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thc ftrrgriten <br />CITY OF <br />everett <br />��,�,�,,�� �s�AHo. <br />[v�u[ir �xnsnixr,�av <br />sa:m <br />utvr. m �ne•r.�uu�r <br />n[v[wria[n� <br />BUILDING <br />CONSTRl1CTI0N <br />PERMIT <br />MECHANICAL PLUMBING <br />evereit <br />OWN[R MAILAODR[55 y Z)�+/P{ Pf10NE��]��} <br />•�.'.�'ii:( )�i,iilPC� �/� �..�Z�.:�.� 7":2�ii 2�.�S.LJI • <br />11RCHITECT OH DESIGNER MAII ADDFiE55 �HONE LICENSG NO. {!��/ <br />f1� t <br />GENERALCONTRACTOR MAILADDHE55 PHONE LICENSENO. i:+iV��V <br />� <br />MECHANICAL CONTRACTOR MAIL AODFESS PHUNE IICENSE NO. <br />PI.UMBING CONTRACTOR MAIL AD�RE55 PHONE LICENSE NO. � <br />W <br />m <br />� <br />PERMIT CLASS OF WORK � <br />z <br />�OVIIOING �PLUMBING �MECHANICAL F <br />❑NEW ❑AD�ITION ❑ALT'cRATION ❑FEPAIR � <br />VALUATION OF INORK � <br />S ��m ❑D[MOLISM ❑F[NCE ❑SIGN ❑SWIM1IMING POOI a <br />:J • <br />DESCRI�E WOPK � � /� � <br />c'aesn0aqat G F 1� {'.,0 �cai ic� vi.�a,7 !ke�ce para;'ial'r� 3 i c.h A,�e. � city p% � <br />PfiOPOSED USE MECHANICAL <br />TVYBOfPUEL �OIL �NAT. �LPG. �ELEC. <br />LEGAL DESCRIPTION OF PROPERTV ISHOW �ELOW OR ATTACH GA$ <br />FOUR IE51 <br />i.o7 �. OLOCK� oF ��L4 �'�� ,�1 NO. TYPEOF EOUIPMENT FEE <br />AIR CONO. UNITS-41.P. EA 5 � <br />REFRIGEH/�l'IGN UNITS—M.P. EA. <br />�O�LERS—HP.EA. I <br />GAS FIf1ED 11.C. UNITS—TONNAGE EA. <br />FORCED AIR SVSTEMS—B.T.U. M[A. I <br />JOB G-�UPE55 WALL HEATEflS-�.T.U. M <br />�',Ji �1��� UNIT HEATERS�-�.T.U. M � <br />[VAPONATNE COOLEHS <br />PLUMBING CLOTHESDRVERS i <br />VLNTILATION FAN <br />RANGEHOOO � <br />NO. TVPF. OF FI%TURE OR ITEM FEE n�R HANDLIN, uNi7— C.F.M. <br />WATER CLOSET (TOILCTI g INCINLRATOft I <br />BATHTU� <br />LAVAT(1RV (WASH UASIN) � <br />SIiOWER <br />KITCHEN SINK & DISP. SUB TOTAL 5 I <br />DISHIYASHER PERMIT S <br />LAUNDIiVTR.1Y TOTALFEE 5 I <br />CLOTIiF.SbVASHER THIS P[RMIT �E[OMES NULI AN� VOIn IF WORK ON CONSTRUC� <br />WATER HEATER TION AVTMORI2ED IS NOT COMMENCEn WITNIN /20 DAVS, OR IF <br />URWAL CONSTPUCTION OR IVORK IS SVSPENDEO OH ABANOONED f-OR A <br />DHINKING FOUNTAIN PEFIOO OF 120 Dl�YS 11T ANY TIMG AFTEfi WOIiK �S COMMENCED. <br />FLOOR-SINK Ofl DRAIN I HEREF3Y CERTIFV iHAT I NAVE RLAU AND E%AMINEU THIS AP- <br />VACUUM �PEAKEHS I'I.IGATION ANO KNOW THB SANL TO �E T(iUE ANO CORRFCT. ALL <br />PROVISIONS OF LAlNS AND O(iOINANCES GOVERNING THIS TYPE <br />ROOF DHNNS-RAINLEADERS OF N'Of91: N'ILL 6E COAIPLIED WITH 1NH@THER SPECIFIED HEREIN <br />SINK ISLRVICE-pqR, [TC.1 Ofi NOT, THE GIiANT�NG OF A P6RhtIT UOES NOT PIiESVME TO <br />— GIVE AUTIIORITV TO VIOL�T[ OR CANCE� THF. PROVISIONS OF <br />ANv OTHLR STnT[ OR LOCnL LAIV HGGULnTING CONST1iUCilON <br />OF THE PEHPONMANC@ OF CONSTRUCTION. <br />SVf3 TOTAL <br />PERMIT 5 --I <br />_ TOTALF[[ __ 5—{ �y,�•,M.L_�/ <br />x I� Jv� t) <br />SIGNATUflEOFCONTRnCTORORAUTII.AGENT OATE <br />SIOEVl�RUS[T�/\CK STREElSETonCK R[AfiYARDSGT6l�CKPLI�NCHECKNUA1HEft PLANCHECKFEE <br />FEE RECEIPT NO. <br />VSE ZONE LOT AREA VACANT SITE <br />❑rEs ❑NU FEES VALUATION FEE <br />TVPE OF CONST. OCCUPANCY GROVP NO.OF OWELUNG <br />UNITS � <br />SIZE OF [ILDG. NO. OF STOFIES MA%.00C. LOAD RUILOING S i:��+�/� <br />PWMBING � <br />FIIiEZONL [3A5[MENT FIRESPRINKLERS <br />REOUIRE� � <br />❑YES ❑NO MECHANICAL I <br />SPEQAL CUNI)ITIONS� OTHER � <br />— __-_ ___ . � _ <br />FENELTV SEG.30Jfnl � <br />_ --_-' I <br />TOTAL 7 I`���•7 <br />PEFMIT VALIDA710N <br />VJH[h PqOPEIiLY VAUD/�TED IIN THIS SPAGE) THI515 VOUR r[Rh11T <br />�'JCAiIlyl.��pP1C1111Y 1'L/�NSG11CNfD(IV FFPNOYEDIOh�CEi1PN1'!�Y <br />(] <br />