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the frergrer.n """"� <br /> ��T� oF CONSTRUCTION everett <br /> everett PERMIT <br /> LIIVllrlll }59BA05 <br /> fVLN[it,14�3NIbGION <br /> 90101 <br /> "`", "�E�E,o�,�„, BUILDING MECHANICAL PLUMBING <br /> OWhER MAIIADDRE55 ZIP PHONE <br /> Varaon F. Srnith 16718 52nci ::.t�. , ��<ActktoOU 9ES��3 552-SG2 <br /> ARCHITECT OR �ESIGNER MAIL ADORfSS p�1pNE �ICENSE NO. J��j- 7 <br /> GENERAL CONTRACTOR MAIL AOORE55 PHONE LICENSE NO. <br /> J�r_Q <br /> MECFIANICAL CONTRACTOR MAIL AODRESS pHONE LICENSE NO. <br /> i <br /> � I <br /> PLUM�ING CONTRACTOR MAIL AOORESS PHONE LICENSE NO. V� <br /> m <br /> PEFMIT CLASSOFWORK � <br /> z <br /> �OUILDING � PLUMD�NG �MECHANICAL F I <br /> ❑NEW ❑ApDITION ❑ALTERATION �REPAIR � <br /> VALUATION OF WORK � <br /> g 300. �0 ❑�EMOLISH ❑FENCE ❑SIGN ❑SWIAIMINGPOOL a <br /> �ESCRIBE ORK ��� w <br /> repa�r fo�n�la��Ari—b10Ck � <br /> PROPOSED USE MECHANICAL <br /> TYP[ OFFUEL �OIL �NAT. ��PG. �ELEC ��� <br /> LEGAL OESCRIPTION OF PROPEFTV ISHUW�ELOW OR ATTACH �7n+ �' <br /> FOUR�OPiES1 i8 �^inohur9t DiV. ��� NO. TYPE OF E�UIPMENT FEE <br /> .! <br /> LOT OLOCK___OF <br /> AIR COND. VNITS-11.P. EA. S I <br /> REFR�GERATION UNITS-H.P. EA. <br /> - 901�ER5-H.P. EA. I <br /> GAS FIRED A.C. VNITS-TONNAGE EA. <br /> FORCED AIF SVSTEMS-B.T.U. M EA. I <br /> JOD ADDflE55 WALL HEAT[FS-B.T.U. M <br /> 5607b CQL'.N.ER�^.IAL UNITHEPTEPS-�.T.U. M I <br /> � <br /> PLUMI3ING EVAPORC.TI'JE COOLERS I <br /> � CLOTFIES DI:VEHS I <br /> VENTILA'fION FAN <br /> RANGEHJOD I <br /> NO. TYPE OF FIXTURE OR ITEM FEE A�A HANDLING Ufv1T- QF.M. <br /> 'NATER CLOSET (TOILf:TI 5 �NCWERF.TOR I <br /> l3ATHTUB ~ <br /> LAVATORY(WASH BAF�IN) I <br /> SHOWER �— <br /> KITCHEN SINK e1 DISP. SUB TOTAL 5 � <br /> DISHWASHEF PERMIT 5 <br /> LAUNORV TfiAY TOTAL FEE S � <br /> CLOTIIESYlASI1EIi THIS PERMIT �ECOMES NULL ANO VOID IF WORK OR CONSTRUC� <br /> WATER FIEATER � TION AUTHORIZED IS YOT COMh7ENCED WITHIN 120 DAVS, UR IF <br /> URINAL —�-- CONSTFiVCTION OR WCRK IS SUSPENDED Oft /�BANDONED FOR A <br /> ORINKING FOUNTAIN �ERIOD OF 120 DAVS AT ANY TIME AF i EP WORK IS COMMENCED. <br /> FLOnF-SINK OR DRAIN I FIEREBV CEFTIFY TNAT I HAVE READ AND 'c%AMINED THIS AP� <br /> VACUUM1I OREAKERS PLICATION AND KNOW TME SAME TO OE TRUEl1ND CORRECT. ALL <br /> ROOF DRAINS-RAINLEADEflS — P�OVISIONS OF LAWS P.•V� ORDINANCES qOVERNING THIS TYPE <br /> _ OF WORK WILL DE COh1PLIEO WITH WHETHEft SPECIFIED HEREIN <br /> SINK (SERVICE-�AR, ETC.) OR NOT, TNE GR4NTING OF A PERAIIT �OES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL TIiE PROVISIONS OF <br /> ANV OTHEfl STATE OR LOCAL Ll1W REGUI.ATING CONSTFUCTION <br /> OP TI1E PERFORMANCE OF CONSTRUCTION. <br /> SUB TOTAL <br /> PERMIt 5 <br /> TOTAL FEE 5 I �j/'�A'�J7 <br /> ISIGNATUREOFCONTRACTORORAUTH.AGENT DATE <br /> SIDE YAR�SETDACK STREET SETFlACK REAR VAROSET6AGK PLAN CHECK NUMBER , PLAN CHECK FEE <br /> FEE IRECEI?TNO. <br /> USE ZONE l0T AREA �ACAIJT SITL <br /> ❑YES ❑NO FEES VALUATION fEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING <br /> UNITS I <br /> �IZE OF BLOG. NO.OF STORIES �tAX.00C. LOAD BUILDING 5 ';Qa��a � � :� <br /> PLUMBING � <br /> FIftE ZONE BASEMENT FIFESPRIPJKIERS <br /> Rf�UIRED <br /> ❑YES ❑NO MECNANICAL � <br /> SPECIALCONDITIONS: OTHER � <br /> 1 <br /> PENELTY SEC. �031a) � <br /> n <br /> TOTAL � i � <br /> PERMIT VALIDATION <br /> WI1EN PROPERLY VALIDATED IIN THIS SPACEI THIS IS YOUR PERMIT <br /> Mv1iC�.iiO�i,�Ct[Pi[DBY'. CL4r;f.c1�CCKEDNv� FPPPOVEOFORISSOANCEBT <br /> ...('. . .�.. <br /> I s <br />