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u��,�� <br />cin oF <br />everett <br />259-8745 <br />r C?"INSTf�UCTION �� i- <br />PERMIT P�RM,TNQ_ 20531. <br />❑ DEMOLi710N ❑ COMBINATION ��� BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILAOORE55 CITV 21P PMO'.'F <br />Exxon 116 128;h St. SE/IH#5 �verett 98204 337-0126 <br />r1RCNITEGTOf1�E51GNER MAILAD�RESS CITV lIP PHONE <br />GENEflALCONTRACTOR MAILADLIRESS CITV 21P PHONE !�r,ENSE� <br />Engineering T.ech. Svscs. 2287 Mel]x:urne FL 32902-2287 724-5678 ENGINTS112KA <br />MECMANICA�CONTRACTOR MML A�DRESS CITY 21P PHONE LICENSE X <br />PLUMOINGf,^4*u4CTON AIAILFDORESS CITY ZIP PMONE LICENSE� <br />CLA55OF WOnri <br />O NEW �1 ADDITION ❑ ALTERATION ❑ HEPAIR ❑ DEMOLITION ❑ BUILDING HELOCA710N <br />VALUATIONOFY 9qH <br />S 3000.00 <br />�GECRI9E tVORK <br />Installatin of satellite antenna. <br />❑ ELECTHICITY ❑ GAS ❑ WOOUSTOVE ❑ OTHER <br />Gas <br />LOT _ BLOCK _ <br />JOBAOORESS <br />PLUMBING <br />wA'hR CLOSET (TOILET) <br />BATHTUB <br />LAVATOi;V (WASH BASIN) <br />KITCHEN SINK 8 �ISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />BACHFLOW PREVENTERS <br />FlOOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR. ETC.) <br />TYrE OF CONST <br />N/A <br />I4. M <br />SUBTOTAL <br />PEPMIT <br />TOTALFEE <br />REARSEiOACK <br />LOTAREA <br />OCGVPANCYGROUP <br />B�1 <br />NO.OF STOBIES <br />1 <br />VAGANT SiTE <br />❑YES �NO <br />NO. OF OWELLING UNITS <br />� <br />MA%.00C LOAO <br />N/A <br />ECRED �Y APPR. FOR ISSUANL2 BV <br />J.W. J.W. <br />4Y%C[ i <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVEtiNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AIITHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF 'NY OTHER <br />STATE OR LOCAI LAW REGULATING CONSTRI,^•TION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIG'.ATU�1E OF NTRACTOR. AUTHOR12ED FGENT, OH GIYNEf GATL <br />X � � f/7/f% )T/i"A1 r'7 4l /.Cr�% <br />A/C — A/HNDL(e UNITS — H.P. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.0 /H.P <br />GAS F'RED A.Q UNITS — B.T.U. <br />FORC=O AIR SYSTEMS — B.T.U. M EA. <br />YJALLN'cATERS—B.T.U. M <br />UhITHEATERS—BS.U. M <br />EVAVOFATIVFCOOLEFS <br />CLO7HES Ofi� ePS <br />VENTILATION =AN <br />RANGEHOOU <br />WFTcR HEATER • <br />YlOOD S7UVE <br />METl.L FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT ���`�� <br />HEATPUMP , <br />GAS PIPING uMn7N.67 <br />E%NAUST FAN .v nn <br />SUII <br />FEES <br />DUIL�ING <br />PLUMBING <br />MECHANICAL <br />I�iVESTIGATION FEE <br />Sac.304(e) <br />1,:1. ' <br />FEE <br />STATE BUILDING SURCHARGEI <br />l <br />STATEENEFGYSURCHARGE I <br />ORIVEV�AY PERMIT <br />TOiAL � <br />PEHMIT VpLIDATION <br />WHEI! PROPERLY VAIIDATED (IP� TF'IC SHACE) ThIS I: YOUfl PERMIT <br />AUDPESS F�LE <br />57150 <br />r' <br />Y� <br />1� <br />� <br />CV <br />