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��1L� �..�������.,�rl I <br /> '� _��� �>� C�NSTRUCTION everett <br /> everett PFRN�IT <br /> ��.r„a�, zs,r. : <br /> fV[eEii I:.:rvu;l'.itn�, <br /> I <br /> i <br /> °`"' °` `°''°"�" BUILDING MECHANICAL PLUMBING � <br /> oe�[�a�••nn <br /> OWNEq }.�� y� MAI ADDcR:�E53 ZIP PHONE ��� <br /> �.i•.•- - ni 4lK�.Yitc�l �� ,y,�;�"! <br /> � nftCHITECTORDESIGN[H MAiLAODRE55 PHONE LICEnSENJ. <br /> GENE��ApL�C(UjN�T/R�`A�C{�T�O�F �I��/-�M�A}�ILA�D�D�/RE55 PHONE �LIC��Ey1JN/�SENO. <br /> '.�' Nl-i. iIR{.�✓J��_'R � JdNx' �-'A J'L�l� �_ .�/`I� <br /> MLCHANICAL CONTRAC?DF MAIL A�DRESS PHONE LICENSE NO. <br /> I PLUMdING CONTRACTOF MAIL AUDqE55 PVIONE LIC@NSE NO. � <br /> W <br /> m <br /> PERMIT CLFSS oF WOFK � <br /> z <br /> � 6JILDING �PLUMpING �MECHANICAL F. <br /> ❑NEW ❑AODITION �ALT[HATION ❑FEPAIfi � <br /> Vt�LUATION OF WORK�( <br /> � 5 ""�'� ❑DE�AOUSH ❑F[NCE ❑SIGN ❑SWIMMING POOL LL% <br /> a <br /> DESCftIBL WORK '�r ",�� . .. .,�f� .. . � .� ��"�., _—�l—_ <br /> _ _ .. . :�.����1� f��� <br /> PR�POSED USE <br /> MECHANICA� <br /> TVPEOFFUtL �011, �NAT. �LPG. �ELEC. <br /> LLGAL DESCFIPTION OF PNUVEFTV ISHUW 6ELOW OF .".�T;.(;�1 C.l�S <br /> FOUR COPIE51 fY�y <br /> �o7� 6LOCK�or �--' Y� ��* � NU. 7YPEOFEQUIPMENT FI�E <br /> AIR COND. UNITS-H.P. EA. $ � <br /> REFRIGERATION UNITS-M_P. Eq. �- <br /> � -- — BOILERS-H.P. 6A � <br /> GAS FIRED A.Q UNITS-TONNAGE EA. <br /> _ _ FORCED AIR SVSTEMS-B.T.U. M EA. � <br /> JOft AUORESS �1�� (�:''YJ'� YJALL HEATCRS-6.T.U. M �--r— <br /> UNIT HEATEPS-B.T.U. M I <br /> PLUMBING EVAPORATIVECOOLERS <br /> CLOTHES �RYEqS � <br /> VENTILATION FAN <br /> RANGEHOOD I <br /> NO. TYPE Qf FI%TURE OR ITEM FEE AIR HANOLwG UNIT- GF.M. <br /> WATCRCLOSET(TOILLT; 5 WCINERATON � � <br /> Bl1TH'f118 _�_ _ � <br /> LAVA�OR'I(WASH BASIN) � <br /> SHOKLft <br /> SU�TOTAL 5 ' <br /> KITCHEN SINK& DISP. � <br /> UISHWFSHER � <br /> LAUNDFY TRqV PERM�T 5 I <br /> — TOTALFEE 5 I <br /> CLGI'H@SV✓ASHER <br /> Wi�_.ER_F�[�T[R THiS PFRMIT FiECOMcS NULL AN� VOID IF WpqK OF CONSi'RUC <br /> I Uf1IHAL GONSTRVCT�IUN CR '�Vpf1KT S SUSf EN DED OIFHAOA'NUONED FOH'!� I <br /> URINkING FOUNTAIN PER100 OF 120 DAYS AT ANY TIME AFTER WORK lu CDAAM[NCEO. <br /> FLUOR-SINK GR DFlAIN I HEREOV CERTIFV THAT I HAVE ftE4D ANO E%AMWED 'fH15 AP� <br /> V 1CUUM FiREAKERS PLiCAT10N ANO KNOW THE SAME TO 6E THUE ANO COFiRECT. ALl <br /> ROOF DFAINS�-fiAINLEA0ER5 '— P�OVISION:: OF LAWS ANO ORDINANCES GOVEHNING THI3 TYPL <br /> OF WOqK WILL �E COM?LIEL WIThi WHETFIER SPECIFIE� HEq[I� <br /> SINY. ISEFVICE-9AR,E?C.) T— Oii 1JOT, THE GRANTING OF q PENMIT DOES NOT PfiGSU!dE TO <br /> —�— GIVB l�UTHORITY TO '��IOLl�TE OR CANCEL THE PROVISiON' UF <br /> 11NV OTHER STAT[ OR I.00AL LAW RGGULATING COWSTRUCI i0,'J <br /> OR TII[PERFORMANC[DF CONSTFUCTION. <br /> _ SUBTOTAL <br /> PERMIT S � <br /> _ __ TOTAL FEE $ _ ^�_�� <br /> ;� <br /> $IGNATUFiEOFCONTRACTORGR4UTH.qGEN-i Dl.IE <br /> SIDE YARD SETBACK STREET S[TGACK REAR VARUSET[3ACK PLl�h CMECI: NUn13ER PLAN CHECK F[E <br /> FcE RECEIPT NO. <br /> USE ZONE LOT AREA VACANiSITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TYFE OF CONST. OCCUVANCY GROUP NO.OF DWELLING �— I <br /> UNITS � <br /> SIZE OF pLDG. NO.OF STORIES MA%.00Q LOAD BUILDING S L�� � � <br /> PI.UMOING I <br /> FIRE].ONE pASEM[NT FIHESPRINKI.ERS <br /> FEpUIfiEO � <br /> ❑VLS ❑NO ��ECHANICAL � I <br /> SPECIAL CONDITIONS: pTHER � I <br /> I <br /> — P[NELiY SEC.3031a1 I <br /> 70TAL � <br /> 2b <br /> PERMIT VALIDATION <br /> - NJHFN PqO�'HRIV VALIpATED IIN THISSPqCE) TIi1515 YOUR PERhtIT <br /> I <br /> ___"_'_ <br /> � <br /> � <br /> � <br /> A�PLIC�TIONACCEPTEDBV' FLANSCNFIXFOBY�. FFPfi0VE0fORI55UPNCEBY. � <br /> �'s r. <br /> � (: i <br />