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!he Erer9rcen I <br /> ��r� �� CONSTRUCTION everett � <br /> everett PERMIT <br /> CIIY N4ll ]59E d5 <br /> f YL�111,�VASNiAGifIN <br /> IF;I11 <br /> °�" ^� �°"':""°� BUILDING MECHANICAL PLUMBING <br /> nivtiavM[rvi <br /> O�W�NER MNLA7[JRESS ZIP NH[�NE <br /> AR+HrITEC1�IGNER MA�DRE5�5 �E ��CENSE NO. ^� �+)r) <br /> Lt��i f <br /> GENERALCOn'TRACTOR MAILADOflESS PNONE LICf:NSENO. <br /> � <br /> MECMANICAL CONTRACTOF MAIL AOORESS PHONE LICENSE NO. <br /> PLUMBINGCONTRAC�OF MAILADDNESS PIiONE LICENSLNO. � <br /> W <br /> m <br /> � <br /> V'ERMIT CLASS OF WORK � <br /> L <br /> �6UILDING �PLUMBING �MECIiANICAI F <br /> ❑NEW ❑ADDITION ❑ALTEFATIOk ❑REPAIR � <br /> VALUATION OF WORK � <br /> g ❑DEMOIISM ❑FENCE ❑SIGN ❑SWIMh11NG POOI a <br /> DESCRIB[WCFK . __ � � �� � �� /�O//�n , <br /> i1fMl�i' �����r� � `� <br /> PqOPOSED USE MECHANICAL <br /> TVPEOFfUEL �OIL �GnS. [1LPG. �ELEC. <br /> �[GAL DGSCfiIPTION OP PROPERTV ISHGW BELOW OF ATTACH <br /> FOVR CO�IESI <br /> LOT_- dLOCK_oF NO. TYPEOFE�UIPMENT FEE <br /> AIR COND.VNITS-H.P. EA. 5 I <br /> I REFRIGERATION UNITS-M.P. E/1. <br /> OOILERS-H.P. EA. 1 <br /> GAS FIRED A.C. UNITS-TONNAG[ EA. i <br /> FOfiCED AIR SYSTEMS-6.T.U. M EA. I <br /> �� �Sq�g 4}�— Wq1.L HEAIERS-O.T.U. �� �- <br /> AY�i� UNIT HEATEiiS-B.T.U. M � <br /> GVAPORATIVECOOLEFS <br /> PLUMBING c�orHes oHVERs i - <br /> VENTII.ATION FAN <br /> RlaNGE HOOU � <br /> NO. T'PE OF FIXTURE OR ITEM FEE �+�R HANDLING UNIT- C.F.M. <br /> WATER GLOSETITOILETI g �NCINEFATOfI I <br /> BATHTUB <br /> LAVATORVIWASHBASIN) � <br /> SHOWER } <br /> KITCHEN SINK& DISP. SU�TOTAI 5 I <br /> DISNWASHER __� PERMIT 5 <br /> LAUNDRV TRAY ' TOTnLfEE > I <br /> CLOTHES WASHER THIS PERMIT f3ECOMES NULL ANO VOID IF WOFiK OR CONSTRVG <br /> WATER HEATER TION AUTHORIZ[D IS NOT COMMENCE� WITHIN 120 OAVS, OR IF <br /> VRINAL —� CONSTflUCTION Oft WORK IS SUSPGNUED OR A�ANDONGD FOR A <br /> DRINKING FOUNTAIN — PERI00 OP 120 DAV$ AT ANV TIh1E AFTER WORK IS COMMENCED. <br /> FLOOR-::INK OR �RAIN I HENECIV CERTIFY THAi I HI�VE REl�II AND EXAMINED THIS AP� <br /> VACVUM UREAKERS PLICl1TIOM AND KNO\V TNE SA41fl TO DE TRV[ AND CORPECT. ALL <br /> � Pf10VISIONS OP Ll1W5 AND ORDINANCES GOVERKING TNi� TVPE <br /> FOOF DFAINS—FAINI.EAOERS � OF WORK WILL �E CO�IPLIED\NITH NNETHER SPECIFIED MEREIN <br /> SINN ISERVICE—[3AR, ETC.) OR NOT, THE GNANTING OF A PERh11T DOES NOT PRESUME TO <br /> � � �N I GIVE AUTHORIT�' TO VIOLAT6 OR CANGEL TME PROVISIONS OF <br /> AYY OTHER STATE OR LOCAL LAW R@GVLATING CONSTRUCTION <br /> OR TH=PE1iFOPMANCE OF CONSTRV.:TION. <br /> SUA TOTAL <br /> PEIiM1T S <br /> _ TOTAL FEE 5 /�/7/y11 <br /> X y�y i r <br /> SIGNATVR[OFGONTfiACTO(iORAUTH.AGENT DATC <br /> SIOE VARO SET[IACK STREET 5[T6ACK REAR VARDSET�l�CK PLAN CHECK NUM6Efi PLAN CHECK FEE <br /> FEE fiECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑rEs ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCGUPANCV GROVP NO.D� DWELLING � <br /> VNITS <br /> SIZE OF BLDG. NO. OF STORIES MA%.00G LOAO 6VILDING S �'y J � <br /> PlUM01NG �� <br /> FIREYJNE BASEMENT FIHESPFINKLE(iS — � — <br /> ftf�Ul(iED <br /> ❑V[S ❑NO MGCHANICAL I <br /> SPECIAL GONDITIONS: OTHER I I <br /> I <br /> _ PENELTV SEC.3031a1 � <br /> TOTAL J( I� <br /> PERMI7 VALIDATION <br /> IVHE�' PROPERI.Y VALIOAT[p IIN TNIS SPACE) l'HIS IS YOUR PBRN�IT <br /> �vPUrq�ION�CCCPTC00Y PLANSCHFCKEO�Y' oPPflWFOfOM1b5linRfl ltt <br /> i r,.r.. �;� :-.:�. <br /> � <br />