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tirc Evcryiren I <br /> ���� �� CONSTRUCTION everett <br /> F everett PERMIT <br />� IiIY�IAII 359AidS <br /> i [\'iILIL 1':ASNINLiON <br />, 9810i <br />'� °"' °;,E°�,o;;E„; l3UILDING MECHANICaL PLUMBING <br />� OWNER MAIL AODR[55 ZIP PHONE <br /> i �r•�-r x�:�:t �sz :a� s — ; tszo.� <br /> ARCIUTECTOR DESIGNER MAIL ADDRESS PHDNE LICENS[ NO. <br /> GENERALCONTRACTOR AIAILAODRE55 PNONE LICENSENO. <br /> MECHANICALC04iftACTOR MAILl�ODRESS PMONE LICENSENO. <br /> P�UMBING CONTflACTOft MAIL ADDRESS PHONE LICENSE NO. � <br /> W <br /> J�..r � <br /> PEFiM1T CLA55 OP WORK � <br /> Z <br /> ❑6UILDING �PLUM6ING ❑M@CMANICAL �NEW ❑A��ITION ❑ALTERATION �R�PA�R ~ <br /> � <br /> VALUATION OF WOFK � <br /> 5 ❑DEMOLISIi ❑FENC[ ❑SIGN ❑SwI�JMING POOL a <br /> DESI'RI9fWORK � �+'��� �� ��� <br /> PROPOSED USE MECHANICAL <br /> l[GAL DESCRIPTION OF PROPERTY �SNOW E3ELOW O(i ATTACH ���E OF FU[L �Oil ❑Gn5 ❑LPG. �ELEC. <br /> FOUR COPI ESI ' <br /> NO. TVPE OF E�UIPMEN7 FEE <br /> LOT OLOCK—OF AIR CONO. UNITS-Ii.R EA 5 <br /> RGfRIGEFATiON UNITS-H.P. EA. <br /> �OILEfiS-H.P. EA. I <br /> GAS fINED A.C.UNIiS-TONNAGE EA. —t <br /> PORCEO AIR�v5TEM5 3.T.U. M EA. � <br /> JOIi I�DDRE55 �}v.r ;p WALL MEnT[RS-13.T.U. M � <br /> �ir;.l��. . - <br /> UNIT HEMERS-�.T.U. M I <br /> [VAPOR4TIVECOOLEFS <br /> PLUMBING c�olNEsonvEns i <br /> VENTILATION FAN <br /> RANGEHOOO I <br /> NO. TVPE OF FIXTURE OR ITEM FEE A�A �i�NDIING UNIT- 0.F.M. <br /> WATERCLOSETITOILETI 5 �— �NCINfPATOR _ I <br /> OATMTUB —� <br /> LAVATOPY�WASH BASINI � <br /> SHOWER <br /> � _ItC�1ENSINKFDISP. SU�TOTAL 5 � <br /> UISIiWASHEf+ PEHMIT 5 <br /> LAUNOtiY TfiAY TOTAL F[E 5 � <br /> CLOTH[5 W�SHEF �_ TNi� PERMIT 6ECOMES NULL AN� VJID IP WORK OR CONSTRUG <br /> WAi ER HEAT[R —� TICN �1UTHORI].EU IS NOT COfdMENCED WITHIN 120 DAVS, ON IF <br /> UNINAI. COV51'RUCTION OR WORK i5 SUSPENDEL� OP A6ANDON[[J FOfi A <br /> Dti1NKING FOUNTAIN — �BFlIUD OP 120 DAYS AT ANV TIME AFTER WOfiK IS CUMMENf.EO. <br /> FLOOH-SINK OR DRAIN —� I HEREPV CERTII'Y THAT I HAVE READ AND EXAfdINED THIS AV� <br /> VACUUM ItREAKERS PUCl�TION AND KNOW THG SAME TO �[ TRUE l�ND COPfiKT. ALI. <br /> PROVISIONS OF LAN'; ANO ORDINANCES GOVEliNING THIS TVPE <br /> ROOP DRAWS-RFINLEADEHf i O� WORK WILI OE COh1PLl[O WITII WHEt11ER SP[CIFIEO HCREIN <br /> SINK (SERVICE-BAR, ETC.) I OR NOL TH[ GIiANTiNG OF A PEfiMIT DOES NOt PRESUMC 70 <br /> -- — — ---I--- GIVE AUTHORITV TO VIOI.AT[ OR CANC[L TME PflOVISIONS OF <br /> - ANV OTH[R STATE OR LOCAL LA\'J IiEGULMING CONSTFUCTION <br /> __�,y OR TME PERFORMANCE GF CONSTRUCTION. <br /> SUBTOTAL �J�� <br /> _ P[RMIT S �W <br /> TOTAI.FEE S �� J.f� <br /> x .�� <br /> SIGNATUflEOFCONTRACTOfiORAUTH.AGENT DAiE <br /> SIDEYAliD5ET0ACK STREETSETDACK REARYAPOSETOI�CKPLANCH[CKNUME)ER PLANCHECKFEE <br /> FLL FECEIPT NO. <br /> US[ ZCNE LOT 11R[A VFCANT SITE <br /> ❑YES UNO FEES VALUATION FEE <br /> tVPE OF CONST. OCCl1PANCV GflOUP NO.OF OWELLING � <br /> UNITS <br /> SIZE OF BLDG. NO.OF STORIES MA%.00Q LOAD UUILDING 5 I <br /> I <br /> t <br /> PWM6ING 5 � <br /> FI{iE ]ONE 8l�SEMENT FIRESPHINKLERS <br /> flE(lU1RED � <br /> ❑VES ❑NO ��ECHANICAL I <br /> �___— <br /> _ 1 <br /> SPECIAL CONOITIONS- OTH[R � <br /> - T <br /> — PENtLTV SCC.30�In1 � <br /> " TOTAL � �Lfy <br /> PERMIT VALIDATION <br /> WH[N PROP[RLV VALiL1rlT[D IRJ TIIIS;Y�CCI THI515 VOUR PEqMIT <br /> N'�'I�Cnllt:•!A(t.ffllpOY PI/�NSCNR6[JOC M1'11O�fUfOh�5♦5UANCFOY � <br /> j�t� <br /> � � <br />