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`,,`' t°`""`�`"' CONSTRUCTION everett <br /> ��,� ��� <br /> everett PERMIT <br /> �IIV Xqll !.aYitltl] I <br /> E������ wa��°�°'°^ PLUMBING <br /> °' " gUILDING MECHANICAL <br /> ��,., .�„��„��,�. <br /> uevu0cm[ni 21P PHUNE <br /> MAIL ADDHE55 y�7-7� <br /> OWNER ���'� ;:;lUYt PLAClY <br /> wl�llSifs Sh1�1cSa _ _ ______---PHONE —�lcer�se r�o. <br /> I ------- -�- � lv1AIL t�OOR[SS <br /> qRCHITECT OH DESIGNEF <br /> ---�PryONE LICENSE NO. <br /> -- Mq��qODRESS <br /> GENEftAI CONTHL�GTOP <br /> PHONE LICENSE NO. <br /> I Mqi� ADDFlESS � <br /> MECHANICALCONTftACTOR <br /> PHONE �ICENSE NO. m <br /> MAIL ADDRE55 cL <br /> � PLUMBINGCONTRACTOR ,_ <br /> CLASS Of WORK Z <br /> PERMIT l�.ha� ~ <br /> PLUMBING ❑MECHANICAL �qDOITION ❑ALTERATION ❑AEPP.iP � <br /> �BUILOING ❑ ❑NEW w <br /> Vt1�UNT10NOFWORK �pEMOLISN ❑FENC`- ❑SIGN ❑SWIMMINGGO <br /> a <br /> �90.ou ---- $35 <br /> oescaisE woaK � IS3Ck Y3lt3 <br /> Partidl �'�� T'- <br /> PROPOSEO USE MECHANICAL <br /> TYPEOFWEL �OIL ❑GAS ��PG� ❑ELEC. <br /> LEGA�DESCRIPTiON OF PROPEFTV (SHOW BE�OW OR ATTACH NO T� EFOEp QUIPMENT $ FEE <br /> FOUft COP�E51 <br /> BLOCK—�F AIF COND.UNITS-HP_ EA_ <br /> LOT REFFIGEFATION UNITS-H.R EA. I <br /> BOiLk'RS--H.P- EA. <br /> GAS F IRED A.C. UNITS-TONNAGE EA. ' <br /> FORCED AIR SVSTEMS-B�T.U. M EA. <br /> -- WALL.HEATERS-B.T.U. � <br /> �J a1� M <br /> �pg pDDRE55 UNIT HEATERS-B.T��1. <br /> EVAFORATNECOOLEFS � <br /> CLOTHESDRVEFS <br /> PIUMBING VENT�LATION FAN � <br /> RANGEHOOD <br /> C.F.M. <br /> AIR HANDLING VNIT=�� 1 <br /> NO. T'PE OF FIXTURE OR ITEM $ <br /> FEE INC'NERATOR <br /> WATER CLOSET(TOIIET) � <br /> gqTHTUB —�� — <br /> LAVATOFVI`/`1ASHBASINI SUBTOTAL S � <br /> SHOWER -- �pERMIT 5 <br /> KITCHEN SINK& OISP. - -- TOTAL FEE S � <br /> DISHWASHER <br /> LAUNDfiV TRA� -- THIS PERMiT BECOMES NUL� �+ND VOID IF WORK OR CONSTRU - <br /> CLOTHES WASHER TION AUTHORIZED IS NOT COMMENCE� WITNIN 120 GA�S, OR IF <br /> WqTER HEATER +— CONSTRVCTION OR WORK IS SUSPEN�ED Ot� nBANDONED FOR A <br /> URINAL PERIO� OF 120 DAYS AT ANY TiME AFTEF V90RK IS COMMENCEO. <br /> ORWKING FOUNTAIN I HEREBV CERTIFV THAT I HAVE READ ANO EXAMINED TH15 AP- <br /> FIOOF-SINK OR DRAIN pR10VI510N5 OP LAWS AND OFDEINANCES GOVERN N�GRTH STT�PE <br /> VACUUM BFEAKERS OF WORK WIL� BE COMPLIED WITH WHETHER SPECIFiED HEFEIN <br /> FOOF DPAINS-RAINLEADEftS OR NOT, THE GRANTING OF A PERMIT DOES NOT PPESUME T� <br /> SINK lSERV ICE- qNV OTHER STATETOR IOCALELAW flEGULATING CONSTP�UCTION <br /> OR THE PERFORMANCE OF CONSTRUCTiON. <br /> SUBTOTAI $ --} �/�7/76 <br /> PERMIT <br /> TOTALFEE $ <br /> X <br /> SIGNATUREOFCONTLiACTORORAUTH.AGENT DAT <br /> � PLAN CHECK FEE <br /> FEE RECEIPT NO� <br /> SIDE YARD SETBACK STREET SETBACK REAP�ARD SETBACK PLAN CHECK NUMB <br /> LOT AREA VaCANT SiTE yqLUAT10N FEE <br /> USEZONE ��ES �N� FEES <br /> I <br /> TVPE OF CONST. OCCUPANC� GROUP UN�iT�S �wELLING • I <br /> $ � <br /> � MAX.00G LOA� HUILDING _ <br /> NO.OF STOFiES - � <br /> SIZE OF BLDG. I <br /> PWMBING � <br /> F�RESPRINKLEftS I <br /> FIRE ZONE BASEMENT REQUIRED MECHA�:ICAL <br /> ❑vE5 ❑N� { <br /> OTHER <br /> SPECIALCONDITIONS: � <br /> PENELT� SEC.3031a1 <br /> 1 ' <br /> _ � <br /> TOTAL <br /> PERMIT VALIDATION <br /> WHEN PFOPERLY VAI_IDATED�'N THIS SPACEI THIS IS�OUft PEF <br /> pVPIICPTION ACLFVTED BV <br /> PLANSCNEIXEOBY�. APoflOVEOFOFI55Ul�NCFBY <br /> � <br />