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_ . :=.� - . <br /> u,� : <br /> CONSTRLRCTION everett <br /> eVeT'�. PERMIT <br /> LIiYNqLL IS)�:IS <br /> EVENEit,WayN�NGIOV <br /> 98101 <br /> ""' °"°""°""" gUILDING MECHANICAL PLUMFING <br /> o[v[ioonrzxr <br /> OWNER � MAILADDRESS ZIP PHONE <br /> : �.'CT...3` '?,:i?1' �. C"r"':""x' 2.�'��t �s•7� <br /> ARCHITECT Ofi DESIGNEfl MAIL ADDRESS PHONE <br /> LICENSE NO. <br /> I GENERAL CONTRACTOR MAIL ADDRESS PHONE � <br /> �.+��� +�r�-y LICENSE NO. <br /> i i':� ' �l :T.N:J� <br /> .:ECII:.NICA�COIJ7RACTOfl MAILADORESS PHONE <br /> LICENSE NO. <br /> PLUMOING CONTRACTOR MAILADDRESS PHONE � <br /> LICENSE NO. W <br /> m <br /> PERMIT CLASS OF WORK � <br /> � <br /> �DUILDING � P�UMOING �MECFANICAL Z <br /> ❑NEW ❑ADDITION ❑qLTERATION �REPAIq ~ <br /> VALUATION O�yF�W�O�RK � <br /> S ��MM�/ ❑[]EMOLISH ❑FENCE ❑SI.lN ❑SWIMMING POOL W <br /> DESCHIB[IVORK p� y� Yfn.vY� w d <br /> ..' i ,."`C� :cl��.[1 �:��,�i ;�: :�`}'? ['_`X"i:�'a1�,1 V�V <br /> �.l <br /> PROPOSED USE . <br /> MECHANICAL <br /> LEGAL DESCRIPTION OF PqO��RTY ISHOW BELOW OR ATTACH TYPE OF FUEL �OIL �NAT. �LPG. �ELEC. <br /> FpV R CjiPIE5) 7�}� GAS <br /> LOT n pLocK"�'{�F ��� ?� $ NO. TYPE OF E�UIPMENT FEE <br /> AIR COND. UNI.S-H.P. EA. 5 I <br /> REFRIGERATION UNITS-H.P. EA. <br /> _ BOILERS-H.P. EA. � <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> FORCED AIR SVSTEIdS�B.T.U. M EA. � <br /> JOO ADDFESS WALL HEATERS-O.T.U. M <br /> �� ��� UNIT HEATEFS-O.T.0 ry7 <br /> I <br /> PLUMBING EVAPORATIVE COOLcfiS <br /> CLOTHESDRVEFS �— <br /> VENTILATION FAN <br /> RANGEHJOD � <br /> N�• TYPE OF FIXTURE OR ITEM FEE �+IR liANDLING UNIT- C.F.M. <br /> WATERCLOSETITOILETI S INCINERATOq � <br /> BATHTU(3 <br /> LAVATORY (WASH BASINI - <br /> SHOWER — I <br /> KITCNEN SINK E [JISP. — <br /> DISHV.'ASNFF SUBTOTAL 5 � <br /> LAUNDfiV l'RAV PERMIT $ <br /> CLOTHESWASHER --I� TOTALFEE 5 � <br /> WATER HEATER THIS PERMIT BECJMES NUL� AND VOID IF WORr OR CONSTRVC� <br /> UFiINAL T��N AUTHORIZEO IS NOT COMMENCE� INITFiIN 720 DAYS, OR IF <br /> DRINKING FOUNTAIN P6RIOD OFT140 DAVS RT ANV TIME ADFT�ER WpqK SDCOAIMENCED. <br /> FLOOF-SINK OR DfiqlN I HEREBV CERTIFY THAT I HAVE READ l�ND E%AMWED THIS AP� <br /> VACUUM ORHAY.ERS — PLICATION ANU KNOW THE SAMB TO BE TRUE AND CORRECT. ALL <br /> ROOF �RAINS-RAINLEADERS PROVI510�!5 OF LAWS AND ORDINANCES GOVERNING TNIS TVPE <br /> SINK (SERVICE-�AR, ETC.) Of- WORK WILL BE COAiPUED WITH WNETHER SPECIFIE� HEREIN <br /> OF NOT, THE GRANTING OF A PERMIT DOLS NOT PRESUME TO <br /> GIVE AUTIIORITV TO VIOIATE OR Cl�NCE� THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL lAW REGULATING CONSTfiUCT10N <br /> SUB TOTAL �� TN[PERFORMANCE OP CONSTRUCTION. <br /> PERMIT $ <br /> TOTAL FEE S <br /> x <br /> SIGNATVREOFCONTRACTORORAUTH.AGENT DA E <br /> SIDEVAROSETUACK STqEETSET9ACK REFRYAR�SET�ACK PLAN CHECK NUMBER <br /> PLAN CMECK FEE <br /> FEE qECE1PT NO. <br /> USE ZONE LOT AREA VACANTSITE <br /> ❑ve5 ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.Of OWELLING <br /> UNIT$ I <br /> SIZE OF BLOG. NO.OF STORIES A1A%.00C. LOAD BUILDING § ,�'�� �i � <br /> FIRE ZONE 13ASEMENT FIRESPRINKLEHS P�VMBING � <br /> qEDUIRED � <br /> ❑VES ❑NO M[CHANICAL � <br /> I <br /> SPECIAL CONDITIONS: <br /> OTHER I <br /> 1 <br /> PENELTV SEC. 3031a) � <br /> TOTAL .�L�� <br /> .iaa <br /> PERMIT VALIDATION <br /> WHEN PROPERLV VALIOATED (IN THISSPACEI THIS IS YOVH PERMIT <br /> TPPUCATIONACCEPifDOY' CL4NSCIICCKCOOY� pPFROV[OFO(IISSU/+NC[OV. <br /> 3.c. <br /> 3 <br /> _'� - <br />