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;lrc Evcryrecn <br /> ��T� oF CONSTRUCTION everett <br /> everett PERMIT <br /> Lliv HAII }59AAif <br /> [VlPEli,1tiASMIl�L10N <br /> 9A]m <br /> °E°� °°�°u�°^°� BUILDING MECHANICAL PLUMBING <br /> otvtiavu.[nr <br /> OWNER MAILAODfiESS Z�P P��ONE <br /> �� Q ..^t�,.r�� U.a.'� �� � �.�.ia�:�lV' <br /> V <br /> ARCHITECT OR DESIGNER MAIL ADDRESS PHONE IC NSE NO. <br /> GENERAL CONTRFCTOR MAIL ADDRESS PHONE LICEI25E NO. <br /> • LC' <br /> MECMAtJICALCONTftACTOR MAILADDRESS HHONE LICENSENO. <br /> PLUMBING CONTRACTOR MAIL A�ORE55 PHUNE LICENSc NO. � <br /> W <br /> m <br /> S�I?E' � <br /> PERMIT CLASS OF WOI`K � <br /> Z <br /> �pUILDING �PIUMpING ❑M[CNANICAL f" � <br /> ❑NEW ❑ADOITION ❑I�ITERATION �REP�.IR <br /> 2 <br /> VALUATION OF WOfiK � <br /> ❑OFMOLISH ❑FENCS �'�IGN ❑SWIMMING POOL W �- <br /> $ a <br /> DESCRIB[WORK �1919 <br /> PROPOSED USE MECHANICAL <br /> TVPEOFFUEL �OIL �NAT. �LPG. �EL[C. <br /> LEGAL DESCPIPTION OF NROPLR7Y (SHUW�ELOW OR ATTAGi Gl�S <br /> FOUR COI`IESI <br /> NO. 7VPEOFEQUIPMENT FEE <br /> LOT ULOCK—OF AIR CON�. UNITS-H.P. EA. 5 � <br /> REFRIGERMION UNITS-H.P. EA. ~ <br /> � <br /> OOILEfiS-H.P. EA. 1 <br /> Gl�S FIRGD A.C. UNITS-TONNAGE EF. <br /> FOftCED Alfl SVSTEMS-�.T.U. M E11. 1 <br /> J06 ADDRESS WALL HEATEfiS-13.T.U. M <br /> � ',��^��t ���:.�� UNIT HEATERS-F3.T.U. M � <br /> E��APORATIVECOOLERS <br /> PLUMBING CLOT11E5 UR V ERS 1 <br /> V BNTILMION FAN <br /> fiANGE Ii00D � � <br /> NO. TVPE OF FIXTURE OR ITEM FEE AIF HANDLING UNIT- QF.M. <br /> WATEFiCLOSETITOIlET1 g INCWERATOR I <br /> BATHTUB ____ <br /> LAVATORY�WASH Bl.SIN) _� _ __ � <br /> SHOWER <br /> KITCHEN SINK & OISP. SUB TOTAL 5 � <br /> DISHWASHER --t PERMIT S <br /> LAVNDRYTRAV —� <br /> TOTAL FEE 5 1 <br /> CLOTHES WASHER THIS YERMIT �ECDMES NULL AND VOID If- WOfiK OR CONSTRUC <br /> WATER HEATEF �_ TION AVTHORI2EO IS NOT COMMENCFD WITHIN 120 O�VS, OH IF <br /> VRINAL CONSTRUCTION OR WOHK �. SUSPENUED OR ABANDONED FOR N <br /> DRINKING FOUNTAIN PEHIOD OF 120 DnVS Al ..NV TIM11E AFTER WORK IS COMMENCED. <br /> FLOOR-SINK OR URAIN I HEfi[�V CERTIFV THAT I HAVE REAO AND @XAMINED TIIIS AP- <br /> VACUVM �REAKEPS PLICATION ANU KNOW iNE SAME TO[3E TRUE ANU CORRECT. ALL <br /> PPOVISION$ OF LAWS AND OFJINnqCES GOVERNING THIS TVPE - <br /> ROOF ORAINS- RMNLEADERS Of- WORK WILL 6E COMPIJEG WITH WHETIILR 8PECIFIED HEREIN <br /> SINK ISERVICE-0.1R, ETC.1 OR NOT, THE GRANTING OF � VERMiT DOES NOT PH[SUME TO <br /> GIVE AVTHpRITV TO VIOLME OR CANCEL THL PROVISIONS OF <br /> ANY OTH@R STATE OR IOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PEFFORM1IANCE OF CONSTRUCTION. <br /> SU� TOTAL ___ { <br /> PERMIT S <br /> TOTALFEE_ S � � <br /> - x G-3.:�T6 <br /> SIGNATUREOFCON�fiACTORORAUTN.AGENT DAT[ <br /> SIDEVAR�S[TOACK STREEl5ET0ACK R[ARV4qD5ET�ACKPL�NCHECKNUMl3EH I PLANCHECY. FFE <br /> FEE RECEIPT NO. <br /> VSE ZON[ LDT AREA VACANTSITE <br /> ❑ves ❑No FEES VALUATION FEE <br /> TYPE OF CONST. OCCVPANCY GROUP NO.OF DWELUNG <br /> UNITS � <br /> SIZE OF BLDG. NO.OF STORIES MA%. OCC. lOAO �UI�DING S I <br /> I <br /> —1 <br /> PLUh1pING � <br /> FIRE20NE �ASEMENT FIRESPRINKLERS -- —�— <br /> RL(lUIf1LD � <br /> ❑YES ❑NO �1EGHAPJICAL I <br /> � <br /> SPECIAL CONDITIONS: OTHER � <br /> I <br /> _ — _..__ _ P6NELi v SEC. 3031a1 � <br /> TOTAL � I � <br /> PEflM1T VALIDATION <br /> __ WHISN PRGP[RI_Y V,�LIDMLD IIN THIS SPACG) T1115IS VOUR P[F0.�IT <br /> LPPLIC�iIpYGCCCPLfOlIY. �Ll�N.C�IfLNF110V�. /�P1'110V[Uf0(IISS�)ANCCOV. <br /> S <br /> �::• <br /> 0 <br />