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I c n i <br /> everett PERMIT <br /> I�I\ �IAII . � . <br /> 1\'I NI 11 IVOS�IiNi`.1 Y <br /> °��, ,° �,�'�•°�" �' BUILDING MECHANICAL F'LUMBING <br /> 111\(1�11`41N1 <br /> OWNER } MAIL AODHF.55 ZII' PHUNE ♦� �!� <br /> �1 j..".� '!�....-JIITIu iTl� <br /> _--.. . _ __- . ..._. _- _—_—____-.____-._ _---_.-__'_ <br /> ARCHITECT OR OESIGNL R M1���L AODHE55 P��f�NE I ICCM1'�C Nn <br /> fiENERAL CONTRACTOR MAIL AODHE55 PHONE LICENSE NO. <br /> .�r� :Mryr�,• t. •.•tt.'.4ry� <br /> XM Rl <br /> MECMANICAL CONTNACTOR MAIL AODRESS PMONE LICENSC I�( <br /> - � <br /> PLUMBING CONTNACTOR MAIL ADDR[SS PHONE UfENSE NU. W <br /> m <br /> � <br /> PERMIT CLASS OF WORR � <br /> Z <br /> �AUILDING � PLUMpING ❑MECIIANIC�L ~ <br /> ❑NEW ❑ADOITION ❑ALT[HATION �EPAIH � <br /> VALUATION OF WORK � <br /> ''Nl�'Y� ❑f1F.MOLISM ❑fENCE ❑SIGN ❑SWiMMiN�I 1`nUl W <br /> s �` �" /�L oa <br /> DEscninr wonK. _—.._— ._ -___ -_—__—_—.___ , <br /> .� y,��w_ u ,� ;t ��t�. �;�`, � ��. i — �� __'_ LV�O <br /> �� � . <br /> vROPosen use MECHANICAL <br /> _ 7v�t i�i iini - CJriii�-��+ds:—[]�i.rc. -�iir.c-- <br /> �[;n�otscnirnoN o� rnnrEnrv isi�<�w ei i.r�w nn ntrnc�� <br /> roune�co�r�iEsi � � � -- — <br /> �071�_ n�ocK� �-{:i.�• Au.' _ YO.I 7V'PEOFEOUIPMENT FEE __ <br /> .__—__ _ _____ <br /> _o�.-----. . . . ._- --.. . �nin corvu. uNirs- �.r. en. f � <br /> n � � �� � — - I nt r nirstnnrinN uNi*s_ r+r. en. <br /> IIt11Lf11: MP FA I <br /> �1�51iP[UAC UNITS TONNIIGEEA. <br /> ��aRCED nin Sv5TEM5 fl.T.U. M EA. I <br /> ___-_". _ _. . . .. ____ '._- __ <br /> JOfl /�OORE55 �WALL NEMERS (1.T.V. M <br /> -1__-_ <br /> � C���� _ VNR MEnTERS fi.Ll'�. M �__ <br /> fVnPOR/1iIVECOOLERS <br /> PLUMBING ���- c�orNesonv[ns � <br /> VENTILATION FAN_ � <br /> PANGEHOOU � <br /> AIR NANDLING UNIT- C.F.M. <br /> IJO. TVPE OF FIXTURE OR ITEM FEE INCINERATOH � <br /> WA1EP CIOSET ITOILF.�I S --- <br /> BATNTVB � _-' -._"---- --- � <br /> LAVATURV(WI15M BASINI - � <br /> - - �T - <br /> SHOWER _ _ _ - <br /> .. -"__-'- ."- <br /> KITLHENSINKlL �ISP. SUBTOTAL f I <br /> OISHWASNER '...--.. - -"-- "-_ PfRMIT EI--_r— <br /> LAUNORv TflnV —{��"_'" -�-��----' -- —TOtAL FEE S —1--- <br /> CLOTHESWASHER i � � <br /> T1115 P6fiM111T BECOAI[5 NUl L �Nft VOIO IF WOfiK OR CONSTPUC <br /> WATER HEATF.R TIO�J AUTHO{iIZED IS NOl COMMtiNCED WITHiN 1T0 DAVS, OH IF <br /> UFINAL CONSTRUCTIpN 01i WORK IS ^VvPLNOFU Ofi �P/�NDONF.