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} � <br /> (lIC EVC/lflCt'l1 � <br /> ��TY o� CON�TR UCTION everett <br /> everett PERMII' <br /> Ll1Y IIALL 159vCiS <br /> FVC�Cii.C:0.9�IHl,li11! <br /> 9tnil <br /> °'°' °` �°''°'°':°° BUILDING MECHANICAL PLUMBING <br /> ��E�E«�.,E,�, <br /> OWNEH MAILl�UDfiE55 Z�P PHONE <br /> AFCHITECT�SIGNER M�DDRESS � ���NE ����NO. '�Y�* <br /> 'a.u`'T�+a� <br /> GENERAL CONTRACTOR MAIL ADDRE55 PHONE LICENSE NO. 27'!'�y <br /> ! 1 �� <br /> MECHANICAL CONTRACTOF MAIL ADDRESS PHONE LICENSE NO. <br /> �?'. :Y� '�na.it.28ti ��0. T� 20G q� 'k�s. �7'� �1.k�7'.X2 �;,6�E'; � , <br /> PLUMBING CONTRACTOR MAIL ApDRESS PHONE � ,L,I^CE��NO. w <br /> r1q ;�y Cf] <br /> PERMIT CLASS OF�VORK � <br /> z <br /> ❑ 3UILOING �PLUMBING �MECMANICAL �NEJY ❑AOOITION ❑ALTEFATION ❑REPAIR ~ <br /> � <br /> VALUATION OF WORK � <br /> ❑DEM1IOLISN ❑FENCE ❑SIGN ❑SWIMMING POOL W <br /> s °- <br /> DESCPIB[WOftK 7 <br /> � 1 � <br /> PROPOSED USE MECHANICAL <br /> TVPEOfFUEI �OIL �NAT. �LPG. '�ELEC. <br /> LEGAL OESCRIPTION OF PROPEHI'Y ISHCW (1FLOW OR ATTACH �'n5 <br /> FOUFi COPIE51 <br /> NO. TVPE OF EQUIPMENT FEE <br /> LOT 6LOCK_OF AIRCOND. UNITS-H.P. EA. 5 � <br /> REFRIGEPATION UNITS-H.P. EA. <br /> �OILEfiS-H.P. EA. I <br /> GAS PIftED A.C. UNITS-TONNAGE EA. <br /> FOflCED l�IR SYSTEMS-B.T.U. M [A. 1 <br /> JOB ADDHESS ,'��� T� �^1ALL HEATEFS-B.T.U. M <br /> �'r` 1 UNIT HEATERS-B.T.U. M � <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTHESDR�ERS I <br /> VENTILATION FAN <br /> 'yj%� RANGE HOOD _ I � <br /> NO. TVPE OF FIXTUflE OR ITEM FEE �+�R HANDLING UNIT- C.F.M. <br /> WATER CLOSET (TOILETI 5 �NCWERATOR I <br /> T— <br /> �ATHTU� — �— <br /> LAVATOFI' IWASFI BASINI � <br /> _— �- <br /> SHOWER 1��— <br /> KITCHEN SINK 8' DISP. SUB TOTAL 5 17.N <br /> OISNWASHER PERMIT 5 <br /> LAUNDPY TRAY TOT'C.L FEE 5 I� `/ <br /> I CLOTHES WASHER THIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONSTRVC- <br /> I _ WATER HEATEF TION AVTHORIZED IS NOT COMMENCEO WITHIN 120 DAVS, Oft IF <br /> �URINAL CONSTRUCTION OH WOflK IS SUSPENDED OR AGl�NOONEf] FOR A <br /> DRINKING FOUNTAIN P�R�OD OF 120 DAVS f�T ANV TIME AFTEF WORK IS COMMENCED. <br /> FLOOf�-SINK OFi DRAIN I MEREOY CERTIFY THAT 1 HAVE REAC AND EXAMWED THIS AP� <br /> VACUUM [3REAKERS � PLICATION AN� KNOW THE SAME TO BE TRUE AND CORRECT. ALl <br /> PqOVI510NS OF �,0W5 AND ORDIYANCES GOVEFNING THIS TYPE <br /> � ROOF DRAINS-RAINLEADERS OF WOftK WILL 6E COMPLIEO WITH WHETHEfl SPEC�PIED NEIiEII: <br /> SINK (SERViCE-BAR, ETC.) Ofi NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME M <br /> GIVE AUTHpq�TV l'O VIOLATE OR CANCEL THE PROVIS10N5 OF <br /> ANY OTHER STATE OR �OCAL LAW REGULATIiIG CONSTftUCTION <br /> OR THE PEPFORMANCE OF CONSTRVCTION. <br /> SUB TOTAL <br /> PERMIT S <br /> TOTALFEE 5 <br /> X 2 � �i <br /> SIGNATUREOFCONTRACTOROFAUTH.AGENT DATE <br /> SIDE VAPD SLTDACK STREET SETBACK REAft VAF DSETBACK PLAN CHECK NUMBER PLA�'CHECK FEE <br /> FEE IRECEIPT NJ. <br /> IUSE ZONE LOT AREA VACANT:iITE <br /> i ❑vEs ❑No FEES VALUATION FEF <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF DN'ELIING --T <br /> I UNITS � <br /> -�— <br /> SIZE OF BL�G. NO. OF STOIilES MAX.00C. LOAn BVILDING S I <br /> I <br /> PLUMBING � <br /> FIFEZONE fil�SEM11ENT FIRESPRINKLERS � <br /> Rfi0U1FED �y� <br /> ❑'/ES ❑NO MECHANICAL � ly�� <br /> SPECIl�L WNDITIONS'. pTHEF � <br /> I <br /> ---T— <br /> PENELTY SEC. 3031a) � <br /> I <br /> TOTAL '� IO� <br /> PERMIT VALIDATION <br /> VJHEN PHOPERLY VALIDITED (1N THISSPACEI TF113I$ VOUR PERMIT <br /> nPVL�LniIONACCEPTE00Y'. � A�'SCNECKEOOY. APPFOVEDFphi55UnNC[PY. <br /> l�lY�! �i� • <br /> I I <br /> n <br /> I <br />