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��� ;li,, Fr�'r,u.r.�q � � <br /> ��r� �F CO(VST�ZUCT'ION everett i <br /> j everett PERMIT � <br /> I� LI}YNnLI 3_'�F..', I <br /> I CVENftl.:iu�lr:i:'T: I <br /> °"' °� �°`"�':"� gUILDING MECHANICAL PLUMBING <br /> OfV(lllf9i'�� <br /> � OW(��NER yM'yA�IL qA�DDN�E55 �(!'Z/IpV �PHDNE <br /> VWWy � �TG.�i U1�.fi:i� J�LA� 4J7 � �{��[ I <br /> ARCHITECT OR DGSIGN[!i MAIL ADOFiE55 PHONE LICENSE NO. 1.',+�^«+ <br /> I <br /> GEKERAL CONTRACTOF MAIL ADDRES$ PMONE LICENSE NO. I <br /> I � � <br /> MECHANICAL CONTRACTOR MAIL ADOFE55 PHONE LICENSE NO. i <br /> PLUMBING CONTRACTOR MAIL AOORESS PH„NE LICENSE NO. � , <br /> W <br /> m <br /> I � <br /> PERMIT CLA55OF WORK � <br /> z <br /> BpU1LDING ❑PLUMBING �MECMANICAI �NEW ❑ADOITION ❑ALTERATION ❑REPAIR ~ <br /> � <br /> VALUATION OF WORK �Ct � <br /> 5 �/y� /p� ❑OEMOLISH �gFENCE ❑SIGN ❑SWIMMING POOL w <br /> 7JlryK/ a <br /> D�E�SCHIeyE WORK/�.�. �4�� <br /> 4WYV�'-�y L�i�.� <br /> rAa°osen use MECHANICAL <br /> LEGAL DESCRII'TiON OF PROPERTY (SHOW RELOW O!i rITTACIY TVPE OF �ULL �OIL ❑GAS ❑LPG. ��LEC. <br /> FOUR PI[S7 — <br /> � '� �Q �(�Q� � NO. _ TYPE OF E�UIPMEN7 FEE <br /> IOT� 6LOCK_OF — <br /> AIR COND.UNITS-H.P. EA. 5 I <br /> FEPRIGERATION VNITS-H.P.EA. <br /> �601LER5-HP. F_A. I <br /> GAS FIREL A.C. UNITS-TONhAGE EA. <br /> FORCEO nlq S�STEMS-6.T.U. M EA. I <br /> JOp ��nDRF_$$ � WALL MEMEPS-D.T.U. M <br /> j�..ii� UNIT HEATERS-6.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUM4ING �IOTNES�RYEFS i <br /> VENTILATIONFAN <br /> _ RANGEHOOD � I <br /> NO. TVPE OF FIX7URE OP ITEM FEE _ Alft MANDLING UNIT- QF.M. <br /> WATEF C105[T ITOII.ET) S �NCINERATOR 1 <br /> EIATHTUB <br /> _ LNVATORY(YJASH FIASIN) + � <br /> SHOWER _ <br /> KITCIIEN SINK 5 DISN. SUff 10TAL S I <br /> DISHWASHER PE4M1T S � <br /> LAVNDFY TfiAY TOTAL FEE $ � <br /> CLOTMES WASHER THIS �ERMIT �[COMES NVLL AND VGID IF WORK OR COPoSTflUC- <br /> WATER HEATER � 710N AUTHORIZED IS NOT GOMMENCED WITHIN 120 DAYS, Ofi If <br /> UFIN/�L CONSTRUC7iON OR WOAK IS SUSPENDED Ofl nBANDONEO FOR A <br /> DRINKING FOUNTAIN PERIOD OF IIO DAVS AT ANV TIME AFTEfi WORK IS COMMENCEI]. <br /> FLOOF-�SINK OR ORAIN I HEflEOV CERi1FV THAT I HAVE READ AND E%AiA1NE0 THI$ AP� <br /> VACUUM OfiEAKERS PLICATION AND KNOW TME SnME TO DE TFUE ANO GOfiRECT.ALL <br /> PROVISIONS OF LAWS AND OFDINANC[S GOVERNING TNIS TVPE <br /> � ROOF DRlUNS-FAINLEAOERS . pF WORK WILL PE CUMPLIED WITN WHETHE9 5°ECIFIED HEREIN <br /> SINK ISEFVICE-OAR. ETC.) OF NOT, THE GFANTING OF A PEflMIT DOES NOT PRESUME TO i <br /> — GNE nUTHURITV TO VIOLI�TE OR CnNCEL THE PROVISICNS OF <br /> �WV pTHEF STATE OR LOCAL LAW REGULP.TING CUNSTliUCTION <br /> — , OFTHEPENFOHMANCEDFWNSTflUCTION. I <br /> SUBTOTAL <br /> PENMIT S—� <br /> TOTpL FEE 5 �h� <br /> 3`GNNTURE0I=CONTRACTOFOFAUTH.nGENT DFiE i <br /> SIOC- �AFO SET�ACK ST(iEET SETBACK REAR Vl.ROSET(3ACK PLAN CMECK NUMHER PLAN CHECK PEE <br /> FEE RECE�PT NO. <br /> USEZONE IOTAREl1 VACANTSITt <br /> ❑vE5 ❑No FEES VALUATION FEC_ I <br /> TVP[OF WNSL GCCUPANCV GROUP NO.OF OWELLING ' <br /> UNITS <br /> I ' <br /> `� <br /> SIZE OF �LOG. NO.OF STORIES MA%.00G LOAO �UIL�ING 5 /�� <br /> PLUMBING � <br /> FIHE20NE BASEMENT FIRESPFiINKlERS <br /> R[OUIREO <br /> ❑YES ❑NO MECMA�JICFL I <br /> SP[CIAL CONDITIONS: OTHER I I, <br /> I I <br /> — PENEL7v SEC.]0:f!al � <br /> rI ITOTAL 71� <br /> PERMIT VALIDATION I <br /> ty11FN FfiOP[RLV VALIDqT[J �IN T'.165PAC[1 THIS IS VCUR P[RGqIT <br /> . I <br /> I - i <br /> i !.P{'I.IC/�11pNqCCFVTfOflY� PIFNSCNECKEUOY. PPPPOV[pFOA155UAI:ClIiv I <br /> »•r' ��•• � <br /> I i:; � <br />