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i <br /> �,� E�.,.,o,��,> . <br /> , <br /> =,T� oF CGINSTRUCTION everett �; <br /> everett PERMIT � <br /> OLYHALL )59C9P5 <br /> (V[fl[I1,µqSMIM1LipN I <br /> 9i.]lil <br /> f'f�t p�[pNMUNIiT <br /> i oEv«o,.�„, BUILDING MECHANICAL PLUMBING � <br /> O•lW�.�N�ER �r� q�.�� MAIL ADDF ll�SJ{ LP �y IY�HU�Ny6 ���� � <br /> �A{Yl.�'�. "�x `�'N ^��•�R .Y� !'•J �) u�N W iJ�JFl I <br /> AHCwI:ECl OF DESIGNtY. Mf.IL ADGHE:�S PIIONE LICENSE NQ � I <br /> GENEPAL COIVTHACTOR MAIL ADDRE55 PIiONfl LICENSE NO. / � � I <br /> 9mRl� :9boo1 C0. F.0. 13dx 2it � �2'1 '7.J•�t 8i1 II ; <br /> MECHANICALCONTRACTOR MAILADORE55 PHONE LICENSENO. <br /> PLUMOINGCON1NnCTOR MAILADDFE55 PHON[ LICENSENO. � I <br /> W <br /> m � <br /> PERIdIT CLA55OF WORK = I <br /> z <br /> �BUILDING �FLUMBIN� �MECHANICAL r � <br /> ❑NEW ❑A�DITION �LTERATION ❑R[PAIR � <br /> VALVATION OF WORK <br /> 5� ❑OEMOLISH ❑F[NCE ❑SIGN C�V'Ih1MING POOL W � <br /> � DESC9IAF WOPK a � <br /> �1� �m•�tan o�e4Saa �5 2 2 <br /> I PFOPOSEO VSL - II <br /> MECHANICAL <br /> TYPEOFFU[L �OIL �IJAT. nLPG. �ELEC. <br /> LEGAL DESCfaIPTION OF PROVERTV ISHpW OELOW OR I�TTACH GAS <br /> FOUfi COPIE5) <br /> LOT B�ocK—oF_ N�� T1'PE OF E�UIPMEN7 FEE <br /> I AIF COND.UNITS-Ii.P. EA. S I <br /> I REFRIG[RATIONUNITS-H.P, EA. � <br /> � (3OILERS-H.P. EA. � <br /> GAS FIF1E0 A.C.UMTS-TONNAGE EA. <br /> FORCE�AIR SVSTEMS-B.T.U. M EA. � <br /> JOB ADDRE55� � Wq1.L HEA7ER5-B.T.V. M <br /> UNIT HEATEFS-�.T.0 M � <br /> EJAPOFATIVECOOLERS <br /> PLUMBING CLOTNESDRYEFS � <br /> VENTILATION FAN <br /> RANGE HOOD � <br /> NO. TVPE OF FI%TURE OR ITEM FEE AIR fiANOLING UNIT- C.F.M. <br /> WATFR CLOSET�TOILET) E �NCINf:IiATOR � <br /> BATNTVB <br /> I.AVATORY fWASH BASIN) �— <br /> SHOWER <br /> KITCHFfJ SINK & DISP. - �--- <br /> — SVBTOTAL $ � <br /> DISHWASHFR <br /> LAUNLRVTR/1V —' PERMIT S <br /> CLOTHESWASHER TOTALFEE S � <br /> WATER H[ATER 1�i15 PEPMIT �ECOMES NULL AN� VOIO IF WORK Ofi CONSTRUG <br /> TION AUTIiOf:IZED IS NOT COMMENCED WITIiIN 120 OAVS, OR IF <br /> _ URINAL CONSTRUCTION OR WORK IS SUSPENUEU OR �1HANDONED FOR A <br /> DRINKING FOUNTAIN PEPIOD OF 120 DAVS AT ANV TIME AFTER WOAK IS COMMENCEO. <br /> FLOOR-$INK OF ORAIN I HEqEBY CEftTIFV THAT I HAVE REAO AND E%AMINED THIS AP� <br /> VACUUM BREAKEFS PLICATInN PIJD KNOW THE SAME TO OC TRUE AND CORRECT. ALL <br /> ROOF ORAINS�-qAINLEADERS P�OVISIONS OF LAWS AND OiiDINANC[5 GOVEfiIVING TNIS TVPE <br /> OF WORK WILL BE COMPLIEO WITH WNETHER SPECIFIEp HEfiEIN <br /> SINK (SEFV�CE-BAR,ETC.) OR NOT, THE GRANTING OF A PEFMII' OOES NOT PfiESUME TO <br /> GIVE AUTHOf�ITV TO VIOLATE OR CANCEL THE PROVISIpNS Of <br /> ANY OTHEii STATE OR LOCAI LAW REGULATING CONSTRUCTION <br /> OR TNE PERFOfiMANCE OF CONSTRUCTION. <br /> SIJp 70TAL <br /> PEAMIT $ <br /> TOTALFEE $ �I`y/�yI <br /> x �'�'!� <br /> SIGNATUREOFCONTf1ACTOiiORAUTH.FGENT DATE <br /> SIDEVAROSETOACK STHEETSET6ACK REAqYAROSETUACY. PLANGNECKNUMBER PLANCHECKFEE <br /> � fEE ?�� HEC <br /> VSEZONE I.OTAREA VACANTSIIE � <br /> ❑VES ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GFOUP NO.OF DWELLING <br /> UNITS � <br /> SIZE OF BLDG. NO.OF STOfl1E5 MAX.00C. LOAD BUILDING 5 � <br /> I <br /> PLUMBING I <br /> FIRE ZDNE BASEMENT FiRESPRINKLERS <br /> flCOUIRED � <br /> ❑YES ❑NO MECHANICAL � <br /> SPECIAL CONDITIONS: OTHEfl � <br /> PENELTY SEC.J03(a) I <br /> TOTAL � <br /> 1 <br /> PERMIT VALIDATION <br /> WHEN PPOPERLY VALI�ATED(IN THISSPACEI7HIS IS�'OUR PERMIT <br /> AVPLRqiiONACCCPTE�BY'. i'LANSOIFCKFOBY: �PPpOV[DfOpL^SUHNC[OY. <br /> ��W� li.� L4'� <br /> i � 4 � <br />