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t6e Evcrgremr <br /> =�TYo� CONSTRUCTION everett <br /> everett PERMIT <br /> [ilY IIAII 1598xw5 ._ <br /> [V[P[fi.IV0.S�IINSION <br /> 9A:01 <br /> nert �,<<o,.,,,��,,,, gUILDING MECHNNICAL PLUMBING <br /> o�vEiorn+�xr <br /> OWNER MAILApOFESS ZIP PHONE <br /> !,.'Ze�.*r !q-E�n 2131 '•.?a•;w�c+Z q�2tA�, i <br /> AFCHITECT OR DESIGNER h1AIL ADDRESS PHONE LICENSE NO. ;9"j(�?� <br /> ( � <br /> GENLRALCONTRACTOR MAILAD�RE55 PHONE LICENSENO. <br /> � <br /> MECNANICAL CONTRACTOR MAIL A�DRESS PHONE LICENSE NO. <br /> PLI M�ING CONTpqCTOR MAIL AUDRESS PHONE �ICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASSOFWORK � <br /> � � <br /> ❑BUIIDING �PLUMBING �MECHANICAL � <br /> ❑NEW ❑ADDITION ❑ALTERATION �REPAIP � ' <br /> VALVATION OF WORK � <br /> 5 [�� ❑DEMOLISIi ❑FENCE ❑SIGN ❑SWIMMING POO� LL1 <br /> a <br /> DESCRI9[WORK <br /> 'e�sr �t rach �e .:� 16 7 0 <br /> PROPOSED USE <br /> �y� MECHANICAL <br /> TYPEOFFUEL �OIL �f�AT. �LPG. �ELEC. <br /> LEGAL DESCRIPTION OF PFOPERTY ISHOW 6ELOW OF ATTpCH GAS <br /> fOUR COPIE51 <br /> L�7 BLOCK—oF NO. TVPEOFEUUIPMEN7 FEE <br /> AIR COND. UNITS-H.P. EA. $ � <br /> REFRIGERATIpN VNITS-H.P. EA. <br /> — BOILERS-H.P. E�. � <br /> GAS PIRED A.C. UNITS-TONNAGE EA. <br /> __ FORCED Alfi SVSTEMS-�O.T.U. M EA. I <br /> J09 AO��RLMSS p� WALL li[l�TERS-B.T.U. M <br /> G}:.y. r�.•� UNIT HEATERS-f>.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTHES DRVERS � <br /> VENTII.ATION FAN <br /> RANGEHOOU I <br /> NO. TVPE OF FI%TURE OR ITEM FEE n�R h1ANDLING UNIT- C,F.M. <br /> WATEF CLOSETITOILETI S INCINERATOR _ � <br /> BATHTUB I _ <br /> LAVATORY(WASH 8.'a51N) � <br /> SHOWER <br /> KITCHF.N SIM1K& OISP. SUB TOTAL 5 � <br /> DISHWASIiER PERMIT 5 <br /> LAUNDRV TfiAV TOTAL FEE 5 I <br /> CLOTHES WASHER THIS PERMIT l7ECOMES NULL AND VOID IP WORK OR CONSTRUC- <br /> WMEF HEATER TION AUTH091ZED IS NOT COMM1i[NCED WITHIN 120 DAVS, OR IF <br /> URINAL CONSTRUCTION OR WORK IS SUSPENDED OR A(3ANDONEO FOR A <br /> DRINKING FOUNTAIN PERIOO Of- 120 OAVS 4T ANY TIME AFTER4VOftK IS C0�IMENCED. <br /> FLOOR-SINK OR DRAIN I HEREUV CEflTIFV THAT I HAVE REA� AN� EXAMWED THIS AP- <br /> VACUUM �IiEAKERS PLICATION 11ND KNOW TNE SAM11f:TO DE TFUE AND COfiRECT. ALL <br /> ROOF DRAINS-RAINLEADERS PnOVISIONS OF LA\YS AND ORDINANCES GOVERNING THIS TVPE . <br /> OF WO�1K WILI �E COMPLIED WITH WIIETIIER SPECIf1EU NEREIN <br /> SINK (SERVICE-�AR,ETC.1 OH NOT, THE GRANTING OF A PEF�11T OOES NOT PqESUME TO <br /> GIVE AUTHORITY TO VIOIATE CR CANCLL TIiE PfiOVI510N5 OF <br /> ANV OTHER STATE Ofl LOCAL LAV� REGULATING CONSTRUCTION <br /> �_ OR THE PEFFOqMANCE OF CONSTRUCTICf�. <br /> ___SU� TOTAL I <br /> PERMIT $ <br /> TOTALf-EE $ ' �j�+.�.[ <br /> x i � V <br /> SIGNATUREOFCONTf7ACTORORAUTH.AGENT DATE <br /> SIOE VARO SET6ACK STFEET SETUACK AEARYARDSETAACK PLAN CNECK NUA1BEfi PLAN CHECK PEE <br /> FEE RECEIPT NO. <br /> U!'EZONE LOTAREA VACANTSITE <br /> ❑vE5 ❑No FEES VALUATION fEF <br /> TVPE OF CONST. OCCUPP4CY GROUP NO.OF OWEILING <br /> uriirs i <br /> SI2E.OF OIDG. NO.OF STOFIES MA%.00Q LOA� DUILDING 5 �0.� Z�� � <br /> PLUMBING � <br /> FIpE 20NE DASEMENT FIIiESPRINKLERS <br /> RC�UIREO <br /> ' ❑YES ❑NO MECHANICAL � <br /> SPECIAL CONOITIONS'. OTNER � <br /> 1 <br /> PENELTV SEC.3031a1 I <br /> TOTAL )I((n <br /> PERMIT VALIDATION <br /> WHEN PROY[RLV VALIDATEO IIN TNISSPACEI THIS IS VUUl: P[RhtlT <br /> AI'PI�CAiip4ACCLPiCp1IV PlK4U1CO:CUOVr MPhOYL{�F�ONISSUA�lLI f!V <br /> � <br />