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0 <br />' CONSTRUCTION <br />� ����, t�,",,,,.,,,, c•verett <br /> "" "' PERMIT <br /> everett <br /> i:iir ��nii _ev�ia� � • MECHANICAL • PLUMBING <br /> eetvtri. w,, ,iv�ui COMBINATION BUILDING <br /> UYVNEF Ml�ILI�DOHESti 'IP PHOrf`4E .,� � <br /> `.icli i_. _. �cbb,..,�i .. .�l �.0. R��:: "'i" . , s , � , m <br /> , . . � <br /> � ` � _ .. _ _—____----- p <br /> ARCHI�ECI OR L]F'SIGNER MAIL ADDFESS �'I���NI LICENSE NO- � <br /> � <br /> ._- .__-. -____... <br /> GENERALCONTRACTOR _ MAILADORESS PHUNE LiCEN5EN0. Z <br /> 'i ''C12 C <br /> MECHANICALCONTFACTOF MAILA��RESS NHONE LICENSF NU. 3 <br /> W <br /> m <br /> PWMBINGCO�'TRACTOR MAILADDRE55 PHONE LICEIVS6tv0. . � <br /> PERMIT CLASS OF WOPK <br /> ❑COMBINATION <br /> ��BUILDING � PLUM0ING �MECHANICAL <br /> ❑NEVJ ❑ADDITION ❑FlLTERATION ❑HEPAIP <br /> VALUATION OF WORK <br /> $ ',1(� O(1 ❑DEMOLISH .C�FENC.' ❑SIGN ❑SWiMMWf, POOL <br /> OESCRIBEWORK � <br /> r.o•� 'C'ici. �u �1u�:'.0 ..'ati i". '-c1:.lF . . .�_'.0 <br /> PROPOSEO USE <br /> n�.,gid `1�,,ilf MECF�ANICAL .___ ._ <br /> TVPE OF F.NERGY <br /> LEGAI DESCRIPTION OF �ROPERI V (SHOW BELOW OR ATTACH ❑GqS ❑ELEC. <br /> FOUfj�COPIF�51 �, ' � --- -- <br /> PISC o�' Pi �•CI-,t'S_C Div. NO-� TV4E6FEQUIPMENT FEE <br /> LJT '. � ,.. BLOCK �—OF— — - :AIR C f�u. UNflS-H.R EA. --...— S I <br /> iPEFqIGCihTIONUNITS H.REA. _i _ <br /> C50iLEFS ��P. EA. I <br /> FORCED AIF S�STEMS-B.T.U. MEH. <br /> _ - I <br /> JOB ADDRESS � SPACE & WA�L HEATERS H.LU. <br /> ��:��0 Ast��,^,tti �>Cc'. UNIT HEATtRS H.T.U. � <br /> EVAPORATIVECOOLEFL __ _ y <br /> PLUINBI[4G � c�ornEs oavEas <br /> �-- VENTII.ATION FAN <br /> 1R{iNGE Hl1 � <br /> NO. TVPE OF FIX7UHE OR ITEM FEE I ni�. r+n�voi iNc;_uw� ___ aF.M. —_ , <br /> BATH TU85 $ IF � <br /> CLOTHES WASHEF � Wqrea r�EnrEa <br /> DISH WASHEF.$ � GqC. BUILT FIRFGI ACE & CHIMNEV I <br /> DRINKING FOUNTAINS � ��I GAS. SvSTEM� No oP oUTLETS <br /> FLOOR DRAtNS � -}--- -�-- � - - <br /> KITCHEN SINKS& DISP. i ._ .L_, _ suo TOrAI 5 I <br /> ._._._._. . — — <br /> -- PERMIT $ <br /> BARSINKS _'-� - ---__ .. -_.. . _________.- —_ <br /> ROOF DRAINS - FiAIN LEADERS � _ _ _ 1oin�. FeE 5 I <br /> SHOWER BATH$ INIS PFRMIT !3FCOMES NULL P.NO VOID IF WORK OR CUNST9UC <br /> SEflYICE SINKS TION nUTHORILFC IS NOT COMMENCED WRHIN 120 DAVS, OA IF <br /> $UMPS - $EWAGE PUMP CONSTRUCTION UR WOPK IS iUSPENDFO OR ABANDONEO FOR A <br /> _ PEPIOD OF 120 DAVS AT liNY TIME AfTER WOFK IS COMMENCED. <br /> UHINAL$ � I HEREBV C6RT�FV IHAT i NPVE RE/aD AND E%AMINED THIS AP <br /> WATER CLOSETS � PLICATION l�ND KNOW TH[ Si�ME TO FF TRUE AND COHRECT. PL� <br /> WATER HEATERS - ELECTRIC � PROVISIONS OF I AWS AND OHDINANCES GOVEHNING THB TVPE <br /> � WASH BASIN$ 1 OP WOFK W!LL F3E CON.VLIEO WIT'H WHCTFIEH SPcCIFIEO HERF!N <br /> LAUNDRV TflAV$ OR NUT, THE GNANTING UP f� PERMIT DOES NOT PRESUME TO <br /> 1 <br /> GIVE AUTHORITV TO VIOL�TE OR CANCEL THE PROV�SIJNS Of <br /> . __1 ANV OTHE'R STATE O� LOf,AL LI.W PEGUL.ATING CONgTflUCTION <br /> � � ORTHFPERFORMANCEOFCONSIPUCTION. <br /> — 1 <br /> $UBTOTAL i <br /> PERINIT $ —r <br /> TOTAL FEE X � � _ �N ��� 7, <br /> WATERSERVICESIZE PL.DG. SV7PLVSIZE SiG} TUP.EUF�CONTR CTOaO�inUTH.nGENT onlE <br /> SIDE YARO SETBACK STqEET SETBACK REAF VAROSETBACK PLAN CHECK NUMRER PLP.N CHECK FEE <br /> FFE RECEiPT NO. <br /> USE ZONE LOT AaEA VACANT SITE <br /> ___— -. __ —_. <br /> ❑vEs CJrvo FEES VALUATION PEE <br /> � TVPE OF CONST. OCCUPANCV GHOUP NO.OF OWELLING � � <br /> UNITS <br /> SI2E OF BLDG. NO.OF STORIES MAX. OCC LOAD 9UILIJING S "C��•u�' �� I��� <br /> ��PLUM8ING � <br /> fIFE '<ONE AA3CMENT RRESPRIhKLERS . � - <br /> RE(]UIHED I � <br /> ❑vE5 ❑NO MECHANICtII. <br /> _'_�_ <br /> — 1 <br /> SPECIAL CON�ITIONS: OTHER � <br /> -_— <br /> __ -_ <br /> --- PENALTY SEC. 303(al � <br /> _ _ -___'. - _-- ._- _ _... "'_-_ ... . <br /> ---- -- - � TOTAL � � � � <br /> PERMIT V ALIDATAON <br /> _ — WHEN PROPF RI vV�li IDATE('� Ii��P�C ����� <br /> - YOUR RECEiPT <br /> -- — — � TH^�4K YClU <br /> �P�LI���IlIN�f�F�l(U!:V 1`LPNllHF1�KlIINv GCVlIV(IlII1Nl.`:'.ii��lfl�l I' 1 <br /> � I^ e + , 7 <br /> �� � ' � � � •� <br />