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thr. Evr.r9recn <br /> CI'fY OF CONSTRUCTION everett <br /> everett PERMIT <br /> Cli�'NFII BYSA95 <br /> [V[HI1i.11A5HIN1i1pH <br /> 901111 <br /> �E�, °� ��MM°�°� SUILDING MECHANICAL PLUMBING <br /> nNEIaPM[Nt <br /> OWNEF MAIL AODRE55 21P PFION[ <br /> t�'?�S ;.��; 2 rr�-._..1`*'2 <br /> ARCHITECTOPDFSIGNER MAILADOfiE55 PHONE LIGENSENO. �j�� <br /> GENERAL CONTRACTOR MAIL ADDRESS �'HONE LICENSE NO. <br /> MECMANICAL COM-RAGTOR MAIL ADDRE55 PHONE LICENS[ NO. <br /> B .^. " � <br /> PLUMBING CONTIiACTOR MAII AODFESS P�iONE LICENSE NO. W <br /> m <br /> � <br /> PERMIT CLASSOFWOiiK Z , <br /> ❑BUILDWG ❑ PLUM9ING �AIECNANICAL ~ <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑��PAIR � <br /> � <br /> VALVATION O�WORK W <br /> ❑DEAIOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> 5 <br /> DESCPIBE WORK �'��� �R�� 1 56`Q <br /> i V <br /> PROPOSED USE MECHANICAL <br /> TVPEOFI=UEL �OIL ❑GnS ��PG. �ELEC. <br /> LEGAL DESCRIPTION OF PPONEFTV ISHOW l3ELOW ON ATIACN <br /> FOUR CoriEsl NO. TVPE OF EOUIPMENT FEE <br /> LOT �LOCK.—OF--- — AIR WND. UNITS- M.P. EA. 5 � <br /> ftElRIGERATION UNITS-II.P. EA. <br /> �011[RS� H.P. EA. � <br /> GAS FIRED A.C. UNITS-TONNFGE EA. � . <br /> fORCLO AIR S1'STEMS-�.T.V. M EA. � <br /> JOB AODRESS -�y�� � �WALL HEAT[RS-B.T.U. M I � <br /> 1� j.6.1:��T� UNIT HEAT[Rti-B.T.U. M � <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTHGSDRVGRS _ � <br /> VENTILATION f-AN <br /> RANGEHOOD � <br /> 11R /1ANDLING UNIT- C.F.M. <br /> NO. lY!'f OF FIXTURE OR ITEM FEE INCINERnTOn � <br /> WATEF rLO�ET ITOIL[TI S -- <br /> BATHTUB — � <br /> LAVANRY (WASN BASIM � I <br /> SHOWEII <br /> KITCNEN SINK& DISP. SU�TOTAI 5 I <br /> DISHWASHER PEliMIT 5 <br /> LAUNDHY TRAY __ �_ TOTAL FEE 5 I <br /> CLOTHES WASHER � THIS PERMIT OFCOMES NULL AND VOID IF WOftK OR CONSTIiI:C- <br /> WATER HEATf:R TION AUTHORI2EO IS NOT COMIAENCED WITHIN 120 DAVS, ON If <br /> UFINAL �— CONSTFUCTION OR WORI: iS SUSPENDEO OR AOANOONE� fOR A <br /> PERIOD OF 120 Dl�VS AT ANY TIME AFTER WOi:K IS COMMENCED. <br /> ORINKINGFOVNTAIN <br /> FIOOR-SINY. OR �FiAIN I HERE�V CERTIFY THM I HAVE READ AND EXAMINED THIS AP� <br /> PLIGATIDN AND KNOW TNE SAME TO �E TpUE AN�CORIiECT. ALL <br /> ROOF DHAINS-RAIN�RADERS �— OF�WUSPR N11�LL BC- COM LDIED WI hl WHETH6R SPFPFIED HEFHN <br /> SINK(SERVICE-BAR, 13TC.) �— �R NOL THE GRANTING Of A VERAIIT OOES NOT PPESUME TO <br /> — GIVE AUTHORITV TO VIOLATL OR CAYCEL THE PROVISiONS OF <br /> ANY OTHLR STATE OR LOCAL LAW FEGULATING CONSTRUCTION <br /> OR THE PENFOFMANCE OF CON51'RUCTION. <br /> SUBTOTAL <br /> PERMIT S�--�— <br /> TOTALFEE 5 1i1A!'./uC <br /> - x IAyy:y iV <br /> SIGNAI'UR[Of-CONTfi�ICTOROFAUTN.AGENT DATE <br /> SIOE YARO SETDACK STREET SET[lACK REAF VAfiD5ET6ACK PLAN CHECK NUA1(l[R PL�1N CHECK f-EE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPIINCY GROVP UNIOS UWELLING � <br /> I <br /> SIZE OF �LDG. NO.OF STORIES MF%.00C. LOAD BVILDIIJG 5 I <br /> PLUMDING � <br /> FIFEZONE �ASE�tEN1 FIRESPRINKLERS __ ��' <br /> flf�UIFED MECHANICAL � <br /> ❑V[S ❑NO <br /> I <br /> SPECIAL CONDI TIONS: OTH[R I <br /> PENELTV SEC.SD�lal � <br /> TOTAL �� ��� <br /> PERMIT VALIDATION <br /> WNEN PRONERLV VAI.IDATED (�N THISSNACEI THI515 VOUR PERMIT <br /> � <br /> � <br /> I -- <br /> I ppC\ICAiIOrI�CCfPlIOIIY �L1N$bICIXp)I!Y /�PI'110VfOfO�I55OPf:C(!IY <br /> i� r• <br /> II I <br /> � <br />