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the Fverg�ecn <br /> =�T� �� CONSTRUCTION everett <br /> everett PERMIT <br /> p1Y 4ALl lSnPflAS <br /> NfPF11.11iLUF610N <br /> 9B)111 <br /> °°°, °��°^'°°�^� gUILDING MECHANICAL PLUMBING <br /> otvuarutxr <br /> OWNEq MMLAODRE55 ZIP PHONL <br /> "A'XaT'Pi �-��batS �'2„ �1 <br /> APCNITECT OR DESIGNER MAIL AODRE55 ❑NONE LICENSE NO. �Ty�l <br /> GENERAL CONTRACTOF MAIL A�DRESS PHONE LICENSE NO. <br /> MECHANICAL CONTHACTOR MAII.AODFE55 PHONE LICENSE NO. <br /> PWMBINGCONTRAGTOR :dAILADORESS PMONE LICENSENO. � <br /> W <br /> m <br /> YERMIi CLASS OF WOFK � <br /> Z <br /> �UILDIWG �PWM1I�ING ❑MECHANICAL � <br /> ❑NEW ❑ADDITIUN ❑ALT[RATION ❑AEPAIR � <br /> VALUATION OF WORK ,�{[ � <br /> e I �70EMOLISH ❑FENCE OSIGN ❑SWIMMIN�: POOL a , <br /> DESCRIB[WORK ���0 <br /> � � <br /> rRoroseo use � MECHANICAL <br /> TVPE OF FULL �011 �NAL �LPG. �[I.EC. <br /> LEGAL DESCRIPTION OF PqG�EiiTV ISHOW(3FLOW OR ATTACH Gl�S <br /> FOUR/C�OPIE51 ,,�.� ' <br /> �or$L BLOCK�1 oF�t„Wv_^�.L NO. TVPE OF E�UIPMEN7 FEE <br /> AIR CON�.UNITS-11.P. EA. $ I <br /> PEPFIG@RATION UNITS-H.P. EA. <br /> OOILERS-M.P. EA. � � <br /> GAS FIfiEO A.C. UNITS-TONNAGE EA. <br /> fOPCEO AIR SVSTEMS-O.T.U. td EA. I <br /> JOB AD�RE55 WAU. HEATEFS-6.LU. M <br /> UNIT MEnTERS-�.T.V. M � <br /> PLUMBING EVI��'ONATIVE COOLEFS <br /> CLOTl1E5 DRVERS I <br /> VEhTILATION FAN <br /> HnNGEHOOD I � <br /> AIF IIFNOLING UNIT- C.F.M. <br /> NO. TVPE OF FIXTURE OR ITEM FEE — <br /> WAI�ERCLOSET�TOII.EiI y WCINERP.TOR I <br /> BIITHTUB —�— <br /> � 1 <br /> LAV.\TORV IWASH BASINI I <br /> SNOWiR <br /> KITCME V SINK t4 �ISP. SU�T)l'AL $ � <br /> DISHWASNER PERMIi 5 <br /> LAUNDRY TRAV ' TOTAL FE[ 5 I <br /> CLOTHES NASMER THIS PERMIT PECOMES NULL ANO VOID IF WORK OR CGNSTRUG <br /> WATEFl MCATER TION AUTHORIZED IS NOT COMMENCED WITHIN 120 D�VS, OR IF <br /> UflINA'_ CONSTRVCTION Ofi WORK IS SUSPENOEI) OR Ap�1NOONED FOR A <br /> DRINKING FOUNTAIN PEFIOD OF 120 DA\5 AT ANV TiM[ l�FT[R WORK IS COMMENCED. <br /> FLOON-SINK OR DRAIN _. � I HERF.OV CERTIf-Y THAT 1 MAVE READ AND [XAMIN[D THIS FP� <br /> VACUUM 6REAKERS �UC�TION ANp KNOW THE SAME TO 6E TFU[AND CORRECT. AI.L <br /> ---�- PROVIi!ONS OF LA1N5 AND OPOINANCES GOVERNING TNIS TVPE <br /> ROOF ORAINS-RA�NLEADERS OP WONK WILL B@ COMPLI[D WITM \VHETHER SPECIFIED NF(iE�N <br /> SINK (SERVICE-OAF,ETCJ OR NpT, THE GRANTING Of A P[RMIT DOES NOT FqESUME TO <br /> I GIVE AUTHORITV i0 VIOLATE Ofi Cl1NCEL THE PFOVISIONS OF <br /> �NV OTNER ^.TATE OR LOCAL LAW HEGULATING CONSTPUCTION <br /> _ Oli THE PLNPORMANCE OF CONSTi1VCT10N. <br /> SVDTOTAL <br /> PEHMIT S <br /> TOTALFEE 5 <br /> ---- X fYur� <br /> $IGNATUREOFCONTHACTOiiORAUTH.�GENT DATE <br /> SIDE YAqp5FT0l1CK STREET 5[TpACK RGAfi VA{lOSETUACK PIAN CHECK NUMl3ER PLAN CNECK FEE <br /> FEE IIECEIPT NO. <br /> USE20NE IOTAREA VACANTSITE <br /> ❑v[s �No FEES VALUATION FEE <br /> TVP[ Of- CONST. OCCUPANCY IiPOUP NO.OF DWELLING <br /> UNITS I <br /> SI].E OF 6LOG. NO.OF SiOP1E5 Ml�X.00C LOP.D OUILDING ��� ��. � � � � <br /> ��+Y <br /> PLVMf31NG � <br /> FIRE20NE IiA:;EMFNT FIfiESPRINKLEfiS I <br /> Rf(]UIRFO I <br /> ❑YES ❑NO MECHANICnL � <br /> SPEQAL CONOITIONS' OTHEIi � <br /> - I <br /> PENELTV SEC.�OJIaI I <br /> TOTAL T�'d � <br /> PEfiM1T VALIDATION <br /> - WHCN VfiOPCRLV VLLIDATED UN THIS SPnCEI TNIS �S VOUR PERMIT <br /> ACI'llfNiO'1:f.V.�rl iAY %lQbiufCY�00V AP1'�pA'IOV]I11:Sp�Nfl !!V <br /> � � ^ <br />