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� thu Evor,prc,.�n <br /> � <br /> i ���� ���° CONSTRUCTION <br /> � everett <br /> ' everett PERMIT � " � <br /> � <br /> , ��r.;��« :s��R,��, <br /> � rvu�ttr.amsuacro•i ' <br /> 98101 <br /> i <br /> °`"` °;�;�;o�;;�:,; BUILDING MECHANICAL PLUMBING <br /> ' OWNER Ml�ILnDDRESS ZIP 1'HONE <br /> ;ih'-.,,< '. . •- �� :�e� -"� '.' y� y .F;; I <br /> %.i .r�� �i:'�'��� i'+.:t 7n . <br /> ARCHITECT OR DESIGNER MAIL ADOHE55 PFIONE LICENSE NO. <br /> GENERAL CONTFACTOR MAIL A�DqESS PHONc LICENS[ NO. <br /> �"t" <br /> MECHANIGALCONTRACTOR Mq�LAODRE55 PHONE LICENSENO. <br /> I�E�C: <br /> ia\ .' <br /> PLUMBINGCONTRACTOR MAILAOORE55 PHONE LICENSENO. � <br /> I :::�1��� __ W <br /> m <br /> I PERMIT CLASSOF WOFK - Gr <br /> � <br /> � M1��UILDING �P�UMOING [I�v1ECHl1NICAL ry Z <br /> i _— L]�NEW ❑l�ODITION ❑nI.TERATIUN ❑REPAIR ~ <br /> i VAWATIO!N.�_�O�{Fp�WOyFK� --- — � <br /> i 5 '"w'��'aG��-N ❑OEMOLI511 ❑FENCE `JSIGN ❑SWIA1h1WG POOL W <br /> DESCRIBE WORK d <br /> �;.:r-r,.-.tl. m7„r, 16 a 4 <br /> �'ROPOSED VSE <br /> M[CHANICAL <br /> LEGAL D[SCRIPTION OF PROPERTV ISHOLV OELOW OFi ATTACH TVPE CF fUEL QOIL �NAT. �LPG. �EIEC. <br /> FOVR COPIESI GAS <br /> �or�' _ p�oCK—oF �1T�..�����".l r��'���„'� NO_ TVPE OF EQUIPMEN7 FEE <br /> � I A�R CONO. VNITS-H.P. EA. $ I <br /> I flEFRIGf RATION UNITS-�H.P, E�. �-- <br /> � [iOILERS H.P. EA. <br /> I GAS FIRED A.G UNITS-TONIJAGE EA. <br /> FORCED AIR SVSTEMS-�.T.U. M EA. � <br /> JO6 ADORESS -- — <br /> ,�SO ;:.}.1. �Y WALL NEATFRS-U.T.U. M <br /> l.J Ju�! .GS <br /> ( VNIT NEATERS-B,T.U. tit � <br /> PLIiMBING EVAPOR�IT:V E COOLE RS <br /> � CLOTHESDA�ER$ � <br /> � VENTILATION FqN <br /> � RANGE HOOD � <br /> NO. NPE OF FIXTURE OR ITEM FEE AiR HANOLING UNIT- QF.G1. <br /> WATER CL05LTITOILETI g INCINERATOR � <br /> BATHTUB — <br /> LAVATORVIWASHBASIN) <br /> SHOWER — � <br /> -- T <br /> KI?CHEN SIFK& DISP. � <br /> OISIiWASHER SUD TOTAL 5 (.�-('�-- <br /> LAUNDRVTRAY PERMIT 5 <br /> I CLOTHES WASHEF TOTFL FEE 5 � � <br /> WATER HEqTEP ' THIS PERMIT E3ECOMES NULL AND VOI� IF WORK OR CONST'RUC� <br /> UFINAL ---�— TION AUTHOflIZED IS NOT COAIMENCED WITHIN 120 Dl�VS, OR IF <br /> CONSTRUCTION OR WORK IS SUSPENDE� OR A[1nNDONED FOR q <br /> �RINKING POUNTAIN — °ERIOD OF 120 DAYS AT ANV TIME AfTER WOqK ISCOM6IENCED. <br /> FLOOR-SINK OR DRqIN I HEREBV CERTIFY� THq- I HAVE FiEAD AND E%AMINED THIS AP� <br /> _ VACUUM �REAKEPS PLICATION AN� KNOW THE SAM1tE TO fiE TFUE l�ND COfiRECT. ALL <br /> ROO� DRAINS-R�1INLEADEflS - PROVISIONS OF LAWS AND Of1DINANCES GOVEHNING THIS l'VPE <br /> I SINK ISERVICE-l3AR, ETC.) _—}'-- OF WORK WILL 6E COAIPLIED WITH WHETFIEfi SPECIFIED HEHEIN <br /> OF NOT, THE GRANTING Of A PERMIT DOES NOT PR[SUME TO <br /> GNE AVTHO(iITV TO VIOLATE OR CANCEI. THE PftOVI510N5 pF <br /> I - ANY pTHLF STAT[ Ofi LpCAL LAW FlEGULATING CONSTRUCTIGN i <br /> ON TH[PEFFOflh1AiJCL Of CONSTPUCTIpN. <br /> SUO TOTAL �„ <br /> � PLRMIT 5 — <br /> TOTALFEE $ I <br /> x �i��� <br /> SIGNATUHE�OPCONTRACTOROfiAUTH.AGENT DATE <br /> SIDE VAji;SETOACK STREE�T,*T�ACK H[AR YAR�ET[3l�CK PLI�N CFIECK NUM1IBER P�AN CHECK FEE <br /> I 1 G4 LZJ� 1'r�� pEE r 'fiECEIPTNO. � <br /> I USE ZONE LOT AREA VACANT:ITE `�� - ��JL� <br /> .'_^ <br /> Y �vEs ❑No FEES VALUATION FEE <br /> � TVPE OF CONST. OCCUPANCV GROUP NO.OF OWEL�ING <br /> i UNIT$ � <br /> i SIZ[pF [3LDG. NO.OF S�Oq1ES MAX.00G LOAD �UILDING 5 �Q��yy l/Z� w <br /> a. --t�— <br /> � FIRE20NE BASEMENT _a FIRESPRINKLERS P�-UM�ING J7� � <br /> ;� � � RfaU1FED �� <br /> ❑VEG �p MECHAkICAL �I � <br /> i <br /> I SPEpl1L CONDITIONS: F--' <br /> t OTHER I <br /> � � <br /> i --'--- --- PENELTV SEC. 10�I.i1 �— <br /> � TOTAL � <br /> I _ I <br /> PERMIT VALIDATION <br /> lLN[N Pf10PCRLV V�ILIUMED (IN ii11S5P�1CG1 THI515 VOUR PERWIT <br /> I <br /> I <br /> � <br /> � nvPL'Crn�P•:h(;CfP1fUt1'��� v.f.'.�iq�'nlfll'v APPpOVCO�ONLSUA:Lf1�* <br /> �___. _ _ <br /> ��_ � t I <br />