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� thc Everg�cnn <br /> ' ��T� o� CONSTRUCTION everett <br /> everett PERMIT <br /> cirv �mu. re�sxFs <br /> cvcaerr.r;asxixcinu <br /> seiai <br /> °EPT �F����°°�°�r BUILDING MECHANICAL PLUMBING <br /> �Evuavr.iErx <br /> OWNER MAILADDRE55 21P PHONE <br /> '�.1'5�:;•�' ::• i��.''ff.:Il: r".�v! .f:;u:y�v "!::<`�I�'. A.� .�.�':�;:'� <br /> ARCHITECT OF DESIGNER MAIL ADDP,E55 PHJNE LICENSF NO. T<?'y"}�r�� <br /> • �.w � <br /> GENERAL CONTRACTOfi MAIL AD�RE55 PHONE LICENSE NO. <br /> `:;t5i.r — <br /> MECHANICAL CONTFACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> I � <br /> ' PLUMBING CONTRACTOF MAIL ADDftESS PHONE LICENSE NO. w <br /> m <br /> � � <br /> PERMIT CLASS OF WORK � <br /> z <br /> � <br /> ❑OUILDING ❑ PLUMBING ❑MECHANICAL �NEW ❑ADDITION ❑ALTEFATION QRGPAIN ~ <br /> � <br /> VALUATION OF WORK � <br /> y �! , .� ❑DEMOL6H ❑F[NCE ❑SIGN ❑iWIMMING POOL w <br /> 5 '►i!•'�'�'► ' d <br /> DESCFIBE WOR:: �(J �� <br /> ��iCV �'�'��s�'8„'.'.:3C:!'k�—�_..r;�6i:f»:,�� ��- .�:.1:'r.,•�.:.' ;31�:'�:a t7 <br /> PROPOSED USE MECHANICAL I <br /> � ��� TYPE OF FUEL �OIL �NAT. �LPG. �ELEC. <br /> LEGAL DESCFIPTION OF PFOPEPTV ISHOW BELOW OR ATTACH GAS <br /> FOVR COPIES) <br /> NO. TYPE OF E�UIPMENT FEE <br /> LOT �LOGK—OF AIR COND. VNITS—H.P. EA. 5 � <br /> REFRIGERATION UNITS—H.P. EA. <br /> ' 801 LERS-H.P. EA. � <br /> GAS FIRE�A.C. UNITS-TONNAGE EA. <br /> FOFCE�AIR SVSTEMS-B.T.U. M EA. I <br /> JOB ADORESS WALL HEATERS-6.T.U. M <br /> v'1a� <,��•.���� Z3].1 LOMBARD UNITHEATEFS-B.T.U. M � <br /> J � <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTHES OFVERS I <br /> VENTILATION FAN <br /> RANGEHOOD � <br /> AIR NANDLING UNIT- C.F.M. —r <br /> NO. TVPE OF FIXTURE OR ITEM FEE iNCINERA7oR I <br /> WATER CLOSETITOILETI 5 � <br /> 6ATHTUB <br /> IAVATORY (WASH BASIN) � <br /> SHOWER <br /> KITCNENSINK& DISP. SUBTOTAL 5 I <br /> DISHWASNER PERMIT 5 <br /> LAUNURY TRAY TOTAL FEE 5 I <br /> i CLOTHES WASHER THIS PEFNIT BECOMES NULL AN� VOID IF WORK 0(i CONSTRUG <br /> WATER HEATER TION AUTHOFI2ED IS NOT COMMENCED WITIi1N 120 �AYS, OR IF <br /> UflINAL CONSTRVCTION OF WORK IS SUSPENDED OR ABANDONE� FOR A <br /> PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCEO. <br /> DRINKING FOUNTAIN <br /> FLOOF-SINK OR DRAIN I HEFE�Y CERTIFV THAT I HAVE REAO AND E%AMWFD 7H15 AP- <br /> PLICATION AND KNOW THE SAME TO �E 'iRUE AND CORRECT. ALL <br /> VACUUA18REAKEFS PROVISIONS OF LAVJS AND ORDINANCES GOVERNING THIS TYPE <br /> FOOF DRAINS-flA1NLEADERS OF WORK WILL BE COMPLIE� WITH WHETNE(i SPECIFIE� HEftEIN <br /> SINK (SERVICE-�AR, ETC.1 OR NOT, THE GRl�NTING OF A PEFMIT DOES NOT PRLSVME TO <br /> GIVE AUTHORITY TO VIOLATE OF CANCEL THE PROVISIONS OF <br /> ANY OTHER $TATE OR LOCAL Ll�4V RcGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTflUCTION. <br /> SUB TOTAL +_ <br /> i PERMIT 5 <br /> TOTA� FEE 5 ��y�t(: <br /> iSIGNATUREOFCONTRACTORORAUTH.AGENT DATE ', <br /> SIDE �'nRDSETBACK STREETSET6ACK REARYARDSET�ACKPLAN��HECKNUMf3ER PLANCHECKFEE <br /> FEE RECEIPT NO. I <br /> USE ZONE LOT AREA VACANT SITE �i <br /> ❑vEs ❑No FEES VALUATION FEE <br /> i <br /> TVPE OF GONST. OCCUPANCV GROU� UNIOS DWELLING � <br /> li SIZE OF BLDG. NO. OF STORIES MA%,UCG LOnD BUILDING 5 +}J*�"✓� �S7 �� <br /> I <br /> �� � PLUMOING � <br /> � FIfiE20NE �ASEMENT FIFESPRINKLCRS � <br /> RfQUIRE� � <br /> � �Y�S ��ip MECHANICAL I I <br /> I I <br /> �� SPECIAL CONDITIONS: OTHEF � <br /> I — <br /> I PENELTY SEC. �091a) � -- <br /> TOTAL t' Ir� <br /> I PERMIT VALIDATION <br /> — WH[N PROPERLV VALIOATE� (IN TIiISSPnCG) THIS IS VOUR FE�ifdlT I <br /> � <br /> I <br /> I <br /> II mRJLHIIONALCEPT[DOY' �LANSCHfCNEOAY: /PPPOVEUFOfiIS5U�t1CC0'!. <br /> il � � <br />