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j ;he Ercrg�^zn ' <br /> '� ���, GF CONSTRUCTION everett <br /> � everett PERMIT <br /> [�.ixP.aLL SS?EGu ' <br /> , ic(Ff1i,t'�45rilM1�ipN <br /> � 99'Oi <br /> °`°` °"°`�°""" BUILDING MECHANICAL PLUMBING <br /> � atvciorN[ry. <br /> I OWNEfl MA0.AOORESS ZIP PIIOUE <br /> :'?�i�1 �O� � '4�IS.3 <br /> � � <br /> ARGMITEC7�RDESIGNER MAILADDHE55 PHONE LICENSENO. ��L� <br /> iGENERAI,CDNTRqCTOR MAILADDRE55 PMONE IICEN5EN0. <br /> � �" <br /> MECHANICALGONTHACTOP MAILADORE55 PHONE I.IC MSENO. <br /> I PLUMBING CONTRACTOq MAIL AODRE55 PNONE LICENSE NO. � <br /> W <br /> m <br /> I <br /> PERMIT CLA55 OF WORK � <br /> ❑BUILDING �PLUMBING �MECHANICAL Z <br /> ❑NEW ❑ADDIt10N ❑ALTERATION ❑REPAIp ~ <br /> VA�UATION OF WOHK <br /> � <br /> g�;,� ❑OEMOLISH DFENCE �SIGN ❑SWIMMING PODL W <br /> a <br /> DESCFIDf.WORK <br /> Dx13.^±�..st� ict:,cru p3�c�ed aai £Y� a�' Duft�r ��7 s <br /> PROPOSflO USE <br /> ��� MECHANICAL <br /> TYP[OFFUEL �OIL �NAT. �LPG. �ELEC. <br /> LEGAL DESCRIPiION OF PROPERTY ISNOW BELOW Uii ATTACH GAS <br /> fOUR COPIESI <br /> �or BLOCK_oF NO. TVPEOFEUUIPMEN7 FEE <br /> Alii COND.UNITS-H.P. EA. $ 1 <br /> IRLFqIGERATIpN UnITS-H.P.EA. <br /> I <br /> BOILERS-H.P.EA. � <br /> GAS FIfiED A.C. UNITS-TONNAOE EA. <br /> FDPCE�AtR SVSTEMS-p.T.U. M EA. � <br /> JOr�B yAD�D(P��E�SSp� W4lL 11EATERS-O.T.U. M <br /> �"=M" ""f`V UNIt HEnTERS-B.T.U. M I <br /> EVAVORATIVECOOLERS <br /> i PLUMBING CLO7HESDFlVERS <br /> t <br /> I VENTILATIONFAN <br /> RANGE HOOD � <br /> i NO. TYPE OF FIXTURE OR I7EM FEE /+IR HANOLING UNIT- C.F.M. <br /> WATER CLOSET ITOILET) y INCINEAATOR � <br /> �NTNTUB <br /> IAVATORV IWASH BASINI � <br /> SHOWER <br /> � KiTCHENSiNK & DISP. SUB TOTAI 5 � <br /> DISHWASNER — <br /> ' I.AUNOFV TRAV _ PERMIT S <br /> ', CLOTHESWASMER TOTALFEE 5 � <br /> THIS PEPMIT 0[COMES NULL ANO VOID IF WORK OR CONS7iiUC <br /> WATEP NEATER TION AUTHOt11ZE0 IS N07 COMMENCEO WITHIN 120 OAYS, OR IF <br /> I URINAL CONSTRUCTION OF WORK IS SUSPEN�ED OR A6ANDONED �Oq n <br /> DPINKING fOUNTAIN PERIOD OP 720 DAVS AT ANY TIME AFTEFIYOPK IS COMMENCED. <br /> FLOOR-SINK Ofi ORAIN I HEREOY CEATIFY THAT 1 HAVE READ ANO EXAMIN[O THIS AP <br /> VACUUM 9REAKERS PLICATION 1�N0 KNOW THE SAM[ TO�E TqUE AND CORRECT. nLL <br /> fiOClf DRAINS-RAINLElaOERS PAOVISIONS OF I.AWS ANO Of101NANCES GOVERNING TH�S TYPE <br /> OF WORK VJILL BE COMPLIED WITH WMETHER SCEUFIEO HEFEIN <br /> SINK (SENVICE-[iAq,ETCJ Oq NOT, THE GRANTING OF A PERMIT DOES NOT P(iESUME TO <br /> GIVE AUTHORITV TO VIOLATE OR CANCEL TNE PROVISIOtJS OF <br /> ANV OiHEq STATE OR LOCAL LAW RLGIJLqTINGCONSTqVCTION <br /> OR THE PEfiFORMANCE OF CONSTRUCTION. <br /> SU9TOTAL <br /> PERMIT 6 <br /> TOTAI. FEE E <br /> X �+f�+'�", I <br /> SIGNATVREOFCONTIiAC10ROfiAl/T1i.AGENT OATE <br /> SIDEVAfi�5ET0ACY STIiEETSETOACK REARVAR�SETBACKPLANCHECKNUMDER PLANCHECKFEE <br /> I FEE RECEIPT NO. <br /> USEZONE LOTAREA VACANTSITE <br /> ❑vE5 ❑No FEES VALUATION FEE <br /> T'VPEOFWNST. OCCUPANCVGROUP ND.OFDWELUNG <br /> UNITS � <br /> SI2E OF �LDG. NO.OG STOHIES MAX.OCG I.OAD BUILDING �F�sT 'j ��� � �M <br /> VJ <br /> PLUMBING 1 <br /> FIREZJNE HASEMENT FIRESPRINKLERS � <br /> I RfOUIREO � <br /> ❑YES ❑NO MECHANICAL � <br /> � SPECIAICONDIT10N5: OTHER � <br /> i � <br /> PENELTY SEC.9031e1 I <br /> TOTAL f �� <br /> fl <br /> PEHMIT VALIDATION <br /> WHEN PRpP[RLY VALIUATED(IN THIS SPACE)THI515 VOUfi PfRM1T <br /> I <br /> I.PPIILATiONACCCVTC�OY'. >LqNSCNECKEOBY�. AVPBOVEUiO ISSUAMCEBY: <br /> � <br /> I <br /> Q � <br />