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Um Ecri9men � <br /> ��r� ��: CONSTRUCTION everett ' <br /> everett PERMlT <br /> CiIY NGLL )59flA9] <br /> tvtxtn xns�uHr,*ox <br /> 9P.)�I <br /> ,"v, ^� �°�M°���� gUILDING MECHANICAL PLUMBING <br /> o�,-«o�,r��� <br /> OWNEF MNL ADDFESS ZIP �'�iUNE <br /> ,.a..,`.n .�itCALi• �s�'' � 1:�"�:i,31 2T`x�' � 3:i�j�7fi <br /> AiiC1UTECT OR ULSIGNER MAIL ALDqE55 PHONE LICFNSE NO. <br /> GENERAL CONTflACTOii MAIL FDDfiE55 PNONE LICENSE NO. <br /> ;C�."1 �c !"'�T' f �141F'�`� <br /> ME�HANICAL CONTRA�:TOR MAIL ADDRE55 PI/ONE LICENSE NO. <br /> � <br /> PLUMBINGCONTFlACTOF MAILADORESS PHONE LICENSENO. W <br /> m <br /> � <br /> P[RMIT CLA55 OF WORK � <br /> Z <br /> {J6UILDING ❑ PLVMDING ❑MECMANICAL ~ <br /> [�NELV ❑/1DDITION ❑ALTERATION ❑REPAIft � <br /> VALU/�TION O �}�y � <br /> �UJ ❑DEMOLISH �P@NCL ❑SIGN ❑.`r\YIh1MWq POOL W <br /> s a <br /> DESCRI��WORK �w �� : r-.�w. .lry ��.� 4`-;') 1397 <br /> L.1��j � 3' 4� �I <br /> PqOPOSED USE MECHANICAL <br /> TVPE OF FUEL �OiL �N^T. �LPG. �ELEC. <br /> LEGFL DESCRIPTION OF PROPERTY ISMOW[3ELOW UR ATTACH <br /> FOUR COPIE51 <br /> NO. TVPE OF E�UIPMENT FEE <br /> I.OT ❑LOCK—OF AIH COIJD. UNITS -H.P. C-A. 5 � <br /> REFFiIGERATION UNITS-HP.EA. <br /> BOILERS-N.f'. [A � <br /> GAS FIRED A.C.UNITS-TONNAGE EA. <br /> FDRCED AIF SVSTEMS-��T.U. M EA. I <br /> JO� I�DORFSS �,�Cy.71�y WALL HEATEfiS-6.T.U. M <br /> �� � � _ UNITHEMERS-B.T.U. M _� <br /> — EVAPOIiATIVECOOLFRS <br /> PLUMBING c�oriies onreRs i <br /> � VENTILATION FAN <br /> RANGENOOD � <br /> AIR IIANDLING UNIT- QF.M. <br /> NO. 1YPEOFFIXTUREOflITEM FEfl_— I��CirvEf�ATOR � <br /> WATL�I CLOSET(TOILETI 5 — <br /> Ill�THTUB <br /> LAVATOFV IWI15H BASINI ' <br /> — T <br /> SNOW Efi _ - <br /> KITCl1EN SINK E�ISP. SUH TOTAL 5 I <br /> DISN\NASH[(t PERMIT S <br /> LAUNOI.Y TRAV TOTAL FEE 5 I <br /> CLOTMLS WASHER __� THIS PEHMIT BECOMES �iULL AND VOIO IF WOFK OR CONSTRVC� <br /> _ WM-ER NEMER � TION AUTHOFI2ED IS NOT COM1IMENCED WITHIN 120 DAVS. O!i If- <br /> URINAL CONSTRUCTION OR WORY. IS SUSPENOEO OR A6ANDONED FOR �1 <br /> PERIOD OF 120 �AVS �T ANY TIME AFTER WORK IS COMMENC[D. <br /> DFINKING FOUNTAIN <br /> FLOOR-SINC OR DRAIN I H[PE�Y CLRTIFY THAT I HAVE REAU AND C%IIMINEU THIS AP- <br /> — PLIC�TION AND KNOIN 1HE SAM[TO 0[TRU[ AND CORR[CT. AlL <br /> VAGUUM [1REI1KER5 —t PROVISIONS Of LAWS ANU O�OiNANCES GOVEIiNING THIS TVV[ <br /> ROOf- DRAINS-RAINlEAOERS �_ OF WORK N.'RL 9E COMPLIED W�TH KH[THE11 SPECIFILO HERHN <br /> SWK BEHVKE-�fi�F.ETC.) Oti NOT, TNE GPGN�ItJG OF /� PEI;kI1T DO[S NOT PRESUME 10 <br /> --- GNE AUTHORITY fC VIOLf.I° Oii CPNCEL THE PfiOVI510N$ OF <br /> ANV O�HER STATE OR lUCl.L LAW R[GULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CUNSTfiUCtION. <br /> SUBTOTAL F_ <br /> PEfiM1T 5 <br /> TOTA�FEE _ S 2]�1h�'1r <br /> _ _ X 7/blv �� <br /> SIGNATURLOFCONTfiACTOROFAUTH.AGENT �ATf <br /> SID[VARDSEI6ACK STfiEETSET�ACK liEARYARD5ET6ACKPLANCHECKNUMOER NLANCHECKFEE <br /> FEE �ECEIPT NO. <br /> USEZONE LOTAP.EA VACANTSITE <br /> ❑vEs ❑No FEES VALUATIDN FEE <br /> TVPE OP CONST. Of.CUPANCV GROUF UOi05 L NELLWG � <br /> SIZE OF pLDG. N[].OF STORIES ��1�+%.00C. LOFD QUILDING $ <br /> PIUM�ING � <br /> PIREZONE L`::;LMP.NT FIHCSPRINKLERS � <br /> H[nUINED � <br /> ❑vE5 ❑NO MECHANICAL � <br /> _ ' <br /> SVECIALCONDITiONS: OTHER � <br /> _____._ PLNt�Tv SLC. �O:lla) � <br /> TOTAL S � <br /> PERMIT VALIDATION <br /> Yr'HC�J YROPLfiI_V VALI�AT[U IIN 1HI55PACF.I THI'o IS YOU(i P[RM111T <br /> I <br /> �I'lllAllliVACf.�n1�Il1�V �IA'y.C11ECKE0BY- >I'1'll(1\'IOf[1111SSII�NLC�JV <br /> � C� <br /> � <br />