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, ; <br /> � <br /> � u,�� E��a�����, <br /> ��T� �, C�JNSI�RUCTION everett <br /> everett PERMIT <br /> ❑TT HALI ]59Yf05 <br /> EVErIEiT,NASNING1011 <br /> 9B111 <br /> °E�� �� ���.��,��°�r BUILDING MECHANICAL PLUMBING <br /> ntvciorn+uu <br /> OWNEF MAILADDRESS Z�P PH'JNE <br /> .,.5:��i :,;.�*�� 9 �C �i'"' -t"� '�i�'�:f`�yfV <br /> ARCHITECTORDESIGNER MAILNDOFE55 PHONE LICENSENO. <br /> GENERAryLCONTRACTOR MAILADDRESS PHONE LICENSENO. <br /> �)RR)• r �• ;��-'wl <br /> MECHANICAL CONTRACTOR MAIL A�DFESS PHONE LICENSE NO. <br /> PLUMBING CONTRACTOR MAIL ADORE55 PHONE LICENSE NO. � <br /> W , <br /> m <br /> PEFMIT CLASS OF WORK � <br /> z <br /> �UILOING ❑ PLUMBING ❑MECHANICAL � F' <br /> ❑NEW ❑A�DITION ❑ALTERATION REPAIR � <br /> VALUATIUN OF WORK � <br /> ��� ❑�EMOLISH ❑FENCE ❑SIGN ❑SWIMMING POO� � <br /> 5 <br /> DESCRIB[WOPK , �,V ���^ <br /> . ,.... '!�:. ... T'. ! ., r......r -� .. . . ..'. L <br /> PPOPOSED USE MECHANICAL <br /> TVPEOFFUEL �OIL �NAT. �LPG. �ELEC. <br /> LEGAL DESCRIPTION OF PROPERTV (SHOW BELOW OR nTTl�CH GAS <br /> FOUR COPIE51 <br /> �O7 BLOCK—oF NO. TYPE OF E�UIPMENT FEE <br /> AIR CON�. UNITS—H.P. EA. 5 I <br /> �«�,+ �ryp�� REFRIGERATION UNITS—H.R EA. <br /> f BOILERS-H.P. EA. I <br /> GAS F RED A.C. UNITS-TONNAGE EA. -� <br /> FORCED AIR SVSTCMS-d.T.U. M EA. � <br /> JOB ADDRES$ WALL HCATcnS-B.T.U. M -� <br /> ��C.'� �d.�`;��r�p <br /> • UNIT HEATEqS-B.T.V. M � <br /> EVAPOFATIVECOOLERS <br /> PLUMBING CLOTHES�RVERS i <br /> VENTILATION FAN <br /> FANGEHOOD I <br /> AIR HANDLING UNIT- GP.M. � <br /> NO. TYPE OF FIXTURE OR ITEM FEE � <br /> WATEft CLOSET�TOILETI 5 �NCINERATOR I <br /> BATHTUB <br /> LAVATORVIWASHBASIN) � <br /> SHOWER <br /> KITCHEN SINK & DISP. SUB TOTAL 5 I <br /> DISHWASHF.R PERMIT 5 <br /> LAUN�RVTRAY TOTALFEE 5 I <br /> CLOTHES WASHER THIS PERMIT BECOMES NULL ANO VOI� IF WORK OR CONSTRUG <br /> WATER HEATER TION AUTHORI2ED IS NOT COMMENCED WITHIN 120 Dl�YS, OR IF <br /> UFIN1IL CONSTRUCTION OR WORK IS SUSPENDE� OR ABl�N�ONED FOF A <br /> DRINKING F(1UNTAIN PERIO� OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. <br /> FLOOR-SINK OR DRAIN I HERE6Y CEFiTIfV THAT I HAVE READ AN� E%AMWED THIS AP- <br /> VACUUM BREAKERS PLICATION AND KNOW THE SAME TO BE TRVE AND CORftECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE <br /> ROOF DRAINS-RAINLEAOERS OF WORK WILL BE COMPLIEO WITH WHLTHER SPECIPIED HEREIN <br /> SINK (SEftVICE-�AP, ETC.) OR NOT, THE GflANTING OF A PERMIT OOES NOT PflESUME TO <br /> GIVE AVTHORITY TO VIOLATE OF CPNCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL Ll�W REGULATING CONSTRUCTION <br /> Oft THE PERFORMANCE OF CONSTRUCTION. <br /> SUBTOTAI <br /> PERMIT 5 <br /> TOTAIFEE 5 �A�.IZf <br /> x ..� a:.: tJ <br /> SIGNATUREOFCONTRACTORORAUTH.AGENT OATC <br /> SIOEVAR�SET6ACK STREETSETBACK IiEAPYARG5ET6ACKPLANCHECKNUMBEF PLANCHECKFEE <br /> FEE RECEIPT NO. <br /> USE 20NE l0T AREA VACANT SITE <br /> ❑VES ❑No FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPNNCV GROUP NO.OF�WELLING � <br /> UNITS �yp <br /> SIZE OF 6LDG. NO. OF STORIES MA%.00C. LOAD BULL�ING 5 ���� �j w <br /> I n W MBI NG � <br /> I FIftC- ZONE BASEM1tENT FIRESPFINKLERS � <br /> RC�]UIRED � <br /> ❑VES ❑NO MECHANICAL I <br /> I � <br /> SPECIl�L CONDITIONS: OTHER � <br /> PENELTY SEC. 303�a1 � <br /> I <br /> TOTAL �I(jP) <br /> PERMIT VALIDATION <br /> WHEN PROPLRLV VALIOATED (IN THIS SPACEi THIS IS VOUR PEHM1tIT <br /> � .�Pti[.;i10�lACCI�T[[lfiY� PLANSCHECKEO�Y: ACPPOVEO FOHISSU�NLEflY. <br /> � �i• <br /> I n <br />