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Ithe fver9reen �� I <br /> ��� ��� �.,vi��J 1 RV� I IVIY <br /> everett <br /> �;ver�t� PERMIT <br /> pT'I rvnll :599635 <br /> iSEflETT.1'10.tN:G'utCV <br /> [..::�I <br /> °`°' °"°""°""� BUILDING MECHANICAL PLUMBING <br /> oEvr.a>uExr <br /> OWAErl MAIL ADOFE55 ZIP PHONE �7 <br /> ��iZ;C':'iv�'y' i'::�'RY"75T.:•�n+,-n+;� '���1/ <br /> IAFCHITECr OR OESI:NCq MAIL ADOFESS PHONE LICENSE NO. <br /> Iu'ENERAL CONTRACTOR MA�L ADGFESS PHONE UCENGE NO. <br /> � <br /> �.!';�} <br /> MECIIAYICAL CONTRACTOR MAIL AD�RESS PHONE LICENSE NO. <br /> . PLUh181NGCONTRACTOR h1AILADOflESS PHONE LICENSENO. � <br /> W <br /> m <br /> PERIdIT CLf.S50F WORK � <br /> � <br /> z <br /> �BUILDING � PLUMBING �MECNANIfAL F <br /> ❑NEW ❑AD�ITION U�+LTERATION ❑REPAIR � <br /> VALUATION OF WOIiK m � <br /> 5 1a 7ryh M — ❑DEMOLISH ❑FENCG ySIGN ❑SWIMMING POOL a <br /> L� J�wi:nlV.f <br /> DESCFIB[WORK <br /> -�- �a ,. .R� ��4l�� 7.448 <br /> FRJPOSED USE <br /> MECHANICAL <br /> LLGAL DESCPIPTION UF PflCPERTY ISHOW BELOW OR ATTACH TVPE OF FUEL �OIL ❑GnS. ❑LPG. �ELEC. <br /> FOUR COPIES) <br /> I Loi a�or.k__.__Or. . NO. TVPE OF EOUIPMENT FEE <br /> Alli COND. UNIT$-H.P. EA. 5 I <br /> I — -- REFRIGEAATION UNITS-H.P. EA.�—� <br /> DOILEfiS-II.P. EA. � <br /> Gl�S FIRF.�A.C.UNITS-TONNAGE EA. <br /> /1 f-ORCED AIR SVSTEMS-B.T.U. M EA. I <br /> JOB AOORESS —�� WALL NEATERS-B.T.U. M <br /> '"�'/ �{�� �t� UNIT IiEATEflS-B.T.U. M I <br /> EVAPORATIVECOOLERS <br /> - PLUMBING CLOTHESORYERS <br /> I <br /> V ENTILATION FAN <br /> IiANGE HOOD I <br /> NO. TVPE OF FIXTUflE Oq ITEM fEE nIR HANDLING VNIT- C.F.M. <br /> WATEfiCLOSETITOILET) �NCINERATOF � <br /> BATHTUB <br /> LAVATORV 1\NASH BASIN) � <br /> SHON/ER <br /> KITGHEN SINK& DISP. SUB TOTAL 5 ,— <br /> I <br /> JISHWNSHER <br /> PERMIT $ <br /> LAUNDRYTRAV - <br /> CLOTHES Wl15HER -I-' TOTAL FEE 5 � <br /> THIS PERMIT OECOMES NVLL AND VOID IF WORK OR CONSTfiUC- <br /> '.�:.TEF HEi�T'cn TION AVTHORIZED IS NOT COMMENC[D WI7HIN 120 DAVS, OR IF <br /> UFiINAL CONSTRUCTION OR WORI: IS SUSPENDED OR ABANDONED FOR A <br /> DflINKING FOUNTAIN — �ERIOD OF 120 �AVS AT ANV TIME AFTER WORK IS COI.AMEN.:ED. <br /> FLOOR-SINK OR DRAIN —{ I H[PE�V CGRTIFV THAT I HAVE READ AND EN.AMINED THIS AP� <br /> VACUUM f3REAKERS PLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL <br /> ROOF DRAINS-RAINIEADERS PHOV I�IONS OF LAWS AND OFiDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE �OMPLIED WITH WHETIiER SPECIFIED HEREIN <br /> SINK (SERVICE-BAR, ETC.) OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHQRITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTNEft STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PE!iFORMANCE OF CONSTRUCTION. <br /> SUB TOTAL <br /> PERMIT 5 <br /> TOTALFEE $ <br /> x la/�f` � <br /> SIGNATUREOfCONTfIACTOflORAUTH.AGENT OATE <br /> SIDEYARDSETUACK STfiEET5ET0ACK REARVARDSETBACKPLANCHEGKNUMOER PLANCHECKFEE <br /> FEE ft[CEIPT NO. <br /> USE 20NE LOT AREA VACANT SITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPl�NC� GROUP NO.OF DWELLING <br /> UNITS � <br /> SIZE OF BLDG. NO.OF STORIES MAX.00C. LOAO FiUILDING 5 � <br /> � � <br /> PLUMB'NG � <br /> FIRE20NE BASEMENT FIRESPRINKLERS <br /> RfOUIRED � <br /> ❑VES ❑NO MECHANICAL � <br /> SPECIAL CONDITIONS: OTHER � <br /> I <br /> —� <br /> — - -- PENELTY SEC.3031a) I <br /> TOTAL � f� <br /> i'ERMIT VALIDATION <br /> �--�- WHEN PROPERLV VALIDATEO(IN THIS SPqCE1'�HIS I$VOUR PERMIT <br /> ACPLiCAT10N�CCEPIEDOY: PI./.NSCHECNEDBY: AFPPOV[UFOh155UP.NCEBY�. <br /> r����,�. <br /> 3 <br />