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�� <br />��,<� Evc�grcrn CONSTR UCTION <br />°"� °' PERMIT <br />eve rett <br />CITV HALL2598145 <br />r:veNeTr,wa �azoi COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />1^,D SCI%?;I:Gi�i <br />NGRAL <br />aame <br />NG <br />'tHMI i CLASS OP WOIiK <br />❑ COMeINAi�nry <br />� OUILDING ❑ PLUM6ING [J MECHANIC(1L <br />❑NGW ❑ADDITION ❑ALTERATION ❑R[P/Uft <br />✓ALUATION OF WORK <br />S OO�OO ❑�EMpLISH ❑FEWCE ❑SIGN ❑SWIMMING POOI. <br />6 <br />�ESCRIBE WORK <br />Dliii0LIS3{ SIi.'GI.� I�.u:ILY DiiLLLZili} <br />everett <br />_ � <br />m <br />� <br />3 <br />-i <br />Z <br />C <br />3 <br />w <br />, m <br />;� � <br />': ) <br />� <br />�--- -- MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTV ISHOW 6ELOW OR ATTACn TVPE OF ENERGY <br />FOURCOPIESI ❑GAS ❑ELEC. <br />LO7_--GL.BLOCK—oF n-'�I���,:7Y rtTTT^ ��r/1 NO. TYPEOFEQUIPMENT FEE <br />' AIR COND. UNITS-H.P. EA. 5 I <br />REFRIGERATION UNITS--HP. EA. �— <br />t301LERS-H.P. EA. � <br />FORCED AIR SVSTEMS-B.T.U. MEA. <br />I <br />JOB ADDRESS SPACE & WAIL HEATERS -- 6.T.U. <br />(�602 TZ�3iCI:G 'D. uNiT �iEnTens �.r.u. i <br />evnror�nriv� coo�er�s –�— <br />PLUMBING CLOTIIES DfiVERS i i <br />VENTILA-i ION 1=AN —� <br />RnNGEHOOD � I <br />NO. TVPE OF FIXTURE OR ITEM FEE nIn iinNDUNG UNIT- C.F.mi � <br />BAiH TUBS 5 � <br />CLOTHES WASHER � WATER HEATEF <br />DISH WASHERS � <br />DRINKING FOUNTAINS � , __�nc.eu��rFiREaLnCEeu cHIMN[v 1 <br />FLOOR DFAINS i GAS. SYSTEM_NO OP OUTLETS <br />KITCHEN SINKS & DISP. i sUn Torn� 5 � <br />BAR SINKS � �EFMIT 5�— <br />ROOF DRAINS - RAIN LEAOERS i rorn� r-eE 5 I <br />SHOWER BATHS THIS PEH`AIT 13ECOMES NULL AND VOID IF WONK OR CONSTRUG <br />SERVICE SINKS TION 4UTHORIZED IS NOT COM.'v1ENCED WITHIN 120 �l1VS, OR IF <br />SUMPS - SEWAGE PUMP CONSTRUCTION OR WORK IS SUSPEND[D GR AIil�NDONED FOfl A <br />� PEFiIOD OF 120 �AvS !�T ANV TIh1E AFTEF WORK IS COMMENCED. <br />UHINALS <br />WATER CLOSETS I � IiER[HY CLRTIFY THAT I HAVE READ ANG EXAMWED THIS AP- <br />WATER HEATERS - ELECTRIC � �LIMTION ANO KNOW THE SAME TO [i[ TRU[ AND CORI3ECT. ALL <br />PftOVISIONS Of- LAWS AND ORDIN/�NCES GOVEflNING THIS TYPE <br />WASH BASIN$ i OF WOftK WILL 6E COMPLIED WITIi WH[TFIER SPFCIPIED HEREIN <br />LAUNDRY TRAVS O(i NOT, THE GRANTING UP A PERMIT DOEL NOT PftESUME TO <br />— � GIVE l�UTHOfiITV TO VIOLATE Ofl CANCEL THE PROVISIONS OF <br />ANV OT'LILR Sl'f�TL OR LOCl1L Ll�W REGULATING CONS�RUCTION <br />� OR TNE PEFPORMANCE OF CUNSTRUCTION. <br />I <br />SU B TO TA L i <br />PEFMIT 5 --�. / <br />TOTALFEE X%.�.,///��^ Z�ZO%%� <br />WATERSERVICESIZE BLDG.SUPPLVSIZE SIGNAT [OFCONTRACTORORl1UTH.AGLNT DATE <br />SI�E\'ARDSET6ACK STREETSETpACK REARY�IR�SGT6ACKPLANCHECKNUMI3ER PLANCHECKFEE <br />SPECIAL CONDITIONS: <br />nrvs[utcr:�u r,r� <br />FEE RECEIPT NO. <br />VACANT SITE <br />❑vEs ❑No FEES VALUATION FEE <br />NO.OF DW[LLING —r <br />UNITS I <br />MAX.00C.LOl�D �UILDING 5 OO�OO OO�OQ <br />1'LUMBING <br />FIRLSPHINKLERS <br />REOUIRED <br />❑YE$ ❑NO MECHANICAL <br />OT11[R <br />PENALTV SEC.3091-�) <br />70TAL <br />PERMI7 VALIDATION 5 <br />- WHEN PROPEfiLv V111.lOATEp (IN T�� ' <br />L. C. <br />eo�oo <br />SPAC[ � 11 flPERMI- <br />t <br />YOtlR RECEIPI ; <br />iHANK YOU �' <br />�A� <br />.- 2 0 � �8. <br />