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nc� ft•crqrc„n <br /> ��,� �F C�NSTRUCTION everett <br /> everett PERMIT <br /> L�iV nGll 159 nP5 <br /> (\[11[il 154SHIMGiON <br /> 9A1A1 <br /> °��' °� �°°°°�"` gUILDING MECHANICA! PLUMBING <br /> ocvuarF•.tx� <br /> OWNER MML AD�H[SS ZIP �'IiONL r�( <br /> r• r:�yT ,�ryy� �r�'4,f... �"JJ��1�+ <br /> �7.r% <br /> ARCHITECT OR OESIGNeft MAII.ADDHE55 PHONE LIC[NSE NO. <br /> GENEFA.Ly C�O-N�TpRACTOR MM1.ADOfiE55 PHONE LICENSE NO. <br /> ��.*s :'J� �t . <br /> MECNANICALCONTRAGTOR MNIL ADDRE55 PHONE I.ICENSE NO. <br /> PWMBING CONTRACTOR MAIL AODRE55 PHONE LIGENSE NO. � <br /> W <br /> m <br /> — � <br /> PEPMIT CL15S OP WORk � <br /> Z <br /> �UILDING ❑�LUMBING �MECNANICAL F <br /> ❑NEW ❑AOOITIOM ❑ALTERATION �EPAIfl � <br /> VALUATION F ORK � <br /> 5 � ❑U[MOLISH ❑F[NCE ❑SIGN ❑SWIMMIfiG POOL a <br /> DESCRI�[WOftK ���'F I��� + O�I� <br /> l 1 3 <br /> PROPOSED USP MECHANICAL <br /> LEGAL DESCRIVTIONOF PROPEPTV ISHOW�ELJW OyR}M'lACll r�P� Of FUEL �OIL ❑Gn5 �LPG. �EIEC. <br /> FOUF��IESI y� � ,�47��J � Ry� <br /> lOT r�� �LOCK ���oF NO. _ TYPE OF E�UIPMENT FEE <br /> Alli CONO.UNITS-H.P. EA. 5 I <br /> REFRIGERATION UNITS-M.P. EA. <br /> OOILCiiS-H.P. EA. I <br /> Gn5 FIIiED A.C. UNITS-TONNAGE EA. <br /> FORCBO Alq S�STEMS-F1.T.U. M [A I <br /> J06PDDNG55 wyY.�/ f�+ WALLHEATERS-f3.T.U. M <br /> �"I ��'`��"'� UNITHEATEfiS--�.LU. ' M I <br /> EVAPORATIVEI'ODLEFS _� <br /> PLUMBING c�orN�sonv�ns i <br /> VENTILATION fAN ' <br /> PANGFHOOD I <br /> NO. TYPE OF FIX7URE OR ITEM FEE A�� ��nNDLING VNIT— C.F.M. <br /> WATER CLOSET ITOII.ETI g INCINERATOII I <br /> BATIiTVIl _ <br /> LAVATORV(WA5118l�SIN) —{ � <br /> SHOWEfi —� <br /> K1ICHENSWK&DISP. —� $UATOTAL 5 � <br /> DISHWASHER � PERMIT 5 <br /> LAUNDRV TRAY TOTALFEE 5 I <br /> CLOTH[5 W/+SNEfi 7HI5 PE9MIT BECOMES NULL �NO VOID IF WOfiK OF CONSTRUC� <br /> 'NAl ER HEATEfi �— TION AUTHORI2ED IS NOT CUMMENCED WITNIN IYO OqVS, OR IF <br /> URINA� CONSiRUCtION OF WORK IS SUSP@NOEO OR ADANDONFO FOR A <br /> DRINKING fOUNTAIN P[RIO� Of 120 DAVS AT ANY IiME AFTER WORK ISCOMMENCEO. <br /> FLOOR-SINK OR ORAIN I I NEIiEpV CERTIFV THAi I HAVE REl�D AN� EXAMWED THIS �P- <br /> VAGUUM 13R[AKERS PLICATION AND KNOW THE SA�tL TO !3E iRU[ AND COfiRECL AlL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVEl1NING THIS TYPE <br /> FOOF DRAINS-RAINLEAOERS Of WORK WiLL �E COMPLIEO WITH N'HEi11ER SPECIFI[U HEREIN <br /> SINK ISEFVICE-UAH, ETC.) O!i NOT, THE Giif�NTING Of- A PEPMIT pOES NOT PRESUAIE TO <br /> — GIVE AUTHOli1TV TO VIOLATF: OF CANC[L THE PROVISICNS OF <br /> — ANV OTHFR STATE Ofi LOC/:L LAW NEGULATING CON;TRUCTION <br /> OF TNE PEFFORM/�NCE OF COIVSTRVC110N. <br /> SUBTOTAL <br /> PBRMIT 5--� <br /> TOTALFEE S <br /> x 7/�� <br /> SIGNATUREOFCONTR(1CTORORAUTH.AGENT DAtE <br /> SIDEYAFUSEtfl4CK STREETSET6ACK RGARVAROSETDACKPLANCHECKNUMpER �LANCHECKFEE <br /> FEE RECEIFT NO. <br /> USE 20NE LO? I14EA VACANT SITE <br /> ❑VES ❑NO FEES VALUATIO�' FEE <br /> TVPE OF CONST. OCCUPANCV GROVP NO.OF OWELUNG �— � <br /> UNITS � <br /> Y1 ____1 �y� <br /> 512E OF p�OG. NO.Of-STORI@S MA%.OCG LOAD 6UILDIN�i $ �.i./ � „ry <br /> _ � <br /> PWM1181NG � <br /> FIflcZONF OAS[MENT fIRESPRINKLENS __ J � <br /> REOUIRED I <br /> ❑VES ❑NO �1[CHANICAL . <br /> � - <br /> SPECIAL CONDITIONS'. OTHEfi � <br /> — � <br /> VENELTV SEC. 90J1:0 � <br /> I <br /> TOTAL f�4 (p <br /> PEFMIT VALIDAT'7N <br /> w�+cn rr,oPE��v vnuonT�o iw nus sr°ncei rrns is voun�eamir <br /> — I <br /> I <br /> ni�rurnrinrvacurrrnor vinHsn�ccccoov. avrnoveoroNiuunmc[nr � <br /> I I <br /> 7.� c s ' <br /> � � 3 I <br />