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_ _ _ . . . <br /> 7hc cvero/ccn <br /> ���� �� CONS7RUCTION everett <br /> everett PERMIT <br /> �rY ,,:.�� :..,E�.� <br /> !PCf�.�ii.'64'11f:�i0H <br /> , � " °` �°'�':°�:"r BUILDING MECHANICAL PLUMBING <br /> � ��,<<.;:��N, <br /> � ON'NEH MAILADf]HES� ZIP FMUNE . <br /> AP��$CT� �IGNER �ILAU� 'P� LICENSENO. � <br /> IGENEfll1L CONTFiACTOF MAIL A�OflE55 PMONE LICEIvSE NO. �" <br /> MECHANICALCONTRACTOR MAILADDRESS vHUNE LICEh5Etd0. <br /> Ric�oo�.�bo '�a I e�� � Psao�g �53 t�' t �3�tlL�-31�G+S � <br /> PLUM6ING CONTRACTOR MAIL AUDRE55 7HONE LIC[NSt NO. W <br /> m <br /> � <br /> PEflM1T CLASS OF WORK � <br /> Z <br /> ❑BUILDING ❑PLUMBING �MECHANICAL �NEW ❑ADDITION �ALTERA'i�ON ❑REPAIR ~ <br /> � <br /> VALUATION OF WONK � <br /> $ ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIM1IMING POOL a <br /> �ESCRIBE WORK 414 <br /> PROPOSED USE MECHANICAL <br /> LEGAL DESGRIPTION OF PROPERTV ISNOW E3ELOW OR ATTACIi T�NE OF i1Cl �OIL �Gn�. �LPG. �ELEC. <br /> FOUR COPIESI <br /> NO. TYPE OF EOUIPMEN7 FEE <br /> l0T BLOCK—OF ' AIR COND. UNITS-H.P. EA. $ I <br /> FiEFRIGEFATIDN UNITS-H.P. EA. <br /> RDILERS-N.P. EA. 1 <br /> GAS FIRE�A.C. UNITS-TONNAGE EA. <br /> FORCED AIF SYSTEMS-B.T.U. M EA. I <br /> lOfi A�OR���55fJ� � WALL MEATERS-B.T.U. M <br /> J/��i �UNIT HEl�TERS-[3.T.U. M I <br /> E V APO Rl�T I V E COOLE RS <br /> PLUMBING -- c�on�iesOfiVERS � <br /> VENTILATION f AN <br /> FiANGE HOOD � <br /> NO. TVPE OF FIXTURE OR ITEM FEE A�R HANDLING UNIT- C.F.M. <br /> WATERCl05[TITOI�ETI s T INCINERATOR I <br /> OATHTVFi I <br /> _ LAVATORVIWASHBASIN) �_ _� <br /> SHOWER <br /> KITCHENSINK& OISP. SUBTOTAL 5 _ �� � <br /> _ DISHWASHER �_ PERMIT 5 <br /> LAVNDRVTFAV TOTALFEE 5 I <br /> CLOTHES WASHER THIS PEFMIT DECOMES NULL AND VUID IP WpRK OR CONSTRUC <br /> WATEIi HEATER TION AUTHOFIZED IS NOT COMMF.NCED WITHIN 770 �AVS, Ufi IF <br /> URINAI CONSTqUCTION OR WORY. IS SUSPENDED OR Ak1ANDONEO FOR A <br /> DRINKING FOUNTAIN PERIOD OF 720 DAVS AT ANY TIME AFTER WORK ISCOMMENCED. <br /> FLOOR-SINK OR DPAIN I HENE�V CERTIFY TNAT I HAVE READ ANO EXAMINED THIS AP� <br /> VACUIJM[3REAKEftS PLICATION AND KNOW THE SAME TO BE TRUE AND CORqGCT. FLl <br /> PPOVISIONS OF LAWS AND OFDINANCES GOVFHNING Tf115 TVPE <br /> fi00F 9PAIN5-iiAINLEADERS OF K'OfiK WILL BE CONPLIEO WITH WHETHF.Ii SPEC�FIED NEREIN <br /> SINK ISERVICE-OAR, ETC.) Ofi NOT, THE GRANTING OF A PERMIT �OES NOT GRESUME TO <br /> GIVE AUIHORITY t0 VIO�ATE OR CPNGEL THE PIiOVI510NS OF <br /> ANV OTH[Ii STAT[ Ofi LOCAL LAW REGULATINGCONSTRVCTION <br /> _ OF THE PEf�FORMAWCE OF CUNSTRUCIION. <br /> SUBTOTAI <br /> PENMIT $ <br /> TOTAIFEE $ �yhy�y <br /> X «Y+�Y(o , <br /> SIGNATUR@OFCONTflACTORORAUTH.AGENT DATE <br /> SIOFYARDSETBACK STPEETSETOACK REARYARDSETBACI PLANCHECKNUhA9ER PLANCIIECKFEE <br /> FEE RECEIPT NO. <br /> VSE 20NF. LOT AREA VACANT SITE <br /> ❑VES ❑NO FEES VALUATION FEE <br /> TVP[ OF CONST. OCCUFANCV GROUP NO.OF OWELUNG <br /> UNITS � <br /> 512E OF 6LDG. NO.OF STORtES MAX.00C. LOAO OUILDING '3 � <br /> I <br /> PLUMBING � <br /> FIfiE ZONE BASEMENT FIRESPii1NKLERS � <br /> Rf�UIREO �M <br /> ❑vES ❑NO MECHANICAI Y Iw <br /> SPECIAL CONDITIONS: OTMER � <br /> I <br /> — PENELTV S[C.�03(el � <br /> — TOTAL T Iw <br /> PENMIi VALIDATION <br /> WHEN PROPERLY VALIUATED(�N THIS SPACE)THIS IS VOUR PERAAIi <br /> pPPLICATIONPCC[PTEOBP. �LANSCNECRE�BY: RPFflOVEDfOfli5St1/+NCEOY: <br /> E,.�,. �.C� F.d'► <br /> � _ a <br />