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tirc F��riqr��en ' <br /> =�r� o� CONSTRUCTION everett <br /> everett PERMIT <br /> C�IY IIALL lY�f�lc <br /> U'[4111.1tii91iVL1111i <br /> n.:.1 <br /> °�°� °"°`'"°'°' BUILDING MECHANICAL PLUM6ING <br /> ��,�,��P.,��� <br /> pWNE1ip �����+�Y ■»/` `dAI�L AryODRESS ZIP PHONE ���/�[ <br /> R�� JGWY) L.�M1� ^� IVS[: �L7J�N <br /> AqCHIT[CT OR DESIGNtfi MAIL AOOfiE55 PHONE LICENSE NO. <br /> GENERl�LCONTRACTOR MMLADDRESS PMONE LICLNSENO. <br /> ".Qr . �• 23h4 Ct�.�3Cfi11.aT _ <br /> M[C11AN�CAL CONTRACTOR MAI�ADDRE55 PHONE LICENSE NO. <br /> PLUMBINGCONTFACTOfi Ml�ILADOA[55 PHONE LICENSENO. � <br /> W <br /> m <br /> � <br /> PERMIT CLASSOF WORK � � <br /> Z <br /> �BUILOING ❑PLUMpING �MECHANICAL �.� �"' <br /> ❑NEW ❑ADDITION ❑ALTERATION y�REP;�IIi � <br /> V ALVATION OF WORK � <br /> 5 'i�� ❑DEMOLISH ❑FLNC[ ❑SIGN ❑SWRdMING POOL a � <br /> DESCRIB[WORK .. <br /> ►����T, �.� �- a4i <br /> PROPOSED USE MECHANICAL <br /> I.EGAL O[SCFIPTIONOF PROP[qTV ISHOW(tELOW OR ATtACH_ rvPE OF FUEL �Oil �GAS. �LPQ �[LEC. <br /> FOUR COPIESI <br /> �or�LOCK��F_ �����' ��S;i�I7 _ NO. _ TYPE OF EOUIPMEN7 FEE_ <br /> AIR CUND. UNITS-H.P. EA. 5 I <br /> R[-RIGERATION UNITS-H.P. EA. <br /> AJIlERS-II.P. EA. I <br /> �G1�5 Flfi[U A.C. UNITS-TONNAGE EA. <br /> PUIiCED AIR SYSTEM1IS-�T.V. M EA. I <br /> JOP AODFG55 1O�A �(�•?� — �WALL HEMERS-p.T.U. M <br /> a,�ri <br /> UNIT HEATEfiS-�.T.V. M I <br /> [VAPORATiVECOOLERS . <br /> PLUMBING c�onies onve�s i <br /> VLNTILATION FAN <br /> Rl�NGE HO00 I <br /> NO. iVPE OF FIXTUFlE OR ITEM FEE ��H IIANOLING VNIT- C.F.M. <br /> WATEFiCLOSETITOILETI y INCWEfiATOFi I <br /> 1�/1THTU8 _—_' <br /> LAV�TOfiY (W�SH OASINI � <br /> —� �SHON'CH --- — -- — <br /> Y.ITCI�LhSWKftC15P. SUBTOTAL $ � <br /> l)ISHR'4SHER PERMiT 5 <br /> LAUNDRYTflAY ~ <br /> TOTAL FE@ 5 � <br /> CI-OTH[5 WACHER THIS PEFAIIT BEGOM[S NULL AND VOID IF WOIiK OF CONSTFUG <br /> WMER h/EATEF TION AUTHOHRED IS NOT COA1p�ENCFp \YITHIN 120 OAVS, OR IP <br /> URINAL CONSTRUCTION OR VlOHK IS SUSPEND[O OR A(3ANDONCD f0(i A <br /> OP.INKING FOUNTAIN � NEflIOD OF 120 DAYS AT ANY TIME AFTE.`i WORK IS COMMENC[D. <br /> FLOOF-SINK OR DRAIN �— I H[H[OV C[RTIFV THAT I HAVE fi[AD AND EXAMWED TMIS AP- <br /> VACUUM fIHCAKERS � FLICATION AND KNOW THE SAI.1[ TO H[ 1RUF: �1ND CORPKT, qLL <br /> -�---�- PROVISION^ Of LAWS AND ORDIh�NCE5 GOVERNING T1115 TYPE <br /> ROOF DRAINS-RAINLEADEfiS OF N'ORK 1VILL BL COM1IVUE� WITH WH[iHER SPECIHEO HEREIN <br /> SINK ISERVICF-OAH, E1C.) � OR NOT. TME GliANTING OF A PEIiMIT DOES IIOT PR[SUME TO <br /> I---- GJVE l�UTHOIiITY TJ VIOL�ITE OR CANCEL TH[ PROVE.IONS OF <br /> ANY OTNEH STATL UR LOCFI LAW REGULATING CON';T(tUCTION <br /> Ofi THE PERFOfiMf1NCE OF COIJSTRUCTON. <br /> SULi TOTAI. _ F _ <br /> __ PEfiMIT 5 � <br /> TOTALFEE $ <br /> _. __ X !` <br /> SIGNAT'UREOFCONTqACTORORAUTH.AGGNT OA E <br /> SIDEYARDSETI3ACM ISTREETSET�ACY. REANYl�Fl03ET�ACIiPL�NbiECKNUMI3ER PL�INCNECKFEE <br /> f[E IRECEIPTNO. <br /> USEZONE LOTAHGA VACANTSftE <br /> ❑ves ❑No FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DViLI.UNG <br /> UNItS � <br /> SIZ[OF �IDG. NO.OF STONIES MA%.00C. LOAD �UIL�ING 5 •/fM � � <br /> fJM:! �� <br /> PLL'W!31 NG � <br /> HRE ZONE IiAS[MENT FIRESPRINKLEPS � <br /> REOUIRED � <br /> ❑V[S ❑NO M[CHANICAL I <br /> SPECIAL CONOITIONS'. OTHEF � <br /> I <br /> �-- <br /> __ _ _--___ — PEN[Ll V ;LC. :lO:i ln1 � <br /> I <br /> TOTAL � <br /> PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATEO IiN THIS SVAC[I 1 HIS IS VpUfi FIRMIT <br /> i - <br /> Pfl'IJC4TION�I.'LP1f1�9Y pNGL11FCNC0�V: HPPPOVC�GO(IISSUANCCOV. <br /> � �• <br /> � <br />