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Urc Evei9rcan <br /> CITVOF CONSTRUCTiON everett <br /> everett PERMIT" <br /> ❑iY upll 159A6P5 <br /> fVlN[il .V4LIINf.IOK <br /> 9P101 <br /> °`°, °' ""''°""' gUILDING MECHANICAL PLUMBING <br /> oive�orrx[x� <br /> OWNER MAIL AODFE55 21P w,PH�O�N[ <br /> t� � rd°.�: ��{ • `�,r�'J'r�' ��J1�i <br /> ARCHITECT OR DESIGNER MAIL AODRESS PNDNE UCENSC- NO. � � <br /> GENBPAL CONTR4CTOR MNL ADOFESS PHONE LICEWSE NO. <br /> lfi ,`.;i -'' '5• <br /> MECHl�NICAL COVTRACTOl: MAIL ADDRE55 PHONE LICENSE NO, <br /> PLUM�ING CONTFACTOR MAIL ADOftE55 PIiONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASS OF WOPK � - <br /> z <br /> �f3UILDING [] PLUMBING �MECHANICAL r� � <br /> ❑NEW ❑AUDITION ❑l�LTERATION ��nEPAIR � I <br /> VA�UATION OF WORK � <br /> 5 � ❑�EMOLISN ❑fENCE ❑SIGN ❑SWIMMING POOL a <br /> DESCRIBG 4JORK ��O� - <br /> ^ti'?Q?:� (!'G.�(') <br /> YROPOSED VSE <br /> MECHANICAL <br /> LEGAL�ESCRIPTION OF PROPERTV ISHOW 9ELOW OR ATTACH TVPE Of- FUEL �OIL ❑Gn5 �LPG. �ELEC. <br /> FOV R COPIE51 <br /> Lot ��o['K_—oF NO. TVPE OF E�UIPMENT FEE <br /> 'AIFl CONO. VNITS-H.P. EA. $ � <br /> RGFqIGERATION UNITS-H.P. EA. <br /> — (301L@RS-H.P. EA. � <br /> GAS f I(iE�A.C.UNITS-TONNAGE EA. <br /> PORC[D I�IR SVSTEMS-C.T.U. M EA. � <br /> J06 AODRESS 2� �rp.t•^�� -- wn�� �a�nTens—o.T.u. nn <br /> ��.NIT HEATERS-O.T.U. M I <br /> EVAPONATIVECOOLEftS <br /> PLUMBING <br /> CLOTHESnPVEFS � <br /> V[NTILATION FAN <br /> RANGEHOOD � <br /> NO. 7VPE OF FIXTURE OR I7EM FEE nIP IiANCLING UNIT- C.F.M. <br /> WATEFClOSET�TOILEL) S T-- INCWERATOR � <br /> OATHTUB <br /> LAVATORVIWAShIBASIN) � I <br /> SHOWER — <br /> KITCHEN SINK& DISP. —T SUB TOTAL 5 � <br /> OISHWASNEP —�— <br /> PERMIT ST <br /> LAUNORYTflAV <br /> CLOTHES\NASHER TOTAIFEE 5 � <br /> THIS °ERMIT l3ECOMES NULL �NO VO10 If- WOFK Ofi CONSTRUG <br /> WATER HEATER TION AUTHONI2ED IS NOT COMMENCE�WITHIN 120 O�lYS, OR IF <br /> URINAL �— CONSTRUCTION OP WOf1K IS SVSP[NOED OP A�ANOONED FO^ A <br /> DRINKING FOUNTAIN P[RIO� Of- 120 DAVS AT ANY TI�i[ AFTER WORK IS COMMENL[D, <br /> FLOOR-5INK OR DRNN { 1 H[FEBY CLRTIFV THAT I HAVE REAU AND FX/�MINED THIS AP- <br /> VACUU�t !SP@l�KEfiS — PLICf.TION l�ND KNOW THE SAME TO f3E TRVE ANO CORRECL ALL <br /> ROOF DRAINS-R/�INI.EADEIiS --I-- PAOVISIONS OF LAWS AND ORDINANCF-S GOVERNING THIS TYPE <br /> OF NORK WiLL !3E COMPLIEU WITH WHHTN[R SPECIFIEO HEflBIN <br /> SINK �SERVICE-6AR, ETC.1 --{ OR NOT, THE GRANTING Of- A VERMIT DO@5 NOT PRESUME TO <br /> I— GIVE. nVTHOflITY TO VIOLATE ON CANCEL THE PftUVIS10N5 OF <br /> � — ANV OTHER STATE OR LOCAL LAW HEGULATING CONSTRUCTION <br /> Ofi?HE P[RFOFMANCE OF CONSTRUCTION. <br /> SU6 TOTAL <br /> _ PEqMIT --- 5 _�-- <br /> _TOTALf-EE _ $ �� <br /> x <br /> SIGNATUREOFWNTRACTOFOHAUTH.AGENT DATE <br /> SIOE YARD SETBACK STREET SET6ACK REAR YARDSETBI�CK PLAN CHECK NUM9Efl P�AN CHECK fEE <br /> FEE RECEIPT NO. <br /> USEZONL LOTAREA VACANTSITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING <br /> UNITS � <br /> SIZE OF 13LOG. NO.OF STOqIES MA%.00C. LOAD 6UILDING 5 ��'�`1 Ji:�5/V <br /> PLUMOING I <br /> f-IREZONE BASEMENT FIR[SPHINKL[RS � <br /> RLf]UIIIED <br /> ❑YES ❑NO MECHANICAL � <br /> SPECIAL CONDITIONS� UTHER � <br /> I <br /> T <br /> PENELTV SEC.30J(a) I <br /> TOTAL ]��� <br /> PENMIT VALIDATION <br /> - -- - WHEN 1'ROPERLY VAIIpATED IIN THIS$PACE) T1115 IS YOUR P[RMIT <br /> M{'l�f�ll(�I:Afl1�`IIf1H♦ �'V.NSOICCK[pCV. InPf�OVfOfONI55Uf�NCL(IY . <br /> 1� Q� <br /> a <br />