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i� �` <br /> � <br /> 1hc Evr,rgr�ren /� �� / <br /> CITYOP C 'JNSTRiJCTION everett � <br /> eve�ett PERMI'f <br /> [ILY N>lL 15?AF95 <br /> fvEaEll.tvaAu4GiUv <br /> 981�1 <br /> °"' °`°°""°'"'r BUILDING MECI-IANICAL PLUMBING <br /> o[v[iorniExr <br /> OWNER MAILADORES$ ZIP PNONE <br /> �r�.?I '.•1. �''';''.' 3'1�Yt �;L.�YL� �:7�R �]7:I'j �§ir <br /> ARCHITECT OR OESIGNEfl MAIL ADDRESS PHONE LICENS[ NO. ���� <br /> l:iT3-?� <br /> GENERAL CONTRACTOR M/11L ADDqESS PHONE LICENSE NO. <br /> .I�.R' <br /> MEClIANICAL CONTflACTOR MAIL ADDRESS PNUNE LICENSE NO. <br /> PLUMBING CONTflACTOR MAIL ADDFESS PHONE IICENSE NO. � <br /> r'. , W <br />� ' m <br /> PERMI"- CLASS OF WORK � <br /> Z <br /> �DUILDING � PLUMOING �MECHANICAL H <br /> ❑NE�V ❑AD�ITiON ❑ALTEHATION {*]REPAIR � <br /> VALUATION OF W�::R � <br /> 5 CM � ❑DEMOlISH ❑FENCE ❑SIGN ❑SWIMMWc: POOL a <br /> ���w <br /> DESCRI6[WORK Yr��^ �-.^i ! �-.74,�. �".7.� .Y,, <br /> (.::�if. J� !t. }:��.l�.b�r Il.� . 1, .�. . .._..a _ �� ��oo <br /> PFOPOSED USE <br /> MECHANICAL <br /> TYPEOFFUEL �OIL �NAT. �LPG. �ELEC. I <br /> LEGAL DESCRIPTION OF PROPERTV (SHpW RELOW OR ATTACH GAS <br /> FOUR COPIE51 !�2� <br /> LOT �� �LOCK �,uoF �-�� :��� NO. TVPE OF E�UIPMEN7 FEE <br /> AIR COND. UNITS-H.P. EA. S I <br /> REFRIG[RATION UNITS-H.P. EA. <br /> DOILERS-Ii.P. EA. I <br /> GAS FIRED A.C.UNITS-TONNAGE EA. <br /> FORCED AIR SVSTEMS-6.T.U. A1 EA. I <br /> JOD AODRESS �.y.�� . . �� �tti.,• WALL H[ATERS-�.T.U. M <br /> .�,y.FJ <br /> UNIT HEATERS-B.T.U. M I <br /> EVAPOP4TIVECOOLERS <br /> PLUMBING CLOTH.S DRYERS i <br /> VENTILATION FAN <br /> qANGENOOD I <br /> NO. TVPE UF FIXTURE OR ITEM FEE A�R HANOLING UNIT- 0.F.M. _ <br /> WATER CLOSETITOILET) S INCINEq!lTOR _ I <br /> BATHTUB <br /> LAVATORY (WASH BASIN) I <br /> SHOWER <br /> KI1l:HtN SINK& DISP. $UB TOTAL S � <br /> DISHWASHER PERMIT 5 <br /> LAUNDNY TRAV —'-- <br /> TOTALFEE 5 � <br /> CLOTHES WASHER THIS PERMIT BCCOME: NULL I�ND VOIO IF WORI: OR CONSTRUC <br /> WATER NEATER TION AUTHORIZED IS NOT COMMENCEO INITNIN 120 D�VS, OA �F <br /> URINAL CONSTRUCTION OR WORK IS SUSPENDED OR ADANDONED FOF A <br /> DRINKING FOUNTAIN PERIOD OF '.'^ DAVS AT ANV TIME AFTER WORK IS COMMENCED, <br /> FLOOR-SINK OR ORAIN I HE(iEBY CERTIfV TI�AT I HAVE fiEAO AND E%A�dINED THIS AP� <br /> VACUUM �REAKERS �-- PLICATION AND KUGC:THE SAME T�(3E TRUE AND COFRECT. ALL <br /> ROOF ORAINS-RAINLEADERS � -� N��VISICt1S JF LAWS ANL` OftDINANCES GOVERNING THIS TYPE <br /> :�F N�OI-: .VILI. DE COh1P1.lED WITH WHETHER SPECIf-IEO HFREIN <br /> SINK (SERVICE-BAq, ETC.) �+H Nl`� fHE GRANTING JF A PERMIT DOES NOT PRESUME TO <br /> f.lbr. l+ViHONITV TO VIOLATE OR CANCEL THE �ROVISIONS OF <br /> ANV OTHEF :TATE OR LOCAL Ll1W REGULATING CONSTFlUCTION <br /> �_ OR THL PERWRMANGE OF CONSTRUCTION. <br /> SUU TOTAI <br /> PERMIT 5 <br /> TOTALFEE S <br /> x 9.'7.3/7G <br /> SIGNATUFEOFCONTR/�CTOFORAUTH.AGENT OATE <br /> SIOE YAqD SETBACK STREET SET�ACK REAR V/1RDSETDACK PLAN CHECK hUM�ER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE 20NE LOT AREA VACANTSITE <br /> ❑vE5 ❑Nr� FEES VALUATION FEE <br /> TVPE OF COt:ST. OCCUPANCY GROUP uNiOs DWELLING 1 <br /> 512E OF BLOG. NO.OF STOiiIES IdA%.00Q LOAD DUILDING $5�y,� ��� <br /> PLUMBING � <br /> FIFE20NE BASEMENT FIRESPRINKLERS � <br /> 9COUIRED <br /> ❑VES ❑1.10 MECHANICAL 1 <br /> SPECIAL CONUITIONS: OTHER � <br /> I <br /> PENEL I'Y � 5<^.J031a) I <br /> rorn� Kipp <br /> PERMIT VALIDATION <br /> WHFN PROPERLV VALI�M[O (IN THIS SPACE)THIS 15 VOV R PERMIT <br /> APPLICATIONACLEI'i'p11P PlANSCHCCK[OBY: APPPOVEUFLAISSURNC[OY: <br /> I I I I 3� �� <br /> � I <br />