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tlre Erer9icr.n <br /> �,r� �� CONSTRUCTION everett <br /> everett PERMIT <br /> CIIV��All H908P5 <br /> [VCNEII.�YPStiih41UV <br /> 9810� <br /> �E°, °<<������°� BUILDING MECHANICAL PLUMBING <br /> ONf LOPNINi <br /> OWN[�: MAIL ADDIiE55 211' PIIONL <br /> "0� rt1 � ZL�LI �T �. — 2��� <br /> ARCMITECT OR OESIGNER MAIL FO�RES PHO E LIC[NS[ NO. ��ht <br /> iv <br /> GENERALCONTRACTOR MAILADDRESS PHONE LICENSENO. <br /> �A+C�t94f "Ot+� l"�� n�. �'�l�i�2 ��_ <br /> MECHANICAL CONTRACTOR AIAIL AUDR[55 NMONE LICENSE NO. <br /> PLUM9ING CONTRACTOf� MML ADDFESS PHONE LICENSF, NO. W <br /> m <br /> � <br /> PEHMIT CLASSOf WO(IK � <br /> Z <br /> ❑BUILDING ❑PLUM6ING ❑MECMANICAL ❑NEw �nDDITION ❑ALTERATION ❑RLPMF ~ <br /> � <br /> VALUATION OF WORK � <br /> ❑IJBMOLISH ❑F[NCF. ❑SIGN ❑SWIMMING POOL W ' <br /> s —. — a <br /> DESCFIB[WOFK�y 1��. ����] <br /> T� �Sf �p,�, l�/ � �. J <br /> PROPOSEO�-;e�y,�r MECHANICAL <br /> r�Fi TVP60FFVll. �pi� �NAT. �LPG. �ELEC. <br /> LEGAL OESCIiIPT10N OF PROPERTV ISMOW DELOW OR ATTACH C'�y <br /> FpU COPIESI 1�y� <br /> �or� o�ocKN.�or�= a� �� �t'� � NO. __ TVPE OF E�UIPMENt FEE <br /> 111RCOND.'JNITS-Ii.P. EA. S I <br /> FiEFRiGERATION UNITS-H.P. EA. <br /> 601LER5-H.P. EA. I <br /> GI15 FI�F.D A.C. UNITS-TONNAGE EA. —7 <br /> _J_ <br /> FORC[D Alq SVSTEAIS-6.T.U. M EA. I <br /> JOB AD�RESS WAU. HEAT[RS-�.T.U. M <br /> � I,`�' VNIT IIEATERS-6.T.U. M � <br /> -- FVl�POHATNE COOLGRS . <br /> PLUMBING c�on+es oavens i <br /> VENTILATION fAN <br /> R/�IJGE HO00 � <br /> NO. TYPE OF FIXTURE OR ITEM FEE nin MANDI W(3 VNIT- C.F.M. <br /> WATERCLOSETITORET) g �_ INCINERATOR �_ <br /> 6ATNTUB — ----- <br /> LAVATOflV(WASH BASIN) -- - I-- <br /> SHOWER 1 <br /> KITCHEN SINK& DISP. SUR TOTl�L $ � <br /> DISHWASHEP PENMIT 5 <br /> LAUNDRV 1ViAY �_— TOTALFEE 5 � <br /> CLOTHEStVASH[R THIS PERMIT pECOMES NULL ANU VOI� If- WOiiK OR CONSTRUC- <br /> WATER HEATER __� TION AUT�iO�IZEa I� NOT COMMENCED WITHIN 120 DnV�, O� IF <br /> URINAL CONSiNUCiION OP WORK IS SUSPENDED Ofl A�ANDONEO FOR A <br /> PERIOD OF 120 DAVS AT ANV TIKE AFTER WOHK IS COMMENCED. <br /> DNINKING FOUNTAIN __+___ <br /> FLOOH-SINK OF�RAIN I HERE6V C[�TIrY tMAT I HAV C REI�O AND GXAMINED THIS AP <br /> PLICATION AND KNOW THE SAME TO 13F TRUE ANU CORHECT. ALL <br /> VACUUM f31iEAKEfiS PROVISIONS OP L�N'S AN� ORDIN�NCGS GOV[RtJIP1G THIS TYPE <br /> FOOF DPAINS-RAINlEA0Efi5 _ OF bVORK WILI. �E COM�IiED WITM N'HGiN[R SP[CIFIE� HEPEIN <br /> SINK ISERVICE-�AN,ETC.) O� NOT, THE GRANTING OF A PEPMIT OOES NOT PRESUME TO <br /> �— GIVE AUTHORITV TO VIO�ATE OP CANC@L THE PROVIilONS OF <br /> � ANV OTH[Ii STATE OR LOCAL LAW REGUTATING CONSTRUCTION <br /> OR THE P[fiFORMANCE OF CONSTqUCTION. <br /> SU� TOTAL <br /> PERMIT 5 <br /> TOTAL FEE 5 �/1"„�' ��j <br /> x <br /> SIGNATURLOFCONTRaCTORORAUTH.AGENT UME <br /> SIpE YARD SETBACK ' STR[ET SETOACY. R[AR YARDSET04CK PLAN CHECK NUMElER PLl�N CHKK FEE <br /> FEE IiECEIPT NO. <br /> USE 20NE LUT AREA VACANT SITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP UNIOS DWELLING � <br /> SIZE OF BLOG. NO.OP SiOFl1E5 MA%.OCC LOAD �UILDING 5 ���� 1( 1 yv <br /> PLUMPING � <br /> FIREZONE d/15EMENT FIHESPPINKLENS � <br /> REdUIREn � <br /> ❑�ES ❑NO MECHAfIIGFL I <br /> SPECIALCONOITIONS: OTHER I <br /> I <br /> � � PENELTV SEC. 3031e1 � <br /> I <br /> - 70TAL '� I � <br /> PERMIT VALIDATION <br /> WH[N PRUP[PLV VAIIOAT[D(iN 1HI55PACEl TNI515 YOUR PERMIT <br /> nl`I`(I[:nll(1,IA{.t:l�'IffJI1V �'I��:SCIILC.NC[111Y. ��^�ll]YL��O�II$$UFNCCBY <br /> ZT <br /> � <br />