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nc� Erenrrcan , � <br /> �"� �F CONSTRUCTION everett <br /> everett PERMIT <br /> nrv«nu :s�nees <br /> [VIPEIi,Wq5r11NLi0N <br /> 4A)pl <br /> ""' °;,���,00ME';, BUILDING MECHANICAL PLUMBING <br /> OWNEF MML ADDq[55 ZIP PHONE <br /> ?ra3lte i.ar:lcti :eIILE:�s :�3.-�, 5'25�?023 fi,'�.� <br /> ARCHITECT Ofi DESIGNCR MAIL ADOHESS PHONE <br /> LICENSE NO. <br /> GGNERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> r�,�+ <br /> MECMANICAL CONTRACTOR MAIL AODR[SS PHONE <br /> LICENSE NO. <br /> PLUMBING CONTRACTOR MAR AODRESS PHONE ¢ . <br /> LICENSE NO. W <br /> m <br /> PERMIT CLA55 OF WORk � <br /> � <br /> Z <br /> BUILOING � PLUMOING �M[CHANICAL � <br /> ❑NEW ❑(�DOITION ❑ALTERATION ❑REPAIR <br /> VALUATION OF WOFK � . <br /> DEMOI ISIi � <br /> g ❑FENCE ❑SIGN ❑$WiMMING POOI_ W <br /> DESCRI88 WORK 1 <br /> ��"' 2431 <br /> PFOPOSE� VSE � <br /> MECHANICAL <br /> fOVAGI OPSt ES'IPTION O�f1.nPROPEHTV ISHOW[3ELOW OR ATTACH TVPG OF FULL �OIL ❑GAS ��P��' ❑ELF.C. <br /> LOT" � u pLOCK I�oF���� *'� C� � NO. TYPE OF EDUIPMENT FEE <br /> A�R CONU. UNITS-H.P. EA. 5 I <br /> REFRIGERl�TIpNUN1T5-H.P, [q. --'I <br /> DOI�_ERS-H.P. EA. � — <br /> Gl�S FIRED A.C. UNITS-TONNAGE EA. <br /> JOB AD�RESS - -- <br /> �OtiCCD AIR SvST[MS--B T.U. M EA. � <br /> .�nr � WALL H[AT[RS�-p.T.U. M <br /> ���G� _ VNIT IILATERS-B.T.U. M � <br /> PLUMBING �vnao�nrive coo�ens <br /> C�OTMESUqVERS � <br /> VENTILnT10N FAN <br /> HANGEHCOp � <br /> N�� TVPE OF FIX7URE OR ITEM FEE ��A ri�rvouNG UNir- aF.M. <br /> WATENCLOSETITOILET) g INCWERATOF � <br /> OATHTUB <br /> IAVATORI'(WASH BASIN) <br /> SHOWEP I <br /> KITCMEN SINK & DISP. �7I SUp TOTAL S� <br /> DISHWASHER '{-- 1 � <br /> LAUNDNV TRAY PEIiMIT § <br /> CLOTHESWASHER �— TOTl�LfEE 5 � <br /> WATER HEATEq THIS PLflM1T �ECOMES NULI AND VOID IF WORK Ofi CONSTRUC <br /> VRINAL �---- TION AUTHOPI2[D i5 NOT COMM[NCED WiTHIN ;20 OAYS, OR IF <br /> CONSTRUCTION OR WOflK IS SVSPENDEU GR A[3AN�ON[D PpR A <br /> DRINKING FOUNTAIN PENI00 OF 120 DAVS AT ANY TIME AfTER WORK IS COMMENCEO. <br /> FLOOR-SINK OR pqA1N I HFRE[3Y CEFTIFV TfiAT I HAVE RE/1O q�D E%AMINEn T�HIF AP- <br /> Vl�CUUM pq[AKE(i5 �— P�ICATIpN ANp KNOW'fH[5/�ME TOOE TRVH AND CORR[CT. ALl <br /> ROOF OqAINS-P,qINLEADERS �ROVISIONS OF LAWS AND OROINANCES CIOVFRNING THIS TVPE <br /> SINK ISERVICE-6AF, ETC.) O� WU�K WILL CiE COMPUED WITH WNETMEP� SVECI�IEp HFqEIN <br /> OH NOT, THE GtiANTING Of- A PEfiMIT DC�FS NOT PIiESVME tp <br /> GIV[ AUTHO�aITV TO VIqLATf Oq �ANCEI. THE PROVISIOYS OF <br /> ANV OTHER STn]'[ Oli �UCAL LAW REGUL 11 ihG CON:ilit•CT'ION <br /> SUft TOTAL OR THE PEFFORMANCE Of- CONSTNUCTION. <br /> PERMIT — S --� x Li��'"�_`1/ r 1 � <br /> TOTALFEE 4 I <br /> SIGNATUfiBOfCONTRACTORORAUT1i.AGEM� D�T��� <br /> SIUE VnRD5ET0ACK STREET 5[T6ACY. REAR VAROSET�ACK PLAN CHECK NUhSR[R <br /> PLAN CHECK REE <br /> FE[ RECEIPT NO. <br /> U.".E 20N[ LOl'AFEA VACANT SITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVP[ OF CONST. OCCUPANCV GROUP NO.Of OW@LLING <br /> UNITS <br /> I <br /> SIZE OF BL�G, NO. OF STORIES MAx.00C. LOAD 9UILDING 5 <br /> �� <br /> FIREZONE pA5[tdCNl FIRESPRINKL[q5 P�UMBING � <br /> PCOVIHCD � <br /> ❑YES ❑NO MECHANICAL � <br /> I <br /> SPGCIn�CONDIT�ONS: <br /> — OTHER 1 <br /> I <br /> - ----- PENELTY SEC.30�(al � <br /> TOTAL 1� 1� <br /> PERMIT VALIDATION <br /> WH[N PROPERLY VAI_IU/�TED IIM1I THIS SFl10E)THI515 VOUR PENIdIT <br /> 'I��n1�DNI.CC[vi[DpV- v�qNSCH[CNfOBY� nPvppVf0LO1165UnNCfBV <br /> � I <br />