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f'�,� [rrir�rPCn <br /> CIIYOF — CONSTRUCTION everett <br /> everett PERMiT <br /> cnr xau tsseeas <br /> [v[ncri.�vnsrixcran <br /> sami <br /> o[rrprpouuuxrtr BUILDING MECNANICAL PLUMBING <br /> o[vE�ovMcxr <br /> OWNCR MAIL ADDRESS 21P PMONE <br /> �� � � <br /> ARCk11TECT OF OESIGNER MAIL AODRESS PHONE LICENSE NO. <br /> GENERAL CONTNACTOR MAIL AODRESS PHONE LICENSE NO. <br /> MECHANICrALwCONTRACTOR MAILADDRE55 PHONE LICENSENO. <br /> PLUMBING�CO TRACTOR MA�L ADDRESS PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT GLASS OF WORK � <br /> Z <br /> ❑BUILDING ❑ PLUMBING =JMECHANICAL �INEW ❑AOOITION ❑ALTERATION ❑REPAIR ~ <br /> �� � <br /> VALUATION OF WORK � <br /> $ ❑DEMOLISIi ❑FENCE ❑SIGN ❑SW�MMING POOL a <br /> DESCRIBE WORK �,� � � � �e � 034 <br /> M�J <br /> PROPOSED USE MECHANICAL <br /> IEGAI DESCRIPTION OF PROPERTV ISMOW BELOW OR ATTACIi TYP[OF FUEL �OIL �Nns. �LPG. �ELEC. <br /> FOUfl COPIE5) <br /> �O7 BLOCrc—o� NO. TYPFOFEUUIPMENT FEE <br /> AIR COND.VNITS-M.P.EA. $ I <br /> REFRIGERATION U�IITS-H.P. EA. <br /> UOILERS-H.P. EA. � <br /> GAS FIRE�A.C.UNITS-TONNAGE EA. <br /> FORCffJAIRSVSTEMS-9.T.U. MEA. � <br /> JOB ADORE55 WALL MEATEfiS-B.i.U. M <br /> � UNIT HEATERS-B.T.U. M 1 <br /> EVAPORATIVECOOLEFS <br /> PWfdBING CLOTHES ORYERS I <br /> VENTILATIONFAN <br /> RANGEHOOD 1 <br /> AIR HANDLING UNIT- C.F.M. <br /> NO. TYPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET ITOI�ET) g INCWERATOR I <br /> BATMTU9 <br /> LAVATORV IWASN�ASIN) <br /> SHOWER � <br /> KITCHEN SINK& DISP. SUB TOTAL 5 <br /> OISMWASHER PERMIT S <br /> LAUNDRY TRAV TOTAI FEE 5 <br /> CLOTHES WASHER 7HIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTRUC� <br /> WATEF HEATER 710N 11UTNORIZED IS NOT COMMENCED WITHIN 12� DAVS, OR IF <br /> URINAL CONSTRUCTION Ofl WOPK IS SUSPENDED OA AAANDONED FOFI A <br /> DRINKING FOUNTAIN PERIOD OF 170 DAYS AT ANY TIME AFTER WORK ISCOMMENCED. <br /> FLOOP-SINK OR DRAIN I MEREBV CERTIFV THAT I HAVE REND AND E%AMINED THIS AP� <br /> VACUUM BHEAKERS PLICATION AND KNOW TME SAME TO OE TRUE AND CORRECT.AI.L <br /> ROOF ORPINS-RAINLEADERS PAOVISIONS OF LAWS AND OR�INANCES GOVERNING THIS TVPE <br /> OF WORK WILI BE COMPLIED WITH WNETNER SPECIFIED HEflEIN <br /> SINK (SEflVICE-OAR,ETC.) OR NOT, THE GRANTING OF A PEPMIT DOES NOT PRESVME TO <br /> GIV[ AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTIiER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PEHFORMANCE OF CONSTRUCTION. <br /> SUDTOTAL <br /> PERMIT 5 <br /> TOTALFEE $ <br /> X <br /> SIGNATUREOFCONTRACTOROqAUTH.AGENI' DME <br /> SIDE YARO SETBACK STREET SET�ACK REAR YARD SET�ACl: PLAN CHECK NUM6ER P�AN CHECK FEE <br /> FEE RECEIPT NO. <br /> VSEZONE LOTAREA VACANTSITE <br /> ❑YES GNO FEES VAIUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NGOF OWELLING <br /> UIJITS � <br /> 512E OF �L�G. NO.OF STORIES MAX.00C. LOAD BUIIDING 5 � <br /> 1 <br /> � PLUMBING � <br /> FIRE2DNE 6ASEMENT FIr�ESPPINKLEFS <br /> Rf.OUIRED <br /> ❑YES ❑NO ��ECHAHICIIL <br /> SPECI.AL CON�ITIONS: OTHER � <br /> I <br /> PE� LTV SEC. J031a1 � <br /> TOTAL � <br /> � PERMITVAIIDATION <br /> WHEN PROPERLV VALI�ATED(IN THISSPACE)THIS IS VOUR PERMIT <br /> PPPUC�TIONAttCPTCpflY: VLFNSUICIXCOBY: NVPflOVED10P1;SU�NLEBY <br /> ' O ..._" . .. <br />