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.,,.) E,rrr7'�'cii <br /> _��� ��, CONSTRUCTiQN e��erett � <br /> everett PERMIT <br /> � , .. <br /> {:ftiitL,'.q5.g'.;�11!M • <br /> 9f:Cl <br /> °`�` °` �°°"'°"' gUILDING MECHANICAL PLUMB�iVG <br /> oEVI Lunc�f rvl <br /> DIYNEF MAI�ADDP6S5 ZIP AHONE +y� <br /> . .,� . . �. ��iQ'-if �W2�'� <br /> ARCMITECT OR OESIGNER �dAIL AOOflE55 PHONE LICENSE IJO. <br /> GENEFAL CONTRACTOP MAIL ADORESS PHONE LIGENSE IJO. <br /> C"�P '�P�p � LLFlO�.A �r f0alLli �� <br /> MECMANICALCONTRACTOR MAIL ADOiiE55 PHONE LICENSE h0. <br /> PLUM6ING CONTNACTOR MAIL ADDRESS 9HOIVE LICENSE NO. � <br /> W <br /> m <br /> PERMIT LLA650F WORK � <br /> � <br /> Z <br /> QBUIL�ING �PLVMBING �MECHANICAL F <br /> ❑NEW ❑ADDIt10N ❑ALtEi1AT10N �REPnIR � <br /> VA WATION OF WORK � <br /> � �� ❑DEMOL�511 ❑FCNCE ❑SiGN ❑�W:�.'.6,iPo. POO� � <br /> DESCRIBE.WpRK ��� <br /> ��aW <br /> FROP(15ED USE MECHANICAL <br /> L[GALDESCHIPTIONOFPROPEFTVISHOWBELOWORATTPCH TVPEOFFULL �GiL �GAnT. �LPG. �ELEC. <br /> fOVNCOPIE51 <br /> �or BLocK—OF _ NO. riPE OF EQUIFMENT FEE <br /> AIR CONO. UNITS-H.P. EA. S � <br /> tiEFRIGERATION UNITS-N.P. EA <br /> 60RER5-H.P, EA. � <br /> GAS iIHED A.C.UNITS-TONNnGE EA. <br /> �y I �OPCE�AiR SYSTEMS-B.T.ti. M EA. I <br /> JOC /aDDRES; � '/ I WAIL HEATERS-B.T.V. M <br /> ��� i UN�T HEA7ER5-B.T.U. M I <br /> ILVA�UPATIVECOOLERS <br /> PWMBING i c�oTMEs oRVEAs � <br /> VEN7ILATION fAN <br /> PANGEHOOD 1 <br /> NO. TVVEOFfIXTUREORITEM FEE AINHANOIINGUNIT- C.F.M. <br /> WnIERCLOSETITOILETI ` - �NCINEFATOR I <br /> CiATNTUB <br /> �AVATORV(WASH BASINI I <br /> SHOWEF <br /> KITCNENSINK6Di5P. SUBTOTAL 6 � <br /> OLHWASMEH PERMIT E <br /> _ If�UNDAV7RAV TOiALfEE S � � <br /> _ [�_pTMES WASNEF THIS PEPMIT BECOME$ NVI� AND VO10 IF WOPK OH CONSTPUC i <br /> UVMER HEATER TION AUTNOR�ZED IS NOT COMMENCEO WITHIN 120 DAV$, O�i IP <br /> URINAL �— CONSTFUCTION OR WORK IS SUSPENDEO CR A�ANDONED fCi' n <br /> DNINKING FOVfJ'AIN PERIOD Of 120 DnVS AT qN� TIME AF7ER WOPK �SCOMMFNGff�. i <br /> FLOOR-SINK Ofl ORAIN � NEHEfiY CERTIFY THAT 1 NAVE READ AVU E%nh11NED THI'.; /-➢ I <br /> VACUUM �FEAkEfiF PIICATION AN� YNOW THE SAME TO 6E 1PV[ AN�CORRECT, nl l � <br /> PROVISiONF OF L1W5 4NU OFDINANCE; GOVERNING THIS TYPE <br /> ROOF URAINS-RAINLEADERB � OF WORY, WILI RE COMPIIEU WI1:� WHETNEP SPEQFIEU HEfiE1N I <br /> SINK (SERVICE-9NR, ETC.1 OR NOT, THE CiHPNTiNG O!- A PEPMIT LrOES NOT PRF.SUME TO I <br /> GIVE AUIHOPITY TO VIOIATE Oq CANCEL THE PROVIS�DNS OF <br /> ANY OTHER STATE OP LOCAL LP.W FEGUTATING COI�STRUCTION ' <br /> OR THE PEFFORMANCE OF CONSTRJCTION. <br /> SUBTOTAL � I <br /> PERMIT {� <br /> TOTALFEE S ' �� <br /> X <br /> 51GNATUREDFCONTqACTORORAVTH.AGENT OAIE <br /> SIDEYAP�SEiBnCK STflEETSETOACK REARVARDSETRACKPLANCHECKNVMBEA PLANCNECKFEE <br /> FEE RECEIPT NO. <br /> VSE 20NE LOT AREA VACANT SITE <br /> �vES ❑No FEES VALUATION FEE <br /> TYVEOFCONST. OCCUPANCYGHOVP VNIOS OWELLING I <br /> SIZE Of BLDG. NO.OF STOflIES MA!(.00C. LOFD BUILDING § � <br /> � <br /> FIRE20NE DASEMENT FIRES RI KL p5 P�UMBING I <br /> FEOUIREO <br /> ❑VES [�NO MECfiAN1CAL � <br /> SPECIALCONDITIONS: OTHEH � <br /> _ � <br /> PENELTV SEC.�031e1 1 <br /> t' <br /> � — TOTAL � <br /> PERMIT VALIDATION <br /> WMLtJ PROPEP.LV VALI�ATEO IIN THISSPACEI TNIS IS YOUR PERM17� <br /> MPLlc�imn<�ICrrlroev PLnxSGncck[oer� nrnnov[oro BSonNCFer <br /> � C� <br /> 0 <br /> \ <br />