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Urr Errrya�rn � <br /> ��„ � , CONSTRUCTION everett <br /> everett PERMIT <br /> [ItY NRl1 !:Fi',`. <br /> N[Pf ii.11ASNiA L I f�•: <br /> �i:�l <br /> °;" "' `°"`•°""` gUILDING MECHANICAL PLUMBING <br /> „���,�,,,,�,� <br /> OWNe�GR,.� M11A�MIL ADORESS ZIP PHON.: y <br /> :u:s 3.�Er'.�� �K Z��t.� }f Ji✓�(V <br /> AFCHITECT OR DESIGN[H 1�1AIL ADDRE55 PMONE LIC[laSE NO. <br /> GFNERAI.CONTqACTOR MlUL ADDRESS PHONE LICENSE NO. <br /> MECHANICAL CONTRACTOR MAIL ADOFE55 PHONE LICENSE NO. <br /> :I(i F. <br /> PLUM9INGCONTRACTOH MAII.ADORESS PHONE UCENSENO. � <br /> W <br /> m <br /> P[RMIT CL.aSS OF WOqK � <br /> � <br /> ❑pUILOING �PLUM�ING �ECMANICAI �,Y F <br /> — �}MEW ❑ADDITION ❑ALTERATION �]qEPAIR � <br /> vALUATION OF WOfi1: <br /> � ❑OEMOIJSH ❑FENCE ❑9�1N ❑SWIMMiN�3 POOL W <br /> DESCRIB[WORK � — a <br /> 2�i <br /> vaoaoseo use MECHANICAL � <br /> �raeorFuei. Doi� UNnr. ��re;. �E�ee. <br /> LEGAL DfSCFIPTION Of PROPEFT'� ISHOW pELOW OH ATiACH G/�S <br /> FOVF C019E51 <br /> Lor OLocK—or NO. TYPE Of- EOUIPMENT FEE <br /> AIH COND. UNITS-H.p. Eq. S I <br /> __ I qEFqIGEqATION UNITS-N.P. [A. <br /> — —�{I-�OI L E RS-H.P. 6A. � <br /> I GAS FIRED A.C.UNITS-TONNAGE EA. <br /> J <br /> _ FORLED AIF SVSTEMS-O.T.U. M EA. I <br /> JGB ADORE55 �.^� W4LL H[ATERS-B.T.U. M � <br /> IUNITHEATEii^-B.T.U. M � <br /> EVAPORATIVECOOLERS <br /> PLUMBING _ c�or�aes oaveAs i <br /> VENTILATION FAN <br /> RnNGEH000 I <br /> NO. TVPE OF FIXTURE OR ITEM FEE AiR rinNDLrt.s uraiT- C.F.M. � <br /> WAIfiRCL05[TITOILETI g _� �M1f. NLRATOR � <br /> F3ATMTVf3 <br /> LAVATORY�WASH BASIN) � <br /> SHOWER - -�� <br /> __ KITCHEN SINK ft OISP. SUO TOTAL S �� <br /> OI:HVJASHER ---- � --" <br /> IAUNDRYTRAV _ PEFMIT _ _ �� � <br /> CLOTH[SWASIIER TOTALFEE S � <br /> TMIS PERMIT pECOMES NVLL ANO VOID IF Wp(iK OR CONSTqUC <br /> WATER Hf MER TIO� AUTHOPI2ED IS NOT COMMCNCED N'ITHIIJ 1]0 DqVS. OR if <br /> UPINAI. CON:�-TRUCTiON OR WOf?K IS SUSPENfJF_D OR �BANDO�E� fOR q <br /> DHINKIPG POUNTqIN P[H:JO OF 120 DAVS AT ANV TIM1SE AFTE(i WORK ISCOMMENCED. <br /> fIOOR��51NK OR URAIN I HE9EBV CERTIF� THAT' I HAVE PEAD ANp EXAMWEO THIS n� <br /> VqCUUM OREAKERS PIICATIOPI ANU KNOW THE SAME TO pE TRUE /�NO CORRECL ALL <br /> PROPISIONS OF LAW i AND OPDINANCfS GOVGpNING TNIS TYVf_ <br /> ROOF OpAINS-RAIN�EAOERS pF VIORY. WILI pE COMPLIED WITi1 l9H[THF.R SPECIFILD HEfiEIN <br /> SINK ISENVICE�BAR, ETC.) OH IJOT, lME GRANTING OF A PERM�T 00[5 NpT PRESUN,E t0 <br /> GIVf. AViMOPIi� TO VIOLME OA Cl�NC[� TNE PROVi510N5 OF <br /> ANv pTH[fi STM[ OR LOCnL LAIV REGULATING CONSTRUCTION <br /> OR -��HE PEPFORMANCE qF COlJSTRUCTION. <br /> SUH TOTAL <br /> PEFM�T 5 <br /> iOTALFEE $ � X � � � �� <br /> SICNAiUfi@OfCO'JTqACTURORAUTH.l�GENT DA]E <br /> $IpLYARDSET�ACK STREETS[TpACK HEARVAROSETDACY. PL,�NCNECKNUMf3ER PLANCHECKFEE <br /> FEE IRECEIPTNU. <br /> USH2ONE I.OTAREA VACANTSITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> T VP[ OP CONST. OCCUPANCV GROUP NO.OF OWELLING <br /> UNITS � <br /> SIZE OF fiL�G. NO.OF SiORIES MA%, OCG LOAD �UILDING 5 � <br /> I <br /> . PLVMBIIJG I <br /> fIRE20NE �qSEMEN�� FINESPqINY.LERS � <br /> fiLC1UIPED <br /> ❑VES ❑NO MECHANICAL j � <br /> SOECIALCJNDITIONS: QiHER I I <br /> __ - � <br /> T— <br /> ---- ---------�---- - PE6LLl V �fC. .'O:i ial I <br /> _- _-__ - - - . ._ _�—_ . � <br /> TOTAI —�-� ' �:� I� I <br /> PEFMIT VALIOATION I <br /> WHEId PROPt_PLv vnL�[)M[u I�ry iNI55anCEl TH�S IS voUR rFq]+�7 <br /> � <br /> I <br /> �I i .... .,.. .1� .,�1 �'IANSCNCCkCOBY: i�PPOV[U!O(IL•SUnNClPV I <br /> 1� C� i <br /> ! � ; <br />