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� CONSTRUCTION c��ett <br /> ",Y °' PERMIT <br /> everett <br /> CIfY NAlL7v98�45 <br /> eveaerr. wn �azo� COMBINATION • BUILDING • MECHANICAL • PLUMBING <br /> OWNER MNL AOpNE55 ZIP YH(�NL ,Q <br /> �A YL JCiC:S01? 3;�-26�1i m <br /> � <br /> A(iCHITECTOFiDE51GNEfi MnILAODfiESS NMONE LICFN9CN0. � <br /> � <br /> GENERAL CONTRACTOR MAIL ADDRE55 PIiONE LIG[NSE NO. z <br /> •,�mni r,�tos <br /> 659-3240 � <br /> MECHANICAI CONTRACTOR MAIL A��RESS PHONE L�CENSE NO. 3 <br /> W <br /> m <br /> PLUMOING CONTfiACTOR MAIL ADDRESS PHONE LICENSE NO. . . � <br /> PERMIT CLA55OF WORK �� <br /> ❑COMBINATION <br /> �]�UILDING ❑ WLUMDING �MECHANICAL <br /> ❑NEW ❑ADD�TION ❑l�LTERATION �RFPAIN <br /> VALVATION OF WORK ' <br /> ❑DEMOLSH ❑FENCE ❑SIGN ❑SWIMMING Ppp1. <br /> 5 00 o no <br /> OESCRIGE WORK <br /> n'�Li,^., 1;:;1'i;I?D _.i�';:;:3 ,_.�_ .'.�e�Pi,'�.� �.. .;2i;i�C.:G � <br /> PROPOSED USE MECHANICAL <br /> LEGAL DESCRIPTION OF PROPERTY ISViOW 6ELOW OR MTACH T��E OF GN[RGv <br /> ❑GAS ❑ELEC. <br /> FOUR CJPIE51 - <br /> NO. TVPE OF E�UIPMENT FFE <br /> LOT OLOCK_OF- AIR CON�. UNITS-N.P. EA. 5 I <br /> fiCFRIGERATION UNITS--H.P. EA. �- <br /> UOILERS- H.P. [!�. I <br /> FORCED AIR S�STEMS-U.T.IJ. MEA. <br /> _ - � <br /> JOD A�DRE55 SFl�CE & WALI NEATERS - tl.T.U. <br /> ii701� 1'i. ��1;iG '01I L;1?� — urviri+enreas-n.r.u. i <br /> F:VAPONATIVE COOLEHS <br /> PLUMBING c�oniEs onvENs I <br /> - VLNTILATIONlAN _T- <br /> i <br /> --- RANGE HOOD � <br /> NO. TVPE OF FIXTURE OR ITEM FEE I�IR 11l�N�LING UMT�� C.F.M. �- <br /> BATH 1U85 S I <br /> CLOTHES WASHEIi � � WATEfi HEATEP <br /> DISH WASHERS � t'qC. �UILT FIIIEPLAC@ tL CHIMNEY I <br /> DRINKING FOUNTAINS � ,n5. SvSTEM� NO OP OUTLETS <br /> FLOOF UHAINS � - - -- <br /> KITCH[N SINKS t4 UISP. i ____ __ _ SUU TOTAL 5 � <br /> B/1N SINKS � __ __ PEPMIT 5 � <br /> ROOf- URnINS - RAIN LEADERS � TOTn� � eE 5 I <br /> SHOWER BATHS i THIS P[HMIT 6ECOMES NULL ANU VOID IF WOHK OR CONSTfiUC <br /> SERVICE SINKS -� TION AUTHOf11ZED IS NOT COMMENCED WIIHIN 120 DAVS, OR IF <br /> $UMPS - SEWAGE �UMP CUNSTRUC710N OR WOHK IS SUSPENDGD OH A6ANDON[O FOR A <br /> PERIOD OF 120 DAVS /1T ANY TIME AFTER WORK IS COM1IMENCEO. <br /> U171NAL$ � I NER[ItV CLRTIfV TIIAT I H/1VE li[AD �1NO [XAMINE� THIS AP <br /> WATER CLOSETS � PLIGATION 11ND KNOW TH@ SAM11[ TO ll@ TNUE AND CORRLGT. P LL <br /> Wl1TER H[ATERS - ELECTFIC � PPOVISION$ Of I.AtN; l�ND ONpINANCFS GOVERNING THIS TVPL <br /> WASH [3ASINS 1 Of WOHK WILL 6E C0�1PU@D WITH WHETH[fl SP[Clf-IED HGREIIJ <br /> Ll1UNDRV TRAVS Oli NOT, THL GRANTIN(i OF A PEfiM1T DO[; NOT VfiESUM[ TO <br /> � GIVE AUTIIURITY TO VIOLATE OR CANCLL TII[ PROVISIONS OF <br /> l�NY OTHEIl tiTM[ OH LOCAL LAW fi[GULATING CO.'d;TRUCTION <br /> � OH THE PERI=ORM/rJVCL OF CONSTRUCi1pN. <br /> 1 <br /> SUB70TAL � . j � <br /> PEPMIT 5 � ' <br /> TOTALFEE � X i �j�11���I <br /> WATERSERVICESIZE 13LUG. SUPPLVSIZE sic; U�r[ -CiNrivnCo�onnV Ii.naENr onTe <br /> SIOE VAIiD5ETI3ACK STREET SET6ACK R[AR VAIiDS[TBACY, PL�1N CH .0 NUMf3Efi PLAN CHECK FEE <br /> F[E IiECE1PT NO. <br /> USE 20NL �OT AR[A Vl�CANT SITB <br /> ❑vEs ❑NO FEES VALUATION FEE <br /> TYP[ OF CONST. OCCUPANCY GROUP NU.OF DWELLING <br /> UNITS � <br /> SIZE OF 6lDG. NO. OF STORIES MA%. OCC. LOAD f3U1LDING 5 � I <br /> ao�.o<eo ! : o <br /> �LUMDING � <br /> FIfiEZONE L3ASL�16NT FIRBSPflINKLEHS � - <br /> REt]UIRED � <br /> ���� �Nn MECHANICAI I <br /> SP[CIAL CONDITIONS�. UTHEH I <br /> I <br /> PENALIY SL'C.3091n1 � <br /> — ----"' — L__ <br /> — � <br /> — TOTA L �.�� <br /> PERMIT J.4LIDATION .n' <br /> _ WN[N I'HJPFRI.V V�.l IUl1T[D (lip �1!`,tI�,PACE��ry�.��B,LF.Ljh111� <br /> 7 V � <br /> f �.�) <br /> __ YOl1 R RECEIPT' <br /> ,,�.��,���,,,,�,.,:�,.,t�,,. PIPNSUIICKIIIBV �,•,��,����„�„�,�::,���,,� ,,. , THANI: YOU <br /> i. �. ' <br /> ° , � � �;t i' <br /> ; <br />