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� .v:s.sa�-c-.='aU:: ::�.:.«�._,. . <br /> � <br /> � <br /> �` <br /> IIIC EvBiplCCl) I <br /> �,T,. oF CONSTRUCTION everett � <br /> PERMIT '' <br /> everatt I, <br /> f.IiV IIM1IL P9EP.Ph ��� � <br /> 6'lPfll.d'4GMING1f1N <br /> ��_� �� _����^��e�TM BUILDING NIECHANICAL PLUMBING <br /> ncveioanie+r _ <br /> OWN[F MAILADDRE55 Z�P � HUtiE �'`m"�^(J• <br /> �;S <br /> Y ! v'•• <br /> t' t'li.`ir..-.� .....Y. �. :.I.: %.�... .—�c1_���'ni <br /> " '�'� PHGNE LICENSE f�0. <br /> ARCHITECT OR D'c5!^NER M:11L AD�RESS <br /> GENERALCONTRACTOR <br /> MAILADDFESS PHONE LICENSENO. <br /> Cs ';,a,`.:�-.� c'.^"„ .,•__ . . . . <br /> 'j��'�" LICENSE NO. <br /> MECHANICALCONTRACTOR <br /> MAII ADOHE55 P���ONE <br /> � <br /> MAIL AODRESS PHONE LICENSE NO. W <br /> PLUMBING CONTRACTOR m <br /> � <br /> PERIdIT CLFSS(F WORK z <br /> �-" <br /> �BUILDING ❑PLUMBING ❑MECIiANICAL �NEW �qDDITION ❑ALTERATION QF[PAIN c� <br /> I_ � <br /> VALUATION OF WORK w � <br /> y^ y n ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIhiMING POOI a <br /> 5 J:�WY v _. — (� <br /> �ESCftI�'WORK / ��{}� <br /> ...,..F�.. Fr�.�,RE <br /> PftOPOSED USE MECHANICAL <br /> TVPEOFFUEL �O�L �GnT. ��PG. (�ELEC. <br /> I.EGI�L OESCRIPTION OF PROPEHTY ISHOW 6ELOW OR nTTACH FEE <br /> FOUH�oriEsl t/ �i,y,,,,��, ,x NO. TYPEOFE�UIPMENT <br /> LOT �� BLOCK�F �� AIR CONO. UNITS-H.P. EA. 5 � <br /> REFRIGERATION UN:TS-H.P. EA. <br /> E301LER5-HP. EP.. � <br /> - �__ <br /> G115 FIRED A.C. UNITS-TONNAGE EA. <br /> FORCED Alfi SYSTEMS-B.T.U. M EA. � <br /> T <br /> - � WN_L HEATERS-�.T.U. M <br /> JOD ADDRESS �� �y� � -- I <br /> ,��y f UNIT HEATEiiS-0.T.U. M r— I <br /> EVAPORATNE COOLEfiS <br /> PLUMBING CIOTHESDft�ERS � ' <br /> VENTILATION FAN --�— <br /> _ T_ � V <br /> _ RANGEHOOO � <br /> AIR Hl�NDLING UNIT- GF.M. <br /> NO. TVPEOFFIXTUREORITFM FEE INCINEFATOR � � <br /> WATEF Cl.OSET ITOILETI IS T � <br /> BATHTUD -- -- � <br /> �AVATORY (WASH 9/151N) _ — 4 <br /> SHOWER — -- $U�TO�iAI 5 _Ir__ <br /> KITCHENSINKftD15P. _.__--�--- pERMf� 5 <br /> DISHWASHEF __. ----� <br /> i LAUNDRVTRAY _ �_ TOfALFEL 5� I <br /> I _ CI.OTHES WASHER __. �-- TNIS PEi1MIT �ECOh1E5 NULI P.ND VO10 IF WORK Oil CONSCR F <br /> WATER �iEATEF TION AUT�iOFlIZED IS NOT COMAiENCED WITNIN 120 OAVS, <br /> CONSTRUCfION OR WORK IS SVSPEtVDEO OR /1UANDONLD FOH A <br /> I UflINAL _ — PERIOG OF izo onvs nr ANV T!ME AF-TER WOFK IS COMA4ENCED. ' <br /> DRINKING FOUN"fAIN --}'-- � �1ERE8Y CEqTIFV THAT I HAVE HEAD nN0 EXAMINED THIS AP- <br /> FLOOR-SINK OR DRAIN pLICATIG`N AND KNOW THE SAME l'O EiE TNVE l�ND CORRECT. ALL <br /> VACUUM [SREAKERS � PROVISIONS OF LPJJS ANO OROINI�NCES GOVLHNING THIS TYPE <br /> FOOF DNlUNS-filUNLEADERS OF WORK WILL B'_ CUMPLIEO WI-�H WHETHER tiPECIFIED ��EREIN <br /> �— Ofi NOT, THE G�ANTING OF A �'ERh1lT DGES NOT PFESUME TO <br /> SINK (SERVICE-6AR, ETC.1 — GNE AUTHOflII Y TO VIOLATE Ofi CANCEL THE F�10VISIONS OF <br /> OF THE PERFOR 1ANCE OF COhbTRUCTGOtI.nTWG CONSTRVCTIOM1 <br /> SUB TOTAL �_ <br /> PEFMIT ' �__ <br /> TOTAL FEE 5 �' �y7� <br /> SIGNATURGOFCOP:TRACTOfiOHAUTH.AGENT DATE <br /> PLAN CHECK FEE <br /> SIDE VPHD SLTOACK Sl RELT SEl"6ACK REAfi�nROSET�ACK PLAN CHECK NUM6CR FEE RECEIPT NO. <br /> � <br /> USE ZONE LOT AREA VACANT SITE _ <br /> �yEg ❑N(i FEES VALUATION FEE_ <br /> TVPE OF CONST. OCCUPANCV GPOUP NO.OF OWELIING � <br /> I UNITS — _ ;��y�� _ " <br /> MA.`(. OCC. LOAD [3UIL�ING 5 J�'�`�+a� ''�" � <br /> SIZE OF BIDG. NO. 0�= STORIES fi"'— <br /> I <br /> PLUMBING 1 <br /> FIRE ZONE fiA5Eh1[N PIRESPNINKLERS � <br /> q�� SED �ND MECHA�JICAL __� <br /> I <br /> SPECIl�L CONDITIONS: OTHER � <br /> --- PENEITV SEC. =�031ai � <br /> _—_—___" —,— _— I <br /> _ -- — TOTAL N: �.� <br /> PERMIT VALIDATIOIJ <br /> WNGN PROPCi,I_Y V.:I I;JATED IiN TI11:51'�1G[1 T111515 YOUF PEPMIT <br /> � APPLIG:nON af�CvliJ11Y� �'I�NSCHPCKCOfiY- FVPPOVLDf0t11$SUANCCBY <br /> 1 i �d �'p� �I <br /> � r <br />