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Ure Fvcigrcen <br /> =�T� �� CONSTRUCTION everett <br /> everett PERMIT <br /> crtv unti nvesvs <br /> R'E PF ii.1Y4511iMG104 <br /> 9A}01 <br /> "`P' °"°,'^'°^^' BUILDING MECHANICAL PLUMBING <br /> oevnorm�xi <br /> OWNEii MAILAODRESS ZIP FMONE <br /> i 3�:."", G'I4.'?'��' 1QY� G:��'�'S c�.•�+ <br /> ARCHITECT OR OESIGNtfi MAIL AODRESS PHONE L�CENSE NO. <br /> GENERAL CONTRlaCTOFi MAIL ADDRESS PHUNE LICENSE NO. <br /> MECHANICAL CONTl7ACTOR M1IAIL ADDRE55 PHONE LICENSE NO. <br /> PLUMB NG CONTRACTOR MAIL ADOIiESS PHONE LICENSE NO. � <br /> �ri:tl" r�'!�'1"T F"I.�G� m <br /> NERMIT CI.ASSOFWORK � � <br /> ❑BUILOING [�PLUM�ING �MECHANICAL Z <br /> ❑NEW ❑AD�ITION ❑ALTERATION �REPAIR ~ <br /> VALUATION OF WORK � <br /> 5 ❑DEMOLISH ❑F[NCE ❑SIGN ❑SWIMMING nppL W <br /> DESCftIBE WOIiK a � <br /> 898 <br /> PROPOSED USE <br /> MECHANICAL <br /> TVPEOFFUEL �OIL �NAT. �LPG. �ELEC. <br /> LEGAL DESCRIPTIUN OP PROPERTV ISHOW BELOW OR ATTACH GAS <br /> FO V fl COPI ESI <br /> LOT uLOCK—oF N�• TYPEOFE�UIPMENT FEE <br /> AIR COND. UNITS-H.P. EA. S I <br /> REfiiIGERATION UNITS-Ii.P. EA. <br /> OOILLRS-N.P. GA. � . <br /> GAS FIRED A.C. UNITS-TONNAGE EA. ` <br /> f-ORCED AIR SVSTEMS-e.T.U. M EA. � <br /> J06AOORESS � WALLNEAT�RS-�.T.U. M <br /> VNIT HEATERS-6.T.U. M I <br /> EVAPORqTIVECOOLERS <br /> PLUMBING CLOTHES OHVERS i <br /> VENTILATION FAN � <br /> FANGEHOOD I <br /> N TYPE OF FIXTURE OR ITEM FEE ��� ���NDLING UNIT- C.F.h1. <br /> WATEF CLOSET (TOILETI g INCINERATOR � <br /> BATHTUB <br /> LAVATORV(WASH �ASINI � <br /> SHOW[Fi <br /> KITCHENSINK& DISP. SUDTnTAL S <br /> OISHWASHER � <br /> PERMIT S <br /> LAUNORYiRAV <br /> CLOTMES WASNER '� TOTl�L FEE 5 � <br /> THIS PERMIT BECOMES NULI ANO VOID IF WOIiK OR CONSTflVG <br /> WATEP MEATEfI TION AUTHORIZED IS NOT COMM[NCED WITHIN 120 DAYS, OR IF <br /> URINAL �— CONSTfiUCTION OR WORK IP SUSPENDED OR ABANDONED FOF A <br /> DRINKING FOUNTAIN PEIiIOD Of- 120 DAVS AT AYY l'IME AFTER WCFK IS COMMENCED. <br /> FLOCR-SINK OR ORAIN I HEREBY CERTIFV THAT 1 HAVE FEAO AND E%AMINE) THIS AP� <br /> VACUUM �FEAKERS PLICATION AND KNOW THE SAME TO BE TFUE AN�CORRECT. ALL <br /> ROOF DRAINS-RAINLEAOFRS PROVISIONS OF LAWS AND ORDINANCES GOVEFlNING THIS TVPE <br /> OF WORK WILL BE COMPUED WITH �SH[THEH SPECIFIE� fiFREIN <br /> SINC (SERVICE-BAR, ETC.1 OR NOT, TIIE GliANTING OF A PERh11T DOES NOT PRFSUME TO <br /> GIVE AUTHORITV TO VIOIATE OR CANCEL TME PFlOVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OP CONSTFiUCT10N. <br /> SUBTOTAL <br /> PERMIT 5 <br /> TOTAL FEE 5 <br /> x <br /> .JATUREOfCONTRACTOfiOHAUTH.AGENT DATE <br /> SIDEVARDSET�ACK STREETSET�ACK REARYnRDSET6ACKPLANCHECKNUMU[R PLANCHECKFEE <br /> FEE qECEIPT NO. <br /> USEZONE LOTAREA VACANTSITE <br /> ❑YES ❑No FEES VALUATION FEE <br /> TYPE OF CUNST. OCCUPANCY GROUP NO.OF OWE�I.WG <br /> UNIT$ � <br /> SIZE OF OLDG. NO.OF STORIES MA%.00C. LO/1D BVILUING $ � <br /> I <br /> — __�_ <br /> FIREZONE OASEMENT F�RESPPINKLERS P�UMBING p'� <br /> RCQUIFED �i— <br /> ❑VES ❑NO MECHAHICAL � <br /> SPECIAL CONDITIONS: OTHER � <br /> I <br /> — PENELTY SEC.7071a1 I <br /> TOTAL e � <br /> 7 <br /> PERMIT VALIDATION <br /> INHEN PROPERLV VALIDATE�IIN THIS SPACEI THIS IS VOUR PGRM1IR <br /> �rrucnnor�ncc[ri[ocr ��nrs�nEcrcmnr nrre0vmrahjssunHc[ev. <br /> �.� 4� <br /> 3 <br />