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I (hr, Everyr�!en <br /> CITY pF CONSTR UCTION everett <br /> everett PERMIT <br /> [Ilv Nqll I598805 <br /> Ev[NFL1,Ivn5luNGtON <br /> 98101 <br /> °`"` ""°''"°""" BUILDING MECHANICAL PLUMBING <br /> 0lVflOPMLYI <br /> �WN�A MAILADDRESS 21P �:�i�O�NpE� <br /> .ft4 `..Z'':. �.• '��!'.x��t,l'� c"�+j�J R'i� :�l• ���T+�4 �.�],�lca <br /> ARCHITECT OR DESIGNER MAIL ADDRESS PMONE LICENSE NO. <br /> GENERAL CONTRACTOF MAIL AOORESS PHONE LICENSE NO. <br /> i�?fF <br /> MECHANICA�CONTRACTOR MAILADDRE55 PHONE �ICENSENO. <br /> PLUMBING CONTRACTOR MAIL ADDHESS PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASS O�WORK � <br /> � <br /> z <br /> a6UILDING �PLVMBING �MECHANICAL F <br /> ❑NEW ❑ADDITION ❑ALTERATION �REPAIq � � <br /> VALUATION OF WORK -- <br /> 5 �� ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL W <br /> DESCRIOE WORK � <br /> a <br /> lx-�k7� T..,... �.J,,�. � .� �,,,�. n,...._...;c .., -�., ..Y 1 O V� <br /> PROPOSE� USE <br /> MECHANICAL <br /> LEGAL DESCFIPTION OF PROPERTV ISHOIY BELOW OR ATTACIi T�PE OF FUEL �OIL �GAns. �LPG. �ELEC. <br /> FOVR COPIESI <br /> LOT u1.oCK—OF NO. TYPE OF EQUIPMENT FEE <br /> AIR CONO. UNITS-�H.P. EA. 5 I <br /> REFRIGERATION UNITS-H.P. El�. —� <br /> 601LER5-M.P. EA � <br /> GAS FIqED A.C.VNITS-TONNAGE EA. <br /> FORCED Alq SVSTEMS-B.T.U. M EA. � <br /> JOB ADDRESS WqLL HEATERS-6.T.U. M <br /> �) 7�i�r :A� <br /> � UNIT HEATERS-B.T.U. M I <br /> PLUMBING EVAPORATIJECOOLERS <br /> CLOTHES DRVEriS � <br /> VENTILATION FAN T <br /> RANGEHOOD � <br /> NO. TVPE OF FIXTURE OR ITEM FEE �+IR HANDLING UNIT- C.F.M. <br /> WATER CLOSETITOI�ET) g INCINERATOf1 � <br /> 9ATHTUO <br /> _ IAVAI'OHVIWASMBASIN/ � <br /> SNOWER <br /> KITCHEN SINK& DISP. SUB TOTAL 5 � <br /> �ISliWASHER <br /> LAUNDRVTRAV <br /> PERMIT S <br /> CLOTHES WASHER TOTAL FEE 5 � <br /> WATER HEATER THIS PERMIT �ECOAIES NULL AND VOID IF 1NORK OR CONSTRUC� <br /> TION AUIMORI2ED IS NOT COMMENCED Wf�HIN 120 DAYS, OR IF <br /> URINAL CONSTPUCTION OR VJORK IS SUSPEN[]EO OR AFiANDONED FOR A <br /> DRINKING FOUNTAIN — PER10� OF 120 DAYS AT ANV TIME AFTER WOF1: IS COMMENCED. <br /> FLOUF-S�NK OR DRAIN I HEREBV CERTIFV THAT I HAVE FEAD ANO EXAfdWEU THIS AP� <br /> VACUUAI BREAKERS �LICATION AND KNOW TME SAM[ 70 �E TRUE AND CORRECT, f�LL <br /> ROOF ORAINS-F.1INLEADEFS PROVISIONS OF LAWS AND OFUINANCES GOVERNING THIS TVPE <br /> OF WORK WI�L BE COMPLIED WITH WHETfiER SPECIFIED MEREIN <br /> SINK (SERVICE-BAR, ETC.) Ofl NOT, TNE GRANTING OF A PERAIIT OOES NOT PRFSUME TO <br /> GNE AUTHORITV TO VIOLATE OR CANCEL �HE PROVISIOYS OF <br /> ANV OTHER STATE OR LOCAL LAbV flEGU1.t1iING CONSTRVCTION <br /> _ OR THE PERFORh1.1NCE OF CONSTRUCTION. <br /> SUOTOTAL <br /> PERMIT $_+ <br /> TOTALFEE 5 i <br /> � x �'f�l7G <br /> SIGNATUREOFCONTRACTORORAUTIi.AGENT DATE <br /> SIOE YA9D SETDACK STREET SET�ACK REAR YARDSET[3ACK PLAN CHECK NUh16ER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USEZONE LOTAREA VACANTSITE <br /> ❑rES ❑No FEES VALUATION FEC <br /> TVPE OF CONST. OCCUPANCY GqOUP NO.OF OWELLING — <br /> UNIT$ � <br /> S!ZE OF BLDG. NO. OF STORIES MAX.OCC. 10/1D OUILDING 5 �� �I M <br /> W <br /> PLUMBING I <br /> FIRE ZONE DASE�ItNT FIRESPRINKLEHS � <br /> PfOUIRED �— <br /> ❑YES ❑NO MECHAHICAL � <br /> SPECIALCONOITIONS: OTHER � <br /> 1 <br /> — PENELTY SE0.90JIo) I <br /> TOTAL � <br /> J�� <br /> PERMIT VALIDATION <br /> WHEN PROPEfiLY VALIDATED(IN THIS SPACE)THIS IS VOUR PERMIT <br /> APfLIC411p1lTttFPTEDpY: P�qN$CIIECRE��V �PPqOVC�(OV1155Uf�NL[�Y. <br /> 1.�� <br /> a <br />