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_ ., <br /> � <br /> rl,e c���„r��un <br /> �:�-� ,�� CONSTRUCZi '{ON everett <br /> everPtt NERMiT <br /> ��,.�<<< ;.,aE.s <br /> CVEF[ii.RtL'.INLiOM1 <br /> 99]]I <br /> °`°' °p���°o;�„; BUILDING MECHANICAL PLUMBI;�G <br /> OWNER MAIL.eA�DrD.�RE55 ZIP PHONE <br /> :i�:�!�`J 1y "i�."�t :11 '� .1'-.'1' ,.. "7'L"'1 J.�+cJ� J i:P�".}a 1.�'�1'�� <br /> AqC1iITECT OR DESIGNEF MAIL ADDRESS PHONE LICENSE NO. <br /> GENERALCONTflACTOR MAIL AfJDRE55 PHONE LICENSE NO. 1 <br /> �l� �Q � ��� �%� <br /> MECHANICAL CONTRACTpR MAIL ADDRESS PHONE �ICENSE NC. <br /> PLVMUING c:ONTRACTOR MAIL ADDRE55 PHONE LICENSE NO. � <br /> W <br /> m <br /> PER�11T CLA55 OF WORK � <br /> z <br /> �BUILDING �PLUMBING �MECHANICAL � <br /> ❑NEW ❑ADDITION ❑ALTEFATION ❑R@PAIF � <br /> VALUATION '�O � <br /> $ ❑OEMOlISM ❑FENCE �SIGN ❑SWIMMING POOL a <br /> DESCRIDE WOiiK <br /> F�cr r-c�+:r� �ina �! rr.�� rn-�,s A -°.1 15fi 3 <br /> PROPOSEO USE <br /> MECHANICAL <br /> TVPEOFFUEL �011 �NAT. �LPG. �ELEC. <br /> LEGAL OESCRIPTION OF PROPEFTY ISHOW BELOW OR ATTACH GAS <br /> FOU R COPI E51 <br /> Lor nLOCK—oF NO. TVPE OF E�UIPMENT FEE <br /> AIR CONO. UNIiS-H.P. EA. 5 I <br /> RGFRIGERATION UNITS-H.P. EA. <br /> F301LER5-H.P. EA. I <br /> GAS FIRED A.C.UNITS-TONNAGE EA. <br /> FORCEDAIftSVSTEMS-�.T.U. MEA. I <br /> JO� AD�RF55 *'�;m II.y•�`� WALL HEATERS-B.T.U. M <br /> i�Mi Vh�NiKi <br /> - UNIT NEATER�-B.T.U. M I <br /> EVAPORATIVECOOLER$ <br /> PLUMBING CLOTMES D(iVEflS � <br /> VENTILATION FAN <br /> fiANG[ Ii000 I <br /> AIR NANOLING UNIT- C.F.M. T <br /> NO. TVPE OF FIXTURE OR ITEM FEE INCINEFATOFi I <br /> WATER CLOSETITOILETI $ <br /> DATHTVU <br /> LAVATORV(WASH BASIN) I <br /> SHOWER <br /> KITCHEN SINK & OISP. SUp TOTAL 5 � ' <br /> DISIiWASHER PERMIT 5 <br /> LFUNDIiY TAAV TOTAL FEE $ � <br /> _ CLOTH6S WASHER THIS PEFiMIT BECOMES NULL AND VOID IF WORK OF CONSTRUC- <br /> WATER ViEATEFi TION AVTHORI2ED IS NOT COMMENCED WITI/IN 120 DAVS, OR IF <br /> URINAL �— CONSTRUCiIUN OR WORK IS SUSPCNDED OR ABANDONED FOP A <br /> DPINKING FOUNTPIN PEfiIOD OF 120 DAVS AT ANV TIM[ l�FTER WORK IS COMMENCED. <br /> FLOOR-SINK OF DRAIN � HEREBV CERTIFV THAT I HAVE READ AND E%AMINED THIS AP- <br /> VACUUM Oq@AKERS �'LICATION AND KNOW THE SAME TO [3E TRUE AND CORRECT. ALL <br /> FRUVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE <br /> ROOF �AAINS-RAINLEADERS OF WORK WILL BE COMPLIED WITH WHE7HER SPEGFIED NEREIN <br /> SINK (SGqVICB-BlaR, EiC.I OR NOT, TH[ GRANTING OF A PERtdIT DOES NOT PPLSUME TO ' <br /> GIVE AVTNOf�ITV TO VIOLATE OR CANCEL THE Pf10VI510NS OF <br /> ANV OTHEF STATE OR LOCAL LAV+ F[GULl�TING CONSTRUCTION <br /> Ofl THL PfAFORM/�NCE OF CONSTiiUCTION. <br /> SUB TOTAI <br /> PERMIT $ <br /> TOTALFEE $ � <br /> x <br /> SIGNATUREOFCONTRFCTORORAUTH.AGEMT DATE <br /> SIDEVARDSET�ACK STREETSETUACK REARVAqOSETBACKPLANCHECKNUM9ER PLANCNECKFEE � <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE I <br /> ❑VES ❑No FEES VALUATION FEE I <br /> TVPE OF C(�NSf. OCCUPqNCV GROUP UNIOS DWELLING ' <br /> SIZE nF Ul DG. NO.OF STORIES MA%.OCC. IOAD BUILDING 3 ���/ � � <br /> PLUMBING � <br /> FIRE20NE BASEMENT PIFiESPRINKLFRS <br /> REOUIREO <br /> ❑VES ❑NO MECHANICAL I <br /> SPECIAL CONDITIONS' OTHEF � <br /> �n I <br /> i� '�. ATit� S�ET `'+-�.t•�T �`�J�J.'iY SSI ��1.,�'. LF PENELTY SEC.3071a1 � <br /> _ i'.:. <br /> TOTAL � <br /> PERMIT VALIDATION <br /> WHLN PROPERLV VALIOATED('�-N THISSPACE) THI515 YOUR PERMIT <br /> APPUCqilU1��CC[PTl1)OP. I�LANSCIICCKE�BY'. AFFPOVCOf5H6il1PVCfIIV <br /> � 4� <br /> � <br />