�s+ <br /> �,�Y „F CONSTRUCTION everett <br /> everett PERMIT <br /> orvunii ts�eEes <br /> [VFN(i1.lYAS�11NG1UN <br /> OtlAI <br /> ��t�r �� �n�°���°° �UILDING MECHANICAL PLUMBIN <br /> uivum,•�i•n <br /> MAIL �UDHESS ZIP YHONE <br /> OWNL(i /� �y _ , �� � A{�ry� � � <br /> � li1 i7iti! �w% TKiw _I �. - <br /> ARCHITECTORO@SIGNEP M1IAILA�DHE55 <br /> Ph�ONE LIC[NSE NO. -�[YYR <br /> GENERALCONTRACTOR <br /> MAIL ADORESS PHONE LICENSE NO. <br /> � MAIL/�ODRE55 PHONE LICENSE NO. <br /> AtECMANICAL CONTRACTOR <br /> � <br /> MAILADORL�S PHONF LICENSENO. W <br /> PLUMBINGCONTRACTOR m <br /> � <br /> I CLl�55 OF WORK = <br /> PERMIT z <br /> F <br /> �BUILDING ❑PLUMBING ❑AIECHANICAL �yNEW �qDDITION ❑nLTERATION G�EPAIR � <br /> TJ <br /> � <br /> VALUATION OF WORK w . <br /> � �yy� /M ❑DEMO�ISH ❑�'ENC@ ❑SIGN ❑SW�MMING POOL — a <br /> S �LVHMM _ <br /> DESCRIUE W�f�K� � �SA <br /> � <br /> PpOPOSED USE MECHANICAL <br /> TVPEOFFUEL �OIL ❑GAS ��PG� ❑ELCC. <br /> LEG/1L DESCRIPTION OF PROPERTV ISHOW E3ELUW ON ATiACH pEE <br /> FOU�QoP�� s.fL,.s� ��(� NO. _ TYPE OF EDUIPMENT <br /> ai�i1P�.y S I <br /> LOTw JLOCK—OI lUHCUND.UNITS-H.P. EA. <br /> REFRIGERATION VMTS-H.P. EA. <br /> DOILERS-1�.P. [A. � <br /> GAS f-IRED A.C.UNITS-TONNAGE EA. <br /> FORCEO AIN S�STEMS-6.T.V. M EA. � <br /> WALIHEATEFiS-6.T.U. M <br /> JOflAD�lPESS _ _ � — I <br /> Y��y UNIT HEATERS-B.T.U. M <br /> ^C r� EVAPORATIVECOOLEiiS <br /> PLUMBING _ GLOTHES DRVERS � <br /> VENTILl�TIOh FAN <br /> RAN(�E NOOD � <br /> AIR HANOI.ING VNIT- C.f.M. <br /> � NO. TVPE OF FIXTURE OR ITEM FEE iNCtNEnA7oR � <br /> YJATER CLOSET ITOILETI 5 <br /> BATNTUB _— � <br /> LAVATORY (WAS40ASIN) �--�—,-- . <br /> S:�ON'EP ---�— SUBTOTAL 5 1 <br /> KITLHEN SINK& �ISP. . pERMIT 5 <br /> OISHWASHER �-- <br /> TOTALFEE 5 I <br /> LAUNDFYTFAV <br /> CLOTHES WASHEF �_ TMIS PERh11T DEGOMES NULL AND VO10 IF WOFK OR CONSTflUG <br /> WNTER HEATER TION AVTHORIZE� �S NOT COMYIENCED WITHIN 120 D.aYS, OR IF <br /> CONSTRUCTION OR WORK IS SUSPENOED OR n13ANOONED FOR A <br /> UPINAL PERIOD OF 120 OAYS AT ANV TIME AFTER WORK IS COMMENCED. <br /> ORINK�NG FOVNTAIN --{-- � HEREDY CEFlTIFY THAT I tb1VE fiEAD AND E%AM1IWEU THIS AP� <br /> FLOJf�-SINK OR DRAIN '� pLICATION /1ND KNOW THE SAM11E TO 6E TRUE AND CORRECT. ALl <br /> ��VA�CUVM OREAKERS PROVI:IONS OF LAWS AND GRDINANCES GOVERNING THIS TVPE <br /> —IqpOF ORAINS-R4INLEADERS OF W01iK W�LI BE COMPLIED W�TH \YH[TH[R SPECIFIED HEREIN <br /> SINIC ISERVICE--0AR,ETC.1 _ OR M1Oi, THE GRANTING OF A PePM1T DOES NOT PRESUME TO <br /> —}-- ANV OTMEfl STATE70R LOCALEL�AW FEGULl�TI1NG CONSTRUCTION . <br /> OP THE PERf-ORMANCE OF CONSTiiUCTION. <br /> SUBTOTAL <br /> PERMIT S <br /> ?OTnL FEE 5 �� <br /> 31GNATUREOFCONTRACTOROfll�UTIi.AGENT �ATE <br /> PLAN CNECK FEE <br /> SIDEYANDSET�ACK STFEETSET6ACK PEARYARDSETOACKPLANCHLCKNUMItEfi - FEE� M fiE IPTND. <br /> �� �\N <br /> USE 20NE LOT nREA VACANT SITE - <br /> �YES ❑NO FEES VALUATION FEE <br /> 7VPE OF CONST. OCCUPANCY GROVP NO.OF OWELLING - � <br /> UNITS <br /> SIZE OF OLDG. NO.OF STORIES MA%.OCC. LOAO �UILDING <br /> s3s�� P i0C} <br /> — I <br /> PLUMBING I <br /> FIFE 20NE f3r15[MENT FIRESPFWKLERS 1 <br /> qfl1UIRED MECHA111CAL � <br /> ❑VES ❑NO <br /> I <br /> SPECIAL CONOITIONS: OTHEH � <br /> PENELTV SEC.7031a1 � <br /> -- TOTAI Z�j� <br /> PERMIT VALI�ATION <br /> y��{[ry PROP@ RLV Vl�LIDATEO(IN THIS$PACEI T���51$VOUR PERhtIT <br /> /.vvllCnj{O�y�.CCCPLCDOY PLANSO��OY MPHOVF�[1FPP uU�NCCOY <br /> �.rw . 6�L <br /> n <br />