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ithc l:vcrgreen 1. <br /> ���, ��� CONSTRU�CTI�ON everett ' <br /> everett PERMIT , <br /> , <br /> c�iv�Inll ]SOXen,S ' <br /> NEPFiI,1YA91MLION ` <br /> 91)�I <br /> °F°, ,,� �°^°�°�°� gUILDING MECHANICAL PLUMBING <br /> n[vuurrnurt <br /> OWNER MAIL AUDIlG55 ���r ZIP y�� PH�IO��N}E���/y q� / <br /> L','� . At".. '�5��'.S}'.' ....:.v"�a. ,�� '��'.',: '�51�. !i9Q�` q....i:(�.��`.ii'.�. .Y�1.�� .7.�v t1�G .r.�:n� a+71�-.w�V <br /> ARCHITECT OR DESIGNER MAIL AUDRESS PHONE LICENSE NO. <br /> �..7.�--t�{ -^.� . 'd� <br /> J�_dEI _ .4s-- t> .. kl' 14 <br /> GENERAL1C.ONTR/1CTOF {� I�yMA�IIA�DRE55 PHONE LICENS@NO. <br /> i��'•�fN'3 n:'�_'�2`• '.y�� ..�r LiOj `.T�aY �'�i+T`�7 �=t'�^tf� <br /> MECHANICAL CONTRACTOR MAIL AODRESS PHONE LICENSE NO. <br /> � <br /> PLUMBING CONTRACTOR MAIL ADDRE55 PHONE LICENSE NO. uJ <br /> m <br /> � <br /> PENMIT CLASS OF WORK � <br /> z <br /> '�' BVILDING � PLUMBING ❑MECIIANICAL ~ <br /> �NEW ❑AODITION ❑ALTER�TION ❑REPAIR � <br /> Vl�LUA 10 OF WO�FiyK/� � <br /> 5 ��'�ryy ❑DEMOLISH ❑FENCF ❑SIGN ❑SWIM1IMING POOL W <br /> a <br /> DESCRIBE WORK 1 ��/� <br /> ��:�z��. . 1 • �'i 1 O <br /> PROPOSED USE MECHANICAL <br /> TYPEOFf-V[L �OIL ❑GnS. ❑LPG. �ELEC. <br /> LEGAL OESCRIPTION OF Pf-OP[FiTY ISIIOW f3ELOW OR ATTACN <br /> FOUR COPIESI - <br /> � NO. TYPE OF EQUIPMENT FEE _ <br /> LOT �LOCK_OF AIR COND. UNITS-Ii.P. EA. 5 I <br /> � yr._ � � 'A• yy�q/.7� qlFRIGERl�TIONUNITS-H.P. EA. <br /> �a ir�a a,��e;.+�w �JOILERS-N.P. EA. � <br /> GAS FIfiEO A.C. UNIT9-TONNAGE EA. <br /> FORC[D Alii SYSTEMS-O.7.U. M EA. I <br /> JO(3 ADDRL55 (� y�� WALL HEATERS--�.T.U. M <br /> tf� ��'�i' �G:1`:nl ��f� UNIT HEATERS-D.T.U. M � <br /> •' EVAPORATIVECOOLERS <br /> PLUMBING CLOTHESDRVERS � <br /> VENTILATION FAN <br /> i flANGENOOD � <br /> NO. TYPE OF FIXTURE OR ITEM FEE AIR HnNDLiNG UNI7- C.F.M. <br /> I WATER ClOSET �TOILET) 5 INCINERATOR � <br /> �ATHTUB <br /> I LAVATORY(W�+SH BASIN) � - <br /> SHOWER <br /> I KITCNEN SINK& UISP. SUB TOTAL 5 I <br /> OISHWASH[R PERMIT 5 <br /> ' LAUNDRVTRAV TOTALFEE 5 1 <br /> CLOTHES WASHER TfiIS PERMIT OECOMES NULL AND VOID IF WOFK OR CONSTRUC� <br /> WATEfi HEATER TION AUTHORI2ED IS NOT COMM1IENCED WITHIN 720 DAVS, OR IF <br /> UFINAL CONSTRUCTION OF WORK IS SUSPENDED OR ABANOONED FOR A <br /> PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. <br /> DFiINKING FOUIJTAIN <br /> FLOOF-SINK OR DRAIN 1 HEREOV CEFTIPY THAT � HAVE REAO AND E%AMINED TNIS AP� <br /> I VACUUM OREAKERS PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE <br /> I ROOF �RAINS-FAINLEADEHS OF WOFiK WILL �E COAIPLIED WITH WHETHER SPECIFIED HEREIN <br /> SINK (SERVICE-BAR.ETC.) OR NUT, THE GRANTING OF A PEFMIT DOES NOT PRESU�AE TO <br /> GIVE AVTHORITV TO VIOLATE OP CANCEL THE PROVISIONS OF <br /> ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> 0(1 TNE PERFORMANCE OF CONSTRUCTION. <br /> � SUD TOTAL <br /> I PEFMIT S ( <br /> i TOTALFEE S i x . �r.'�[ <br /> fV( (�: <br /> SIGNATUREOFCONTfiACTOFiORAUTH.AGENT �OATE <br /> I SIOE Y�F;O SETOl�CK STR�F�T SETOACK FEl�R V�ADSET�ACK PLAN��UMBER I PLl�N CHECK FEE <br /> ��I �r byf4 FEE 4 �� RECEI�PT 40. <br /> IVSE ZONE L07 AREA VACl�NT SITE �T• <br /> I �+'�. �VES ❑No FEES VALUATION FEE <br /> i <br /> � TYPE OF CONST. OCCUPANCV GROUP NO.OF DW[LLING � <br /> iSU.E O�D . NO.OF STORIES MAI%SOCC. LOAD BUILDING 5 �A +���� <br /> I � PLUMBING � <br /> � FIRE 2QNE OASEMENT FIFESP:iINKLEf1S � <br /> Rf�UIRED � <br /> 1 ❑vE5 �NO ��ECHA�JICAL I <br /> 1 � <br /> SPECIAL COND�TIONS: OTHER � <br /> _ I <br /> INENELTY SEC.9091�1 � <br /> � <br /> � TOTAL <br /> i PERMIT VALIDATION <br /> VJH@N PROPGRLV VALIDATED(W THIS SPACE)THIS IS VOUR PERMIT <br /> � <br /> ii <br /> I <br /> IPVVULaTIONFO{tTF�fY �lPNSOliC�O�: AVVIIO�pf�=`•�1/�NCCbT <br /> i 4 1' �K� <br /> n <br />