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Ir,,,• E��,•,�,�.�n �; <br /> i ��T, oF CONSTRUCTION everet� I <br /> everett PERMIT � <br /> n*v rau isseees <br /> I EP[PUi.WA:nIF4tOM � <br /> 96101 I <br /> °��T °� °°'^�°���� BUILDING MECHANICAL PLUMBING <br /> o[vttovr.rzxi I <br /> 1 <br /> OWNEfl MAILA�DRE55 ZIP PHONL <br /> F".iili�: :�rt.,l�n Z029 Asn:,s �53-3d90 X>X�n:� <br /> ARCl/ITECTOR DESIGNER MAIL ADDHE55 PMONE LIGENSE NO. l�3����7 <br /> GENERALCJNTRACTOR MAILA�DPESS PNONE LICENSEND. <br /> .�J 3�R0 <br /> MECHANICAL CONTRACTOR MAIL AOOf1E5S PMONE UCENSE NO. <br /> PHONE LIGENSE NO. � <br /> PI.VMBINGCONTRACTOR MAILADDNE55 � <br /> - � <br /> PEflMIT CLA55 OF WOFK � <br /> Z <br /> ❑BUII.DING ❑PLUMBING ❑MECNANICAL ~ <br /> ❑NEW ❑ADOITION ❑ALTERATION �REPAIR � <br /> VALCATION OF WORK � <br /> G�� G!� ❑OEMOLISN ❑FENCE ❑SIGN ❑SW�MMING POOI a <br /> E — -- ++�y�� r� <br /> DESCRIBE WORK � / Q S <br /> »Qa vindoma ead T-lIl 3icling � �� <br /> PROPOSED USE MECIIANICAL <br /> TVFEOFFU[L �OIL ❑GA' ❑LPG. �f_LEC. <br /> �EGAL OESCRIPTION OI° PPOPERTY ISHOW�ELOW OF ATTACH <br /> FOUR COPIE5) <br /> NO. TYPE OF F.�UIPMEN7 FEE <br /> LOT BLOCK—OF ' AIR CONO.UNII'S—H.P. EA. 9 � <br /> TXSLt il LABR �♦ �✓ �IL iSQW REFRIGERATInN UNIT."i-H.P. EA. <br /> OOIlEFS-HP. GA. � <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> FORCED AIF SVSTEMS-B.T.U. M EA � <br /> JOB AOORE55 WnLL 1'EATER$-B.T.U. M <br /> $]�z yzp��yrg� UNIT HEATERS-B.T.U. M _ � <br /> [VAPOFATIVE GOOLERS <br /> PLUMBING CLOTMfiS�FVERS i <br /> VENTILATInN FAPI <br /> RANGEHOOD � <br /> AIR HANDLING UNIT- C.F.M. <br /> NO. 7YPEOFFI%TUREORITEM FEE INCINERATOR � <br /> WATERCLOSETITOIIET) E —T <br /> �ATIiiU� — ~ <br /> �AVATORVfWASHBA$IN) I <br /> T <br /> 5110 W E R �— <br /> KIICHEN SINK b OISP. _� SVB TOTlaL S � <br /> DISNWASNEF PERMIT S _ <br /> LnUNDfiYTRAV , IUI�LfEE 5 1 <br /> CLOTHES WASHER 7HI5 PERMIT BECOMES NULL AND VOI� II' WOfiK ON CONSTflUG <br /> WMER HEATFR TION AUTHORI2ED �S NOT LOMMEYCED tVITHIN 720 OAVS, OR IF <br /> URINAL CONSTRUCiION OR WORK IS SUSPEN�ED OR ABANOONEO FOR A <br /> PERIOD OF 120 DAYS AT ANY i1ME AFTER WORK IS COMMENCtD. <br /> DfiINKING FOUNTAIN <br /> FLOOR-SINY. OR DRAIN I HEPEdY CEFTIFV THAT I HAVE READ ANO EXAM�NED TNIS AP� <br /> PUGATION ANU KNOW THE SAME-1'O[iE TPU[ AND::OFRECT. AL� <br /> VP,CUUM 6(i[l�KEflS PROVISIONS OF LAWS AND ORDINANCES GOVGPNING THIS TYPE <br /> ROOF DRAINS-RAINLEADERS OF WORK WILI RE COMPLIED WITH WNETHER ;PECIFIEO HEHEIN <br /> SINK ISERVICE-OAH, ETC.) ^li NOT, THE GRANTING OF A PEfiMIT OOES NOT PPESUME TO <br /> GNE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW fiEGULATING CONSTfiVCT101J <br /> OR THE PEFFOPMANCE Of- CONSTRUCTION. <br /> SUB TOTAL _� <br /> PERMIT s 6/2�7/7; <br /> TDTAI. FEE S � rj� <br /> x „vJL..JC_.n_� <br /> SIGNATUREOFCONTFACTORORA1iTH.AGENT CiATE <br /> SIDE YAHO SETOACK STiiEET SET�ACK REAfl VAROSET(3ACK PLAN CHECK NUMBER PI.AN CHE(:IC FEE <br /> FEE RECEIPT NO. <br /> US[ 20NE LOT AREA VACANT 517E � <br /> ❑VES ❑No F[ES VALUATION FEE <br /> TYP[OF CONST. OICUPANCV GpOVP UNIOS�WELLING � <br /> I ' <br /> SIZE UF tlLDG. NO.OF STOFIES i.A4x.OCG. LOAD AUIL�ING � 5 1 <br /> PLUM�ING � <br /> FIREZONE OASEMENT FIIiESPRINKlERS � I <br /> RE�UIRED MECHANICAL � <br /> []VES ❑N� <br /> I <br /> SfECII�L CONOITIONS: OTHER I <br /> PENELTY SEC.�03(el � <br /> -_" ' �_ <br /> .__�_'___'.___..___� TOTAL � <br /> �-�— PERMITVALIDATION <br /> . WNFNPqOPFRLVVALInATED1�NTHISSVaCFITHISISVOURPERMIT <br /> AI'PLiLhPprypCL[FTCOBY: �LFNSCMLCK[OBY: APPfl0VE0FOPI:SUANCLOY�. <br /> `.�Ar I <br /> I I� I ��.� <br />