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� nc� Ewv��n�rn <br /> � ��„ �,� CONSTRUCTION everett <br /> everett PERMIT <br /> ��,�,,,<< ,�,, , <br /> 1VI11(II 1'.4\�11111.11:'i <br /> 99AI1 <br /> °�°� °� �° ° °,,, BUILDING MECHANICAL PLUMBING <br /> �.�,i�.iinr�o:qi <br /> 04YNtR �M MNL ADORt`.;S Z�V PHOh@ r���( � <br /> • . . .•�� A1.nN 1��. ..,t :1..�R�(y <br /> AIRCHITECT ON OESIGNLIi MAIL ADOHlSS �HONF l IC[N;[ NU. <br /> GENERA•L1.�C.�ON��TeRACTOR Ml�II ADDFE55 PHONE LICENSE ND. <br /> .. . 1• lY.i.7,:i• <br /> MECHANICALCONTRACTOR MAIL ADDRESS PHONE LiCENSE ND. <br /> � <br /> PI.UMOING CONTRACTOR MAIL ADDRE55 P��ONE LICENSF NO. W <br /> �Y,'1�i-3 �.� c1.l�i.� � <br /> PEFMIT CLASS OF WORK � <br /> Z <br /> ❑OUILDING �VLVM�ING ❑NECHANICAL �NEW ❑ADDITION �ALTERATION ❑REPAIR ~ <br /> � <br /> \/ALUATION OF WOfiK � <br /> ❑o�n�oic;r� ❑ren�cc ❑;ic,N ❑;�vinrn�wcr�ooi. W <br /> 5 °� <br /> DESCRIpC WORK -" ��-- ��S <br /> aaa•oseo us� MECHANICAL <br /> iVV60FfU[L �UiL �NA1�. �LPG. �CLEC. <br /> IEGAL DESCRIPTION OP PROPE(iTV ISH01Nl3ELOW OH ATT�CII Gn� <br /> P OU R COPI E51 <br /> NO. TV'PE OF E�UIPMEN7 FEE <br /> LOT-- OLOCK—OF — <br /> AIR COND. UNITS-H.P. [A. S I <br /> R6FRIGEIiAT10N UNITS-H.R GA. —�— <br /> l <br /> �OREfiS-H.P. GA. I <br /> Gl�S FIRE�AC. UNITS-TONNI�GE EA. <br /> �pRCED AIR SYSTEMS-�.T.U. M EA. I <br /> J0f3 APOH[`,:: � �y.ti. � .� WALL HEATEFS�-U.T.U. M <br /> Y ��� UNIT IIEATERS-B.T.U. M I <br /> EVAPO�ATIVECOOLEFS <br /> PLUMBING CLOTMESDPYERS I <br /> VENTIIATION FAN <br /> R/�NGE HOOD I <br /> NO. TVPE OF FIX7URE OR ITEM FEE _ AIR HnN�LING VNIT- 0.F.M. <br /> WATE(i CLOSET ITOII.ET) g INCIN[RATOR I <br /> �ATHTUD <br /> LAVl�TORV (WASH BASINI � <br /> SHOWER � <br /> KITCHEN SItJK&DISP. SUO TOTAL 5 � I <br /> UISNW/1SHEH EIiMIT $ � <br /> I <br /> LAUNDf1Y TRAY ' TOTAL FEE S I <br /> CLUTH[S WASHEF THIS PERMIT eECOMES NULL AND VOID IF WORK OR CONSTPUC� <br /> WAT[R HEATEfi TION �1UTNORIZED IS NOT GOMMENCED WITMIN 12U OAVS, OR If- <br /> VNINI�� CONSTRUCTION OP WORK IS SUSPENpE� OP ApANDONEO FOR A <br /> DRINKING FOVNTAIN � P[RIOD OP 120 Ul�YS AT ANV TIh1E AFTER WORK IS COMMENf,EL. <br /> PLOOR-SINK Oli DNAIN 1 NEFEflV CEHTiFY THAT 1 HAVE READ ANJ EFAMINED THIS AP- I <br /> VACUUMliREAKERS PLICMION ANO KNOVJ THE SAhtE TO DE TiiU[ AN�COfiPECT. ALL � <br /> ROOF DRAINS-PAINIEApERS — VROVISIONS OF LAWS AND ORDINANCES GOVEPNING iHIS TVYE <br /> _�.___. OF WORK \YILL 9E COM1IPLIEO WITH WHETHER 'PGCiFiGfl HERf.IN I <br /> SINK ISERVICE-tlAR, ETC.) OR NOT, THE GIiANTING OF A Pf.(iMIT L`(�LS rypl PIt[;UM[ TO I <br /> - -�-"— GIVE AUTNORITY TO VIOI.ATE OF CANC6L iI�C PRnVKIOk:; OI �� <br /> ANY OTNEfi STATE OR LOCAL LAW REGUI aT�W�: Ct�:'.;iRUC1iVN <br /> _�_ OR TNE PERFORMANCE OF CONSI RUCTION. I <br /> suo rorn� _� <br /> PEfiMIT — 5- --- `' <br /> TOTnL FEE $__ � �_ P,�'j'�yj <br /> x '/ 4 �� <br /> SIGN4TUPEOFCONTfi/1CTOFOR4UTH.f�CENT DATE <br /> SIDEYARUSETDACK STRE6TSETOACK fiEARYl�ROS[TDACKPLANCHECKNUh16ER PLANCHECKF[E <br /> fEF. RECEIPT NO. <br /> U;LZONE LOTAFEA V�+CANTSITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> i Vl`L OF CONST. OCCUPANCY GROUP NO.OP OWELLING <br /> UNITS � <br /> 512E OF BLOG. NO.UF STOFIES MAX.OCC. IOAD ❑UIL�ING 5 I <br /> I <br /> PLVMOING � � <br /> IIRLZONE EIASEMENT FIRESPRINKLERS — -- <br /> RE(1U1RED � <br /> ❑VES ❑NO ��ECHANICAL I <br /> SP[CIALCONDITIONS'. OTHEft � <br /> I <br /> �— <br /> ___ _ CEN6Ll V SEC.30]lal � <br /> TOTAL �. 1/u <br /> PERMIT VALIDATION <br /> _ — WHGN PfiO�[RL\'VALIOATEO (IN THIS SPAC[I TNIS IS VOUR�CP.MIT <br /> � <br /> I -- _ <br /> ^t'IUNION�CfCOTCpOY�. PL/NSLNECkEDBY�. 4�PPOVCO I.Sf�AISEPY I <br /> \r <br /> � � <br />