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I <br /> 1 <br /> the Evarnrenn � <br /> =�T, �� COlVSTRUCTION everett <br /> evere�t PERMIT <br /> CIiYN4tl iS9A685 <br /> EVEPEII.�Y4L110Gi0': <br /> 9Ai0� <br /> OIPLOfC0Al1.IpVITY BUiLDING MECHANICAL PLUMBING <br /> OfvflO>NEM I <br /> OWNER M/�ILADORESS ZIP PHONE <br /> Jt�a "'� 1*.-2te � F"•.�+ ;:. L.,�3? "xa��^$ 2x�3�' ��'�� �! i <br /> ARCHITECT OR �ESIGNER MAIL AODFESS PHONE LICENSE NO. .L�,1:.+ST(�. <br /> GENERAL CONTRACTOR MAIL ADDRE55 PHONE LICENSE NO. <br /> "•iYS t1� :;�� ?'�3.t301�G �J � :�4'. iI'?'Pd� 3�"�1�' <br /> MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO <br /> PLUMBINGCONTRACTOR MAI�ADDRE55 PHONE LICENSENO. � <br /> W <br /> m <br /> PERMIT CLASSOFWOFK � <br /> � <br /> z <br /> BUILDING [] PLUM�ING �MECHANICAL <br /> �N[W ❑ADOITION ❑ALTERATION �FEPAIR ~ <br /> VALVATION OF WORK � <br /> S �y�} ❑DEMOLISIi ❑FENCE ❑SIGN ❑S�VIMMING PDOL W <br /> a <br /> oescaiae wonK <br /> �; ,. t�, ��� �� l: ,�: $��s..-�; �t� ��� �� 1413 <br /> PROPOSED USE <br /> MECHANICAL <br /> TVPEOFFU[L �OIL �NAT. �LPG. �ELEC. <br /> F UnF�L Dq�PIESI�PT�ON OF PROPERTV �SHOIV f3ELOW OR ATTACH GAS <br /> J.LC� CZtmas�n^L Sief,.�Ga NO. TYPE OF E�UIPMENT FEE <br /> LOT OLOCK_OF__. _ <br /> AIR COND. UNITS-H.P. EA. $ I <br /> NEFR�GF.FATION UNITS-H.P. EA. <br /> �OILEHc HF. LF. - —' � <br /> GAS FIR[U A.C. VNITS-TONNAGE EII. <br /> FORCED Alft SYSTEMS-O.T.0 M EA. � <br /> JOB ADDRESS WALL HEATERS-�.T.U. M <br /> ��� �����j f.� UNIT HEATERS-O.T.U. M I <br /> PLUMBING EVAPORATNE COOLERS <br /> C�OTHF.i DAVERS � <br /> VENTILATIO�I FAY <br /> FA4GEHOOC � <br /> NO. TYPE OF FIXTURE OR ITEM FEE ��R HANDIING UNIT- C.F,t^ <br /> WATERCLOSETITOILET) 5 INCINERATOR _ � <br /> DATHTI)B <br /> — __�._ . ._ '_ _� <br /> LAVATORV(WASH BASIN) � <br /> SHOWER � -� �� � <br /> SUBTOTAL 5 � <br /> KITCHEN SINK R DISP. � <br /> DISHWASHEq <br /> LAUNDFVTRAV PERMIT 5 <br /> CLOTHESWASHER TOTALFEE 5 � <br /> THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUG <br /> WATER HEATER TION AUTHORI2ED IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br /> UNINAL CONSTRUCTION OR WORK IS SUSPENUED OR ABANDONED FOR A <br /> DRINK�NG f-OUNTAIN PERIO� OF 1:0 DnVS AT ANY TIME AFTER WORK IS COMMENCED. <br /> FLOOR-SINK OR DRAIN I HEFEBV CERTIFY THAT I HAVE REAO pND EXAMINED THIS AP- <br /> VACUUM OREAKEfiS PLICATION AND KNOW THE SAME TO�E TRUE AND CORRECL ALL <br /> FOOF DRAINS-RAINLEADERS PROVISIONS OF LAWS AND ORDINAN:ES GOVERNING THIS TVPE <br /> OF WORK WILL BE COMPLIED W!T4 NHETNER SPECIFIED HEREIN <br /> SINK (SERVICE-QAR, ETC.) --~_- OP NOT, THE GRl�NTING OF A PEPMIT DOES NOT PNESUME l'O <br /> GIVF AUTHOHITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTHER STATE OR IOCAL LAW REGULATING CONSTflUCTION <br /> OF THE PERFORMANCE OF CONSTFUCTION. <br /> SUATOTAL <br /> PERMIT 5 <br /> TOTAL FEE 5 �at. .f�C <br /> x Jii��V <br /> SIGNAI'UREOFCONTRACTOFORAUTH.AGENT DATE <br /> SIDEVARDSET6ACK STREF.TSET�ACK REARVAROSET�ACKPLANCHECKNUMBER PL/1NCHECKFEE <br /> r���� FEE [�� RE EIPT NO. <br /> USE ZONE LOT AFiEA VACANT SITE �" w" ^'� �� <br /> ❑vEs ❑NO FEES VALUATION 'EE <br /> TVPE OF CONST. OCCUPANCV GFOUP NO.OF OWEILING <br /> UNITS � <br /> SIZE OF BLDG. NJ.OF STOF�ES MA%.00C. IOAD BUILDING $��yq �� � t�s <br /> PLUM�ING I <br /> fIftEZONE �ASEMENT FIRESPRINKLERS 1 <br /> REQUIRED <br /> ❑VES ❑NO h1ECHANICAL � <br /> SPECIAL CONOITIONS: OTHER � <br /> 1 <br /> — PENELTV SEC.3031a1 I <br /> TOTAL �J.V j Q� <br /> PERMIT VALIDATION <br /> WNEN PROPERLV VALIDATED IIN THIS SPACE)TFIIS IS YOUR PERMIT <br /> APPUV.iIONnCCCPiE011V� PlAN50rtCK�CpV. ACPqOVCDfORi:UANC[OY. <br /> v,'• _ <br /> I � <br />