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nc� £rr.rnrron I <br /> =�,Y�� CONSTRUCTION everett <br /> everett PERMIT <br /> ��,..,:.�, s,�o�Ffi� <br /> nrmn �re;���.yt,ins� <br /> aP)01 <br /> "" °"°''°""` gUILDING MECHANICAL PLUMBING <br /> ntvnurn¢n� <br /> OWN[H MqILAD�qL55 Z�P YHONE �, ���•}� <br /> .^�f �.: _��. ,.. .�k. T�'`_I <br /> ARCHITECT OR OESIGkEN Ml.II AOORE55 PHONE UCENSE NO. 3(/�-� <br /> GENERAL CONTflACTON MAIL ADDRESS ' PMONE LICENSE NO. <br /> MECHANICAL CONTPACTOR MAIL AODRE55 PHONE LICENSE NO. <br /> '_r. �'�:� <br /> PLUMOING CONTRACTOR MAIL ADDflE55 PIiONE LICLNSE NO. � <br /> W <br /> m <br /> ('ERMIT CLASS OF WORK � <br /> z <br /> ❑�UILDING �PLUM6ING �MECHANICAL F <br /> �N[W ❑ADDITION ❑ALTEPATION ❑REPAIR � <br /> VAL$ATION OF WOPK � - a <br /> ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL W <br /> DESCRIBC WORK {��� �ry� /yy� n ���� <br /> �5'.A„ ^ � .Yl1rf�/N J � V <br /> PHOPOSED USE <br /> MECHANICAL <br /> TVPE OF FUEL �OIL �NAT. �LPG. �EL[C. <br /> LEG�L DESGHIPTION OF PROPERTY ISHOW BELOW OF l�TT�GH GAS <br /> FOUR COPIE51 <br /> N�_ 7YPE Of E�UIPMENT FEE <br /> LOT pLOCK—OF /�IR COND. UNITS-M.P. EA. $ I <br /> qEFRIGERATION UNITS-H.P. E/�. <br /> I _ llO1LER$-H.P. [A. I <br /> GAS F'IFEO A.C.UNITS-TONNAGE EA. <br /> FORC[D AIR SVSTEMS-D.T.U. M EA. I <br /> JOB ADDRE55 �/.� .�f WALL HEATEFd-p.T.U. M <br /> f.��P.1 `���.�);I'+ UNIT HEATERS-9.T.V. M I <br /> _ �_E Vl�PORATI V E COOLE FS <br /> PLUMBING I CLOTIIES OPVERS � <br /> —,V[NTILATION FAN <br /> RANGEHOOD � <br /> - Alii HqNOLING UNIT- CF.M. <br /> NO. TYPE OF FIXTURE OR I7EM FEE <br /> WAiERCLOSETITnILET1 g �NCINERATOR � <br /> onrHrue -- - —��- <br /> LAVAIORY (WASN BASINI 1 <br /> SHOW[R I —�- <br /> KITCHENSINKWDISP. �_ _ SUBTOTAL 5 � <br /> DISHWASHER PEHMIT 5 <br /> LAUNORVIRAY TOTALFEE 5 <br /> CLOI HES WASHEq _ THIS PERIJ�IT B[COMES NUIL AND VOID IF WpRY. OR C6NSTRUC <br /> WMEF HEATER �ION �UTHOFREO IS NOT COMMENCED WITMIN 170 DI.YS, OH IF I <br /> URINAL � CONSTPVCTION OR WORK IS SUSPENDED OR ABANDONEO fOF A <br /> Oii1NKING POUNTAIN PERIOD OF 1]0 DAYS AT ANV TIME AFTER WORK IS COA+MENCED. I <br /> FLOOR� SINK OP pRAIN I HEqE�V CERT�FV TMAT I HAVE REAp AIJp E%AMINEO THIS AP� <br /> VACVUM f1REAKERS PLICATION AND KNOW THE SAME TO[3[ TRUE AND CJRRECT. AI.L <br /> - PRpVISIONS Of L�WS AND 019[JINANCES GOVLRNING t1115 TVPF <br /> ROOF DRAINS-RAINLEADF.FS OF WpRK WILL 6E COMPLIEO WITH WHETHER SP[CIf1E0 HEREIN <br /> SINK ISENVICE--OAR,ETC.I Oli NOT, TME GRliNTING OF A P[RMIT DOES NOT PP[SUME TO <br /> GN[ AVTHOfiITY TO VIOLAT[ Oli CANCEL THE PqOVISIONS OF <br /> ANV Ot HER STME OR LOCAL LAIY REGULATING CONSTRUCTiON <br /> _ OR THE PERFOIiMANC[OF COtJiTPVCTION. <br /> SVBTOTAL <br /> PERMIT b � <br /> ITOTA�FEE S _ <br /> il 6(GNATVIiEOFCONTqACTORORAUTH.AG[tJT DA� <br /> � SIpEYARDSETOACK ST(iEETSET�ACY. FEARVAqDSET6ACKPLANCHECKNUMBER PLANCHECKFEE <br /> I FEE qECEIPT NO. <br /> USE ZONE LOi AREA VACANT SITE <br /> i ❑ves ❑No _ FEES VALUATION FE[ <br /> TVPF OF CONST. OCCUPANCY GROU� NO.OF DWELLWC3 7 <br /> iUNITS I i <br /> I SIZE OF [3�DG. ND.OF STOPIES MAX.00C LOAO f3U1LDING $ � - I <br /> � PLUMAING � <br /> I FIREZONE f3A5EMENT FINLSPHiNKLERS � <br /> RCOUIfiEU <br /> I ❑VES ❑NO fdCCMl1NICAL � <br /> i <br /> , SPECIALCONOITIONS _ _ OiHEq � <br /> �— <br /> I - PENELTV SEC. 70]lal I <br /> I TOTAL OIiXI <br /> � PERMIT VALIOATION j <br /> I - \VHlNVqOPLRI�r VALIIJATEf)IINTH65PACEITMISISVOURFERMIT � <br /> PI'PIIrAII(1�1�1('.CVitI1flV� 1'1��1Sf11[CA'(�)�Y APPqOI'lflfOf�I�,�VI.^![.fIIV <br /> �� �.� <br /> I <br />