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thr. Evcrprcen <br /> =�r� �, CONSTRUCTION everett <br /> everett �ERMIT <br /> LIIY IIALL 159Bfl85 <br /> Nkfl[li,VVMt���NC10N <br /> 99101 <br /> °"` °oE°";a;,„; BUILDING MECHANICAL PLUMBING <br /> OWN[R MAILAODIiESS Z�p PHONE <br /> .- ". ' . . . . �.�"`� .. <br /> AFiCHITECTORDES�GNER h1AILADDRE55 PMONE LICENSENO. <br /> GENERi1L CONTRqCTOR MAIL ADDFESS PHONE LICENSE NO. <br /> MECHANICALCONTRACTOfl MAILADDRE55 Y:�ONE LICENSENO. <br /> PLUMDING CONTRACTOR MAIL ADDNESS PHONE LICENSE NO. � <br /> W <br /> m <br /> PEFMIT CLASSOFINORK — � ' <br /> � <br /> Z <br /> []BUILDING � PLUMBING �MECHANIC/1L � <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR � <br /> VALUAT�ON UF WOfiK <br /> 5 ' ^�'��� ODEMOLISH ❑FENCE ❑S�GN ❑SW'hIMING POOI W <br /> DESCRBG WORK �' <br /> _ .,, '- � '. -_ - ._. � 1� f�� :, <br /> PROPOSED USE <br /> MECHANICAL <br /> TVPEOFPUEL �OIL �NAT. �LPG. �ELEC. <br /> IEGAL DESCRIPTION OF PROPERTV ISNDW UELOW OR ATTt1Cli GAS <br /> FOUR COPIES) <br /> �oT � � �LOCK ,r Z OP "�r• ��� - � -� i � i - :. NO. TVPE OF EOUIPMENT FEE <br /> AIR COND. UNITS-Ii.P. EA. $ � <br /> REFRIGERATION UNITS-H.P. EA. <br /> �ORERS-H.P. EA. � <br /> GAS FIRED A.G UNITS-TONNAGE EA. <br /> __ FORCED Alfi SVSTEMS-6.T.U. M EA. � <br /> JOB ADDRESS WALL IiEATERS-D.T.U. M <br /> - � , ^ �-�� UNITIIEl�TEFS-�.T.U. M � <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTHESDNVERS ' � <br /> VENTILATION FAN <br /> RANGEHOOD � <br /> NO. TVPE OF FIXTURE OR ITEM FEE A�R HANDLING UNIT- C.F.M. <br /> WATER CLOSETITOILET) �h+CINERATOR � <br /> tlATHTUB <br /> LAVATOPV(WASH BASIN) � <br /> SHOWE�i — <br /> KITCHEN SINA R DISP. SUO TOTAL 5 <br /> DISMWASHEq � <br /> LAUNDRVTRAV PERMIT 5 <br /> CLOTHES WASIiEP TOTAL FEE 5 � <br /> WATER HEATER THIS 'i'ERMIT DECOMES NULI ANO VPID IF WORK OR CONSTRUC- <br /> TION AUTHORIZLD IS NOT CO�dMENC_D WITHIN 120 DAYS, OP IF <br /> URINAL —�— WNSTRUCTION OR WOFK IS SUSPEN]ED OR ADANDONED FOR A <br /> �RINKING FOUNTAIN PEf110D OF 1?0 DAVS AT ANV TIME AFTER bVORK IS COMMENCED. <br /> FLOOR-SINK OR ORAIN I HEREOY CERTIFY THAT I HAVE FEAD AN� EXAMINED 1H15 AP- <br /> VACUUAI E3REAKFRS _�— PLICATION i1ND KN069 TFIE SA�1E TO [1E TRUE�1ND CORRECT. ALL <br /> FOOF DRAINS-RAINLEADEqS P�OVISIONS OF LAWS ANO OFOWANC[5 GOVEfiNING TFIIS TYPE <br /> OF WORK WILL BE COAIPLIED NlITFI NJH[THER SPECIFIED HEREIN <br /> SWK ISEflVICE-OAR,ETC.) —�— OP NOT, THE GRANTWG OF A PEFAAIT OOES NOl' PRESUME TO <br /> GNE AUTHORITY i0 VIOLATE OF CANCEL TH[ PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW fiEGULATING CONSTFUCTION <br /> OF THE PERFONMANCE OF CONSTRUCTION. � <br /> $UO TOTAL <br /> PERMIT S <br /> TOTAL FEE 4�f� �� � �� � <br /> X �.: ,-� l- <br /> , � �t�; ;� -+�L Y <br /> SIGNATUFEOFCON Rl�CIORORAUTH.AG �7� OA E <br /> SIOE YARD SET�ACK STftEET SET�ACK REAR YAR�SETPACK PLAN CHECK NUM�EFi PL �N CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AFEA VACANT SITE <br /> ❑YES ❑No FEES VALUATION FEE <br /> TVPEOFCONST. OCCUPANCYGROUP NO.OFDWELLING <br /> UNITS � <br /> SIZE OP UL�G. NO.OF STOflIES MAX.00C. LOAD BUILDING 5 n..1/� `:; I^n <br /> i�(i <br /> PLUMOING I <br /> FIRE20NE BASEMENT FIqESPflINKLEFS <br /> REQUIflE� � <br /> ❑VES ❑NC h�ECHANICAL � <br /> SPECIAL CONOITIONS: OTHER I <br /> I <br /> PENELTV SEQ 90J lal � <br /> TOTAL � <br /> � � ', i <br /> PERMIT VALIDATION <br /> WHEN PRpP[RLY VnIID�TED ItN t1115 SPACF:1 TFIIS IS VOUfi PEfiAt1T <br /> afPLICATION/.CLCPTEDOY�. PLANSCNECKEOOY' AVPPOV[Of0(115SUPYC[OV <br /> � <br />