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I <br /> _. . .� � ..... . i <br /> ill�' :.1`..L��•••y� I <br /> ��,� o� CONSTRtJCTION everett � � <br /> everett PERMiT <br /> .�,irn: i n�ee:s � <br /> ��u;tn :...,mvetah <br /> 98:��1 <br /> ������ �� �������", BUILDING MECHANICAL PLUMBING � <br /> �.�,.<«.�:•��, <br /> OWNEF MIULADOH[55 ZIP PHONE I <br /> o+dxaYt � Joam (:-Sy �'c•; -'ici�c �:. :�:�w�33 ^�'v—Jir51 ..., ` I <br /> AtiCHITECTONDE51(iNER MAiL/+ODFESS PHONE LICINLLhO. ;����(!• <br /> I GENERAL CONTRACTOR MAIL AODRESS PHO^.E LICENSE NO. I <br /> I <br /> I �i11'M <br /> MECHANICAL CONTRACTOR MAIL ADOfiF55 PMONE LICENSE NO. <br /> � <br /> I PLUMBING CONTRACTOF MAIL I1DDFiESS PHONE LICENSE NO. W <br /> m <br /> � <br /> I V[IiRLT CLASSOFWORK � <br /> Z <br /> � �6VIL�ING ❑PLUM�ING ❑MECHANICAL n ~ <br /> ❑NEW UA�DITION ❑ALTERAI�OP1 �IR�PM�` � <br /> — � <br /> VALUl�TION OF WOpK W <br /> �`F�� ❑DC-MOL�SH ❑FENCE ❑SIGN ❑SW�MNING POO1. a <br /> 5 <br /> pE5CR16[WORK 1669 <br /> �cxrt^a:1t F'u+0ui17�]. td gr,�"n€1r►-�+Eal! uolf� `G:r. ,3 oC <br /> anoroseo use MECHANICAL <br /> n1lLte r�i�i:-�ir Gui� �oi� prvnr. ❑iac. pe�ec. I <br /> L[Gl�L D[^vCPIPTION OF PROPERTV ISMOW 6ELOW GR ATtACII GAS <br /> FOUft C�E51 � „�. � f�� � "Y� �,�t _NO. TVPE OF EQUIPMENT FEE I <br /> LOT OLOCK—�F_ AIR COND. UNITS-N.R EA. g � <br /> REFRIGERATION UNITS-H.P. EA. <br /> �OILEfiS��H F. EA. � <br /> GAS FIIiED A.C. UNITS-TONNAGE EA. _ i <br /> FORCED AIR SVSTEMS-B.T.U. M EA. � <br /> WALL HEqTERS-B.T.U. M � <br /> J013 nODRE55 I <br /> d UNIT H[ATERS-9.T.U. M � I <br /> GGQ. '.'1¢u J;F :^• <br /> — EVAPOfiATIVECOOLERS I <br /> PLUMBING c�or�ieso�veas � _ <br /> VENTILAI'IONFAN <br /> RANGE Ii000 � � <br /> AIP MANDLING UNIT- C.F.M. <br /> NO. TYPE OF FI%TURE OR ITEM FEE INCINEPATOR � <br /> WATEPCLOSETITOILET) S <br /> 6ATNTUB � <br /> LAVATORV IVJASH 9ASIN1 <br /> -- SHOWEF — <br /> KITCHEN SINK& DISP. SUB TOTAL 5 I � <br /> PERMIT S <br /> Pi5NWA5HER _ � <br /> LAUNOHV TRAV TOTAL FEE 5 I <br /> CLOTHES WASHEft THIS PEP�llT BECOMLS NULL AND VOIO IF WOfiK OR CONSTRVC � <br /> WATER MEAiEF TIDN AUTHORIZEO i5 NOT COM4IENCEO WIiHIN 120 DAYS, OR IP i <br /> —, CONSTRUCTION OR WUPK IS SUSPENDED OW �6ANDONED FOR A � <br /> URINAL pLRIOD OF 120 DAVS AT ANV TIME l�FTEP WORK IS COMMENCED. I <br /> OflINKING �OUNTAIN <br /> FLOOR-SINK OR �FAIN I HERFB� CERTIFY TNAT 1 HAVE READ AND EXAMINED TI+IS AP- <br /> PLICA�ION AND KNOW THE SAh1E i0�E TRUE �NO COftR[CT. ALL I <br /> VACUUAA OFEAKERS PliOVI510N5 OF LAWS AND OR�INANCES GOVERNING THIS TYPE <br /> � ROOF DFAINS-RMNLEAOEPS OF WOtiK WIIL 8E COMPLIEO WITII WHETHER SPECIFIED HEREIN <br /> SINK (SEftVICE-RAP, ETC.) OR NOT, THE GfiANTING OP !� PER�11T DOES NOT PRESVME TO <br /> GIVE AUTHORITV TO VIOL�ITE OR CANC[L THE PROVISIONS OP <br /> ANV OTH[!i STAT[ OR IOCAL LAtV PEGULATING CONSTFUCTION <br /> OP TI1E PBNFORbtANCE OF CONSTRUCTION. i <br /> I SUBTOTAL - I <br /> PERMIT 5� I <br /> TOTA�f E E 5 ��+►�1 I <br /> I x <br /> SIGNATUFEOFCONTN�CTORORAUTH.AGENT DATE I <br /> I SIDEYAROSET6ACK STREETSCTBr1CK REqRVAP�SET�ACKPLANCHECKNUMBEF PLANCHECKFEE I <br /> FEE RECEIPT NO. <br /> I VACANT SITE � <br /> USf: 70NE LOT AFEA - I <br /> ❑YES ❑NO _ FEES VALUATION PEE _ � <br /> TVFL OF CONST. OCCUPFNCV GROUQ UNITS OWELLING � I <br /> ��ryy�_� �Jf'� I M I <br /> bIZL OF BLDG. NO.OF STOflIES MAX.00G LOAD BUILDING $y�lr� ^ I `V <br /> PLUMpING I I <br /> �ii�L ZON[ H�15EM[NT RRESPRINKL[NS � � <br /> FE�UIRED MECHANICAL � <br /> i ❑VES ❑NO <br /> � � <br /> ",r'U;InL CONDITIONS'. OTHEF I I <br /> I - - i <br /> aENELTY SEC. 3031a1 � I <br /> '_1—_ <br /> —_ 1 I <br /> TOTAL �'•� � � <br /> I <br /> - PERMIT VALIDATION '' <br /> bVNENPRO�'[RLVVALIDATED�INTHISSPACEITHISISVOURPEFiA41T , <br /> i <br /> I <br /> i <br /> '•.IILciT�1P6CPTE�OY- �LAq501[C1(t�PY pPvfl[W�OfOhI55UNtlCf6� ' <br /> [1' <br /> III <br />