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tlre Fvrigrcen <br /> CITY OI- CONSTR UCTION everett <br /> everett PERMIT <br /> CiIY tlALL i59A585 <br /> (VfNFi1,454SNIH1:lON <br /> semi <br /> ���� �< <°^•�^°�°° BUILDING MECHANICAL PLUMBING <br /> oNtl4r4tN1 <br /> OWNER MAIL ADDRESS Z�P P����� <br /> '..�'R�iR i�lf.�' fi "i.� :"t7C1t1:P W. ��.� <br /> ARCHITECT OR OESIGN[li ��NLl�DDFESS PHONE LICENSE NO. <br /> GENERAL CO�ITRACTOR MAIL AODFESS PHONE LIGENSE NO. <br /> MECHANICALCONTRACIOR MlULADORB55 PHONE LICENSENO. <br /> � G � Ctr.�F "�'1 oc <br /> PLUMBING CONTiIACTOR MAIL ADURE55 PHONE LICENSE NO. W <br /> m <br /> � <br /> PEflMIT CLASSOF WORK Z <br /> �DUILDING ❑PI.UMpING �M[CHANIC�L ~ <br /> �NEW U/�DDITION ❑l�LT[RATION ❑R@PAIR � <br /> � <br /> VALUATION OF WORK W <br /> ❑O[MOLISM ❑FENCE ❑SIGN ❑-`+�'�'�MMING POOL a ,. <br /> 5 <br /> DESCRIB[WORK ��C� I <br /> v� <br /> PROPOSED USE MECHANICAL <br /> TYPIOFFUEL ���L ❑GAS ❑LPG. �ELEC. <br /> LEGAL O@SCFiPTION OF PROPERTV (SHOW 13ELOW OR AITACH <br /> FOUR COPIE51 <br /> NO. T\'PE OF E�UIPMENT FEE <br /> LOT �LOCK_OF qIR COND.VNITS-����. El�. S _'._. <br /> qEFRIGERATION UNITS-H.P. [A. <br /> pO1LER5-��I.P. EA. � <br /> GAS FIRED A.0 UNITS-TONNAGE EA. � <br /> FORCED f�IR SVST[1d5� 9.T.U. M EA. I <br /> JOB ADDPESS WnLL NEAi[9S-B.T.U. M <br /> UNIT HEAT[RS-f3.T.U. M � <br /> EVAPORATIVECOOLERS <br /> PLUMBING c�on+es oavens � <br /> V[NTI�ATION FAN <br /> qANG[ HDOD � <br /> �IR MANULING UNIT- GF.M. <br /> NO. TVPE OF FIXTURE OR ITEM FEE — I CIN[RnioR � <br /> WATERCLOSETITOILET) _ 5 -�- • t � — <br /> � <br /> BATHTUB — -- -- <br /> I <br /> LAVATORY(WASIi �ASIN) - -- �— <br /> SMOWER _-_._— <br /> KIICHEN5INK& DISP. SU9TOTAL 5 I <br /> D154WASHEH PEIiMIT 4 <br /> --� <br /> LAUNDHY TRAV _ �. TOTAL FE[ 5 <br /> CLOTHF:WASHER _ i THIS PENMIT UECOMES NUIL AND VOI'J IF WOHK OR COWSTNUG <br /> WATER NEATE9 __� TION l�VTHOfi1Z[U IS NOT COh1MENCED WITHIN 110 �1�V5, OP �F <br /> URINAL CONSiFUCTION OR \VORK IS SUSPENDED OR f�DANDONEU FOR A <br /> � PCRIOD OF 120 D�VS nT ANV TIME AFTER WORK IS GOMMENCEO. <br /> ORINKING FOUNTAIN .i— <br /> 1°LOOR� SWK OF ORAIN � ��E�E13Y C,ERTIFY THAt I NAVE RLAD AND [XAMIN[� iHIS AP- <br /> PI.IC�TION 1�N0 Y.NO1N THE 5l�ME TC 6E TRUE /1ND COfiFECT. l�LL <br /> Vl+CUUM [3qEAKEIiS PROVIilONS Of LAWS AND OR�INANCES GOV[RNING THIS TVPE <br /> RVOF pRAIM1S-RAINIEADERS OF WORK WILL 6E COM14FLIE0 W�TII WHETHEP SP[C�FIflD HEREIN <br /> SINK ISERVILE-l3Afi, ETC.I OR NOT. TNE GRANTING O� A PERMIi DOES NOT PFESVME TO <br /> -- GIVF AUTIIOR�TV TO VIOLATE OF Cl�NCEL TME PROVISIONS OF <br /> ANY OTHEIi STAT@ OR LOCAL LAY: PLGULATING CONSTHUCTION <br /> OR TH[ PERFORMl�NCE OF CONSTfiUCT10N. <br /> SU�TOTAL __i <br /> PEPMIT S <br /> TOTALFEE 8—� <br /> -_. — X �+�.��� <br /> SIGNA1VfiEOFCONTPACTOHOFAUTH.AGENT DATE <br /> SIDEYARDSET3ACK STREETSET�ACK REARYARDSETHACKPLANCHECKNUMD[N PL4NCHECKFEE <br /> FE@ RECEIPT NO. <br /> U':E ZOf�E LOT AfiEA Vl�CANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCVPANCV GROUP VNITS DWELUNG � <br /> � <br /> I <br /> SIZE OF BL�G. NO.OF S10RIE: MA%.OCQ LOA� AUILDING S I <br /> PLUMBING � <br /> fIR[20NE �ASEMENT �IIiL5PF11NKLEflS � <br /> qt"OUIRED � � <br /> ❑VES ❑NO MECHANICAL <br /> , I <br /> SPECIAL CONf1ITIONS: OTHEF I <br /> -- �ENELTV SEC. 30�1n) � <br /> _-1"— <br /> I <br /> TOTAL �.�� <br /> - PERMIT VALIDATION I <br /> WH[N PHO�'[fiLY VALI�AT[D (IIJ THISSP�C[)THI$ iS VOUH V[HA111 <br /> � <br /> � /.fTI��,�:Jq�CCL1�1C011V °InN_blf[NCL1Pv� �PP�OVfUf01�I5GUAN.lflV. <br /> � <br />