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tl�c Ever9rnnn <br /> =�TY �� CONSTRUCTION everett <br /> everett PERMIT <br /> ❑Iv�b1il 15980A5 <br /> NENEiI �.5iS111NGIf1N <br /> 98}pl <br /> °`�' °"°"'"'°""" BUILDING MECHANICAL PLUMBING <br /> nEv«ovMEnr <br /> O'NNEF MAIL ADDRESS ZIP PNONE <br /> �5.�.'�t;:i:.�? _�',aC�ffT�±'� "�.1�'... "�,.�.r � }�� (.� t�. t6�. �c� 'l�� ZT%.�� <br /> ARCHITECT OR DESIGNER �MAIL ADDflESS PHONE LIGENSE NO. <br /> �R���� �' Z�I../f <br /> GENERAL CONTPACTOR MAIL ADDRESS PHONE LICE.'JSE NO. <br /> �'8.2�' sd n'3� <br /> MECHANICAL CONTRACTOR MAIL AOORE55 PHONE LICENSE NO. <br /> Cr,r .�. �n�/e <br /> w.. J' .4 i SrsV <br /> PLUM6INGCONTRACTOR MAILAODRESS PHONE LICENSENO. � <br /> W . <br /> :r'7�iC�..�t �Ki�y � <br /> PERMIT CLASS OF WOIiK � <br /> Z <br /> �OUILDING [�PLUM6ING �M[CHANICAL � <br /> �NEW ❑ADDITION ❑AITERATION ❑PEPAIR � <br /> VALUATION F/Wy�OR�K/� � , <br /> 5 ��MI�•1y ❑OEMOLI511 ❑FENCE ❑SIGN ❑S�VIMMING POO� W <br /> a <br /> DESCRIU[WORK <br /> ���:�x: �, =."� 1633 <br /> PROPOSED USE <br /> MECHANICAL <br /> LEGALDESCRIPTIONOF PROPERTV ISHOW BELOW OF ATTACH iVPE Of- f-VEL �OIL �GAS. �LPG. �ELEC. <br /> FOUR COPIE51 [wA _ <br /> LOT� I3LOCKs•'�•oF_ r:G� � TT _ O. TVPE OF E�UIPMENT FEE <br /> AIR COND. UNITS-H.P. EA. 5 I <br /> REFRIGERATION UNITS-M.P. EA. <br /> ❑OILERS-H.P. EA. I <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> FORCED AIF SYSTEMS-D.T.U. M EA. I <br /> JOB ADORESS WALL HEMERS-P.T.U. M <br /> � �•� UNIT MEATERS--D.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING CIOTHESDRVERS i <br /> VENTILATICN fAN <br /> HANGEHOOD I <br /> TVPE OF FIXTURE OR ITEM FEE p'�R ��ANDLING UNI7- C.F.M. <br /> WATER CLOSET(TOILET) g �NCINERA70R � <br /> BATHTUB <br /> LAVATORY (WASH 8/151N) I <br /> SHOWEP <br /> KITCHEN SINK& OISP. SVO TOTAI. 5 � <br /> I <br /> DISfiWASHER P[Rtd1T 5 <br /> LAUNDRYTRAY - <br /> TCTAL�EG 5 � <br /> CLOTHES WASHER TMIS PERMIT BECOMES NULL AND VOID IF WOFK OR CONSTRVC� <br /> WATER MEATER TION AUTHORIZED IS NOT COM�tENCEO WITHIN 120 DAYS, 0{i If- <br /> URINAL CONSTRUCiION OR WORK I$ SUSPENDED OR ADANDONED FOR A <br /> DRINKING FOUNTAIN PERIOD OF 120 Dl�VS AT ANV TIME AFTER WORK IS COMMENCED. <br /> FLOOR-SINK OR DRAIN I HEREBY CEflTIFV TNI�T I HAVE READ AND E%AMINED THIS AP� <br /> VACUUM BREAKEFiS PLICATION AND KNOW THE SAME TO �E TRUE l�ND COftRECT. ALL <br /> PROVISIONS OF LAWS AND OR�INANCLS GOVERNING THIS TVPE <br /> FOOF DfiAINS-FlAINLEl�DERS OP WpRK WILL 8E COMPLIED WITH WHETHER SPECIFIED HEHEIN <br /> SINK (SERVICE-HAR, ETCJ Of� NOT. THE GRANTING OF A PERMIT DOES NOT PqESUME TO <br /> - GIVE AUTHOIi1TV TO VIOL�ITE OR CANCEL THE PROVISIONS OF ' <br /> ANV OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION <br /> OR TNE PERFORMANCE OF WNSTRUCTION. <br /> SU6 TOTAL <br /> PERMIT 5 <br /> TOTA�FEE 5 �� <br /> x <br /> SIGNATUFlEOFCONTRACTORORAUTH.AGEhT DATE <br /> SIDEVARDSETDACK STREETSET�ACK REARYAFDSETUAC PL�INCHECKNUNBER PLANCHECKFEE <br /> �r �.y_ FEE �M REGF�If�JO. <br /> l�+�ay,il w ;,C)jJi� <br /> USE 20NE LOT AREA VACANT SITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TYPE OF CONST. OCCVPANCV GPOUP NO.OF DWELLING <br /> UNITS � <br /> _ /�f���yy� � <br /> S12E OF ALDG. NO. OF Si'ORIES MA%.000. l.OAD BJILOING 5 +".++'�'/�1� �� <br /> _ __� <br /> PLUM�ING /y� <br /> FIREZONE ❑ASEMENT FIfiESP(iINKLEFS v, <br /> RE�UIfiEO � � <br /> ❑VES ❑NO ��ECHANICAL �y� <br /> W <br /> SPECIAL CONDITIONS: OTHER � <br /> I <br /> PENELTY SEC.9091a1 � <br /> TOTAL � � <br /> � <br /> PERMIT VALIOATION <br /> WHEN PROPERLV Vl�LIOATLD IIN THIS SPACE) TIIIS IS VOUR P[RMIT <br /> MPIICAil01lACQPIFIII�1 PLNNSCNCCN[OOY. NVPf10VlDfOPI55l1A.C[IIY <br /> � �� <br /> � I <br />