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"'° r`'','„'','„ C ON S T R U C TI O N <br /> �„� ,>, - everell <br /> everett PERMIT <br /> CITY IIAIL 259�F3�A5 <br /> eveneTr. wn �,Eazo� COMBINATION • BUILDING • MECHANICAL • PLUMBING <br /> OWNEF MlULAUDHE55 <IP PIION[ <br /> ;tobert .i. Kreuciter _ 1G21 Pultoii Everatt 5!A' 9n201 252-071iK m <br /> ARCNITECT Oft DESIGNEP MAIL ADORESS PNONE LICFNSE ND. � <br /> 3 <br /> GEkERAL CONTRACTOfl MAIL ADDPE55 PHONE LICENSE NO. � <br /> 7 <br /> IMECHANICAL CONTRACTOR MAR ADDFE55 PHONE LICENSE NO. � <br /> W <br /> r .� m <br /> FLUM6INGCONTRACTnR ......�..,.,..,�,,,, PHONE LIC[NSENO. � � <br /> 1'�.l <br /> 1'LRMIT CLASS OF WORK <br /> ❑COMBINATION -�� � <br /> y��VILDING � PLUMBING �MECHANICAL <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑qEPAIq <br /> VALUATION OF WORK <br /> 5 0�00 �DELIOLI;H ❑FLNCE ❑;IGN ❑9WIMMWG POOL <br /> CESCRIAE WORK -- --- <br /> Denoli:,h �arago <br /> PROPO.:ED USE <br /> MECHANICAL <br /> LEGAL DESCRIPTION OF PROPERTV ISHOW �ELOW OR ATTACH TYPE OF ENERGY <br /> fGURCOP1E5) ❑GAS ❑ELEC. <br /> Lo7 ll�2 OLOCK 330oF Plat OF Everett Div. ��X�� NO. TVPE OF EDUIPMENT FEE <br /> AIR COND. UNITS-H.P. EA. 5 I <br /> REf-RIGERATION UNITS-H.P. EA. —�— <br /> QOILE(iS H.P. EA. � <br /> FORCE� AIR SYSTEMS-�.T.U. MEA. <br /> I <br /> JO8 ADDRESS SPACE & WALL HEATERS - B.T.U. <br /> UNIT HEATERS-B.T.U. � <br /> PLUMBING __ evnvonnnvEcoo�eas <br /> CLOTHES UIiYER$ � <br /> VENTILl�710N FAN T <br /> RANGEHOOD � <br /> NO. TVPE OF FI%TURE OR ITEM FEE nIq �inNouNG VNir- aF.M. <br /> 3ATH TUBS g -- -- <br /> CLO7HES WASHER � — . __- _ � <br /> DISH WASHERS _ WATER HEnTER <br /> i - <br /> DRINKING FOUNTAINS � FAC. �UILT FIREPLACE & CHIMNEV � <br /> FLOOR URAINS � GAS. SVSTEM: NO OP OUTL@TS �__ <br /> KITCREN SINKS & UISP. i � SU[1 TOTAL S � <br /> �AR SINKS � PEfih11T 5 T <br /> ROOF UNAINS - RAIN LEADERS � TOTnL FEE 5 � <br /> ShIOWER BATH$ THIS PERMIT BECOMCS NULL ANU VOID IF WORK OR CONSTRUC <br /> .iEftVICE SINKS —1� TION AUTIiOqIZE� IS NOT COMh1ENCED WITHIN 120 DAYS, OR IF- <br /> SUMPS -- $EWAGE PUA7P �1 CONSTflUCTION OR WORK IS SUSPENDE� Ofi AdANDONLD FOR A <br /> URMl1LS —j HF.RIOD OF 120 DA/S AT ANY TIME AFTER WOAK IS COMMENCEO. <br /> VJAI'ER CLOSETS -I � HERhOV CFRTIFV THAT I IiAVG REl1O ANp E%IIMWED THIS AP- <br /> WATEH HEATERS - ELECTRIC � PLICI�TIpN qND KNOW THE 5�1M@ TO [lE TRUE AND CORRECT. .ILL <br /> Wl15H 6ASIN5 P�OVISIUNS OF L4WS l�ND ORDINANCES GOVLRNING THIS TVV[ <br /> 1 OP LYORK WILL 13E COMPLILO WIT11 WHETHGR SPLCIFIED HERF.IN <br /> LAUNDRY TRAVS OR NOT, THE GR4NTING OF A PEqA11T �O[S NOT PRESUME TO <br /> � GIVE AUTIIORITY TO VIOLATE OR CANCEL THC PROVISIONS OF <br /> l�NY Ol H[R SiATE OR LOCAL LAW REGULATING CONSTRUCT ON <br /> � O(i THE P[Rf-OfiM CE Of CONSTRUCTION. <br /> SUB TO7AL � �� /� �,v <br /> PERMIT $ <br /> TO7AL FEE <br /> WATER SEFlVICE SIZE BLDG. SUPPLY SIZE S�U�[or cUN qnCT ao nuni nceNr un7 <br /> SIDEVAROSETOACK STR[ETSET6ACK flEAfiVl1RD5ET�ACKPLANCHECKNUM(3[fl PLANCHECKFEE <br /> PEE �R[CEIPTNO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP ND.OF DWEl.LING <br /> UNITS <br /> I <br /> — � <br /> SIZE OF ULDG. NO.OF STORIES MAX.OCC. LOAD dUILDING 5 � <br /> _ I <br /> PLUMBING � <br /> FIpEZONE BASEMENT RRESPqINKLERS � <br /> RFOUIpED � - <br /> ❑YES ❑NO MECIiANICAL � <br /> Sf'ECIAL CON�ITIONS: OillEfi � <br /> I <br /> — - P[NAL1V SEC.9091:J I <br /> —_— I <br /> TO7AL � <br /> __ � <br /> PERMIT VALIDATION <br /> -- WIILN PHOP@RI.Y VAIIDAT[I] (IN TIIC::;141CL1 t111S I$ VOIIq VCR�h� <br /> _ ( .1 <br /> . _ ______ l - 1 <br /> /.I'1'l If:.:1111f1 A1.(�.II'IIII IlY 1'1f�1151:1111.NI 11 11Y ,1P1`IVUVII]Iflll l'".:IIAl11�.I 11Y � , <br /> Il <br /> �' -. <br />