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', ;he Ercr�.acn <br />Urvp� <br />' everett <br />��,. �a« <br />' wEanr e..., ..,... <br />�� ��°, ��`;�,:`'";'.'; BUILDING <br />�' OWNER A1A�L <br />� �. , � . .. . . __�. '. <br />.. ..��L . _ � <br />CONSTRUCTIOIV <br />PERI�iI� <br />MECHA�,ICAL <br />� <br />PLUMBING <br />'LUMBINGCONTNACiUm m�i�Ht�vncaa rnvrvc ��...�•o..��� <br />'EPh11T CLASS OF WORK <br />�AUILDING �PLUM8ING [�MECHANICAL r�'' <br />��rvEW QAUD�TION ❑ALTEPATION ❑REPAIP <br />ll1LUATION OF WORK <br />s }...'' �.-,��i-, -- ❑oeMous�� —OF'r.r.ce ❑sicN ❑�wir.in�ir,c roo� <br />JESCRIBE WOFK <br />; �;T _-.. <br />L[G��L DLSC�iVTION OF PPOPGRTV ISHOIN R <br />FpVHCOPILS( �p <br />L7T ������flLn.;K ���F - � <br />� J09 AD�RESS .y+y�y� <br />,]e:GT ...-1 �.� • <br />��, PLUMBING <br />� <br />I <br />� NO TYPE OF <br />i WATER CLOSET 1 <br />i BATHTUB <br />i LAVATONYIWA$ <br />I SNOWEfi <br />KITCHEN SINK & <br />�, DISHWASHER <br />� LAUNDFV-fPAY <br />'. CLOTHES WASIiE <br />i _ WATFR NEATEfl <br />I URIHAL <br />� DfiINKING FOUN <br />�LOOP-SINK OF <br />VACUUM ISREl�KI <br />I_ HOOF DNAINS-P <br />� INKI;ERVICE- <br />III �. — _ <br />E vl1RD SET9ACK <br />1 �f <br />ZONE <br />t� <br />I I Sltt Ur nluta. (y <br />'� � � W <br />!-IRE ZONE <br />, 3 <br />SP[CIAL CONDITIONS: <br />I — <br />� V=PIIrrIV'�ynrCfrr![�'v <br />1 <br />1 <br />� <br />�Y <br />MECHANICAL <br />TYPEOFFU[L �OiL �NAI. � <br />(� q'i <br />NO. TYPE OF E�UIPMENT <br />AIP CONO- UNITS-H.P. EA. <br />REFRIGERATION UNITS-H.P. EA. <br />IBOILGRS-H.P.EA. <br />--! <br />GAS FIFE� A.C. UNITS-TOC�NAGE <br />�— <br />� fOFCED Alri S�STEMS-�.T.U. M E <br />WALLHEATEPS-�.T.U. M <br />� VNITHEATEPS-�.T.U. M <br />VENfILATION FAN <br />flANGEHOOO <br />41R HAN�LING UNIT- <br />INGINERATOfl <br />evert�fit <br />I = •:: TT <br />� <br />tl.l <br />m <br />� <br />� <br />z <br />r• <br />� <br />� <br />W <br />a <br />2864 <br />f I _SUBTOTAL S <br />PEPMIT 5 <br />I <br />TOTAL FEE 5 ' � .. <br />THIS PEFMIT BECOMES NULL ANO VOID IF LNORK OR CONSTRVG � <br />� TION AUTHORI2ED 13 NOT COMMENCED WITHIN 120 OAVS, OR IF <br />CONSTFUCTION Ofl VVORK IS SUSPENDED Ofl A�l�NDONEO FOR A <br />PER100 OF 120 DAVS AT ANV TIME AFTEF WORK IS COMMENCEp. <br />I HEREUY CEFTIFV THAT I HAVE READ ANO EXAMINED THIS AP- <br />— PLICATION AND KNOW THE S4ME TO DE TFUE ANO CORRFCT. ALL �� <br />—}— PqOVIS10N5 OF LAWS AND OROINANCES GOVERNING THiS TVPE i <br />I OP WORK WILL p[ COMPLIF.O WITH WHETHLF SPECIFIED M`9EW i <br />OR NOT, THE GRANTING OF A PEPM1llT �OES NOT PR[SUM� TO i <br />-�— GIVE nUTHOIiITv TO VIOLAtE OF CANCEL T��E PflOVISIONS OF <br />ANY OiH[q STATE OF LOCAL LAW fiEGULATING CONSTqUCTIDN � <br />�— Ofl TIIE PEfiFOiiMANCki OF CONSTRUCTION. � <br />x �L���� I <br />S�GNATUPEOFCONTRACTORORAUTH.AGENT DnTE ; <br />3ARYAfibSET(tACHPLANCHECKNVM(3ER PLANCMECKFEE <br />�� �� FEE �� RECE�PT NO. <br />Zr i[t�r'. <br />aCANT SITE '� <br />avEs ❑NO FEES VALUATION FEE �I <br />).Of DWELLING <br />JITS � I <br />4X.000. LOAD DUILDING 5 I � !ti��"Mfja I <br />PLUMBING 7 ��y <br />HESPRINKL[RS <br />o"�REo L on <br />❑vES NO MECHAHICl+L <br />4- <br />OTMEF � � <br />I I <br />P[NELTv SEC.9031e1 � �I <br />I <br />TOTAL I <br />I <br />PERMIT VALIDATION �. <br />— WH[NPROPERLYVALIpl1iEO11NTHI55PACE1TH1515VOUfiP4fiM1111' 'i <br />I <br />I <br />