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J i-4' r <br /> I (�11� C l'L�/If/t�L'/) <br /> --�T� �� CONSTRUCTIOfV everett <br /> eV�l'�tt PERMIT <br /> nn nui nsevey . <br /> Fv[n[i1.naSnNGi0r1 . <br /> 9l101 <br /> °"' °"°°"°°"' BUILDING MECHANICAL PLUMBING <br /> ��E�.E«�„E�,r <br /> OWNEli MAIL A�OFE55 21P !'HONE <br /> '� n � ;�n.rP�Sl�iwz C.�� •.LT17�'"�A! �«� ��� <br /> ARCHITE T OR O[SIGN[N MAI�ADORE55 PMONE LICENSE NO. <br /> GEN�RAL CONTRACTOR MAIL AO�RE55 PHONE LICENSE NO. <br /> MECHANICAL CONTRACTOP MAIL ADDFE55 PHONE LICENSE NO. <br /> PLUMOING CONiRACTOR MAII.ADDFE55 PHONE LICENSE NO. � <br /> ii� ?7Q� � ��. I1T6:1 . w <br /> m <br /> PERMIT GLASSOFWOflK � <br /> � <br /> ❑ �UILDING PLUMBWG z <br /> � �MECHANICAL F <br /> � ❑NEW ❑ADDITION �AITEfl/IT:ON ❑REPAIR � <br /> VALUATION OF WORK - � <br /> 5 . ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL w <br /> d <br /> DESCRI�F WORK <br /> 7.916 <br /> raoroseo use ' <br /> MECHANICAL <br /> LEGAL DESCflIPTION OF PROPEflTV ISHOW AELOW OR AiTACH TVPE Of FUEL QOIL ❑cn5 �I.PG. �EIEC. <br /> FOUR COPIE5) � <br /> �O7 � ULOCK—oF NO. TYPE OF EQUIPMENT FEE <br /> AIP.CON�. UNITS–H.P. EA. 5 I <br /> , REFRIGERATION UNITS–H.P. EA. <br /> �OILERS–H.P. EA. � <br /> GAS FIflED A.C. UNITS–TONNAGE EA. <br /> FOFC[D AIH SYSTEMS-6.T.U. M EA. � <br /> JOE3 A�DryOpF�ESS WALL HEATERS–B.T.U. M <br /> ;7�1:�il �L:1'$� VNIT IiEATERS–D.T.U. M I <br /> EVAPORATIVECOOLEFS <br /> PLUN!BING CLOTHES DRYERS <br /> I <br /> . VENTILATION FAN <br /> RANGEHOOD � <br /> � NO. TYPE OF FIXTURE OR ITEM FEE AIR FIANDLING UNIT– C.F.M. <br /> WATER CLOSET�TOILET) 5 INCINERATOR � <br /> en7Hiuo � -�- <br /> LAVATORY IWASH BASIN) �^ I <br /> SNOWER � —�– <br /> �ITCHEN SINK& DIS�'. SU�TOTAL 5 <br /> DISHWASHER � <br /> LAUNDRY TRAV � AERMIT 5 <br /> CLOTHES WASh1ER I-- TOTAL FEE 5 � <br /> . — THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUG <br /> WATER NEATER TION AUTHORI2ED IS NOT CO1�iMENCED WITHIN 120 DAVS, pR IF <br /> UflIN/1L CONSTqUCTION OR WORK IS SUSPENDED OR A�ANDONED FOH A <br /> ' DNINKING FOUNTAIN PERIOD D� 120 DAVS AT ANY TIME /1FTER WORK IS COMMENCED. <br /> FLOOR–SINK OR DRAIN I HERE6V C[FTIFV THAT I HAVE READ AND L%AMINED THIS AP� <br /> VACUUh1 (3REAKERS �'LICI�TION AND KNOW TNE SAME TO DE TRUE AND CORFECT. ALL <br /> � PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> ROOF DRAINS–RAINLEADEflS OF WORK WILL dE COM17PLIEU 1YITH WHETHEfl SPECIfICO HEREIN <br /> SINK ISERVICE–OAR, ETC.1 �~ OF NOT, TFIE GRANTING OF A PERM1IIT �OES NOT PRESUME TO <br /> GIVE AUTIiOli1TY TO VIOLATE OR CANCEL THE PROVISIpNS OF <br /> ANV OTHER STATE OR LOCI�L lAW HEGULATING CONSTRUCTION - <br /> – OR THE PERFOFMANCE OF CONSTRUCTION. <br /> SU6 TOTAL ' � <br /> PEqM1T 5 <br /> TOTALFEE $ � .+ �y, <br /> x y'J"�I i <br /> SIGNATUFEOFCONTf1l1G70ilORAUTH.AGENT DATE <br /> SIOE VARO SET�HCK STREET SET6ACK REAR YARDSETBACK PLAN CHECK fJUM�Efl PLAN CHECK FEE <br /> ' FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANTSITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROVP ND.OF �YYELLING � <br /> UNITS � <br /> SIZE OF OLDG. NO. OF STORIES MA%.000. L0�10 6UILDING $ � <br /> I <br /> PLUMOING � Ip <br /> FIRE20NE OASEMENi PIRESPPINKLEflS � . <br /> RCQUIRED — <br /> ❑':ES ❑NO MGCHANICAI � <br /> SPECIAL CONDITIONS: OTHER � <br /> � <br /> — PENELTY . SEC. 3071a1 I <br /> I <br /> � . . TO7AL � 'f � <br /> � PERMIT VALIDATION <br /> ' . WHEN PqpP[RLY VALIDATED (IN THIS SPl�C[I TIIIS IS VOUIi PERMIT <br /> nrvucanOrvnccU•irobv v�,:raUrtcrccOCr nvCnOVEflio0lS'�unK][Or � . <br /> w . <br /> e <br /> � I <br />