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i � ir / �ri :.��.,r <br /> , �� , ��� CONSTRUCTION everett <br /> eve rett PERMIT <br /> , ; .,... ..,',,:; <br /> °"' °"^":.��°��'�;' BUILDING MECHF.NICAL PLUMBING <br /> lil ll I�1'411 YI <br /> IUWNLH MnILl�UUHL';:'. lIP P���iMF <br /> I :l'9[1C1.0 .'!tl��K�'3 �i �� CA .7SCG 7�-�.7 <br /> APCIIITlCt OR pEtiIGN1.H M�IL AODRE55 �IIONF IIrLNeC Nn i��''�'x <br /> GENERALCON1RACiOP MAILADDPE55 PMONE LICENSCNO.� <br /> �� <br /> MECHANICAL CONiPACTOR MAIL ADORESS PHONE LICENSF NO. <br /> �WM131NGCONTHI�CTUR MAILAODR[i �IIUN( IICFN:fNf) � <br /> W <br /> m <br /> -__ --_ ' - . . _ . . . _ _ _-.__..-__.....-__-- .'_ � <br /> PFRMIT CLl�SSOf Wnllh � <br /> Z <br /> �RUILDW[i � PI.UMOING ❑MICH4NIC/�L � � <br /> ❑NfW ❑nnn�u��r� ❑nittnniiuu �r�trnnv � <br /> ___ '____-__ _ .._. _. <br /> \'n1.UAlION Of WORK-'�--'-- �r� � � <br /> y� M r�lifMtlll'�1 ullNCl ❑':��1N ❑SW�MMING Ptt01 W <br /> 5 T�NK! a <br /> DESCFIOfWORK . . _ . .__— .--_ _ -__'_- <br /> ,.��. 1546 <br /> vnovoseo use MECHANICAL <br /> � ..___.__.. rv�i.�iii iLii � I7un � �r�n� ��� �iru �[]7.ilc. <br /> lPon�oEscn�vtioN or rnOrLH�v �sMuw M Low uH ni�lnc�� - �-,�r.; <br /> �OUR COPIF51 - - � <br /> LOT 11Lo[K_-OF ___ NO.� TVPE OF EOUIPMENT _-- FEE-___ <br /> AIfiCONlI UNII$ IIJ`. LA. S � <br /> Rt(RIGffV�IIf�HUNIt:: HV 1_A �r� <br /> _ __ 1❑�111 Lliti I11` 1 � I <br /> � I��.�5 f il�l I� �C UNii!: IONNAGC EA. <br /> I f oRCI U nili;V51EM5 O.T-U. M EA. I <br /> ._.. _ __. __ __ " _ <br /> JOO AUDRC55 � . .. �Wnl I nf A1! H3 B.i.U. M <br /> � P1 �p UNiI uEnll R': O.I.U. M_ I <br /> t vnPuqMN6 CUULERS <br /> PLUMBING CLOTHf50RYEPti 1 <br /> VENTILALiON FI1N <br /> .. .RI�NGE HO00 I <br /> NO. TVPE OF FIXTURE OR ITEM FEE _ _ ^��� ��nNui_iNc UWT- C.F.M. <br /> -- - ---{- � iNCiNCN4tOq I <br /> WATER CI.OSET �101LET) S -- � - - -- - <br /> -_ _ __-_-'__ - __.... . . _-__ __ <br /> AAtM1U0 � __� - . . .__ - -�— <br /> '_" -_-_--_____".. . _ _. - - <br /> LAV�TORV IWASH OASINI _ ._ . _ _ __ - <br /> SIIOWER _.___— _... . . . . __ __ - _ �_ _ -- <br /> ___.. _.—_ _ _ _ _—�- <br /> KItCRF N' NK W�ISP. SUB TOLAL S � <br /> - -- UISIIWnS 1 - - - . .. . �—� - — PEPMIT E <br /> . LAUNDf1VTfiAV "__ I"--�� -"--- TOTAIFFE 5 ---�-�— <br /> CI OT11[5 Wf�SHER <br /> ____ ___ . _- -_- T11I; P[RMIT DECOMFS NULL 11ND VOIf� IF WOPK UR CONSIfiUC <br /> _ _..