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Ihc Fvrigrcivr <br /> ���� �,, CONSTRUCTION everett <br /> everett PERMIT <br /> II1V IILII )S�PiP4 <br /> I VI Nt 11 1'1��IIN1.�114 <br /> V1)il� <br /> �""' °;,;�',";,;;H;„, BUILDING MECHANICAL PLUMBING <br /> OWNEli `,�� MAII. IIUUNF:iS �y;� ZIP YIIUNI <br /> }a1`i Ke� t.��.`,�� �+7v, �� �� r��'�1 J�'�,7 .777'�an'u� 3.•i7.7�� <br /> ARCl/ITECT OH DESIGNER MAiL AUDRE55 PMONE LICENS[ NO. <br /> GF.NEPALCONTRACTOR MAILAUDRE55 PHO��E LICENSENO. <br /> mr� F r �+rr: z :�F ��o. <br /> I MECHANICAL CONTRACTOR MNL AODNESS PHONE LICENSE NO. <br /> I PWMBINGCONiRACTOR MAllA00RE5S PMONE LICENSFNO. � <br /> W <br /> m <br /> PE9MIT CLI�SS OF WORK � <br /> Z <br /> �BUIIDING ❑PLUMOING �MECHnNICAL ~ <br /> ❑NCW ❑�f)OITIUN ❑ALTERATION ❑REPAIR � <br /> VAWATIONOF WORK -� --�---_-- � <br /> s � ry� ❑UEMOLISM �ENCE -❑SIGN ❑SWIMMING POOL - a <br /> +i7wM <br /> __'____-".-_- ' _" '____. ._ <br /> OESCRI�f WORK <br /> r��-: t� � :' :� r:� �+� xa � a Ao�' �:�-�• .; T:D' ;'QA'• YA':r 17 9 <br /> PROPOSEO UtiE MECHANICAL <br /> L[GALDESCRIPTIONOf PpUPEPtY 15MOW L'EIOW U�c �11nCH TY" "r `u" ��11 �GAS ❑LPG. �EIEC. <br /> FOUR C �IESI •� - � <br /> Lo• n�oCK--.oF ' NO. TVPE OF E�UIPMENT FEE <br /> r� u^,� �.�� -... . �IIHCONtJ UNITS-H.P. EA. S � <br /> ��� �' P! I HIGI HN InN UNITS-N.P. EA. <br /> _ ._ �f I O I I f H: 11 P F A_ I <br /> 1 <br /> �;AS 1 ii�F 1) �C UNITS -TONNAGE EA. <br /> 1 ORCLU �ilt SVSTEMS A.T.U. M EA. I <br /> JOB 11UORE55 �,�y� WAI.L NEl�TERS O.T.U. M <br /> w7V� r� �H UNITNEATERS-fl.T.U. M I <br /> EVAPORntIVECOOlERS <br /> PLUMBING _ e�onies onveAs � <br /> VENTILf�iION fAN <br /> RANGEHOOn � <br /> AIR H�NDUNO VNIT- QF.N. <br /> NO. TVPE OF FIXTURE OR ITEM FEE — - <br /> WM[nCLO:ETITOILEII S �NCINERATOR _ I <br /> -- IIAl11tUH -- - — <br /> _ . 1 AV41oNY IWASH 9flSINl _�_ _ � <br /> SIIOWLH ��� _ <br /> YITCHLNSINKP. �ISP �UBTOTAL S I <br /> -- DI;��W/15HER --__--- -�-- PERMIT S <br /> _- � IACN�fiYTRAV _ - - �------ --- IOtALFEE 5 I <br /> CLOTHES W4SHER TMIti PUiM�T 13[COMES NULL AND VOID IF WOf1K OR CONSTRUC <br /> -�-�WMER HEAT[Ii TION AUTHOFIZED IS NOT COR�MCNCEO WITIIIN 120 D4V5, Ofi IF <br /> UPINAL � CONSTRUCtION Ofi WORK IS SUSPENDED OR AFIANDONEO FOR A <br /> --- - PE(iIOD Uf 1?0 DAVS AT ANV TIM[ �FTER WOIiK IS COMMENCEO. <br /> DRINKING FOUNTAIN <br /> PLOOR-SINK OR ORNN 1 REfiEfiV CERTIFY THAT 1 H4V6 fiC�p AND E%4MiNED TNIS AP <br /> VACUUM APEAKERS � P��������'N �Nn KNON'THF S�ME TU [lE TRUE AN�fOR{iECT. ALL <br /> - PROVi510N; Of LAWS ANO ORDINANCFS GOVERNING TNIS TVPE <br /> ROOf ORAIN::-f1AINLEADEFS � OF WOfiK WiLL PC COMV�IFO WITII WIIETH[R SP[CIFIED HEFEIN <br /> SINK(SERVh_E-BI1R, ETC.) � 09 NJt, TME GRANTING O� � VEf1MIT DOF.S NOT PRESUME TO <br /> � GIV[ AUTIIDRITV i0 VIOLATE ON CANCEL 111E VqOV1510N5 OF <br /> ��JV pTHLfi ST�1f n� LOCAL L�W RECULATiNG CONSTRUCTION <br /> OR TIIE PERFOH�dANCE OF CONSif1UGTION. <br /> SUPTOTAL <br /> _ -_----_PEPMIT _—s _-"_-'__i—"_ <br /> -__-____'__ _ <br /> TOTALFEE S i__ X � y�y '�y- tiMI�1G <br /> _—_____ .._ _ __--___ . _. V[l�R V�� ii�)�i �V <br /> 51(iNATUPL01 CONTRALlORORAUTH.AGENT OATE <br /> SIDE VARDSETII�CK STREET 5[TflACK PEAf1V4R�5ETPACI: PLANCHfCK NUMHEH PLANCMECK FEE <br /> FEE RECEIPT ND. <br /> USE ZONE LOT AREA VI�CANT SITE <br /> ❑rEs ❑No FEES VALUATION FEE <br /> T V�E OF CONST. OCCUPANCV GROUP NO.OF pWELLING � <br /> VNITS <br /> :i12E OF flLDG. NO. Of StORIFS MA%. OCG IOAD AUILUING S �j� � O <br /> PWMBING � <br /> fiRF. ZONE —�--- ❑�5[MW1 q�EOUIqE�NKLERS _ <br /> ❑VES ❑NO MECHANICAL I <br /> SPECI�L CON�I'InNS Ol MER I <br /> ___. __-____- -__"_ ._ '" ______---._" � <br /> _ _______"_-_--___ ... __--_ _"'__ PENhLTV 56C.�091n1 I <br /> --- --- - TOTAL��� � - � <br /> �- � � VEHMI7 VAIIDATION <br /> --_ WHfNPpOPEPIVVALIOAT[[; I�NTHISSVAC[I1�u515VOURPERMIT <br /> nrr�nniniqni.�n�num �,�nr,s��qrnne� nnrrnv�f�r��csonw� rr <br /> � � <br /> !1 <br />