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tAc Ewvgrear <br /> �,TY �� CONSTRUCTION everett <br /> everett PERMIT <br /> C�lv�bUl 1508Pfl5 <br /> EVCNE11.1VASNiN4i0N <br /> 901°� PLUMBING <br /> n�ri.nrcou�uuxm BUILDING MECHANICAL <br /> OEVELOPMENi <br /> Z�p PHONE <br /> OWNEF ��y� MAIL AD�RE55 �� <br /> � n� � �G.,T/! ~.. .� <br /> ARCHITECT OR OESIGNER MAIL ADDFlESS PHONh LICENSE NO. <br /> GENEF�A� rnu�CTOR fv�All.A��S+f1iy� P���'1'f71 LICENS[ NO. <br /> 1! .G bzr4 ��.. ?'�. 1Z7s3 �kr �u�w �:�s <br /> MECHANICALCONTRACTOR <br /> MAIL ADDRESS 7HONE LICENSE NO. <br /> � <br /> oE:c PHONE LICENSE NO. W <br /> PLVMBING CONTRACTOR "'^"^"" m <br /> � <br /> � <br /> PERMIT CLASS OP WOfiK Z <br /> H <br /> ❑OVIL�ING �LUMBING ❑MECHANI�:AL �NEW �qDDIT10N ❑ALTERATION �AEPAIR � <br /> � <br /> VALVATION OF WORK W <br /> ❑DEMOLISIi ❑FENCE ❑SIGN ❑SW�MMING POOL a <br /> S 14Q7 <br /> oescRio�wo�K <br /> PROP�SED USE �9ECHANICAL <br /> 7VPEOFPUEL �OIL �GAnT. �LPG. �ELEC. <br /> FOUR COPSESI�PTION OF PROPERTV (SHOW BELOW OR ATTACH FEE <br /> NO. TYPE OF E�UIPMENT ' <br /> LOT BLOCK—OP A�R COND.UNITS-H.P. EA. S <br /> REFRIGERl�TION VNITS-H.P. EA. <br /> BOIL[RS-M.P. EA. I <br /> GAS FIRED A.C. VNITS-TONNAGE EA. <br /> FORCEO AIR SYSTEMS-F3.T.U. M EA. � <br /> JOB ADDRESS �y�) � bYALL HEATERS-B.T.U. M <br /> IS.�wf ` '�,'+� UNIT N[ATERS-6.T.U. M � <br /> EVAPORATIVECOOLERS <br /> PLUMB�NG CLOTHES DFVERS � <br /> VENTILATION FAN <br /> RANGEHOOD � <br /> AIR HANDLING UNIT- C.F.M. <br /> NO. TYPE OF FIXTURE OR ITEM FEE iNCINEnA7oA � <br /> WATEfl CLOSET(TOILET) 5 <br /> DATHTV� � <br /> LAVATORY (WASH BASINI <br /> SHOWEP . SUBTOTAL 5 I <br /> KITCIiEN SINK& DISP. PERMIT 5 <br /> DISHWASIiER TOTAL FEE S I <br /> LAUNDl1V TRAV <br /> CLOTHLS WASHER THIS PERMIT DECOMES NULL AND VOID IF WORK OR CONSTRUC- <br /> WATER HEATER TION AUTIIORIZED IS NOT COMMENCED INITMIN 120 DAVS. OR IF <br /> CONSTPUCTION OR WORK IS SUSP[NDED OR A�ANDONE� FOR A <br /> URINAL PERIOD OF 120 OA�'S !�T ANV TIME AFTER WORK IS COAIMENCED. <br /> DRINKING FOUNTAW � HERE��' CERTIFV THAT I HAVE IiEAD AND EXAMINED THIS AP� <br /> FLOOR-SINK OR DRAIN PLICATION ANO KNOW THE SAME TO OE TRUE AND CORRECT. ALl <br /> VACUUM [3REAKERS PROVISIONS OF LAWS AND OPDINANCES GOVEfiNING TH:S TVPE <br /> ROOF �RAINS-RAINLEAOERS OF WORK WILL BE COMPLIED WITM WHETHER SPECIFIED HEREIN <br /> SINK(SCRVICE-BAR, ETC.) OR NOT. TNL GRANTING OF A �'ERIv11T OOES NOT PRESU�IE TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> OR THE PERFO MANCE OFCCONSTRUCT ON nTING CONSTRUCTION <br /> SUD TOTAL <br /> PERMIT 5 �h��ML <br /> TOTAL FEE g ��"�� �w <br /> SIGNATUREOFCONTRFCTOIiORAUTH.AGENT DATE <br /> PLAN CHECK FEE <br /> SIDE�'ARD SET�ACK STREET SET�ACK REARYARDSET�ACK PLAN CHECK NUMBEfl FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑�Es ONO FEES VALUATION FEE <br /> TVPE OF CONST. OCCVPANCV GROUP NO.OF OWELLING � � <br /> UNITS <br /> 1 <br /> MA%.00C. LOAD �UILDING 5 _ _� <br /> SIZE OF BLDG. NO. OF STORIES — f SL <br /> I" <br /> PLUMBING <br /> BASEMENT FIRESPRINKLERS <br /> f-IRE 20NE qE�U1RE0 h1ECHANICAL � <br /> ❑YES ❑N� � <br /> SPECIAL CONDITIONS: <br /> OTHER � <br /> PENEIT� SEC.7031a) �py�y� <br /> v�+ <br /> TOTAL � <br /> PERMIT VALIDATION <br /> WHEN PROP[RLY V Al1011TED IIN THIS SPACE)THIS IS YOUR PERM1IIT <br /> PLANSCNCCNEOBY: APPIIOVEpfOAl55U�NL[BY. <br /> l.PPLiC�TION�LLCPTEO UY: .Lia� <br /> .� <br /> —�' '- <br />