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itbc Ercrgrcen <br /> � �,r�o, CONSTRUCT10N everett <br /> everett PERMIT <br /> Oiv n4�� }SppA65 <br /> I\'l�k1l VI>CIIINfI04 <br /> 96:01 <br /> ,,� ����E,M��;; BUILDING MECHANICAL PLUMBIN <br /> OWNER �r� <br /> MAIL AOOHE55 ZIP �MONE <br /> ��W J ^"e'�__ �t� � � ��I A 7v�� PNONE } 7N rLICLN5=N0. �j��y <br /> ARCHITECT Oli OFSIGN[R MAIL P�D1iE55 <br /> GENERAI CONTRACTOft MAIL I�DDFE55 PHONE LIC[NSE NO. <br /> MECHl��AL CONTRACTOR MAIL ADDRESS P�iONE LICENSE NO. <br /> � <br /> PLUMe1M1G CONTRACTOli MAIL ADDflE95 PMONE LICENSE NO. pJ <br /> m <br /> � <br /> PERMiT CLASS Of-WURK � <br /> Z <br /> $pUILDING ❑PI.UMOING ❑MECHANICAL ~ <br /> ❑NEW ❑AODITION ❑ALTERATIJN ��[VAlfl � <br /> �- � <br /> VALUATION OF WOFK W <br /> rry� ry� ❑DEMOUdH ❑FENCE ❑S�GN ❑SWIMMING "OOL — a <br /> 5 .TrAvi <br /> DESCRIOf WONK 1446 <br /> }srss+ot�f=mp.� cm Pae�+s-'?a0'L�x'a-�''r.3eck pa^ci»aq_�S�tS <br /> PROPOSED USE MECHANICAL <br /> iVPEOFfUEL �OIL �G^T� ❑LPG. UELEC. <br /> F UR COFIESI�PTION OF PFOPER i Y ISHOW�ELOW OR ATTl�CH — <br /> NO. TYPE OF EDUIPMENT FEE <br /> LOT 6LOCK—OF— AIR COND. UNITS-����. EA. 5 � <br /> qEFRIG[fillTlON UNITS-H.P. EA. <br /> ❑ORERS-H^. EA. � <br /> GAS FIIiEO A.C. UNITS-TONNl�GE EA <br /> 1'OfiCED Alfi SVSTEMS-B.T.U. M EA � <br /> JOB ADDRESS WALL HEATEFS-�.T.U. M <br /> �MM !��r UNIT HEAiERS-f3.T.U. M � <br /> V�:I <br /> LVAVOHATIVE COOIEfiS <br /> PLUMBING c�oTMes onvens � <br /> VENTILl�t10N FAN <br /> RANf[ HOOD � <br /> AIR HANDLING UNIT- C.F.M. <br /> NO. 7YPE OF FI%TURE OR ITEM FEE �NCINERATOFi � <br /> WATEF C�OSET ITOILETI 5 <br /> GATNT'U� � I <br /> LAVATONY(Wl�SH BASIN) _� - —r <br /> SHOWEIi SUBTOTAL 5 1 <br /> KITCHEN SINK& UISP. _ PERMIT 5 <br /> UISHWASNER _ <br /> LAUNDRV THAV TOTAL FEE S I <br /> ��_ <br /> CLOTHF$Wl�SHER TIIIS PE9MIT �ECOMES NVLL ANO VOID I� WOfiK Ofi CONSTRUC <br /> WATIdF HEATER __ TION AUTMORIZEO IS NOT COMMENCED WITHIN 120 DAYS, Oli IF <br /> URINAL CONSTNUCTION OR WORK IS SUSPENDEn OR A�ANDONLD FOR A <br /> PEfiIOD OF 120 DAVS �1T ANV TIM[ AfT[R WOPK IS COM1VdENCED. <br /> ORINKING FOUNTAIN __1 <br /> PLOOR-SINK OR ORAIN I HEREOV CERTIPV TIIAT I HAVE READ f�ND EXAMINED THIS AP� <br /> PLICATION l�ND KNOW TME SAM[ TO UL TfiVE AND CORRECT. ALl <br /> VACUUM RREAKEiiS PROVISIONS OF L�WS f�NU ORDINANCES GO�'ERNING THIS TVPE <br /> fi00° DN�INS-RAINLEADERS Of WOHK WII.L 0[ COMPLIEO WICH WHCIHEP iP[CIfIEO HEREIN <br /> SINK lSEflVICE-BAR, ETC.) OR NOT. THE GRANIING OF A �ERMIT DDES NOT PRESUME TG <br /> GNE: lWTHORITV TO VIOLATE Ofi CANCEL THE PROVISIONS OF <br /> +_.._ qNV OTHER FTAT[ OR LOCA� LAW NEGULATING CONSTRUCiION <br /> OR THE PERFORMANCE OF CONSTFiUCTION. <br /> SUD TOTAL <br /> P[RMIT 4---� R_y1_O/� <br /> TOTAL F[E S ���« <br /> X <br /> SIGIJATVREOFCONT6?��TOROflAUTH.AGENT DATE <br /> SIOEYf1RU5FT0AGK STflEET5E1fiACK REI�FYARDSETBACKPLANCH[CKNV��AER I PLANCHECKPEE <br /> , �r- RECEIPT NO. <br /> USE ZONE lOT AREA VACANT SITE <br /> ❑VES ❑rvo FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GflOUP UNIT�S ��NELLING � <br /> � ;� a <br /> S�ZL OF �IDG. NO.OF STORIES MA%.OCC. LOAO QUILOING � � <br /> I <br /> PLUMBING <br /> FIRE20NE �ASEMENt FIIiESPH�NKLERS � <br /> R �YESEO ❑NO MECHANICAL � <br /> I <br /> SP[CIAL CONOITIONS: OTHER I <br /> — �� <br /> PENELIY SEQ307fa) � <br /> TOTAL J �w <br /> PERMIT VALI�ATION <br /> WH[N P�O�L(iLY VALIf)ATED IIN 1 HIS SP�CE1 THIS 15 YOUP P[PMIT <br /> RIWLICNIOYPCCEPiFOBY. PIA4'.1'.�ffYlUl'4 AVPROVE�O ISSUANCEBY <br /> }a <br /> � <br />