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Itlre Ever,�nren <br /> ��,� ��� CJNSTRUCTION ever�it <br /> everett PERMIT <br /> �,, ,,�,� <br /> �,��Er, ,,a=,;,�:�;;,: <br /> 9e::n <br /> °`°' °"°"°°'°" BUILDING MECHANICAL PLUMBING <br /> atvuuPurri <br /> OWNEP MAILADOIiE55 ZIP YHONE <br /> a. 7�� rrto ;�r-�r�s* £�3-7G <br /> ARCHITECT Op OESIGNER Ml�IL AOORE55 PMONE LICENSE NO. <br /> GENEHAL CONTFACTOR MAIL ADOFESS P110NE LICENSE NO. <br /> MECMANICALCONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> PLUMUING CONTRACTOR MAIL�IODRESS PIIONE LICENSE NO. � <br /> ?i1Ci:i `.�:�1(t�: T�i,'.�'::� m <br /> PERMIT CLAS�OF WORk � <br /> ,-(� Z <br /> �pUl1.OING i�v L UMDING ❑MECHANICAL � <br /> ❑N[W ❑AODITION �f�LTERATION ❑R[PAIR � <br /> VALVATION Of-WORK � <br /> ❑OEAIOUSH ❑fFNCE ❑SIGN ❑$1NiMAtWG POOI. W <br /> 5 a <br /> �ESCRIBE WORK ��� <br /> PROPOSED VSE MECHANICAL <br /> LEGAI DESCRIPTION DF PROPERTY ISMDW f1ELOW OR ATTf�I'H TVPE OF FU[L �OI1. �G�AS. �:_PG. �ELEC. <br /> Fp V R COPI E51 <br /> NO. TYPE OF EOUIPMENT FEE <br /> LOT ❑LOCK_OF <br /> AIR COND. UNITS �H.P. [/1. 5 I <br /> tiEFRIGERMION UNITS--HP. EA. <br /> IIOILGRS-H.P. [A. I <br /> GAS FIfiE�A.C. UNITS- TONNAGE EA. <br /> f-ORCED Alp SVSTEMS-�.T.U. M EA. I <br /> JO� ADDRESS �j� nTa� WnLL MEATEfiS-R.T.U. M <br /> ��`� 'r"•'^�r UNIT HEATEFS-�.T.U. M I <br /> EVAPOfiI�i-I V E COOLEFS <br /> PLUMBING c�orii�s oaveas � <br /> VENTIIATION FAN <br /> (iANGE MOOD I <br /> NO. TVPE OF FIXTURE OR ITEM FEE AIH HANDLING UNIT- QF.M. <br /> WATERCl05[TITOILETI S �NCINERATOR I <br /> �ATNTUR _ <br /> LAVATORV IWASH BASIN) F _ � <br /> SHO�'dER <br /> KITCHEN SINK t§ OISR _� SUIl TOTAL 5 _ � <br /> ❑ISHWASHEP PERM�T 5 �-- <br /> LAUNOqV T�AV TOTAL FEE 5 I <br /> CLOTHES WASHER THIS PERMIT [iECOMES NVLL AND VOIU IF WO�A OR CONSTPUG <br /> WAiER HEnTBR TION I�UTHORIZEO IS NOT COMMENCEO WITHIN 120 OAYS, OR IF <br /> UqINAL CONSTRUCTION OR WORK IS SUSPEND[U OR AO�NOONEO FOF A <br /> ORINKING FUUNTAIN � PERIOD OF 120 DAVS AT ANV Ti�1E AFTER WOFK IS COMMENCED. <br /> FLOOR-SINK OR�RNN I H[R[AV CFRTIFY THAT I IIAVE R[A[] I�ND E%AMW@D TH15 AP- <br /> VACUUM pRE(1KEP5 � PLICATION AND KNO\V THE^AME TO 6E TRU[ ANO CORR[CT. ALL <br /> ROOF C�^'.INS-RAINLfADERS —�-- ����nVI510NS Of LAIYS �Np ORDINANCES GOVERNING THIS TYPE <br /> OF WO(iK N'ILL �L CUMPLIED WITH IYHETHER SP[CIFIED M[REIN <br /> SINK ISERJICC-fJAR,ETC.) { OR NOT, THE GRANTING OF !� PLRA1iT OOES NOT PR[SUME T'O <br /> �— ---�—-- GN@ AUTHORITY TO VIOL�TE OH CANCEL THfl PHOVISIONG OF <br /> ----�---�- AN1' OTHER STATE OR LOCI�L LMV REGULATING CONSTRUCTION <br /> OF THF. PERFOnMANCE OF CONSiqUCTION. <br /> SUB TOTAL_ <br /> VERM1IIT 5 <br /> _ TOTALFEE $ L_ <br /> X <br /> $IGNATUREOFCONTRACTOROFAUiH.AGLNT DATE <br /> SIOEVAqDSFTOACK STqEETSETOACK R[ARYq(ipS[TP�CKPLANCHCCKNUR1t3EP PLANCHECKF@E <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SIT[ <br /> ❑v[5 ❑No FEES VAWA710N FEE <br /> TVPE OF CUNST. OCCUPANCY GROUP NO.OF OWELLING <br /> UN�TS I <br /> SIZE OF pl OG. NO.OF STORIES MF%.00C. LOAO [IUILDING 5 � <br /> I <br /> _-_� <br /> PLVMPING � <br /> f-IRE20NE liASLMENT FINESPHINKLERF <br /> Rf�UIqED <br /> ❑YES ❑NO MEGH/�HICAL I <br /> '—_�-_ <br /> SP[CIAL CONOiTIONS�. OTHER � <br /> I <br /> — PENELTV SEC.J031a1 I <br /> I <br /> TOTAL <br /> PERMIT VALIOATION <br /> WHEN 1'RO�'[RLY VALIpATF.OIIN TH65PACF1 TIII51;YO'JH P[Rh11T' <br /> � ___ <br /> � <br /> 'i AnPLiC�tIOI:/�r 'vif�!1Y P����+SO�f�✓If�v evPitOVEDFON14Un'�CfOv <br /> , —� ,_ c, �. <br />