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thr Evr�g�rrn <br /> =�r��F CONSTRUCTION everett <br /> everett PERMIT <br /> LI1V H4Ll 1t0AF"4 <br /> FVfNEiI.WLSNINGIDN <br /> 9B]01 <br /> °", °"°°°°""' gUILDING MECHANICAL PLUMBING <br /> u[v[iovrn[xt <br /> OWNER MAILAODR[55 ZIP I'HONE <br /> x: 'T i;. A'R' z:'�i 'sC�t'.-55"�(% ItC-9-?'r <br /> ARCHITECT OR OESIGNER MAIL AD�RESS PMONE LICENSE NO. <br /> GENERAL CONTFACTOR MAIL ADDfiE55 PHONE LICENSE NO. <br /> MECHANICALCONTRACTOR L1AIL A�DRESS PHONE LICENSE NO. <br /> PLUMBING CONTRACTOR MAIL FODIiESc PHONE LICENSE NO. � <br /> W <br /> ��Lp m <br /> PERMIT CL�1550F WORN � <br /> ❑DUI�DING PlUM61NG Z <br /> � �M[CNANICAL � <br /> ❑NEW �ADDITION ❑ALTERATION �[PAIR � <br /> VALUATION OF WORK <br /> s ❑DEMOLISH ❑FENG[ ❑SIGN ❑SINIMMING POOL a <br /> DESCRIDE WORK <br /> 2294 <br /> PflOPOSED USE <br /> MECNANICAL <br /> TVPE OF FUEL �OiL �NAL QLPG. �EI.EC. <br /> LEGqL G[SCPIPTION OF PROPERT V (SHOW BELOW OR ATTACH GAS <br /> FOUR�OPIE5) <br /> Lor OLOCK_OF NO. TVPEOFEDUIPMENT FEE <br /> AIR COND.UNITS-H.P. E11. 5 I <br /> REFF,IGCqAI'ION VNITS-HP. EA. _� <br /> �OILER5-11.P. EA. � <br /> GAS FIRED /1.C. UNITS-TONNAGE EA. <br /> _ _ FO�CED AIR SVSTEAIS-R.T.V. M EA. � <br /> JO8 AOORESS 'M �� 4r WqLL HEATEfiS-O.T.U. M <br /> iG�7 ��"�:1�+�.i• UNITMEATERS-B.T.V. M I <br /> PLUMBING _ �"^Ponni�ivecoo�ens <br /> CLOTH[SDRYENS � <br /> V[NTILAtION FAN <br /> RANGEHOOD � <br /> NO. TVPE OF FIXTURE OR ITEM FEE ^��a ��nrvouNc VNiT- C.F.M. <br /> WATER CLOSET 1TORET) g INCINLflATOR � <br /> dATHTUB <br /> LAVATO{iV (WASH BASIN) � � <br /> SHOWEft <br /> KITCHEN SINK& DISP. SUB TOTA� 5 <br /> OISHWASMER � <br /> LAUNDRV TRAY I P�FMIT 5 <br /> TOTAL FEE S � <br /> CLOTNES WASHER THIS PERMIT PECOMES NVL� AND VOID IF WORY. O(i CONSTfiUC� <br /> W/�TEq NEAT[q � TION AUiHOfi1ZE0 IS NOT COMM[NCED WITNIN 170 DAYS, OP IF <br /> _ UPINAL � CONSTRUCTION Ofi WORK I$ SUSPfNOEU OR l�6ANpONED FOR A <br /> DRINKING FOUNTAIN PfRlO� OF 1?0 DAVS !�T 4NV TIME AFTER WORK IS COMMENCED. <br /> � fLOOR-SINK OR�RAIN I HEREItV CERTIFV THAT I HAVE R[Ap ANO EXAMINBD TI115 AP- <br /> VACUUM1t pqEAKEqS � PLICnTION AND KNOW THE Sl�ME TO�E TqUE AND CORPECT. AlL <br /> ---�— PROVISIONS Of LAWS AWO OHDINANCES GOVEfiNiNG THIS TVPE <br /> ROOF DRAINS-PNNLEA�ERS _ OF WOfiK WRL pE COMPLIkO WITH WHETMER SPEGFILU IIEPEIN <br /> SINK (SERVICE-DAR, ETCJ —� OR NOT, iH[ GRANTING OF A PEI2MIT pOES NOT PRE;UME TO <br /> - -��-- GWF AUT{10RITV t0 VIOLATE UF CANCEL THE PfiOVI510N5 OF <br /> �M ANY OTH[R STAiE OR IOCAL LAW REGU�ATING CONSiRUCTION <br /> _—z.1�r ON THE PERFOliMANCE OF CONSTfiUCT10N. <br /> SU� TOTAI. _ .� <br /> PERMIT S } <br /> I _ TOTAL FEE $ �'�1�� <br /> X <br /> SIGNATUH[GFCONTfiACTOROPqUTH.AG[NT DATE <br /> SIDfVARDSETUACK STRE[TSET�ACK REAflYARDSETfiACKPLANCH[CKNUAI(�ER �L/�NCHECKPEE <br /> FEE RECEIPT ND. <br /> USE 2[NE LOT AFEA VAC/1NT SITE <br /> ❑vEs ONo FE[S VALUATION FEE <br /> TVPC OF CONST. OCCUPANCY GROUP NO.OF DWFLLING <br /> UNITS � <br /> SIZ[ OF 13LOG. NO.OF STOFIES MAX.00C. IOAU �UILDING § � <br /> I <br /> I PLUMDING 'Jrl W <br /> Flfi@ ZONE pASEMENT FIRESPPINKLERS <br /> RCOVIIiEU <br /> ❑VES ❑NO M[CHANICIIL � <br /> SPECIAL CONUITIONS�. p7H[P � <br /> — _— � <br /> �— <br /> --- — f'GNELTV $EG 3C91n) I <br /> I <br /> TOTAL CIL� <br /> PERMIT VALIDATION <br /> WH[N Pf10PBFLY VA1.IpAT[D IIN Ti�I55P�CEl THIS IS VOUR P[liA9T <br /> II GVPI�G.IILqACfI^ifD�iY IhAqSf11CCKCDOY. PI'PPOVCUPo{IISvUANCCPY <br /> 1� Q� <br /> I � <br />