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j fhr � �rr,u�'cq <br /> � �"' ��� CONSTR UCTION <br /> everett everett <br /> ��,.,,�„ ,,,,��.a, <br /> PERMIT <br /> 1\111111 WA1111NIIIIIN <br /> 4A101 <br /> ,"°' °, "'"'",°",,, gUILDING MECHANICAL PLUMBING <br /> fd V1101'MI N� <br /> U1VNI:nH ��jr� MAIL ADDRE55 <br /> \• ''� � L•? �j� WC CL�TC� ZIP PMONE �rp� �}[ <br /> ARC11IlGCTOfiDE51GNEli ?��� '�r`'�fv <br /> MAIL AUDRE55 PHONE <br /> LICENSE NO. <br /> GEN[f1AL CONTfiACTOR MAIL ADDflE55 <br /> f`�'K'^i+ 7�`�. PHONE LICENSE NO. <br /> � <br /> MCCHANICALCONTRqCTOR MAILADORESS <br /> PHONE LICENSE NO. <br /> PIUMUINGCONTRACTOR MA�LADDFiE55 � <br /> PHONE LICENSE NO. <br /> W <br /> PEqMIT m <br /> CLA55 OF WORK � <br /> �g0U1LDING � PLUAIBING �MECHANICAL z <br /> ❑NEW ❑ADDITION �ALTERATION ❑REP41R F- <br /> VALUATION�!�O=�f WO}RyK� � <br /> S '',u ❑OEMOLISH ❑FENCE ❑SIGN ❑SWIAIMING POOL W <br /> ' DFSCRIB[WORK . a <br /> �r��.�, .-r-�:�-ra 1713 <br /> PFOPOSED VSE <br /> MECHANICAL <br /> FOUqL DES SflIPTION OF PROPERTV ISNOW�ELOW OR ATTACH TVPE OP PUEL �OIL �G^S, �LPG. �ELEC. <br /> LOT � pLOCK�pF ���, ���'� NO. TVPE OF EQUIPMEN7 FEE <br /> AIR COND. UNITS-H.P. EA, 5 � <br /> REFRIGER�ITION UNITS-H.P. EA. <br /> �OII.ERS-H.P. EA. � <br /> GAS FIFED A.C. UNITS-TONNAGE EA. <br /> JOO A�ORESS FORCED AIR SVSTE.IS-O.T.U. M EA. � <br /> WAL� HEATERS-A.I.U, ryi <br /> +� t�h?'%�:� <br /> UNIT HEATERS-6.T.U. M � <br /> PLUMBING �VAPOHATIVE COOLERS <br /> CLOTHLSDRVERS � <br /> VENTILATION fAN <br /> RANGEHOO� � <br /> N0. TYPE OF FIXTURE OR ITEM FEE A�R IiANDI.ING UNIT- C.F.M. <br /> WATEfl CLOSET �TO�LETI g INCINERATOR � <br /> DATHTUD --}- <br /> LAVATORY(WASH DASIN� <br /> SHOWER � <br /> KITCHEN SINK& t)ISP. ---� <br /> DISHWASHER SUO TOTAL 5 � <br /> LAUNORV TRAY PERMIT $ <br /> CLOTHESWASHER TOTALFEE $ � <br /> I WATER HEATE(i THIS PERMIT OECOMES NVLL I�ND VOID IF WORK OR CONSTqUC� <br /> URINAL TIpN AUTHORI2ED IS NOT COMMENCED WITHIN 720 DAYS, OR IF <br /> CONSTRUCTION OR yyORK IS SVSPENDED OR A�ANDONED FOR A <br /> DRINKING FOUNTAIN ' PEFIOD OP 120 DAYS AT qYV TIA1E AFTEFi 4VOFK IS COMMENCED. <br /> FLOOq-SINK OR DR/UN I HEREBY CEflTIPY THA7 I HAVE READ AND E%AMWED THIS AP� <br /> VACUUM �REAKERS � PLICATION ANO KNOW TFIE SAME TO UE TRUE AND COfiRECT. ALL <br /> ROOF DRAlIJS-ql�INLEADERS PROVISIONS OF LAWS HND ORDINANCES GO��ERNING THIS TYPE <br /> SINK ISERVICE-OAq, ETC.) �� h'�RK WILL �E COMPLIED WITH WHETHEH ::PECIFIED HEREIN <br /> OR NOT, TNE GRqNTING OF A P[RMIT DOES NOT PNESUME TO <br /> GIlE AUTIiDftITY TO VIOLATE OR CI�f�CEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />, SUB TOTA� OR THE PERFORMANCE OF CONSTRUCTION. <br /> PERMIT § <br />� TOTALFEE g <br />' x �'Y ��.I/V <br /> SIGNATUREOFCONTRACTOqORAUTH.AGENT D/1TE <br /> SIDEYARDSET�ACK STREETSETBACK REARYARDSETBACKPLANCHECKNVMOER <br /> PLAN CHECK FEE <br /> � FEE ����' RF�('��NO. <br /> USE 20NF LOT AREA VqCANTSITL j.�� <br /> ❑VES ❑NO FEES VALUATION FEE <br /> TYPE Of CONST. OCCUPANCY GROUP NO.OF DWELLING <br /> UN�TS <br /> I <br /> SIZE OF OLDG. NO.OF STORIES M11q%.00Q LOAD BUILDING 5 ��,� �I� <br />'I � . <br />� FIREZONE �ASEMENT FIRESPRINKLERS PLUMBING � <br /> I <br />. FEOUIflED I <br /> ❑VES �NO MECHAf11CAL � <br />� I <br />� SPECIAL CONOITIONS: <br />� OTHER � <br /> 1 <br /> PENELTV SEC.30]�e� � <br /> TOTAL I <br /> �J 1',}(� <br /> PERMIT VALIDATION <br /> WH[N PROPERLV VALIOATED (IN THIS SPl�CEI 7HI5 IS YOUR P[Rh11T <br /> i <br /> APP�IC4TION ACCCPTEO BY: Plr1N5CH[CKEO BY' ppPqOVEO F0�1 L5$U�NCC pY. <br /> 40 <br /> I � <br /> -�.� - _ <br />