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;hc Er���grr^n <br /> ��tYOF C��NSTRUCTION everett <br /> everett PERMIT <br /> L�IVNPI� ]5?P��S <br /> (ViAtti.hA:MiM1GiGN <br /> 96Hi1 <br /> �k°� °°�°^�M°�°° BUILDING MECHANICAL PLUMBING <br /> otvuovucxr <br /> OWNER MAIL PDOFESS 21P PHONE <br /> +iT7? ti OLT C[S. �"(`� :'.'_>'•=;".�lT ]��"J+`?b <br /> ARCMITECT OR DESIGNEfl MAI�ADDFE55 PMONE LICENS[ NO. <br /> GENERAL CONTRACTOR MAII ADDNESS PNONE L�CENSE NO. <br /> 5 � 3 �'f'�? +iQ. <br /> MECHANICAL CONTRACTON MAIL AODRE55 PHONE LICENSE NO. <br /> 2 <br /> PLUMBING CONTRACTOH MAIL ADORE55 PHDNE LICENSE NO. w <br /> m <br /> � <br /> PERM�T CLAS$OF WOflK � <br /> Z <br /> �y BVILDING ❑PLUM9ING ❑MECHANICAL ~ <br /> ❑NEW ❑ADDITION ❑ALTERATION C]REPA�A � <br /> VALUATION OF WORK �[ � <br /> /,M � ❑OEMOUSH ❑FENCE LISIGN ❑SWIMMING POOL w <br /> 5 �RV�M <br /> a <br /> D@SCRI�f WORK � �f, � �.ry� 1484 <br /> i�lii�> <br /> PPOPOSE�VSE MECHANICAL <br /> TVPEOFFUEL �OIL �N^'. �LPG. �ELEC. <br /> LEGAL OESCRIPTION OF PFOPEATV ISHOW BELOW OR ATTACIi " <br /> FOUP COPIE51 — <br /> Lo7 eLOCK_oF NO. TYPEOFE�UIPMEN7 FEE <br /> AIR CON�. UMTS-Fi.P. `A. S � <br /> REFFIGEtiATION 11NITS-MP. F/. <br /> �__.._,.. _ __ ._ nCILEF?5-M.^. EP.. I <br /> GAS FIPED A.C. UNITS-TONNAGE EA. <br /> FOPCEDl.IR SVSiEMS-D.T.U. M FA. I <br /> JO� AUDRl55 .�ryy� .�.�l���� WALL HEl�TEftS-6.T.U. M <br /> ,�(iJG ST'LXMA UNIT HF.ATERS-B.T.U. M � <br /> EVAPORAi1VECOOLEPS <br /> PLUMBING CLOTMfS OfiYERS i <br /> VENTILMION FAN <br /> FANGENOOD � <br /> AIF HANDUN3 UNIT- C.F.M. <br /> NO. TVP�OF FIXTURE OR ITEM FEE iNciNERn7oa � <br /> WATER CLOSETITOILETI S <br /> BATHTUB — <br /> �AVATORV (WASHBASIN) � <br /> —�� SHOWEfi <br /> Y.ITf.HEN SINK & DISP. $UB TOTAL S I <br /> OISnWqSHEF PERMIT S <br /> 1AUtJDPViqAV TOTALFEE 5 I <br /> CIOTHES WASHER TNIS PERMfT BECOMES NVLL AND VO10 IF WORK OR CONSTRUC� <br /> Wl�TEIi HEATER TION AUTHORI2'EO I$ NOT COMMENCED WITHIN 720 DAYS, OR IP <br /> URINA� CONSTRUCTION OR WOPK �5 SUSPENDE� OP ABANDONED FOR A <br /> PEflIOD DF 120 DAVS AT ANV TIME AFTER WOflK IS COMMENGED. <br /> pPINKING FOUNTAIfJ <br /> FLOOR-SINK OR ORAIN I NEREBV IERTiFV 1NAT I HAVE READ AND E%AMINED THIS AP� <br /> VAGVUM ORE/lKEFS PLICATION l�ND KNOW TNE SAME TO BE TRUE ANO GORREGT. ALL <br /> PROVISIONS OF LAWS AND OR�INANCES GOVERNING THIS TYPE <br /> RODF DRAINS�-RAINLEFDENS OF WOFiK WILL 13fl COMPLIED WITN WHETHER SPECIFIED HEfiEIN <br /> SINK(SERVICE-BAR,ETC.) OR NOT, THE GRAN7ING OP A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTNOfiITV TO VIOLATE OR CANCEL TNE PIiOV15lON5 OF <br /> ANV OTHEfl STATC OR LOCAL LAW REGULATING CON;TRUCTION <br /> OF TIiE PERFORNANCE OF CONSTRUCTION. <br /> SUBTOTAL <br /> PERMIT S� <br /> ?OTAL FEE 4 t1Ai}':� <br /> X »6.\ <br /> SIGNATUREOFCOIVTRACTOFORAUTH.AGENT OAiE <br /> S�DEYAFiDSETOACK STREETSET�ACK REARVARDSETDAC PLANCNECKNUMBER PLANCHECKFEE <br /> PEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑vEs ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING � <br /> UNITS /y� <br /> SIZ[OF BLDG. NO.OF STORIES MA%.000. LOAO RUILDING 5 W j� <br /> —1— <br /> PLUMBING � <br /> FIREZONE BASEMEIJT FIFESPRINKLEHS <br /> flf�UIflED MECHANICAL I <br /> ❑vE5 ❑NO <br /> 1 <br /> SPECIAL CONOITIONS: OTHER � <br /> PFNELTV SEC.3071e) � <br /> TOTAL t I� I <br /> - PERMIT VALIOATION <br /> WHF.N PRO�@flLY VALI�ATED IIN THIS SPACE)TI115 IS VOUfl�ENMIT <br /> AImLICRTIOHPLCCFT1:p8Y: PLPNSCNECNE�BY: />PPOVEUFORISSU�NCC�V. <br /> I +• `' I <br /> a <br />