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i <br /> I . rhr Er„uimon <br /> ��.. o� CONSTRUCTION everett <br /> everett PERMIT <br /> �„��,�� .,,P.z., <br /> tr[Hi:1.pA[M��1Lll:V <br /> 9fl)'1 <br /> °�^ °��°�°°^��� BUILDING MECHANICAL PLUMBING <br /> otvnow[n� <br /> OWNER MAIL ApORE>5 ZIP P110NE <br /> _ ,,,� r,,-�, � � r 3r�-77 <br /> r <br /> ARCHREGTOR DESIGNER MAII AD�R655 VMONE LiCENS[ t,10. <br /> I GENEFALCONTPACTON MAILAODRESS PIlONE LICENSENO. <br /> "jF+,,.A <br /> MECHANICAL CONTRACTOR MAIL ADJFE55 PMONE LICENSE NO. <br /> � <br /> PLUMDING CONTHACTOR MAIL ADDflE55 PHONE LICENSE NO. W <br /> m <br /> � <br /> PLRMIT CIASSOF WOHK � <br /> Z <br /> �BUII.DING �PWMBING �MECNANICAL �Y. � <br /> ❑NEW dADDITJN ❑ALIERFTION ❑REPAIR � <br /> VALUA710N � , <br /> � ❑DEMDL6H ❑iCNCE ❑SIGN ❑SW�MMING POOL W <br /> s _ _ <br /> a <br /> oescnioE wor+K �11 Q t4 <br /> (FR'A�' 4 �?'�T� T,P G 1 v V <br /> rRoroseo use MECHANICAL <br /> iYP[OFFl1EL �OtL �Nl�. �IPG. �ELEC. <br /> LEGAL OFSCf�iPTION OF PRDPERTV ISHOW BELOW OH ATTACM <br /> FOUR�CD��'��CeSI �E�t - <br /> �oT1r�..6�oCKSL'c�F NO. TVPEOFEOUIPMENT FEE <br /> — AIRCOND.VNITS-MP EA. S _Y / <br /> REFRIGERATION UfJIT: -H.P, EA. � <br /> �OILE�S- H.P. CA � � <br /> Gq6 FIRE� A.C. UNITS-TONNAGE EA. <br /> fORCED AI(i Sv5TEM5-fi.T.V. M EA. I <br /> JOB ADDRES$ ��r�a W�.LL HEATERS- fi.i'.U. M <br /> � '� UNIT HEATERS�-B.T.V. M I <br /> EVAPORATIVECOOlERS <br /> PLUMBWG �_c�orN�s onveas i <br /> VENTILATION F/aN <br /> PANGEHOOD � <br /> TVPE OF FIXTURE OR ITEM FEE nuv �inNDUNG UNIT- aF.M. <br /> iwuveRnTor� � � <br /> WATERCLOS@TITOILETI 5 - - —7 <br /> HATHTU9 — <br /> L�VATOPV (WIISH BASIN) ' <br /> SHOWER - <br /> KITCHEN SINK h OISP. SUB TOTAL 5 I <br /> pI5HWA5H[R PEFMIT 5 <br /> LAUNDHVTFAV i TOTALlEE S I <br /> CLOTHiS WASNER TNIS PERMIT BECOMES NULL AIJD VOIO IF WORK OP CONSTRUC <br /> tVATEP NE/�TER 710N AUTHOfi1ZEO �S NOT COMM[NCED WITHIN 120 �AVS, 7R IF <br /> URINAL COfJSTHUCTION OP WOPK IS SUSPENDED OR AF3ANDONEO FOR A <br /> DR�NY.IN(3 FOUNTAIN � PERIOD OF 120 �AYS AT ANY TIME AFTER WORK IS COMMENLED. <br /> flOOf�-SINK OR ORAIN I HER[FiY CERTIFV 1MAT I HAVE REl�D <+ND E%AMINED THIS AF <br /> PL�Cl+iION AND KNOW THE:nME TO OE TRUE AND CO�RECL l+Ll. <br /> VACUUM OREAKERS PROVIGIOWS OF L/+WS /aND OROINANCCS GOVEPNIHG THIS TYPE <br /> qOOF DRAINS-RAINLEPDERS i OP WORY. �VILL 13E COMPI�ED WITH WH[1'H[R SPECIFIfO HEREIN <br /> SIIJK (SER\'ICE-B/��, ETC.1 1 OF NOT. THE GRANTING OF A PERMIT DOES NOT PRESVME lU <br /> --- �—' — GIVE A'JTHORITY 1'O VIO�ATE OA Cl�NCEL THE PqOVI51CN5 OF <br /> � nNY OTHEA STATE O�I LOCAL LAW REGUL/�TING CON;iRUCTIOIJ <br /> OR THE PERFORMANCE OF CONSTFUCTION. <br /> SV6 TOTAI <br /> PEFMIT S <br /> TOTALFEE S '�.y� <br /> x ��y ��� <br /> SIGNATUREOFCONTRIICiOROR�IUTH.AGENT DATE <br /> SI�C YAflDSET�PCY. 6TREET SETBACK REAq Y1IRUSET3ACY. PLANCHECY NlIMt1FR NLANGNECK FEE <br /> � 1�fG fEE �'� RECEf�u{Q� � <br /> �Y.lV �T'1�y <br /> i USE ZONE LOT AREA VACANT SRE <br /> i ❑vE5 ❑No _ F[ES VALUATION FEE <br /> i TVPE OF CONST. OCCUPANC� GROUP NO.OF DWELIING �— <br /> UNItS � <br /> II 512E OP BLOG. NO.OF STOPIES MAX.OCC. lOAO BUILDING S ,��yy �. � <br /> I —i <br /> PLUMBING <br /> F�FE20NE OASEMENT Rf�URrEDK�ERS � — <br /> ❑VES ❑NO MECNANICAL I <br /> 1 -- <br /> SPGCIAL CONDITIONS�. OTMER � <br />� — PENEIiv SFC. ��31e1 � <br /> I I =— TOTA: i�, IG� <br /> PENMIT VALIDATION <br />` _ WMEN PROPEALV VALII]MEO (itJ T1165PAC[)i1115IS VOUR PFRM�T <br /> �"ft�U.l'ONLCC[1'409Y �I.hNSCHCCYfOflY. PfWNDVIDfOP15511PNC[RY . <br /> �� C� I <br /> I � I <br /> � <br />