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i !hc Fvdrgrcen <br /> ��TYOF CONSTRUCTPGN everett <br /> everett PERMIT <br /> LiY NiIL ]SJ29F <br /> CVFREii �.�,�ynyi�iOY <br /> Y5:)I <br /> °"` °"°"''°'„" SUILDING MECf-IANICAL PLUMBING <br /> o[v[iavrnEyt <br /> OWNER MAILAODHESS ZIP PHOfvE <br /> J�'„� fi:°.r�.3:"�l ���'� <br /> ARCHITECT OR DESIGNER MnIL ADDRE55 PHONE LICENSE NO. <br /> GENERAL CONTFiACTOR MAIL ADOFESS PHONE � LICENSE NO. <br /> tdECNANICAL CONTFACTOq MAIL ADORESS PHONE LICENSE NO. <br /> PLUMBINGCONTRACTOR MAILADDFESS PHONE LICENSENO. � <br /> r..^tL "f'�'� <br /> .. `�.: ... '.a7..� W <br /> m <br /> PERMIT CLA55OF VJORK � <br /> � <br /> ❑ �UILDING [$.PLUMBING �MECHANICAL ,-+� z <br /> LJ't`�EW ❑ApOITION ❑ALTERATION ❑REPAIR ~ <br /> VALUATION OF WOqK - �G <br /> 5 ❑OEMOLISH ❑FENCE ❑SiGN ❑SN'I�^dMING POOL W <br /> DESCRIBL WORK <br /> d <br /> � � 1 <br /> PROPnSED USE <br /> MECHANICAL � <br /> IEGAL DESCRIPTION Of PROPERTY ISHOW pELOW OR ATTACH TVPE OF FU[L �pIL QNAT. �LPG. �E�EC. <br /> FOUR COPIE51 �'n5 <br /> �07 OLOCK_oF NV• TVPE OF EQUIPMEN7 FEE <br /> AIR COND. UNITS-H.P. EA. $ I <br /> � REFPIGEkATION UYITS-H.P. EA. <br /> BOILEFS-H.P. EA. � <br /> GAS FIREO q.C. UNITS-TONNAGE EA. <br /> I FpqCED AIq SVSTEM1IS-e.T.U. M EA. � <br /> .!06 PDDRESS �,���Q y�x� �/ry{' WALL HEATERS-9.T.V. M T-- <br /> .L�]1�T i=J.:•:'��;�'L <br /> UNIT HEATERS-9.T.U. M � <br /> PLUMBING EVAPOpATIVECOOLEFS <br /> CLOTHESORYERS � <br /> VENTILATIONPAN I <br /> RANGEHOOD � <br /> N0. IYPE OF FIXTURE OR ITEM FEE nIH HANDLING UNIT- C.F.M. � � <br /> WATER CLOSET(TOI�ETI 5 INCINERATOR � <br /> pATHTUB � <br /> a. LAVATORVIWASH 6ASIN) - I <br /> SHJWEP <br /> KITCHENSINK & D'SP, SUBTOTAL $ <br /> DISHVJASHER -- I <br /> LAUt 1RP TRAV "�'— PENtdIT $ <br /> CLOI. [5 WA.SNER TOTAL FEE 5 � <br /> WATER HEAfER THIS PERMIT BECOMES NULL AND VOID IF WORK OH CONSTRUG <br /> TION AiJTHORI2GD IS NOT COMMENCE� WITHIN 120 �AVS, CR IF <br /> __ URINAL CONSTRUCTION OR WORK IS SUSPENUED OR ADANDONEil FGR A <br /> DFINKING FOUNTAIN �-- PERIOD OP 120 DAYS AT ANV TIME AFTERIVORK, iSCOMfdFNCEO. <br /> _�FLOOR-SINK OR ORAIN I HEREBY CERTI�� THAT I HAVE READ AND EXAMINED l-HIS AP- <br /> VACUUM 6FEAKER$ PLICATION AND KNOW THE SAME TO�E TRVE AND CORRECT. ALL <br /> ROOF DRAINS-�RAINLEAOERS �— PROVISIONS OF LANJS ANO OROINANCES GOVERNING THIS TYPE <br /> OF WOfiK W�LL BE COM?LIED IVITH WHETHCR SPECIFIED HEREIN <br /> SINK !SEFVICE-BAR, ETC.1 OF NOT THE GRANTING OF A PERMIT DOF.S NOT PqESUME TO <br /> GIVE AUTHORITV TO ��IOLATE OF CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> GR THE PERFORMANCE OF CONSTRUCTION. <br /> SUBTOTAL <br /> PERMIT 5 <br /> TOTAL FEE j �f <br /> x �� ci�ck 3333 � <br /> SIGYATUNEOf-CONTRACTOFORAUTH.AGENT DATE <br /> SIDE 1'ARD SETpACK STfiEET SETBACK REAR YAHDS@TpACK PLAN CHKK NUAIBER PLAN CHECK FEE <br /> FEE RECEIPT NU. <br /> USEZONE LOTAREA VACqNTSITE <br /> ❑VES ❑NO FEES VALUATION FEE I <br /> iYPE OF WNST. O�CUPANCV GROUP NO.OF DWELLING I <br /> UN175 � I <br /> 512E GF BLDG. NO.OF STORIES MA%.00C LOAD BVILDING 5 i I <br /> IPLUMeING � <br /> I'IRE7.ONE BASEMGNT FIR[S.'RINKLI.R$ � <br /> REa�iqEO — <br /> ❑YES ❑NO ��ECHANICAL � <br /> SPECIAL CONDITIONS: OTHER I I <br /> — � I <br /> i <br /> — PENELTY SEC.3a31a1 � � <br /> TOTAL � <br /> I <br /> PLRMIT VALIDATION <br /> WNEN PROPERLV VALIOATEO IIN THIS SPACE) THIS IS VOUR PERh71T <br /> I <br /> In�PLIL4TICNF:CEPT[09Y�. VLA!:5^HECNEO�V'. �•.pPppVEOFOfII`Slln",�(pY <br /> I I <br /> n I <br />