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tlm Errrgreen <br /> =�T��� CONSTRUCTI�JN everetc <br /> everett PERMIT <br /> C�LY NAtI i590FE5 <br /> EVEPEit,1VA911NG10N <br /> 921oi <br /> °E°' °°°°M"°�"r BUILDING MEGriANICAL PLUMBING <br /> oEVEIovMENi <br /> OWNER MAILA�DRESS ZIP PHONE <br /> dG''S[k '�^3.Ltl�7pT[�-'�• '�,�,(ti w+� <br /> ARCHITECT OR OESIGNER M�IL ADORESS PHONE LICENSE NO. I <br /> I GENERAL CONTRACTOR MAIL ADDRE55 PHONE LICENSE NO. I <br /> *Joesca �.c� t n�. 33tr-3'r�� 4 7C4+r'2 <br /> 'ECMANICAL CC`:TRACTOR MAIL ADDRESS °Y.O`.� _ . _ , <br /> PLUMBING CONTRACTOR MAIL ADDflESS PHONE LICENSE NO, � <br /> W <br /> m <br /> � <br /> PERMIT CLASS OF WORK , <br /> z <br /> [�BUILDING ❑ PLUMOING ❑MECHANICAL �NEW ❑ADDITION ❑ALTERATIUN ❑REPAIR ~ <br /> � <br /> VALUATION OF WOqK �[ � <br /> 5 ❑DEMOLISH �JFENCE ❑SIGN ❑SWIMMING POOL a <br /> D ESC R I�EYOfLG.�� <br /> �,,....-� :p ���� z.. :. ; ��.�.� � 2 8 8 0 <br /> PROPOSED USE MECIiANICAL <br /> LGGAL DESCPIPTION OF PROPERTV �SHOW BELOW OR ATTACH TVPE OF F W . �OIL ❑GAS� ❑LPG. �ELEC. <br /> FOUR COPIES) �l� <br /> Lo7��BLOCK -u`.bF��� �' �'�'_� t NO. TYPE OF E�UIPMEN7 FEE <br /> AIR COND.UNITS-H.P. EA. 5 I <br /> REFRIGER/1TION UNITS-N.P. EA. <br /> BOILERS-H.P. EA. 1 <br /> GAS FIflED A.C. UNITS-TONNAGE EA. <br /> FORCED AIR SVSTEMS-O.T.U. M EA. I <br /> JO� AODRESS WALI HEATERS-O.T.U. M <br /> e��a.r. UNIT HEATERS-B.T.U. M I <br /> 1"WiVUN <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTIiES DRVERS I <br /> 1 VENTILATION FAN <br /> I_ F/1NGE 11000 I <br /> — t AIR HAN�LING UNIT- C.F.M. <br /> NO. NPE OF FIXTURE OR 11'EM FEE � <br /> WATER CLOSET(TOILET) 5 INCINERATOF I <br /> UATH7U� — <br /> LAVATOR� IIVASH BASIN) __ � <br /> SNOWEIl <br /> KITCHEN SINK & DISP. SUB TOTAL 5 � <br /> DISHWASHER PERMIT 5 <br /> LAVNDRY TRAY TOTAL FEE 5 I <br /> CLOTHES WASHER THIS PERMIT BECOMES NVLL ANO VOID IF WORK OR CONSTflUC- <br /> WATER HEATER TION AUTNORIZED IS NOT COMMENCED WITMIN 120 DAVS,OR IF <br /> UftINAL CONSTRUCTION OR WORK IS SUSPENDEO OR qOANDONED FOR A <br /> DRINKING FOUNIAIN PERIOO UF 120 DAVS AT ANV TIME AFTEP WORK IS COMMENCEO. <br /> FLOOR-SINK OR�RAIN I HEREAV CEqTIFV THAT I HAVF READ AND EXAMINCD THIS AP� <br /> VACUUM OREAKEFS -- PLICATION AND KNOW THE SAME TO �E TRUE AND CORRECT. ALL <br /> _ PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE <br /> ROOF DFAINS-RAINLEAOERS OF WORK WILL �E COMPLIGD WITII WNETHEIi SPECIFIED NEqEIN <br /> SINK ISERVICE-�AR, ETC.) OR NOT, THE GRANTING OF A PEflM1T DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEI THE PROVISIONS OF <br /> ANY OTHEft STATE OR LOCAL LALV FiEGUTATING GONSfRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SUB T07AL <br /> PERMIT 5 . <br /> TOTALFEE 5 <br /> X �'���7 f <br /> SIGNI�TUREOFCONTRACTOROIiAUT11.AGENT DATE <br /> SIDEVARDSET�ACK STREETSET6ACK REARYAROSETOACKPLANCHECKNUMDER PLANCHECKFEE <br /> FEE RECEIPT NO. <br /> USE ZONE �OT AREA VACANTSITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GHOUP NO.OF OWELLING <br /> UNITS � <br /> SIZE OF BL�G. NO.OF STORIES MAX.00C. LOAD OUILDING 5 �J� � y;l <br /> PLUMBING � <br /> FIREZONE BASEMENT FIRESPHINKIEflS <br /> RCOUIRED I <br /> ❑VES ❑NO MECHANICAL I <br /> SPEC�AL CONOITIONS: OTHER � <br /> 1 <br /> PENELTV SEC. 307(al 1 <br /> TOTAL � Q(� <br /> PEFMIT VALIDATION <br /> WHEN PROPERLV VALIOATED(IN THISSPACE)THIS IS VOUFi PEliM1T <br /> nt���t�C:.l10NACCCPTCU�Y�. PLM�SOICLNlOpY: API'OOVEOfOh15SUANCEBY. <br /> .� <br /> ��„ <br />