�WMEH HEMER I IION �UTIIOFI2EIJ IS NOT COMMENCED WIIMIN 170 OAVS, OR IF <br /> UPINAL_ _ __ __ � CON;TRUCIIDN OR WORK IS$USPEhnEO OR Al1l1HDONED Pofl A <br /> [)IUNKING FOUNTAIN -�-� PFRIOD OF 1'10 �AVS pT ANV IIMF AfTER W011K ISCOMMENCED. <br /> �1p011 SINK UR DRAIN - � � i ��f.RFI1V CFRTIfV TIIAT I IIAVE RFAfJ �ND E%AMWEO THIS AP <br /> V��UUM 11REAKERS �� —�-- --- PIJCntION ANO RNOW TNE SAA18 TO NF iRJF �ND COfiflFCl. ALL <br /> -� ---- - PftUVi510N5 Of 1 r1W5 �NO ORI�iNANCf: .(�VCRNING T1115 T VPC. <br /> ROOf pRAINS- RAINLEADERS pf WOfiK WI11 ❑[ COMPLIED WITII WI�fTNf�.I� SPECIFIEO H[RFIN <br /> SINK 1?fqVlC[ OAR, ETC.) � 01i NUT, TRE (3fiANTINO OF A PFRf.111 pOF.S NOT PRF.SUME TO <br /> - - -- �"---- (iIVE AUTIIOIIITV tU VIOLAT! OR C�NCLI l��( PpOVISiONS OF <br /> l�NV UTNCR :iM[ OR LOCIIL LAW 111,�1LA1�'1GCONSTHUCiION <br /> OP THE PCRFORMl�NCE OF CONSTRUCl�f1N <br /> SU9 iOTAL <br /> _--_PERMIi . _- _ . s .__- _ __I_"""__ <br /> _ __ ----__ -_._-_"_�' <br /> ____TOTAL FEE E '__�__ •r�/'.AI�l. <br /> -- -.__-- ____'." _ - _ . . . X Kl�J�/V <br /> SIGNAIUR[OI- CONTq�CTOPOfi�U1M �GEP�T DATE <br /> SIpE v�Rl�`.ETRACK SiRFrT SEIHACK fiGARY�finSF.TAl1CK PLANCI�FCK NUTAPCR PIANCHECK FEE <br /> /EE AEGf.IPi NO <br /> USE LUNF � LOi AREA VACANT;ITE <br /> �vEs ONo FEES VALUATION FEE <br /> . _ _.__ _— __. . _ ._._.__ -__ � <br /> IVPL U� CnNST. OCCUPANCV GHUUP NO.Of f]WELLING <br /> VNITS <br /> !��i.:l. uf If1O0. NO.OFSTOPIFS MA%.00C. lOrlO llUILO1NG S �Y'.I� N 51� <br /> _ _-'_' -—�___. <br /> PLUM�W(i � <br /> I IViI IUNk� flASEMFNi. . .- . .. . ql'Ull qE1�NKLEfiS __.-_ ---f-� "- <br /> � C��'ES ❑NV ry�[CNA�lICAL I <br /> I -_ -__-_-1-_. . <br /> 'IPfCIM CONOI110NS� UiHEfi I <br /> _ . .__.-___._.__.._ <br /> _--- � <br /> _ . . .._ . . . __-_ ___—�-- <br /> .._ __-_ __-_ <br /> _'____ _ ___-__. Pllill lV :fl IIIIJ�aI I <br /> ..__�__ __._ <br /> . . - . .. .._ .. .. . . . . I <br /> - - � - TOTAL jl(� <br /> - � PERMIT VALIOATION <br /> � A91�1 r. PI�i�Vi PI v v.^.1 il,n�l I� 'i•i 11�IS 'J'nCl � 1111; IS vOUI� �'F Rhtll <br /> � - n -��-11 �'I�. ��11ef1�Nv ��VPVA'IL . mei � <br /> I <br /> � 3 <br />