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� tAc Evcr_peci� I 1 <br /> I ��rv �F CONSTRUCTION everett � <br /> ' everett PERMIT I <br /> C'�iY �.411 i:)fiiLS ' <br /> D:f[[I�.:'. :wNfdf,4 <br /> L 9:df11 <br /> °�°� °p<<;p;„°�, BUILDING MECHANICAL PLUMBING <br /> OWNEN MAIL AD[]RE55 ZIF PHONE Y�I <br /> Mfr+ }�� P[^•'�f �, �/�'�� <br /> ' Y � ' iJ � .l♦ . ..f��1�:iJ <br /> ARCHITECT OR DESIGNER MAII A��RE55 PHONE LICENSE NO. <br /> GENERA�LCO�NyTR�AC♦T�OR MAILAODPE55 PHONE LICENSENO. <br /> '+ir�� itY Y+`� <br /> � <br /> MECHANICALCONTRACTOR MAILADDHESS PHONE LICENSENO. <br /> PLUMqING CONTRACTOR MAIL ADDRESS PNONE UCENSE NO. W � <br /> m <br /> PERMIT CLASSOF WORK � � <br /> ` z <br /> '�JBUIIDING �VLVMBIKO ��]MECHANICAL �"' <br /> ❑NEW ❑AD�ITION ❑ALTERATION �REPAIq � I <br /> VALUATION OF WORK � <br /> $ �(� ❑OEMOlISH ❑FLNGE ❑SIGN ❑SWI1dMING POOL a <br /> DESCRIOI. WORK � <br /> ... .,�a- t�) 1-�45 <br /> PROPOSED USE MECHANICAL <br /> LEGAL DESCfiIPiION OF PqOPERTV ISHOW 6ELOW OR H?TACN TYPE OP FUEL �OIL ❑GQS ❑LPG. �ELEC. <br /> FOUR COP�ESI I � <br /> LOT BLOCK—oF NO. _ TVPEOFEQUIPMENT FEE <br /> AIP COND.UNITS-N.P. EA. S I i <br /> fiEFRIGEFATIONUNITS-N-P.EA. —� <br /> I <br /> (301LEH5-H.P. EA. I <br /> GAS FIRED A.C.UNITS-TONN4GE EA. � <br /> FORC[D AIR SVSTEMS-A.T.U. M EA. I ' <br /> JO� ADDPE55 �y WALL HEATERS-B.T.U. M I <br /> � y��r�� UNITIIEATEftS-B.T.V. M I � <br /> [VAPOPATIVECOOLERS <br /> PLUMBING c�orHesoAveas i <br /> VENTILATION FAN <br /> RANGE 1100D I <br /> NO. TYPE OF FIXTUREOR ITEM fEE AIF IIANDLING UNIT- C.f.M. <br /> WATER CLOSET ITOIIETI E WQNERATOH I <br /> 6ATNTVB <br /> LAVATORY(WASHBASIN) � ' <br /> SV10W ER <br /> Y,ITCIIENSINK&DISP. �— SUBTOTAL S � " <br /> DISHWASHER PERMIT S <br /> LAUNDF�' ?RAV TOTALFEE $ � <br /> CLOTHES WASHER THIS �ERMIT BECOMES NULL AND VOID IF WpqY. OR CONSTRUG <br /> W/+TER HEATER TION AUTViORI.'[O IS NOT COMMENCED WITHIIJ 120 DAVS, OF If <br /> URINAL CONSTHUCTION OF WOFK IS SUSPENDED OR ABANUONE� FOfl A <br /> DRINKING FOUNTAIN PERIOD OF 1P0 CAVS AT ANV TIME AFTEq WORK ISCOMMENCEO. <br /> FLOOR-SINK Oil DRAIN � HEREBV CERTI�Y THqT I HAVE REAO AND E%AMINED TFI15 Ao� <br /> VACUUM AFEAKERS � PLICATION AND KIIOW THE SNME TO�E TFUE ANO CORFECT. ALL <br /> PROVISIONS OF LLWS AN� ORDINANCES GOVERNING TNIS TVPE <br /> ROOF DRl+WS-RlaINI.EADERS_ OF WOFY WILI (3E COMPLIEO WITN WNETHEfi SPECIFILD IIEREIN ' <br /> SINK ISEFVICE-BAR,ETC.) OR NOT, THE GRANTING OF A PERMIT �DFS NOT PRESUME TO <br /> GIVE AVTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHEp STATE ON LOCAL LAW qEGULATING CONSiRUCiION <br /> OH THE PEFFORMANCE OF CONSTRUGTION. <br /> SVBTOTAL <br /> PERMIT $ <br /> TOTA� FEF S � <br /> x a .. <br /> SIGNAiUREOFCONTRACTOFORAUTH.ACENT [JATE I <br /> SIDEVARDSETl3ACK cTRE[15[1C/�CY, REARVAROSET�AG PLANCHECKNUMBER PLANCHECKFEE <br /> FEE RECEIPT NO. <br /> I USE ZONE LOT AfiEA VACANT SITE <br /> ❑vEs ONo FEES VALUATION FEE <br /> TVPE OF CONST. OCCUGANCV GROUP NO.OF OWELVNG <br /> UNITS � <br /> SIZE OF BI.DG. NO.OF STORIES MA%.00C. LOAD BUILD�NG S � O µi <br /> � <br /> PlUM81NG � <br /> FIRE 20NE BASEMENT FIFESPAINKLEfiS � <br /> REOUIfiED � <br /> ❑VES ❑NO MECNANICAL I <br /> SGECIAL GONDITIONS: OTNEfl � <br /> 1 <br /> PENELTV SEC.3031e1 � <br /> TOTAL �j <br /> PERMIT VALIDATION <br /> WH[N PROPERLY VALIOATED(IN TNISSPACEI THIS I$YOUR PERMIT <br /> �PPLICAiiUNr1CLlPlE00P. PLPNSCMKKCpBM: APPPOVEDFONwIS_SUANCE6Y�. <br /> � Y <br /> � <br /> � <br />