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the Evc�g�cen <br /> CITYOF CONSTRUCTION everett <br /> everett PERMIT <br /> ❑ry NAII :59EBA5 <br /> IVCPfi1.I5AS111Nf:10Y <br /> 99)01 <br /> °"' °"°"'"°"°` BUILDING MECHANICAL PLUMBING <br /> uEv[iavu[rvi <br /> OWNEF MAIL ADDPESS 21P PHOYE ��}��_�}/' <br /> YKC �'�PS�Yi2lT_.iRi� � i1A17�i G' <br /> AFGHITECT OP DESIGNER MI�IL AODflESS PMONE LIC[NSE NO. <br /> GENERALCONTRACTOR MFILADDRESS PHONE LICENSENO. <br /> MECHANICAL CONTRACTOR MAIL ADDfiE55 PHONE LICENSE NO. <br /> PLUMDING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. � <br /> W <br /> �.'3 m <br /> PERMIT CLA55 OF WOIiK � <br /> = Z <br /> ❑�UILOING � PLUM6ING �MECNANICAI r <br /> �NEW ❑ADDITION ❑ALTERATION []RFPAIR � <br /> VALVATION OF WORK � <br /> $ ❑D[MOLISIi ❑FENCE ❑SIGN ❑51NIMMING POOL a <br /> DESCfY1BE WORK <br /> ��atrlt L� �^ q 17�5 <br /> raoroseo use <br /> � MECHANICAL <br /> IEGAL DESCRIPTION OF PROPERT�HOW BELOW OR ATTACH TVP[ OF FVEL QOIL �G^S. �LPG. �ELEC. <br /> FOUP CO�'IE51 <br /> Lo7-- o�OCK—oF NO. TVPE OF E�UIPMFNT FEE <br /> AIR COND.UNITS-H.P. EA. 5 I <br /> REFRIGERl�TION UNITS-11.P. EA. <br /> llOILEf95 �H.P. GA, � <br /> GAS FIRED A.C. UNITS-TOYNAGE EA. <br /> FOPCED Alq S�SiGMS -B.T.U. M EA. I <br /> �0I3ADDRESS bYALLHEAT[RS-�.T.U. M <br /> �, n���I� UNITNEATER;-�.T.U. M I <br /> EVAPOfil�TIVE COOLENS <br /> PLUMBING c�ona�s onveas <br /> i <br /> VENTILATION FAN <br /> RANGEHOOD � <br /> NPE OF FIXTURE OR ITEM F �+IR HANDIING UNIT- C.F.M. <br /> WATER CLOSE'iITOILET) g �NCINERATOR � <br /> I OATNTUO <br /> LAVAT07VIWASHfiA51N1 � <br /> SHOWEfi <br /> KITCHEN$INK R DISP. SUB TOTAL 5 � <br /> �ISHWASNER <br /> __ PERMIT S <br /> LAUNDPYTRAY <br /> CLOTHESWASHER TOTALFEE 5 � <br /> WATER HEMEH TIIIS PERMIT BECOMES NULL AND VOID IF WOiiY, OR CONSTRUC� <br /> _ TION nUTHOR12En I$ NOT COMMENCED tVITNIN 120 DAVS, OR IF <br /> URINAL CONSTRUCTIOM1 OR WORK 13 SUSPENDED OR A3AND .NED FOR A <br /> DRINKING FOUNTAIN -� PERIOD OF 720 DAVS AT ANY TIME l�FTEfi WOnK IE COMMENCEO. <br /> FLOOfl-SINK UR ORAIN I NER6F3V CERTIFV TNAT I HAV@ READ ANn C%FMW[D THIS AP� <br /> VACVUM [3qEAKGRS —� PLICATION l�N� KNOW lNE SAME TO FE TRUC ANO CORFECT. ALL <br /> ROOf pqplNS- �— P�OVISIONS OF LAWS AND OFiOINANC[5 G�JVERNING THIS 7'VPE <br /> RAINLEA�EftS OF WOHK WILL �L COMPLIED N'ITH WNET'ILP SPECIFI[D HEREIN <br /> SINK (SERVICE-OAR, ETC.) � OR NOT, lNF GRANTING OF A PERMIT OOES NOT PfiESUME TO <br /> —� GIVL 11UTHOFITY TO VIOLATE OR CAN;EI. TI1E PRpVI510N5 OF <br /> nNV OTNER STATE OP LOCAL LAW Rf":.ULATING CONSTRUCTION <br /> Ofl iHE PERFORMANCE OF CONSTRUf�IpN. <br /> SUpTOTAL <br /> PERMIT S �"---- - <br /> 7orni_ree 5 <br /> -- x 2Z�2:.'••7fi <br /> SIGNATUREOFCONI'R/�CTOROfiAUTH.qGENT DA1E <br /> SIDE VARD SET�ACK STflEET SETDACK FEAR VAf1p5ET1311CK PLAN CHECK NUMBEH PLAN CHECK FEE <br /> PEE RECEIPI' NO. <br /> USE 20NE LOT AFEA V.4CANT SITE <br /> ❑vEs ❑rvo FEES VALUA710N FEE <br /> i VPH OF CONST. OCCUPANCV GROUP NO.OF OWELLING <br /> UNITS � <br /> SIZE OF BLDG. NO. OF STORIES MA%.00C. LOAD HUILDING 5 � <br /> I <br /> FIFiE 20NE 6ASEMENT FIIiESPRINKLLRS PLUMOING �i W <br /> FEOUIPED � <br /> ❑VES ❑NO M@CHANICAL � <br /> SPLCIAL CONDITIONS: OTHER � <br /> — I <br /> PENELTY 5@C. 30� 1a1 I <br /> TOTAL ��U.� <br /> .PERMIT VALIDATION <br /> WNEN PROPE RLV V ALIOAT[D IIN THI i SPACEI THIS IS �UUR Pif RM�T <br /> A{m�If.0T10NACC[PTEDBP YLANSCI?CKF(lPY nCl'nOVCOPOH155�/.NC[Bv <br /> �K <br /> � <br />