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tia• Evcrg�cen <br /> _��� �� CONSTRUCTION everett <br /> everett PERMIT <br /> CIIY IIAII 1f9P8°5 <br /> rvEn[r1 rvosuvcinv <br /> 98101 <br /> °��' °� �°"°°�"° BUILDING MECHANICAL PLUMBING <br /> oiceiav�.rtx� <br /> OWNER MAIL ADD(iE55 21P PIiONE <br /> r:• �� 'OCT�2tS5"�1G•]` AF!'rl <br /> ARC ITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br /> GENERAL CONTRACTOR MAIL ADDRESS P40NE LIC[NSE NO. iJ�a-�I�. <br /> Siu� .+Wa� .tn,�.�.1�1'3`� fX7 -�� . �L�� �,�„�� <br /> MECHANICAL CONTqACTOF MAIL A�DR[55 PNONE LICENSE ND. <br /> PLUMBING CONTFACTOR MAIL ADDiiE55 PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASS OF WORK � � <br /> Z <br /> �pUILDING � PLUMpING �MECNANICAL F <br /> �NEW ❑ADDITION ❑ALT[RATION ❑REPAIR � <br /> VALUATIO(Ny�OF MWORK � <br /> g��r,/�yu ❑DEMOLISFI ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> DESCFIBE WORK <br /> �� 1214 - <br /> PROPOSED USE <br /> MECHANICAL <br /> ��'�'�� rvr� oFruE� �a� �NAT p�rc. pe�ec. <br /> LEGAL DESCRIPTION OF PROPERTY ISHOW 6ELOW Ofi ATTACH GAS <br /> FOUR PJE51 ��� ��� <br /> LOT C ❑�OCK�OF�.LL�_ �n F NO. TVPE OF E�UIPMENT FEE <br /> AIR COND. UNITS-Ii.P. EA. 5 I <br /> REFRIGERATION UNIT3-H.P. EA. <br /> �301LER5-N.P. EA. � <br /> GAS FIfiED A.C. UNITS-TONNAGE EA. <br /> FOfiCED AIR SVSTEMS-�.T.U. M EA. I <br /> JOO ADMDRESS �L''Y . WALL NEATERS-�.T.U. fd <br /> ,(i� PV{I�yaµpj ��.'��t UNIT HEATERS-f3.T.V. M I <br /> EVAPOflATNE COOLERS <br /> PLUMBING c�or�ies onveas i � <br /> VENTILATION FAN <br /> RANGEIi00D I <br /> NO. TVPE OF FIxTURE OR ITEM FEE —_ A��� �inNourv. UNIT— C.F.M. <br /> WATERCLOSETITORET) $ _� �NCINERATOH _ � <br /> BATHTUB <br /> LAVATORVIWASHBASIN� � <br /> SHOW[R <br /> KITCHEN SINK& DISP. SUB TOTAL S <br /> DISHWF511ER � <br /> PERMIT 5 <br /> LAUNORV TRAY _ {___ TOTALFEE 5 � <br /> CLOTHES W�+SI�.EA__ i THIS PERMII' DECOMES NULL l�ND VOID IF WOftK OR CONSTRUC- <br /> WATER HCAT[Ic TION AUTHOliIZED IS NOT COM19MENCED WITNIN 120 DAYS, OP IF <br /> UR�NAL ---� CONSTRVCTION OR \1'OfiY. IS SU;PENDED OR A[iANDONED FOR A <br /> ORINKING FOUNTAIN PERIOD OF 120 Dl�YS !�T ANV TIME /1FTEH WORK IS COMMENCEO. <br /> FLOOR-SINK OR DRAIfJ 1 HEREI3V C[RTIFV THl�T I Hl�VE READ AND EXAMINED THIS AP� <br /> VACUUM �REAKEflS --�-- P���nTION l�N[J KNOW THE SAME TO BE TRUE AND CORfiECT. l�LL <br /> PqOVISIONS OF LAWS AND OROINANCES GOV[qNING TNIS TVPE <br /> ROOF DFlAINS-RAINLEADERS OF WORK WILL BE COM1IPLIEU WITH WN[THER SP@Clf-IED HEFEIN <br /> SINK (SERVICE-0AR, ETC.) OR NOi, THL CRANTING OF A PH(iMIT D065 NOT PRESUME TO <br /> GIVE AVINORITV TO VIOLATE OR CANCGI THE PNOVISIONS OF <br /> ANV 0T4CR STATE OF LOCAL LAW R[GULATING CONSTRUCTION <br /> _ OR TNE PE(aFORMANC[OF CONSTRUCTION. <br /> SUBTOTAL <br /> PERMIT S � <br /> TOTALFEE S .�/ <br /> — _ X �. Iv <br /> SIGNATVPEOFCONTRACTOROHAUTH.AGENT DATE <br /> SIOE VARU SETQACK STREET SET6ACK qEAR Vl�H75ETIIACK PLAN CHECK NUMI3ER PLAN CHECK FEE <br /> FEE PECEIPT NO. <br /> USEZJNE LOTAREA VACANTSITE <br /> ❑VES ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.(1P DWELLING ' <br /> UNITS � <br /> 512E Of �LDG. iJO. OF Si0(i1G5 MA!(.00C. LOnD BUILDING 5 ��£Q.� � � � <br /> �n� <br /> PWMftING � <br /> FIRE IDNE f3A.^,E�.AFNT FIRESPRINKLERS 1 <br /> RCQUIF[D � <br /> ❑VES ❑NO M[CHANICAL � <br /> SPEGI'AL CONOITIONS-. U7�HEA I <br /> — - I <br /> PENELTV i SEC. 3031n1 I <br /> TOTAL �� � � <br /> P[RMIT VALIDATION <br /> WHEN PqOPBfiLY VAUDATE�(IN THIS SPACEI THIS IS VOUR PEHMIT <br /> APfI�CmiOYI�pC[P,CUOY. PLANSCH(C'(DEY. nPPROVEOLORI:;pnNCLfl1� <br /> �1 <br /> 3 <br />