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� UIP Ele'rpi�49r <br /> =�T� �� CONSTRUCTION everett <br /> everett PERMIT <br /> nrvqALt 1s9eees <br /> EV[N[1i,15'ASHINGION <br /> 98}01 <br /> °"` °oE��";��'u°; BUILDING MECHANICAL PLUMBING <br /> OW�N�E�R MAI� l1DDRE55 ZIP PIIONE <br /> ARCHITS�TOR•DE$GNEP � '�~Mq�TA�RESS ��� PHOt�E (��� LIC[NSENO �_•t I� <br /> GENEHApL rCONTRACTOR MAIL ADDfiESS PNONE LICENSE NO. <br /> �.�Il.� <br /> MECHANICAL CONTRACTOR MqIL ADDRE55 PHONE LICENSE NO. <br /> PLUM�ING CONTRACTOfi MAIL A�DIiE55 PNONE � <br /> LICENSF. NO. W <br /> m <br /> PERMIT CL.1550f-WORk � <br /> � <br /> Z <br /> 6UILDING �PLUMBING 1]MECHANICAL F <br /> ❑NEW ❑f�DDITION ❑/�LTERATION �q[Pq�q <br /> VALUAT(I'�ON-OF WORY, � <br /> S "J_� ❑OEMOII'oH ❑F[NCE ❑SIGN ❑SWIMMING POOL W <br /> DESCRIBE WORK a <br /> r�� 1622 <br /> PROPOSED VSE ' <br /> � MECHANICAL <br /> LEGAL OESCfiIPT10N OP PqOPERTY ISHOW 6ELOW OR ATTACH TYP[ pF fUEL �OIL �Gns. GLPG. �ELEC. <br /> FOUR COPIE51 <br /> Lor o�oCK_oF _ NO. TYPEOFE�UIPMENT FEE <br /> 111R COND. UNITS-H.P. EA. 5 I <br /> PEFRIGERATION UNITS-N.P. [A. <br /> CiOILERS-N.P. EA. � <br /> GAS FIRED A.C. UNITS-TONtJAGE E4. <br /> FOqCED Alq SVSTEMS-6.T.V. M EA. � <br /> JOB ADDqE$$ �,����\� WqLL HEATE4i5--�.T.U. n'I <br /> L�' � Ml�f{�.3��' <br /> UNIT HEATERS-6.T.U. M � <br /> PLUMBING EVAPOAATIVLCOOL[RS <br /> CIOTHESOPYERS � <br /> VENTILATION FAN <br /> RANGEHOOD � <br /> NO. TVPE OF FIXTURE OR ITEM FEE Alfi Hl�NDLING UNIT- C.F.M. <br /> WAl'ER CLOSETITOILETI S INCINERATOR � <br /> �ATHTUB <br /> LAVATOPV(WqSN 9ASIN1 - �� <br /> SHOWEF I i <br /> KITCHEN SINK & DISP. <br /> DISMWASHER - �--_ SU�TOTAL 5 � <br /> LAVNORV TRAV PEFMIT g <br /> C'LOTHES WASHEF --I TOTA� �EE 5 � <br /> N'ATER MEATER THIS PERMIT OLCOMES NULL AND VOID IP WCRK O!i CONSTRUC- <br /> TION AUTHqq12ED IS NOT COh1MENCFD WITHIN 1_0 DAVS, OR IF <br /> �URINAL CONSI'RUCTI01 OR WpRK IS SUSP[NDED Ofi ..BANDONED FON A <br /> [IPINKING FOUNTAIN AERIOD OF 120 DAYS I1T ANY TIME Af-TLR WORK IS COMMENCED. <br /> FLOOR-SINK Ofi DRNN I HEqERV CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> VACUUM 9REAKERS PLIC4TION AND KNOW THE SAM[ TO AE TRUE AND CORRECT. !LLL <br /> ROOF DRAINS-FAINLEADERS PHOVISIONS OF LAWS AND ORDWANCES GOVEFNING THIS TVPE <br /> SINK ISERVICE-BAR, ETC.) O� WppK WILL BE COMPLIED WITH WHETHER SPECIFIED HLREIN <br /> OR NOT, THE GPANTING OF A PERAIIT DOES NOT PRESUIdE TO <br /> GIVE AVTHORITV TO VIOLATE OR CANCEL TME PqpVISIONS OF <br /> ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> SUB TOTAL OR THE PERFOFMANCE OF CONSTRUCTION. <br /> PERMIT $ � <br /> TOTALFEE 5 <br /> x 7d�22.ryM,i <br /> SIGNATUREOPCONTRACTORORAUTH.P,GENT DME <br /> SIDE VARO SETBACK STREET SET6ACK qEAR VAROSET6ACK PLAN CHECK NUMIlEfi PL 4N CIECK FEE <br /> FEE PECEIPT NO. <br /> USEZONE LOTAREA VACANiSIT[ <br /> ❑�ES ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GkOUP NO.OF DWELLING <br /> UNIiS <br /> � M I <br /> 512[OF BLOG. NO.OF STORIES MA%.00C. LOAD �UILDING g J�L� ? � <br /> —1— <br /> PIRE2CNE Bi15EMENT RRESPRINKLEFS �LUMOING � <br /> R["�UIRED — <br /> ❑YES ❑NO M[CHANICAL � <br /> I <br /> SFECIALCONDITIONS: <br /> OTHER I <br /> I <br /> PENELTV SEC.J071a1 � <br /> 1 <br /> TOTAL q � <br /> t <br /> PEfiMIT VAL1�A710N <br /> WHFN PqOP[�VL\' VALIpAT[D IW THISSPnCEI THIS IS VOUR PERA9IT <br /> APfLIUtIONALLCPTIb9Y�. PLANSOQCv,fCtlY. pPPqOVCOfOhI55UANLEBV. <br /> �� <br /> � <br />