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� rhe Evci�iicen <br /> ���, ��� CONSTRUC'fION everett <br /> everett PERI�IfT <br /> cnr��aii �ssxsas <br /> u�[at*r.r:nvuxrmx <br /> esem <br /> °,'' °' �°"''°"" BUILDING MECHANICAL PLUMBING <br /> :�,,��a;:��,� <br /> uwrvEr+ n�ni� nOunEss zir NHONt <br /> �.;'... .�� .;k � :' `;,..'•i?:°d ��,.r� r-�.e� r� � � <br /> 7i+�i .J , , . ?C • � <br /> AFCHIT[CT OR DESIGNER MAII ADOFE55 PHONE LICENS6 No. <br /> GENEPAL CONTRt1CTOR MAIL ADOPE55 PHONE LICENSE NO. <br /> 3"ZP <br /> MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICCNSF. NO. <br /> PLUMUING CONTfiACTOR MAIL AO�RESG PHONE LICCNSE NO. � <br /> W <br /> m <br /> PLRMIT CLASSOf WORK � <br /> L Z <br /> `[JOUILDING � PLUM6ING �MECHANICAL �N6W ❑AD�ITION ❑ALTERATION ❑R[PAIR ~ <br /> � <br /> VALUATIO�N OF WORK ' <br /> 5 yf��� ❑�EMOLISH ❑FENCE ❑SIGN ❑SWIMMING POO� a <br /> DESCRIOf WOPK ��� <br /> ���.�'�.� ���n� <br /> raor�oseo �se M[CHANICAL <br /> IEG�L DESCqIPT10N Of PRUPERTY ISHOW�ELOW O!i MTACH TYPE OI' FUE� �OIL �NAj. �LPG. �@LEC. <br /> FOUR COPIESI <br /> Lo7�_ ULOCK_OF �t� ��� '�- 1 N(�. TYPE OF EDUIPMENT FEG <br /> AIR CONU. UNITS—H.1'. EA. S I <br /> REFliIGBRnTION UNITS--H.P. EA. ---�— <br /> i <br /> ooi�Ens-ra.r. En. i <br /> Gl�S PIREO A.C. UNITS-TONNAGE EA. <br /> fORCED A1R SYSTEMS-D.T.U. M EA. � <br /> JOB AUORESS WALL H[AT'GHS-B.T.U. M �— <br /> � � �~ UNIT HEAT[ft5-B.T.U. M I <br /> [Vl�POPATI V fl COOL't FS <br /> PLUMBING CLOTHES DRVFiiS I <br /> VENTILATION FAN <br /> RANGEHOOD I <br /> AIN MANOLING UNIT- 0.F.M. <br /> NO. TVPE OF FIXTURE OR ITEM FEE � <br /> N'ATEIiCLOSETITOILETI 5 �NCINERATOR � I <br /> ❑l1TMT V B <br /> —� <br /> LAVM�Ofi\'(WASH pASIM I <br /> $HOWER <br /> KITCH[N SINK R �ISP. SU� TOTA� 5 � <br /> DISIiWASHEF �_ PERMIT 5 <br /> LAUNDRY TRAY TOTl1L FEE 5 <br /> CLOTHFS 'lASHFR THIS PEPAIIT BECOMES NULL AND VOIO IF WORK OF GUNLTRUC <br /> N'ATEFl HEAT[R __ 7�ON AVTIIDRI2ED iS NOT COMMENCED WITHIN RO DAVS, OR IF <br /> URINqL CONSY9UCTION Oq N:ORK IS SUSPENDED OR ABANOONED FOR !. <br /> OPINKING FOUNTAIN — P��7�OD OF 120 DAVS AT ANV TIMF Af-TEft WOPK IS COMMF.NCED. <br /> FLOOH-SINK OR LIfiAIN I HERE�V CEftTIFY TMAT � HAVE REAp AND E%AMINFU THIS 4P� <br /> VACUUAI Fl{iEAKENS PLICATION AND KNOW THE SAA9E TO BE TRUE ANO CO(iHECT. ALL <br /> ROOf� ��Alyd$-qqINLEADENS �— �'�OVISION:' OF LAWS l�ND ORDINANCES GOVERNING THIS TYPE <br /> - Of- WOflK 1NILL AE COMPLIED IVITH WNETHEF SPECIFI@D HEREIN <br /> SWK (SEflVICF-OAR, ETC.) Ofi NOT, THE GHANTING Of A PEFM�T DOES NOT PR@SUL1@ TO <br /> GIVE AUTIIORITV TO `�IOLATE OR CANCEL THE PRU\'ISION; �)F � <br /> ANV OTHEf1 STATE Ofl LOCAL LAW RcGULATING CON.`.TFUCTION <br /> OR THE P[RFORMANCE OF COhSTRUGTION. <br /> SUBTOTAL <br /> PERMIT 5 --i <br /> TOTAL FEE b � _��� <br /> x �Yr�� <br /> SIC�NATUii[Of�CUNTRAG�OP011�\UTI�IAG[PIT Dl.TE <br /> SIUE VARD SE�OACK STHEET SETpA�Y, tiEAR YAR�SET��.CK FLl�N CHECK hUt1ti[R PLAN CHHCK FEC <br /> �� f'[L � . flECfIPi NO.� <br /> T� N <br /> USE ZONE I.UT ARL�1 VACANT SITC '� <br /> ❑vEs ❑No FEES VAWATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWEILING <br /> UNITS I <br /> �r� �r�, �j� I <br /> ;¢[ OP 9LDG. NO.OF STORIES MAX.00Q LOAD DUILDING 5 �JµNW V �.O <br /> � <br /> PLUMBING � <br /> FIi9P ZONE OASEMLNT FIRESPHINKLEfiS � <br /> REQUIREO I <br /> ❑VES ❑NO MECHANICAL I <br /> I <br /> ^�ECII�I CONDITIONS'. OTHER � <br /> - ------- PEFH.Tv s[G. :.p:ll:�� I <br /> ___-_ __ _ 1 . -__ — L_ _-__ <br /> TOTAL I � � <br /> PERMIT VALIDATION <br /> - — 1NHEN Pqpi'[RLA V/�LIDATLOIIN i�+l.':SP4CE) THIS IS YOUR PCRA'It <br /> It.�.�unt'�'�V����.�PTfD9Y� FlANSCHCCKE0B4. AFPRWE�fO ISSU/.NGEBV. <br /> I � L�♦ �i �.� <br /> � 3 <br />