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� Ihe tvea/'�'en � <br /> =�TroF CONSTRUCTION everett � <br /> everett PERMIT <br /> Lliv qnlL IS�P.N¢� <br /> I :\fPflt 1'.4CNINLiOry <br /> 96}pl <br /> , °�°, °' �°'.:^,°°^� gUILDING MECHANICAL PLUMBING <br /> GiVLL0�41(NL <br /> OWNER . A1AILl�ODRE55 ZIP �'HpNt <br /> V'7�' :-_i'1�'�! �1fJV :T�.:J� tiw'>L� ��y <br /> ARCHITECT OR OESIGNEF MAIL ADOFE55 PHONE UCENSE tJO. <br /> GENERALCONTRACTOR MAILADDRE55 PHONE LICENSENU. <br /> ,�-r.�.� Kar:s. 75x.': .T�:�u�- ��, 3'%3-�33t <br /> MECMANICALCONTPACTOF MAIL ADORESS PMONE LICENSE NO. <br /> PLUM[31NG CONTfiACTOR MAIL ADDRESS PHONE I.ICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASSOFWORK � , <br /> z <br /> [�pUILDING � PLUMBING �MECH/�NICAL M f' <br /> CJN[W ❑ADDITION ❑ALTERATION ❑iiEPAIR s <br /> VALUATION OF WOHK � <br /> 5 ryryr� ry� ❑O[MOLIiH ❑{ENCE ❑SIGN ❑SWIMMING POO� a <br /> G VM71rl1/ <br /> DESCFiIBG WORK <br /> L'�.'.�.�i '��: �.�' L.et� '.t.i lY.[�% :a�'.�i �k�+:'� ��� <br /> PFOPOSEO USE MECHANICAL <br /> TVPL OF I�UEL �OiL �NAL QLPG. �ELEC. <br /> �EGAL�ESCRIPTION OF PROPERTV ISI10W 6ELOW OR ATTACH Gn� <br /> FOUR�S) — <br /> Lor oLocK—oF ��_ � _ NO. TYPE OF EQUIPMENT FEE <br /> AIR COND.UNITS �H.P. [A. S � <br /> REFRIGERATION UNITS-H.P. EA. <br /> F301LEfi5 MP. GA. I <br /> GAS FIfiN�A.C. UNITS �TONNAGE EA. <br /> FORCED AIR SVSiEMS-B.T.U. M EA. I <br /> JOft ADORE55 ffn iYY� VJALL HEATERS-�.T.U. M <br /> �� '�1I.•��.�w� J�� UIJIT HE/�TLRS-B.T.U. M I <br /> BVAPOFiATIVE COOLERS <br /> PLUMBING c�orriec onvEns I <br /> v[rvrILAT1oH FqN <br /> NANGEHOOD I <br /> NO. TVPE bF FI%TURE OR ITEM FEE n�N HANDLING UNIT- QF.M. <br /> WATEa GLOi[TITOILET) S INCINERATOR I <br /> A/1THTUfl __— <br /> LAVATOiiY IWASVi BASIN) � <br /> SHOWER <br /> KITCIIEN.^a1NK b DISP. SUU TOTAL $ � <br /> OISHIVASI1Efi P[qM1T $ <br /> Lt1UhOHVTfaAV TOTALFEE � <br /> CI_OTIIES WASHEN THIS PEPMIT �ECOMES NVIL AND VOIU IF WORK OR CONSTRUC- <br /> WATER HEATEP TIpN AUIHORIZED IS NOT COMMENCEO WITNIN 120 DAYS, OR IF <br /> UqIKAL CONSTIiUCTION UR WORK IS SVSPENDE� OR AI3ANDON[D FOR A <br /> DFINKING FOVNTAIN PEFIOD OF 120 OAVS l�T ANY TIML AFTEP WOFK IS COMM[NCED. <br /> FLOtiP-SINK OP DRAIN I HERL[iV CERTIFv THAT I Ml:VE IiEAD AND L%AMINEO THIS nP� <br /> VACUUM 13REAKERS PLICATION AND KNOW TNE SAM[ TO BE TiiUE AND COf�PECT. 4LL <br /> I'ROVISIUkS OF I.AWS I�ND ORDINANC[S GOV[RNING THIS TVPF <br /> POOF DRAINS-RAWlEAOE�i$ Of WORK WILL BE COMPLIED WITH WHGTHEH Si'ECIFI[D HERHN <br /> SINK ISEHVIf.E-0AP, ETC.I Ofi NOT, lHE GRANTING OF !� PERAIIT �OES NGT PRE.SVME TO <br /> GIVE /1UTHORITY TO VIOLAiE OR CANCEL THE PROVISIONS OF <br /> AN� OTHER STATE OR LOCAL LAW REGULATING CONiTRUCTION <br /> OR THE PERFOfiMANCE OF CONSTPUCTION. <br /> SUBTOTAL � <br /> __ PEFMIT S�._ <br /> TOTALFEE S <br /> —_ x �^ <br /> SIGNAIURCOFCONTRACTOfiOf�nUTH.nGCNT DME <br /> SID[ V/�Rp SET[IACY. STfiFET SETI3ACY, REAR VI�IIUSET(3ACK PL4N CHECK NUM�Eq PLAN CHEGK FEF <br /> I FEE RECEIPT NO. <br /> I __ <br /> USE ZONE LOT AREA VACANT SITE �NS,�,�J �� �j�} <br /> I ❑vEs ❑No _ FEES VAIUATION FEE <br /> TVPE OF CONST. OCCUPANGV GROUP NO.OF OWELLING <br /> �I 'JNIT'S _— � <br /> I SIZE GF O�DG. NO.OF STOFIES MP.%.OCC. LOA� BUILDING A �� � {� <br /> i <br /> I PLUMBING � <br /> fIR[ ZONE f31�5L:MENT FIiiESPflINKlERS � <br /> Ff(]UIREO � <br /> ❑YES ❑NO MECHANICAL I <br /> 1 <br /> I SPEr�nL CONDITIONS: — _ OTHER � <br /> I <br /> I ____ - PENELTV SEG. 30�101 � <br /> 70TAL � <br /> � <br /> I PERMIT VALIDATION <br /> i WHEk PfiOPEPLV VALI�ATED (IN 1HISSPACE) THI515 VOUR P@PMIT <br /> I <br /> lAolICP11011NCLE0TED8Y�. P(PNSWCCKCOBY' RfPPOVC�fOqI;SUPIlCfftY <br /> i I,� Ct jC� C• �;w C� <br /> � <br />