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thr. Evcrgrron �� <br /> =�T� �� CONSTRUCTION evere;�t <br /> everett PERMIT <br /> citr NaIL 8995bs � � i <br /> n�[arrr r.atmxrm�i <br /> ee;m / <br /> °`�' °"°''^,°""' gUILDING MECHANICAL PLUMBING � <br /> oEVElovxicxt • <br /> OWNLR MAILADDftE55 ZIP PHONE <br /> f'a�r CmRlt 3�1 F^�aevLL A�oO� ht1�1 2�' 6� <br /> ARCHITECT OR OESIGNER MAIL AO�RF55 PHONE L�CENSE NO. <br /> �r� <br /> GENERAL CONTRACTOR MAIL A�DRE55 PHONE LICENSE NO. <br /> � <br /> MECNANICAL CONTRACTOR MAIL AOURESS PHONE LICENSE NO. <br /> PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. � <br /> w � <br /> m <br /> � � <br /> PERMIT CLASSOF WORK � <br /> � <br /> z <br /> ❑OVILDING �PLUMBING �MECHANICAL �— <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑PEPAIR � <br /> VALUAT�ON Of WOflK ([ <br /> 5 �DEMOUSH ❑FENCE ❑$IGN ❑SWIMMING POOL a <br /> DESCRIO[WORK <br /> nevol�A ,�rose 1319 <br /> raoroseo �se MECHANICAL <br /> LEGAL DESCRIPTION OF PROPERTY (SHOW�ELOW OR ATTACH TVPE OF FUEL �011 ❑GAS ❑LPG. �ELEC. <br /> FOUfi COPIES) <br /> Lo7 BLOCK_oF _NO. TYPE OF EQUIPMEN7 FEE <br /> AIR COND. UNITS—H.P. EA. 5 1 <br /> REFRIGERATION UNITS—H.P. EA. <br /> BOILEfiS-N.P. EA. I <br /> GAS FIRED A.C. UNITS—TONNAGE EA. <br /> FORCED AIF SVSTEMS—B.T.U. M EA. I <br /> JOB A�DRESS }�.�,,y WALL HEATERS—B.T.U. M <br /> � �7Li$trr AYQ� UNIT HEATERS—D.T.U. M I <br /> EVAPOIiATIVECOOLERS <br /> PLUMBING CLOTHES DRYERS I <br /> VENTILATION FAN <br /> RANGEHO00 I <br /> N0. TVPE OF FIXTURE OR ITEM FEE �.Ifl HANDLING UNI7— C.F.M, <br /> WATERCLOSET(TOILET) 5 INCINEHATOR I <br /> BATHTUB <br /> _ LAVATORV (WASH BASIN) � I <br /> SHOW[R <br /> KITCH[N SINK& DISP. SUB TOTAL $ � <br /> DISIiWASNER PEFMIT 5 <br /> _ LAUNDqY TRAY TOTAL FEE S I <br /> CLOTHFS WASHEP THIS PERMIT BECOMES NULL AND VOID IF WOFK OF CONSTRUC� <br /> WATEfi HEATER TION AUTHORI2EO IS NOT COA1MENCED WITHIN 120 OAVS, OR IF <br /> URINAL CONSTRUCTION OR WOFK IS SUSPENOED OR AOANDONED FOR A <br /> ORINKING FOUNTAIN PEFIOD OP 120 DAYS AT ANV TIME AFTCR WORK IS COMMENCED. <br /> FLOOR—SINK OR DRAIN I HEREBV CEfiTIFV THAT I HAVE REA� AND EXAMINED THIS AP- <br /> VACUUM �RGAKEflS PLICATION ANO KNOW THE SAME TO Bh TRUE AND CORRECT. ALL <br /> ROOF DRAINS—RAINIEADERS P�OVISIONS OF LAWS AND ORDWANCES GOVEflNING THIS TVPE <br /> OF WORK WILL 8E COM1'PLIED WITH WNETHEF SPECIFIED HEREIN <br /> SINK (SERVICE—OAR. ETC.) �— OR NOT, THF GRANTING OF A PER�11T OOES NOT PRESUAIE TO <br /> GIVE AUTHOFITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTHER STATE OR LOCAL lAW HEGULATING CONSTFUCTION <br /> OR rHE PERPORMANCE OF CONSTRUCTION. <br /> SUU TOTAL <br /> PERMIT S <br /> TOTAL FEE 8 ^"" ^ <br /> x +7�'�}X' <br /> SIGNATUFEOfCONTPAGTOROflAUTH.AGENT DATE <br /> SIOEVAROSETBACK STREETSET�ACK REARYARDSET�ACKPLANCHECKNUME3ER PLANCHECKFEE <br /> FEE RECEIPT NO. <br /> USEZONE LOTAREA VACANTSITE <br /> �]YEs ❑NO FE[S VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP UNITS OWELLING 1 <br /> SI2E OF BLDG. NO.OF STORIES MAX.00C. LOAD BUILOING 5 � <br /> 1 <br /> PLUMBING � <br /> PIfiE20NE [3ASEMENT FIRESPRINKLERS <br /> RE�VIRED <br /> ❑VES ❑NO MECHANICAL � <br /> SPECIAL CONDITIONS: OTHER � <br /> I <br /> . PENELTY SEC.3071a) I <br /> 70TAL w � <br /> I <br /> PERMIT VALIOATION <br /> WMEN PROPERLV VALIOATEO UN THIS SPACE)THIS IS VOUR PERMIT <br /> M�lIC�1iIJN�CCEPTEDBY: PLA�SC�ICCKCOIIY. �PPflOVE0F0(iISSUAKCCOY. <br /> 2�V0 `1>4�Y : <br /> Q <br />