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ihc Er�vgnvn <br /> ��t� �>, CONSTRUCTION everett <br /> everett PERMIT <br /> fifv N�11 ]59P4A� <br /> lVIPIII W�iNINf�I�4 <br /> 9A)�I <br /> ��,�, nn(rai`or41', BUILDING MECHANICAL PLUMBIN <br /> OWNER MML�UURE55 ZiP PMONL <br /> ���"t�'. n +'ft.'�'- I�22 CiLR.s:3i.'! 25i3•�.'2�'i 'a7'�76 <br /> ARCNI7ECT OR UESIGNER MAIL ADOfiESS PMONE LICENSE NO <br /> GENERAL CONTHACTON MML ADDFESS PHONE LICENSE NO. <br /> P?"?4TP 1�: '�3� <br /> MECMf�NICAL CONTPACTOR MNL AODRE55 PHONE LICENSE NO. <br /> PWM9INGCONTN/1CTOH MAILAD�RE55 PMONE IICENSENQ m � <br /> PERMIT CLASS OF WORK z <br /> �BUILDING ❑PLVMflING ❑M[CHIINIC�L F <br /> ❑NEW �nDDITION ❑nLTEfi11TION ❑REPf�IP � <br /> _ _-_ � <br /> VALUATIONOFN�pK � uJ <br /> ��yy(�y ❑oennoi.isu ❑ri_Na. ❑sicrv ❑swimMiNc roo� a <br /> S -- -- ------ - .__— ------ G 4 3 <br /> oescniar wonK � <br /> A�II :J i�k:T1 <br /> PROPOSED USE MECf�ANICAL <br /> Tvr�_ cu wii"poi��— Duns'�—�u�c. pE�Fc.— <br /> l[G/1L OCSCRIPTION OF PROPEfiTY ISHOW I1L�OW OR MiACII <br /> rour}�p�yyb� �� � �.,�,�� NO. _ _ TVPE OF E�UIPMENT _ FEE <br /> LOi �' �OLOCK_ F—__—�---- - q�qCONO. UNITS-H.P. EA. S � <br /> REFRIGERATInN UNITS M.P. EA. <br /> . � pO1LER; IIP. EA. � <br /> GAS FIPED .4L. UNITS��TONNAGE EA. <br /> FORCEO AIR SVSTEMS� A.T.U. M EA. 1 <br /> JOU AODRESS � � �� ��-� "- -� W/�lL NEAIEFS -0.T.U. _ M J <br /> UNITHEATERS-B.T.U. M � <br /> EVAPORATIVE COOLEfiS <br /> PLUMBING CLOTIIESORVEFS _ � <br /> VENTILATION FAN <br /> RANGEMO00 � <br /> AIR HANDLING UNIT- C.F.M. � <br /> NO. TVPE OF FIXTURE OR ITEM FEE �NCINEfiATOR � <br /> WATERCLOSETITOILETI S -- -T <br /> BATMTUB <br /> 1 <br /> I.AVATORV IWASH BASINI ---- --T <br /> SHOWER ----- <br /> KI�CMEN SINK lL DISP. _ _ SUB TOTAL S I <br /> DISHWASHFR __ PERMIT f __ F <br /> LAUNONV TRAV TOTALFEE S I <br /> CLOiHES WASHER TIII; PERMIT flECOMES NULI AN[] VOID IF WORN OP CONSTRVC <br /> WMfR NEAiER tION AU1110R12F:[t IS NO! CO�d'.IFNCED WITIiIN 170 DAVS, OR IF <br /> URINAL CONSTRUCTION OR WORK IS ;USPENDEO OR ABANDONF.D FOR A <br /> PERIOD Uf 110 OAVS AT ANV TIML AFT[R WORK IS COMMENCED. <br /> f1RINKING FOUNTAIN <br /> FLOUfi-SINK OR DRAIN l I NEREBV CERiIFV THM 1 HAVE REAO �Np E%AMWEO THIS AP- <br /> P�JCAT�ON ANO KNOW THE SAh1E TU 11[ TRUE AN�COfiREI'T. ALL <br /> VACUVM fIflE�KERS ! PROVISIONS O` Ll�WS AND OROINnNCC.S GOVERNIN(i THIS TVPE <br /> ROOF URlUNS-P.AINLEADERS Jf WORK W�LL HE COMP�IED WIT11 WM[THF.N SPECIFIEC HEREIN <br /> SINK (`EPVICE� fl�R, ETC-) OR NOi, 111E GR�NTiNG Oi A PERMIi �OES NOT PRESUME TO <br /> -- --- GIVF AVTIIORIiV TO VIOI-ATE OR C4NCE1_ iNE PROVISIONS O� <br /> ANV OTIIFft STA'E OR �OCAL I.AW RE(3ULATINO CON.^.Tf1UCTION <br /> � Ofi T.IL rE11FOfiMnN[F. Of CONSTRUCiiON. <br /> _______ <br /> SUBTOTAL <br /> _"—_ _.- ____ PERMIT --___$ ____I__- <br /> ___-__ -__ <br /> TOTAL FEE E -- -� �_�M/� <br /> ___ ..____"_ . _... ._ <br /> x <br /> sicwniunEUFcor+rnncltinonnuTH.—naeNr onTE <br /> SI �EYARDSETfiPCK STREEtSGTFlACK �EAR�AROSETOI�C PLANCHECKNUMIIER PIANCHECKFEE <br /> r�E-w�_/f fEE �� RECEIVTNO. <br /> ��r-�+w � <br /> USE ZONE lOi AFEA VACANL SITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP UNIT�S DWELLING � � <br /> ry� IM <br /> SIZE OF BLOG. NO. OF SiOR1ES MA%.OCC. LOAD OUILDING S �VI �I W <br /> PLUMOING � <br /> lIFEZON@ (iASEMENT j��pUlIiEDKLERS — <br /> ❑VES ❑NU MECHANICAL � <br /> I <br /> SPECIAL :ONDITIONS- OTHER I <br /> ---- _ __ — PEN6LTv SEC. 90JInl � <br /> —_-___ __- .LL� <br /> -- — -- TOTAL �y�� <br /> -"'--' PERMITVALIUATION <br /> WIi[NPROPfPI V VN IO�TLp IiN TIIISSPACEI TMI515 VOUP PERMIT <br /> ♦PVLIf1i111'1�(Cfl'ilI1NY �IAI�SI'l1FCNff]IIY >PPRUVI'Jf0 IS�IIANI.ItlV <br /> �� � <br /> 0 <br /> � <br /> . t <br />