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the EvCrgrncrr <br /> _��, �,�° CONSTRUCTION everett <br /> everett PERMIT <br /> C�lv Nn�t 1y9BtA5 <br /> I Vf qt�1.15q5illK;i114 <br /> 9^)fll <br /> °'°` " `°"""",° gUILDING MECHAf�'ICAL PLUMBING <br /> �'CVfLOfmlNi <br /> OWNER MAILAODNI_5:; ZIP 1'110N[ I <br /> '"t�3 . ek•cr-:x� ?tG'ti} *,'i^v 'tr. ��3 :'S?—?9�t �r}idiftx[ <br /> AFCHI,ECT OR DESIGNLH MAIL ADDqE.,3 PMONE LICENSE NO. `^q_y} <br /> �� J4^( <br /> GEN[RAL CONTRFCTOR MAIL ADOFE55 PHONE (.ICENSE NO. <br /> � <br /> MECMANILqL CONTflACTOF MAIL AODRESS PHONE LICENSE NO. <br /> r�� <br /> PLUM�ING CONTNACTOR MAIL AOOflE55 PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASSOF WORK � <br /> � <br /> z <br /> �DUILDING �PLUMDIYG ❑MECHANICAL F.. <br /> ❑NEW �AOOITION ❑/�LTEHATION ❑R[PAIR � <br /> VALUATION OF WOIiK � <br /> _S.':_iW1.� ❑DEMOLI51/ ❑FENCE ❑SIGN ❑SWIMMING POOL � <br /> �van.� <br /> DESCRIB@ WORK - <br /> Ach3it3aa Cc.t .'.»1. iti.;alLif� 2 Q�Q <br /> PROPOSEO USE <br /> ^� MECHANICAL <br /> TVPE UP FUIIL �OiL �ryqT. �LPG. �ELEC. <br /> LEGAL DESCRIPTION OF PROPERTY ISHOW[3ELOW OH ATTACH GAS <br /> FOUR WIIIE51 __ _ <br /> LOT 41r f3LOCK—OF �7 �'�'`�� NO. TVPE OF E�UIPMENT FEE <br /> . AIF CONU. UNITS--H.P. El�. $ I <br /> (iEFRIGERM�ION UNITS-H.P. EA. <br /> �OILEfiS-H.P. EA. I <br /> GAS FIRGD A.C. UNITS-TONNAGE EA. <br /> _ __f fORCED AIR SVSTEMS-O.T.U. M EA. I <br /> JOO�/A�OOH�[NSS I��� lNl�LL NEM[RS-�.T.U. M <br /> �y �+�� �� "�+L�{i VNIT HEAT[RS--�.T.U. M I <br /> E V APO RAt I V E COO LE RS r <br /> PLUMBING c�orHes or�v�ras i <br /> VENTILATION FAN —7— <br /> PANG[ HOOD � <br /> NR IInNOLING VNIT- QF.M. �— <br /> TVPE OF FI7(TURE OR ITEM EE <br /> WAT'FCLOSGTITOILETI g INCI AT R � <br /> 8A'NTU� lF <br /> LAVATORY (WA�H BASINI � <br /> $NOW[R � <br /> KITCHENSINKROISP. �__ St�BTOTAL S � <br /> OISHWASN[R — <br /> PERMtT 5 <br /> LAUNOFVTRAY <br /> CLOTHESWnSHER <br /> TOrAL FEE 5 I <br /> — if115 P[HMIT LIECOMES NULL ANO VOID IF WOfiK OF CONSTRVC� <br /> WAtEIi HEATEfi TiON AUTHORIZED IS NOT COh1piENCE�1NITHIN 120 OAVS, OR If- <br /> URINl�L CONSTRUCTION OR WOqK IS SUSPENDEU Oli AISANDONED FOR A <br /> DfiINKIN<; FOUNTAIN �FRIOD OF 120 DAVS AT ANY TiME AFTER WORY, IS COMMENCED. <br /> FIOOR-SINK OR DPA�N I H[REf1Y CEFTIFV TNAT 1 HAVE READ AND E%AMINED THK AP� <br /> VACUUM fl(iEAKERS — PLiUT10N AND KNOW THE SAME 1'O pE iqUE AND CORRECT. ALl <br /> ROOF DRAINS-qlUNLEADERS �-- ��OVISIONS OF lAWS AND ORDINANCES GOVERNING iH15 TVPE <br /> Of WORK 1VILL DE COMPLIED WITH WHGTHEIi SPECIfIE� M[pEIN <br /> SINK (SEFVICE-�AP, ETC.) —� OR NOT, THF GRANTING OF A PERM1IIT OOES NOT PPESUM[ TO <br /> —�-�— GIVE AUTIIOflITV TO VIOLATE OH CANClL THE PROVISIONS OF <br /> -{ ANY OTHEfi ST�TF OR LOCAL LAW RE(;ULATING CONSTFlUCTION <br /> — OR :ME PERFDRMANCE OF C^NSiRUCTION. <br /> SUDTOTAL <br /> PERMIT S <br /> TOTALFEE $ � <br /> '— — X ��.jY�� <br /> SIGNATUREOFCONTHACTORORI�UTH.AGENT UATE <br /> SIDEVARDSETpACK STREETSETpACK REAPVA(iD5[TOACY, �'LANCHECKNUMp[R P�f�NCHECKFEE <br /> �R��`� F[E ��� qEC[IPT NO. <br /> � USE20NE LOTAFEA VACANi51T[ ,� Z��(..C� <br /> I ❑vES ❑r�o FEES VALUATION FEE <br /> I TVPE OF CONST. OCCUPANCV GROUP NO.OF OWELLING — <br /> UNITS � <br /> SIZE OF �LOG. NO. OF STORIES MAX.00Q LOAU �UILOING 5 1`�N+ <br /> PLUM�ING J.:�I VN <br /> �rIqEZONE B�SEMLNi IiHLSPRINKLEFS <br /> RfUUIR@D <br /> ❑YES ❑NO ���CHANICAL ��p'y <br /> I <br /> SPfCl/.L CON�ITIONS: OTHER � <br /> _ --- I <br /> ------- PLNE.TY SEC.�031e) I I <br /> �._ <br /> -- - TOTAL f�i� <br /> PERMIT VALIDATION <br /> -- -- lNI1CN PROPERLV VlLL104T[p(iN tHI:SPl�CL)i1115 15 YpUH P[RMIT <br /> I <br /> p�P11CA11p11PCCCPiCDflY �LANSCNCCK[OM. ACPPOVC[1fOR155lI�NC[M. I <br /> �T� P� I <br /> � � � <br />