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tlre Erci9it�en <br /> ��,� o� GONS�'RUCTION everett <br /> everett PERMIT <br /> CIIY IIPII 15988Bf <br /> tVf PEIi,1YASIIINGfON <br /> 9Et01 <br /> OEPL.O�[Oh!MIINIi\ BUILDING MECHANICAL PLUMBING <br /> �EVEIOGMCNt <br /> OWNER h'AILAODRESS Z�P PNONE <br /> �OLt���LF `jGltR�ktl]. �.I'S3 NtiY2lav �'v. .'�,�z� ��•'�'{� <br /> AfiCHITECT OR DESIGNER MAIL ADDRE55 �'MONE LIGENSE NO. <br /> GENERAL CONTRACTOR �7All ADORESS PHONE LICENSE NO. <br /> MECHANICAL CONTRACTOR MAIL AODRESS PHONE LICENSE NO. <br /> �� ?T9 t {ktII rl�. .�.�. ':� �11Y1 c�`J�fti2 p� <br /> PLUM�ING CONTRACTOR MAIL ADOiiESS PHONE LICENSE NO. W <br /> m <br /> � <br /> PEPMIT CLA55 OP WOflK Z <br /> ❑BUILDING ❑PLVMBING ��CHANICAL � ~ <br /> ❑NEW ❑AD�ITION ❑ALTERATION ❑fiEPAIR � <br /> � <br /> VALUATION OF WOPK W <br /> ❑OEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOI. a • <br /> 5 1323 <br /> OESCfi�BB WORK <br /> PROPOSE� USE MECHANICAL <br /> TYFEOFFUEL �OIL �GAS� �]LPG. �ELEC. <br /> LEGAI.DESCRIPTION Of- PPOPERTV ISHOW 6ELOW OR ATTACH <br /> POUR COPIE5) <br /> NO. TYPE OF E�UIPMENT FEE <br /> LOT �LOCK__O� qlq COND. UNITS-H.P. EA. 5 I <br /> REFflIGERATION UN175-N.P. EA. <br /> EiOI�ERS-H.P. EA. � � <br /> GAS RFED A.C.UNITS-TONNFGE EA. <br /> fORCED AIR SVSTEMS-D.T.V. M EA. � <br /> JOB ADORE55 WALL IiEl�TERS-�B.T.U. M <br /> � `� � VNIT HFATERS-B.T.V. M � <br /> EVAPOFdTIVECOOLERS <br /> PLUMBING � c�oTr{Es oaveas � <br /> VENTILATION FAN <br /> RAtJGL HO00 � <br /> AIR H�1N�UNG UNIT- QF.M. � � <br /> NO. TVPE OF FIXTURE OR ITEM FEE �p���N�A�'AT.� — � � '� <br /> WATEFCLOSETITOILETI S �-axip-rtC2`c�vc� - <br /> i <br /> BATHTUB -"---�--- '- ----� � <br /> LAVATORY IWASH BASINI ----- <br /> SHOWER - <br /> KITCFIEN SINK & DISP. SUB TOTAL 5 I <br /> DISIiWAS1iEF PERMIT 5 �� <br /> LAUNDRV TRAY TOTAL FEE 5 �I" <br /> GLOTHES WASHER --��— THIS PEPMIT DECOMES NULI. AfvO VOID IF WOHK OR CONSTRVC- <br /> WATER HEATER TION AUTHOPILED IS NOT COMMENCED WITHIN 120 Ol�VS, OR IF <br /> VRINAL CONSTRUCTION OR WORK IS SUSPENDED OFi ABANDONEO FOR A <br /> PERIOD OF 120 DAVS AT ANY TIME AFTER WOFK IS COMMENCEO. <br /> DRINKING POUNTAIN <br /> �'OOR-SINK OR�RAIN I HEREE3V CERTIFV TMM I HAVE READ AND EXAMWED THIS AP- <br /> P�ICATION ANU KNOW THB SA�1E TO�E TRUE AND CORFlECT. ALl <br /> VACVUMBREAKERS PRpVI510N5 OF LPWS ANO ORDINANCES GOVEiiNING THIS TVPE <br /> RJOF DRAINS-RAINLEAOEfiS Of WORK WILL OE COM1�P�IED \VI7'H WHETIIER SPECIFIED HEREIN <br /> SINK (SERVICE-F1l�li. ETC.1 OR NOT. TME GRANTING OF A PEPMIT �OBS NOT PRESUh1E TO <br /> GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTHLR STA1E OR LOCAL LAW REGULATING CONSTFUCTION <br /> OR THE PERFOfiMANCL OF CONSTRUCTION. <br /> SUBTOTAL �_ <br /> PERMIT 5 <br /> TOTAL FEE S �'�7� <br /> x <br /> SIGNATUftEOFCONTRACTORORAUTH.AGENT DATE <br /> 1 SIDEYl�ftDSET�ACK STREETSETUACK HEAFVARDSET6ACKP�ANCHECKNUMOEFi PLANCHECKFEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AftEA VACANT SITE <br /> ❑vEs ❑No FEES VALUATION _ FEE <br /> TVPE OF CONST. UCCVPANCV GFOVP UN.'OS OWELLING � <br /> I <br /> 512E OF liLDG. NO.OF STORIE^ MA%.OCQ L0�1D BUILDIYG 5 � <br /> PIUMBING � <br /> FI(iEZONG BASEMENT FIHCtiPRINKIERS �1M <br /> RE�UIHE� <br /> ❑VES [�NO MECHANICAL � �w <br /> _ - I <br /> SPECIl�L CONUITIONS' OTHER I <br /> PENELi I tiEC.703 fal � <br /> TOTAI � �� <br /> — PERMIT VALIDATION <br /> WHEN�ROP[ftLV VALIDATEO IIN T11155PACE1 THIS IS�'OUR PERh11T <br /> nPPUC4ti0N�CCIITF.OBY�. PlAN5O1LCY,E00M. PCPHOVCDfQf65UANCFO�� <br /> Q I <br /> f <br />