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the Every�een <br /> i <br /> °'TY °' CONST'RUCTION everett <br /> ' �Verett PERMIT <br /> C�Iv�IqIL )t'IBPii <br /> EVLHtff.C.1511V:f.10'1 <br /> 9A1i11 <br /> °`"' °"°""°„"` BUILDING MECHANICAL PLUMBING <br /> nivEiavtii[ni <br /> j OWNEfl MAIL AODRE55 ' <br /> � �y� ��y� �17�!} �y ZIP PHONE � +�r� <br /> u�i aafiscil�i 4iLV � rl�j �.{� �iJ <br /> i ARCHITECTORDESIGNER MAIIA�DRE55 <br /> PHONE LICENSE NO. <br /> �' GENEfiALWNTRACTOF MAILAODRESS <br /> . � PHONE LICENSE NO. <br /> I MECHANICALCONTRqCTOR MAILA�ORESS I <br /> i FHONE LICENSE NO. <br /> I PLUMBING CONTRACTOR MAII.ADDRESS � <br /> j FHONE LICENSE NO. <br /> W I <br /> PERMIT m <br /> I CLA55 OF WOqK � <br /> � <br /> I �DUILDING �PWMBING �MECHANICAL z <br /> � ❑NEW ❑ADDITION ❑qLTEFATION ❑REPAIfi � <br /> VALUATION OF WORK � <br /> I <br /> � $ �OEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL 3L <br /> � DESCR�IB[WpqK -- a <br /> i �+�WYdii <br /> � � 2319 <br /> I F90POSEO USE <br /> � MECHANICAL <br /> I LEGALDESCRIPTIONOFPFOPERTYISHOW6ELOWORl�TTI1CH TYN� OFFULL OpIL ❑GnS. ��p�' ❑ELEC. � <br /> FOUR COPIESI <br /> I Lo7 OLOCK_pF � �' � � � � � �. TVPE OF E�UIPMENT <br /> -- FEE <br /> I �� �y `� � � � � _� � AIR COND. UNITS-N.P. EA. 5 � i <br /> ���Y4 ��R R� fiEFq�GEflATION UNITS-H.P. EA. <br /> BOIL[RS-H.P. EA. � <br /> I � � �Q �' '� � �,' � f!t r�n3} � � r 4A5 FIRED A.C. UNITS-TONNAGE EA. <br /> .ii� wii.' i it FORCED AIR$VSTEMS-B.T.U. M EA. <br /> JOB qOOFESS --- � <br /> i � w��y�y �y„�� �q � � WALL HEATERS-B.T.U. M <br /> Lw ��, x#�S Q UNIT HEATERS-F3.LU. M <br /> I I <br /> PLUMBING _ EVAPpRATIVECOOLERS <br /> � CLOTHESDRVC:RS � <br /> I VENTILl1TION FAN <br /> I AANGEHOOD � <br /> INO. TYPE OF FIXTURE OR ITEM FEE �+IR HANDLING V��IT__ 0.F.M. <br /> WATEqCLOSET�TOILETI S INCINERATOR � <br /> BATHTVp __ <br /> �nvnroqV�wnsH onsuvl � <br /> — r <br /> SHOWER � <br /> I KITCHEN SINK& DISP. <br /> I DISHWASHER — SUB TOTAL 5 � <br /> I __ LAUNDRV TRAV — PERMIT $ <br /> CLOTHES WASHFR TOTA� FEE 5 � <br /> ' WATEH HEATER THIS PERMIT BECOMES NULL AND VOID If WORK OR CCNSTHUG <br /> I URINAL TION AUTHORIZED IS NOT COMAIENCED WITHIN 120 DAVS, OR IF <br /> I CONSTHUCTION OR WORK IS SUSPEN�ED OR ADANOONED FOF A <br /> DRINKING FOUNTAIN PERIOD OF 120 l7AYS AT ANY TIME AFTER WORK IS COMMENCED. <br /> FLOOR-$INK OR pRAIN I HEREBV CERTIFY THAT I HAVE REA� .1N� EXAMINED Ti115 AP- <br /> I VA�UUM �R[AKERS P�ICATION AND Y,NON'TFIE SAM@ TO l3E TRUE AND COHRECT. ALL <br /> ROOF ORAINS�-qqINLF.ADEPS PROVISIONS OF LAWS AND ORDINANCF.S GOVEqNING THIS T�PE <br /> I SINF: ISERVICE-pqq, ETC.) OF K'ORK WILL DE COMPLIED WITH WHETHEfl SPECIFIED HEREIN <br /> , Ofi NOT, THE GRl�NTING OF A PEPA�IT DOES NOT PRESUME TO <br /> j GIVE P.UTHOFITV TO VIOL/1TE OR CANCEL T-HE PqOVI510N5 OF <br /> I ANV OTHEfi STATE OR LOCAL LAW HEGULATING CONSTRUCTION <br /> SUB TOTAL OR THE PERFORf.1ANCE OP CONSTRUCTION. <br /> PEqM1T 5 <br /> � TOTAL FEE g <br /> I 9GNATVREOFCONTRACTORORAU��,-H.AGENT �TE � <br /> SIDEYqqDSET[3ACK STREETSETBACK qEARYqHOSETBACNPLl1NCHECKNUII�ER <br /> PLAN CNECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑No FEES VALUATION FEE ' <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF OWELLING I <br /> uriirs <br /> SIZE OF ULDG. NO. OF STORIES MAX.OCC. LOAD DUILDING g 1 <br /> I <br /> PLUMBING �— <br /> FIRE �pNE BASEMENT I'IRESPRINKLEPS � <br /> :�E[]UIRLD 1 <br /> ❑YES ❑NO MECHANICAL � <br /> I <br /> SPECIAL CONDITIONS: <br /> OTNER � <br /> _ � <br /> PENEITV SEC. 3031a1 � <br /> TOTAL I <br /> I <br /> I _ PERMIT VALIDATION <br /> WHEN PROoEfiLY VALIDATLD IIN THISSPACEI THIS IS VOUR PERMIT <br /> nPFUCAiIONACC[�TEp9V PInNSC11[CKEDOY. APPpOVEDt0116504hC[PY. � <br /> I '?"f � J�" <br /> _ I� <br /> �.� <br />