� POR � <br /> — PEftIDD Of 1]0 Ol�VS AT qNV TIMf AfTEP WOAK IS COMMENCEO. <br /> pRINKING FOUNTAIN _ <br /> FLOOR SINK ONOFAIN I HEREflV C(RT,FV iNFT I HAVE �U�O ANO F%AMWED T1115 AP <br /> VACUUM �PEAKERS � PLIC�IIUN ANO KNI)W 1ME SAMf. lU HF 1 RUE ANU CORRECT. AL1. <br /> PfiOVISIONS OF LAWS �NfJ OfiOINANC[S �OVEPNIVG T1115 TVP[ <br /> ROOF pRAINS RAINLEA�ERS_ __ _ t _ OF V.'GRK WILL !iF CO��PI IEO WRH WHET�ER SPF.CIfI[O HERFIN <br /> SINK ISERVICE AAR,ETC.) OA NOi. THE GFANiING OF !� PERMIT nOES NOT PRfSUME TO <br /> ---- — — GIVf. AVTHORITV t0 VIOI.ATE OR UNCEL l�lE PfiOVI5iON5 UF <br /> AryV OLHI'R STATL Ofi 1_OCAL LnW REGUI.AtINC� CONSTRUCtION <br /> ORTHFPERFO�M4NCEUPCONSTRVCt10N. <br /> SUDTOTAL <br /> _ __.._ ___—"._-. "_ - _- ' .-'. <br /> VERMIT S <br /> _"_ - "_ _._ ._ -_—."__-_-""____ . <br /> TOTAI. FEE . S <br /> " -'______. . .______ . _"._ .". _ . _ -____ <br /> X �� <br /> '.:IGNAIURLUICUNTRACIORORAUIHAGENT OAIE. <br /> 510[ 1/�RDtiLiH�1CK STRFEItiETItACK RF.ARVARp56if1�CKPl�NCNECKNUMflEfi �LIINCHECKFEE <br /> FEE A[CEIPT NO. <br /> USE 2ONE LOT ARF.l1 VACANT .",IiE <br /> ❑vEs ONo FEES VALUATION FEE <br /> T'IPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING --r <br /> UNITS � <br /> _ ---1'--. <br /> I <br /> SilF :IF 11Lf�G. NO.OF STORIES MA%.00C. LOAD flUILDING S �.M9 M -_._ h�(yti <br /> /' li.l]l— �-taec <br /> _—_ _ __ _ ___ _ . . __ "-"- _-__--_____ _ _—__ <br /> PI UMBING � <br /> IIR6ZONE IIASfR1I�N1 FIPkSPPINKLE(a5 __ ---�----- -��--- <br /> nruui�ri� � <br /> ❑YES ❑No MEC11AtlICAL � <br /> . ._ ._! -.___. <br /> I <br /> ;P(CI�LGc�Nlnti�iN; O1MEf� � <br /> _._ ._.__.._"_ <br /> _ _ .. _.. . . . . _____"_ __ __ . - _- _' ___ '_.. ____" . _ ..-_.—__ <br /> _._� -_. _ _.. ___ _ ._ -__._—__. _ <br /> rErviu r ��.r r. .in i i,i � <br /> ' . __-1 __-__ <br /> [-:j T D M �'� .-- --- -- . . . - -— - - � <br /> TOTAL � �(p <br /> — PERMIT VALIDA7ION <br /> —___. WM[h Plin�•1 r�� � A'A� iU;.l l li �ira in�S'.Pnr'I � ��u�: is c�.iUn ��L Ph��i <br /> I -_ ___- <br /> I ___ . _ <br /> I <br /> I <br /> I II� - �ii.[.[I�I��f1�11Y VlPY51'11�1.M111RY P4�PIIV[fllll�l�:���nl�ll�.�. <br /> Ia <br />