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I tAc Evcrnn•en '� I <br /> I ��T� o� �CONSTRUCTiON everett <br /> everet� PERMIT I <br /> rrtrr+nii is�sess <br /> � cvcnen,r:asmvcrnn <br /> �s>ni I <br /> °E" °` �°""°':"° BUILDING MECHANICAL PLUMBING <br /> [rtvftCPREGi <br /> OWNER MAILADDFE55 ZIP PHONE <br /> Jp11,^,C..i rT�X�l�'`f 2.�`� r.e.7A�'3II"ll i�4� <br /> MCIIITCCT Ofl OC�IGNER MAIL ADDFESS PHONE LICENSE NO. -E-'^��:J <br /> GENERALCONTRACTOR MAILADDRESS PHONE LICENSEN <br /> '��n +_'an�z�,x� b.2C'1 ?e::+�,". ?�'. >A�3f'� �2'..�' �� <br /> MECHANICALCONTRACTOfl MAILADDftESS PHONE LICENSENO. <br /> � <br /> PLVMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. W • <br /> m <br /> IPERMIT CLASS OF WORK � <br /> � .y z <br /> ❑ DUILf�ING ❑ PLUMeING �MECHANICAL ir, � <br /> ❑NEW ❑ADDITION ❑ALTERATION LiREPAIR � <br /> VALVATION OF WORK CC I <br /> Si^�h��f ❑DEMOLISN ❑F[NCe ❑SIGN ❑SWIMMINGPOOL a <br /> DESCRIB[WORK <br /> ,'c��,�en t��r:y,� 14 2 6 I <br /> PPOPOSED USE MECHANICAL <br /> TVPEOFFU[L �OIL �Nns. �LPG. �ELEC. <br /> LBGAL DESCFIPTION OF PROPERTY ISHOW BELOW OR ATTACII <br /> FOUF COPIESI <br /> NO. TYPE OF EQUIPMEN7 FEE <br /> LOT BIOCK_OF qIR COfJD. UNITS-H.P. EA. 5 I <br /> FEFRIGERATION UNITS-H.P. EA. i <br /> f30RER5-H.P. EA. I I <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> FORCED AIR 5\'STEMS-�.T.U. M EA. I <br /> J06 A1�RES�� WALL HEATERS-3.T.U. M <br /> 6� liNlT HEATERS-B.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTHESDRYERS I <br /> VENTILAI:�)N FAN <br /> RANGEHOOD I <br /> NO. TVPE OF FIXTURE OR ITEM FEE �.IR Hl�N�LING UNIT- C.F.M. . <br /> WATERCLOSETITOILET) S INCINERATOR I <br /> BATHTVA <br /> LAVATOfiV IWASH BASIN) � <br /> SHOWER <br /> I _ KITCHEN SINK& OISP. _ _ SU�TOTAL 5 � <br /> DISHWASHEF PERMIT 5 <br /> LAUNDRY TRAV .� TOTAL FEE 5 � <br /> CLOTHES Wl�SHER � Tfi15 PERMIT eECOMES NVLL A.NO VOID IF WOftK OR CONSTRUC- <br /> WATER HEATEFl TION AUTHORIZED IS NOT COMMENCE� WITHIN 120 DAVS, OR IF <br /> UFINAL CONSTRUCTION OR WORK IS SUS�GNDEO OR nBAN�ONED FOR A <br /> .DRINKINGFOVNTAIN _� <br /> PERIOD OF 120 DAYS AT ANV TIME f.FTER WORK IS COMMENCED. <br /> FLOOR-51NK OR DRAIN ' HEREBV CERTIFV THAT I HAVE RF.AD AND E%AMINED THIS AP� I <br /> VACUUM �REAKERS PLICATION A1:b ",NOW THE SAA9E TO BE TRUE AND COFRECT. A:_L <br /> PROV^.lrP`�-'� � � �'YS AN� ORDINANCES GOVcRNING THIS TYPE <br /> FOOF DftAINS-RAINLEADERS OF N')��'.+' ' COMPLIEO WITH WHE�HGR SPECIFIED HEREIFI <br /> SINK (SERVICE-6AR, ETC.1 OR fC : � �`- ' NTING OF A PERMIT DO[5 NOT PRESUME TO <br /> �— GIVE . "- i0 YIOLATE OR CANCEL TNE PFOVISIONS OF <br /> �— 41'Y O'f� c OF LOCAL LAW REGULATING CONSTRUCTION <br /> _ L'� TIiE e'-.i!FORMANCE OF CONSTRUCI'ION. <br /> SUBTOTAL _� <br /> PERMIT 5 I <br /> TOTALFEF 5 <br /> X q-1�%�;;:. <br /> CIGNAi-UFEOFCONT�iACTCRORAUTH.AGENT DATE <br /> SIDE YnRD SETBACK STREET CETBACK RCAR VAR�SETBACK P�NN CHECK NUMBER PLAN CHECK FEG <br /> FEE RECEIPT NO. <br /> �I USEZONE LOT, REA VACANTSCE — <br /> ❑vES ❑N.^, FEES VALUATION FEE <br /> I TVPE OF CONST. OCCUPANCY GROUP NO.O'� DWELLING � <br /> UNIT.'. � <br /> SIZG OF OLOG. NO. OF STORIES MA%.JCC LOAA �UILDING 5 �7uMV� � � <br /> I� <br /> PWMBING � � <br /> I RRE20NE BASEMENT FIFESFqINKLEFiS � I <br /> R�YF�E� �N� MECHA�JICAL � <br /> « � <br /> SPECIAL G�NDITIC�NS' OTHEF � <br /> __ . I <br /> I __ _._-- — PENELTV SEC. 3031a) I <br /> TOTAL 1; I��% <br /> PERMIT VALIDATION <br /> _ - WHGN PqOPERLY VAI_IDATEO UN THIS SPACEI THIS IS�OUR PSRMIT <br /> I _ <br /> �� pnPIICAilON4CCEVTE08Y- 1'toN:Lll[IXEDIIT� fN(' ul `h�� � `r . . <br /> .-c � <br /> � � <br /> �___ . . . . ._ . �I <br />