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. _ . . . <br /> , <br /> I <br /> i IAu Erergrccn � � <br /> I <br /> ' =�TYaF CONSTRUCTlON everett <br /> i everett PERMIT <br /> fRY N<II ISyF.EF1 <br /> [VF 4F R.1545�Ii4G1 QY '� <br /> Yfildl <br /> o[Pi.ao[o"op;,yr BUILDlNG MECHANICAL �'LiJMBING <br /> r^'.,qE q ' <br /> �y� MNIL ADDRE55 ZIP PHONt � <br /> ":iL +tii Wi.Prl �if"�rJ-�'r^J I <br /> ARCHITECTORDESIGNER MAI�ADDRE55 PHONE � LICENSENO. C�� , <br /> i <br /> GENENALCONTRACTOR � MAILAODRE55 PHONE LICENSENO. <br /> �Lr <br /> i <br /> n1ECHANICAL CONTPACTOR MAI�AOONE:3 PHONE LICENSE NO. � <br /> PWMBINGCONTRACTOR MAILADORESS PHONE LICENS� ND. � '' <br /> W <br /> •'1 � <br /> PERMIT CIASS OI"WORK � <br /> �Iy Z 1 <br /> p BUILDING �PLUMBING �MECNANICAL f. ' <br /> — ❑NEW ❑ADOITION ❑ALTEPATION �REPAIF � <br /> VqLUATION OF WOFK i <br /> S���t�/r ❑DEMOLISN ❑FENCE ❑SIGN ,C]SWIMMIN, PUOL a 1 <br /> DESCRIB[WORK � --- <br /> �nla-�e c::xa'C:� roaS niAh uc�s 2 a 8 3 <br /> PROPO�ED USE <br /> ..� MECHANISAL , <br /> rvrteFcue� poi� pNnr. ��rc;. pE�Ec. <br /> FOG'R`�PSESIIPTION OF PROPEfiTV ISH01N F3ELOW UR ATTACH GAS <br /> � 7 � Bl�o K—OF t �P YZ'� NO. TYPE OF EOUIPMENT FEE <br /> �1j�� .� AIRCOND. UNI'S-N.P. EA. $ I <br /> REFqIGERATION UNITS-N.P. EA. _� <br /> 901LER5-H.P. EA. � <br /> GAS FIRED/�.0 UNITS-TONNAGE EA. <br /> FUFCEO AIR SVSTEMS-�.T.U. M EA. � <br /> JOB ADDF,ESS WA�L Ii6ATERS-B.T.V. IA <br /> �� ��, UNIT/1EAiEftS-B.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING CIOTMEGORVERS <br /> � <br /> VENTII.ATION FAN <br /> RANGE NOOD � <br /> NO. TVPE OF FIXTURE OR ITEM FEE AIR I1ANO�ING UNIT- C.F.M. <br /> WATEFCLOSETITOILETI g �NCiPJERATOR � <br /> BATHTU6 �— <br /> LAVATORV (WASIi BASIN) � <br /> SIIOWER <br /> _ YITCNLN SINK b DISP. SUB TOTAL 5 � <br /> � nI;HWASHEP <br /> -- PE'iMIT 5 <br /> LAUNDqvTFAV <br /> CLOTH[SWnSHER TO-AIFEIE 5 � <br /> --- THIS PERMIT BECOMES NULL AN� VOID IF WORK Ofl CONSTRUC� <br /> _ 1vnTER HEATER TION AUTNORI2ED IS NOT CDMM[NCED WITHIN 120 �AVS, OR IF <br /> U�i1NA1. CONSt fiUCTION OR WORK IS SUSOFNOEU Ofi A6ANOONED FOR A <br /> ORINKING FOUNTAIN PER�OD OP 120 DAVS AT ANV TIME Att[R WJRK IS COtdMEYCEO. <br /> FLOOR--SIN✓, O[i DRAIN I HEREFIV CERTIFV THAT 1 HAVE PEAD AND E%AMIN[O TNIS AP� <br /> VACVUfvI eRGf�KEflS �'LICATION AND KNOW TH[SAME TO 6E TqUE AND CORRECT. ALl <br />� fi00F ORAINS-RAINLEAOERS PAdVI510N5 OF LAWS FND ORDINANCES GOVERNING THIS TVPE <br /> OP WORK WILL 13E COM>LIEC WITH WNETHER SPECIFI@O NEPEIN <br /> SINK (SEPVICE-BAR, ETC.1 OR NOT, TNE GRANTING OF A PERMIT DOES NOT PqESUME TO <br /> GIVE AUIHORITV TO VIOLATE OR Cl�NCEL THE PfiDVI510N.^, OF <br /> ANY OTHER STAT[ OR IOCAL LAW HEGVIATING CONSTRUCTIOIJ <br />� OA THE PERPORNANCE OF CONSTfiUCTION. <br />, SUBTOTAL <br /> PERMIT S <br /> TOTALFEE $ i <br /> X �'� <br /> SIGNATUREOFCONTRACTOROFAVTH.AGENT CATE <br /> SIOE YARD SETDACK STREET SETDACK REAR VAP�SETBACY PLAN CHECK NUM�[R P�AN CHECK FEE <br /> FEE RECEIVT NO. <br /> USE ZONE LOT AqEA VACANTSITE <br /> ❑vEs ❑No FEES VALUAT�ON FEE <br /> TVPG OF CONST. OCCUPANCV GpOUP NO.OF DWELUNG <br /> UNITS � <br /> SI2E OF BLDG. NO.Of OTOftlC3 MA%.00C. LOA� 6UILGIirG $ �_F,��'{_� �� '� <br /> r+ <br /> ' PLUMBING � <br /> FIIiEZONE �ASEMcNT FIRESPRINKLEqS I <br /> i REt7U1REU - -�— <br /> ❑VES ❑NO MECHANICAL � <br /> SPHCIAL CONCIlIONS: OT/ER � <br /> - I <br /> PEN[LT� SEC. 3071e1 I <br /> TOTAL � <br /> Ci� <br /> PERMIT VALIDATION <br /> WHEN PROPERLV VALIDATED(IN TIIIS SPACEI TH�S IS VOUR PERMIT <br /> nvPLIC4110HP¢4P�ED6V: 1'LRNSCNECKCDBY: APCPOV(UfU11155G�NCkOY <br /> � I I f`' I� I <br />