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f <br />� u,�� E��,,,_;,,,,,,, <br /> f � ��t� �� CONSTRUCTiON everett � <br />� eve�ett PERMIT <br />� LRTNALI )59Eii.i <br /> EVLflLti.W�SHINGION <br /> 9i.)CI <br /> °`"' °` `°"'^°„"` gUILDING MECHANICAL PLUMBING <br /> ��,<<��„E�, <br /> OWNER MAIL ADDFESS LIP VHONE -, j� �' <br /> ::e•� ''crl:? ! <br /> ARCNITECT OR DESIGNER MAILADOflE55 PHONE LICENSE NO. <br /> GENERAL CONTRACTOR MAIL ADOFESS PHONE LICEN,-.E NO. i <br /> scovou Lumtx3r <br /> MECHANICALCONTFACTON MAILADDRE55 PHONE LICENSENO. <br /> PWMBINGCONTflACTOR MAILADORE55 PNONE LICENSENO. � I <br /> W <br /> m <br /> PERMIT � I' <br /> CLASS OF WORK � � <br /> Z � <br /> �BUILDING �PLUMBING �MECHANICAL y� F <br /> ❑NEW ❑AODITION ❑ALiERATION C]REPAIq � <br /> VALVATION OF WOPK (_ <br /> s 1,Z�F� Q� ❑OEMOLISH ❑FENCE ❑SIGN ❑5WIMMINGPOOL a <br /> DESCR�9�WQL�1L :,�:L�.1.CC I�Q=OOl I <br /> 2667 <br /> PROPOSED USE <br /> MECHANICAL I <br /> TYPEOP �U[L �OLL �NAT. �LPG. �ELEC. I <br /> LEGAL DESCRIPTION UF PHOPERTV 19HOW CELOW OR ATTACH GAS <br /> POUR COPIE51 � <br /> �oT BLOCK—oF N�� T'PE OF EaU1PMENT FEE I <br /> AIR COND. UNITS-M.B EA. S � <br /> FEFRIGEFATION UNITS-H.R EA. <br /> BOILERS--HP. EA. � <br /> GAS FIFEO A.C. UNITS-TONNAGE EA. <br /> FORCEO AIR SVSTEMS-B.T.U. M EA. 1 <br /> JOFI A�DRESS WALL HEATERS-B.T.U. M <br /> 271 a 73ro�sd�an;a � <br /> UNIT NEATEFS-B.T.U. M I <br /> [VAPORATIVECOOLERS <br /> PLUMBING CLOTMES DRVERS � <br /> VENTILATION FAN <br /> FANGEHOOD I <br /> NO. TVPE OF FIXTURE OR ITEM FEE A�R HANDLING UNIT- C.F.M. <br /> WATER CLOSET�TOIIETI g INCINEPATOR � <br /> BATHTVB I <br /> LAVnTORV(WASHBASIN) � <br /> Sf10WER <br /> KITCHENSINY.l4DISP. SUBTOTAL S <br /> I <br /> DISHWqSHEP PERMIT S <br /> T <br /> LAVNORV TRAY TOTALFEE S I <br /> CLOTHLS WASHER THIS PERMIi BECOMES NUI.L ANO VOID IF WpRK OR CONSTRUG <br /> WAi[P HEATER TION AUTHORIZED IS NOT COMMENCE� WITIi1N 140 DAVS, JR IP <br /> URINAL CONSTRUC110N OR WORK IS SUSPENDED OR ABANDONED fOR A <br /> ORINKIN3 FOUNTAIN PENIOD OF 120 DAVS AT ANY l IME AFTEF WORK ISCOMMENCED. <br /> FLOOR� SINK OR ORAIN I HEREBY CEPTIFV THAT I HPVE REAO l�ND [%A�91NED TH6 nv ( <br /> VACUUM OqEAKERS PLICATION AND KNOW T�iE SAME TO 6E TRUF AND CORRECT. /+LL <br /> ROOF URAINS-RAINLEADERS P�OVISIONS OF LAWS AND ORDINANCES GOVERNING iH15 T VP[ <br /> OF WORK WILL BE COMPIIED WITH WHETHER SPECIFlED HEREIIJ <br /> SINK ISERVICE-BAR,EtC.) OR NDT, THE GPANTIIJG OF A PERMIT OOES NOT PRESUNB i0 <br /> GIVE AUTNO�iITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTHER STAiE OR LOCAI. LAW REGULATINGCONSTfiUCTiDN <br /> OR THE PERFOFMANCE OF CONSTRUCTION. <br /> SU9l'OTAL <br /> PERMIT S <br /> I <br /> TOTALFEE $ 6/'"'ry <br /> X <br /> SIGNATUflEOFCONTRACTOFiORAUTH.AGENT DATE <br /> SIDE YARD SETOACK STREET SETBACK REAP VAPOSETBACK PLAN CHECK NUM9ER VLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USEZONE �OTAREA VACANTSITE <br /> �vEs ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCVPANCY GROUP NO.OF DWELLING <br /> UNITS I <br /> SIZE OF BLOG. NO.OF STORIES MAX.00Q LOAO OUILOINO $ ' � � " <br /> I <br /> PLUMBING � <br /> FIREZONE OASEMENT FIqESVqINKlERS <br /> REOUIPE� <br /> ❑VES ❑NO MECHANICAL � <br /> ISPEGIALCONDITIONS: OTHEF � <br /> PENELTV SEC.J031e) I <br /> TOTAL I. V <br /> I <br /> PERMITVALIDATION <br /> WI1EN PROPE(iLY VALIOATEU (IN THIS SPACE)THIS IS VOUR PLRt.11T <br /> evPLiCntic�IlnQ.tPifp9v: PlANSWECNE�BY: APPPOVEDfOPIGSUANCEOY. <br /> I <br /> n <br /> I <br />