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Ihc Er�¢rq�.'dn <br />QTl' OF <br />ev�rett <br />CitV w4LL }59888. <br />fVCPEtI. NF1NIMLiON <br />9R01 <br />°", °` �°°^'°�'� BUILDING <br />a�vciovucu* <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL PLUMBING <br />everett <br />OWNER p MAIIj �DO�RE55 ZIP PNON[ <br />�i�f'PC�:% L. ��$s bQiG �OlD� `3�w'.i� <br />1'ri'�-Ti <br />ARCN'TECTORDESIGNER MAILADDAESS PHONE LICEN�ENO. <br />GENERAL CONTqACTOR MAIL AODRE55 PHONE LICENSE NO. <br />T�. S. P.uilders 7529 �everly *�1vsi. 3S3-6RZ3 22]-�1-251A6 <br />MECHANICAL CONTRACTOR MAIL ADDRE55 PMGNE UCENSE NO. <br />PLUMBINGCONTRACTOR MAIIAD�RE55 PMONE LICENSENO. � <br />W <br />m <br />PERMI7 CLA55 OF WOAK � <br />Z <br />�jiUILUING �PLUMBING �MECHANICAL F <br />�NEW ❑ADDITION ❑ALTEHATION ❑REPqIF � <br />VALUATION OF WORK Q <br />$ ��aQa�QO ❑DEMOLISH ❑iENCE ❑SIGN rISWIMMING POOI. a <br />OESCRIB[ WORK <br />Garage3 i Sho� 1?ola Cyhc bullJinq 2��8 <br />PROPOSE� USE <br />Gazage 6 SZIOp ME�.HANICAL <br />I.EGAL�ESCRIPTIONOFPROVERTY(SHOWeELOWOFATTACN TYPEOFFVEL �OI� �Gns. �LPG. �CLEC. <br />FOUR COPIES) <br />Lor oLOCK—oF NO. TVPE OF EOUIPMEN7 FEE <br />AIfl CONO. UNITS-H.P. EA. S I <br />9i:C 7';�4P 28 R� S REFRIGEfiAYION U1JIT5-M.P. EA. <br />DOIL[RS-H.P. EA � <br />GnS FIHED A.C. UNITS-TONNAGE EA. <br />ir/: 7 FORCEO AIR SVSTEMS-B.T.U. M EA. I <br />JOB AODRk55 WALI. HEATENS-�.T.U. M <br />G:;Ib C6I��y uniT HEnrERs-e.T.u. M i <br />[V! PORATNE COOLENS <br />PLUMBING CLOTIiES ORVEPS i <br />VENTILATION FAN <br />RANGE MOOD 1 <br />NO. TVPE OF fIXTURE OR ITEM FEE A�R NANDIING UNIT- C.F.M. <br />WATERCLOSETITOILETI § INCINERATOR I <br />F3ATHTUU � <br />LAVATORVIWASHBASIN) � <br />SIIOWEfi <br />KITCHENSINK&DISP. � SUpTO7AL S <br />DISH\YASHER ' <br />PERMIT 5 <br />LAUNONY TRAV TOTAL FEE 5 � <br />CIOiMI_^. WASHEfl THIS VEHMIT BECOMES NULL AND VOI� IF WORK OR CONSTRUG <br />_ WATEF HEAT[R TION AUTHORIZED IS NDT COMMENC[D WITHIN 120 DAVS, OF IF <br />URiNnL CONSTfiUCTIOM Ofl WORK IS SVSPENDED OF ABANOONED FOP A <br />nRINKING FOUNTAW PERIOD OF 120 DAVS AT ANV T�ME AFTER WORK IS COMMENCED. <br />FLOOR-SINK OF ORAW � HERE9V CERTIFV THAT I HAVE REAO AND E%Ah1WEU THIS AP <br />VACUUM BREAKERS PUCATION AM1D KNOW THE SAME TO BE TRUE AND CORRECT. ALI. <br />� PROVISIONR pp LAWS AND Of1DINANGE$ GOVERNING TIIIS TVPE <br />ROOF DRAINS-RAINLEADEfiS OF WORK Wt�L 0E COMPLIED WITH WHETHER SPECIFIED HLREIN <br />SINK ISERVICE-BAN, ETC.) OR NOT, THE GNnNTING Of- A PERM1IIT DOES IJOT PRESUME 70 <br />— GIVH AUTHORITY TO VIOLATE Oq'Cl1NCEL THE PqOVI510N5 OF <br />ANV OTH[R STATE OP IOCAL lAW qEGULATING CONSTfiUCTION <br />OR THE PERFORMl+NCE OF CONSiRUCT10N. <br />SUUTOTAL �_ <br />PEfiMIT S <br />TOTALFEE $ ..-�� J.�r- <br />X �I7K'•i : ! <br />SIGNATUREOFCONTflACTOIiORAUTH.AGENT nME <br />SIOE YAHD SETDACK $TREET SETOACK fiEARYAqD5ET0AC PLAN CMECK NUMBLP P�AN CHECK FEE <br />�� ZOi �I/�iO6• FEE 1�.3� FEC�EIPpT�NO. <br />USEZONE LOTAREA VACANTSITE , «]YY <br />�'1 ❑vEs �No FEES VALUATION FEE <br />TVPE OF CONST. OCCUPANCY GROUP NO.OF 1WELLING <br />UNITS � <br />S�2EOFOLDG. NO.OFSTOHIES MAX.00C.LOAO OUILDING S�/8�Q�0� ai; cn <br />ZQ�A30� 1 <br />FIAEZONE DASEMENT FIRESPqINKLEFiS P�UM�ING � <br />J SiO R[IYESED !�„]N� MECHANICAL � <br />�SPECIAyL CONDITIONS UTHEq � <br />:� Y+F <br />PENELiY SEC.30710) I <br />TOTAL 3�j`�� <br />.O COlO�=O A OCCi1pR OJls Q�i� �ti. � ERMITVALIDATION <br />— WI1GN PROVFRLY VALIDATED (IN TKIS SPACEI THI515 VOUR PERhLT <br />FMLICATIONACCFYTE�EY'. PLANSCMCLk[OOY: APpNOVEDFOPI�UANf,F.BP. <br />P.R ��� <br />� <br />