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t/rc Eivipreen <br /> `�rY °,° CONSTRUCTION <br /> everett everett <br /> ❑iY NALI ]5'vB895 PERMIT <br /> N[P[t1,1Y45NIN4I0N <br /> 5eeai <br /> °", ,"°""°""° BUILDING MECHANICAL PLUMBING <br /> OEVFIdIMEYi <br /> rNNER <br /> r- �. TM� MAIL ADDRE55 Z�P <br /> ii 91.yA C��� PMONG <br /> .�iv� �� <br /> ARCHITECTOROESIGNER MAI�ADDRE55 <br /> PHONE LICENSE NO. <br /> GENERAL+CONTRACTOR Mq�LADDRE55 PHONE <br /> C� �J� Rt�j �:!��:`�� �"� LICENSE NO. <br /> MECHANICALCOVTPACTOR MAILADDRESS <br /> PHONE IICENSE NO. <br /> PLVMOINGCONTRqCTOR MAILAODRE55 <br /> PHONE LICENSE NO. � <br /> W ' <br /> PEFMIT m <br /> CLA55 O�WpRK � <br /> ��UILDING �PLUM�ING �MECHANIC/�L Z <br /> �N�W ❑A�DITION ❑ALTER�ITION �REPAIR ~ <br /> VALUATIONOF RK � <br /> 5 ❑O[MOLISH ❑FENCE ❑SIGN ❑SWIMMING POOI. {{� <br /> �ESCRI6E WpFK a <br /> �:� `cc�T� .� �-�m�s 1076 <br /> PROPOSED USE <br /> MECHANICAL <br /> ICGAI OESCRIPTION OF PqOPEFTY ISHOW BELOW OR ATTACry ❑ ❑Gns �LPG. �ELEC. I <br /> TVPEOFf-UEL DIL NAT. <br /> FOUR CO E51 r� ♦�,� <br /> �07 � pLOCK�oF � �+�Y NO. TVpE OF E�U�PMENT FEE <br /> AIR COND. UNITS-M.P. EA, 5 � <br /> _ REf-RIGERATIpN UNITS-li.P, EA. <br /> �OILEFS-H.P. EA. � <br /> Gl�S FIRED A.C. UNITS-TONNAGE EA. <br /> JO�AODRE55 �ORCED qIR SVSTEMS-B.T.U. M EA. � <br /> � �'.� WALL HE/�TERS-O.T.U. M <br /> UNIT HEATERS-B.T.U. M I <br /> PLUMBING EVAPORqTIVECOOLERS <br /> CLOTHES �RVERS � <br /> VENTILATION FAN <br /> Rt1NGE HOOD � <br /> NO. . TVPE OF FIXTURE OR ITEM FEE A�R HANOLING UNIT- C.F.M. <br /> WATER CLOSET(TOILET) 5 INCIN[RATOR ' <br /> BATHTUB — I <br /> LAVqTORY(WqSH 6qSIN) ' <br /> SHOWER <br /> I <br /> KITCHEN SiNK& DISP. <br /> DISHWqSHER SV6TOTqL $ � <br /> LAUN�qV TRAV PERMIT g <br /> CLOTHESWASHER — TOTA�FEE 5 � <br /> WATER HEATER _—'— 11115 PERMIT DECOMES NULL AND VOID IF WpqK pq CONSTRUC� <br /> UqINAL CONS RUCTION OF WpRKT S�SUSPENO D OIR„ABANDONED FOqlq <br /> DRINKING POUNTAIN PERIOD OF 120 DAVS M ANV TIME AFTER WOfiK IS COMMENCED. <br /> FLOOR-SINK OR DRAIN �— I IiER�py �f"FlTIFV TIIqT I IiqVE READ ANO EXAM,INED TIiIS AP. <br /> VACUUM OREAKERS PL�C.iTION 4YD KNOW THE SAME TO BE TRUE AND CORqECT.ALL <br /> ROOF DRAINS-pqINLEADERS PAOVISIOryS OF LAWS AND ORDINANCES GOVEFNING THIS TVPE <br /> SINK (SEflVICE-BAR, ETC.) n'' �"�A�� WILL BE �OM1IPLIED WITH WHETHER SPECIFIED HEREIN <br /> OR NOT, THE GRANTING OF A PEPMIT DOES YOT PRESUME TO <br /> GIVE AUTHORITV TO VIOLATE OR CANCEL THE PRr•/ISIONS OF <br /> ANY OTHFR STATE OR LOCAL LAW REGULATIN3 CONSTRUCT�ON <br /> SU� TOTAL �A T�iE PERFORMANCE OF CONSTRUCTION. <br /> PERMIT y <br /> TOTALFEE g —�- <br /> x +�� <br /> SIGNATUREOFCONT2�CTOFORAUTH.AGENT DATE <br /> SIDE VAR75ETOACK STREET SETBqCK REAR VqR!]SETOACK P�AN CHECK NU�90ER <br /> PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE 20NE LOT AqEA VACANTSITE <br /> ❑vEs ❑NO FEES VALUATION <br /> TVPE OF CPNST. OCCUPANCY GROUP NO.OF DWELLING FEE <br /> UNITS <br /> I <br /> SIZE OF �LDG. NO. OF STOfilES MA%.00C. LOAD DUIL�ING 5 � 9 i � <br /> FIREZONF BASEMENT FIPESPRWKLEIiS PLUAiBING � <br /> Rf�VIqED I <br /> ❑V[S ❑NO MECHANICAI <br /> SPECIAL CONOITIONS: <br /> I <br /> OTHER � <br /> I <br /> PENELTV SEC.�07(a) � <br /> TOTAL 9 /�y� <br /> Y" <br /> PEF;MIT VALIDATION <br /> WHEN PqOPERLV VALIOAT[D UN THIS SPqCE) THIS IS VOUR PEFh11T <br /> APPUUTION�Cf.[C1CpOP. PLAk501CLK[OBY- A�Pq01If�F0(iI55U�NCCOY. <br /> �i� C� <br /> 3 <br />