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""' E°°`""'"' _ CONSTRUCTiON <br /> =�TY o� e��erett <br /> everett PERMIT <br /> CIT1' MALI ?5^�Fl]AS <br /> e� eFerr. wn c,ezoi COMBINATION • BUILDING • MECHANICAL • PLUMBING <br /> OWNLR hV11L AUDRE55 <br /> 21P Y110NE <br /> To17 1•icGieo 1j11 jjzlr5.i�t � <br /> ARCNITECT OR DFSIGNkR p m <br /> MA�L ADDRl55 PHONE LICENSE NO. ZZ.LU�77 � <br /> GENERA� CONTflACTOFi MAIL ADORESS 3 <br /> PHONE LICENSE NO. <br /> rSVCT'Ctt: $l�l Cp� y <br /> MECWIMCAL CpNTiiACiDR - � C <br /> IdqIL AODq[55 PI ONE LIC[NS[ NO. 3 <br /> W <br /> PWMBINGCONTqACTOR MAILAD�RE55 ��'' � <br /> PHONE LICENSE NO. �--: <br /> ,c <br /> PERMIT C'_7 <br /> CLq55 Of-WORK - <br /> ❑COMBINATION 1.�+ <br /> [�OUILOING � PLUMBING �MECIiANICAL - <br /> �N�W ❑AOOITION ❑qLT[RATION ❑R[PqIR <br /> VALUATION OF WOqK <br /> 5 2SO�W ❑OEMOLISH ❑FENCE 'uSIGN ❑yWIMMWG PUOL <br /> DESCPIBE WORK <br /> .Sl <br /> PROPOSEO USE <br /> MECHANICAL <br /> LEGAL DESCRIPTION OF pqOPERTV�SHOW UELOW OR ATTACH TVPE OF ENERGY <br /> FOUflCOPIE51 �GqS ❑ELEC. <br /> �oT ALocK__oF NO. TVPEOFEQUIPMENT FEE <br /> AIR COND.UNITS-M.P. Eq. 5 � <br /> REFRIGERATION UNITS-�N.P. EI1. <br /> UOILERS II.P. EA —' � <br /> FOFCE� AIF SYSTEMS-O.T.U. MEA. � <br /> L <br /> JOB ADDRESS - � <br /> 1711 Ifettitt SPACE LL WALL MEATERS - B.T.U. <br /> UNIT FIEATEIiS-lt.T.U. � <br /> PLUMBING EVAPORATIVE CODL[RS <br /> CLOTHES�RVERS � <br /> VENTILATION FnN <br /> NO. TVPE OF FIXTURE OR ITEM _ ��Nc[ nOoo � <br /> � BATH TUBS 5 FEE _ /�IR IIANDLING 6'NIT- QF.M. <br /> CLOTHES WASHFR � _ � <br /> DISH WASHERS i __ wATEq NEAtEq — <br /> DRINKING FOUNTAINS � _ PAC. f3UILT PIREPLACE 14 CHIMN[Y � <br /> FIOOR �RAINS � GAS. SVSTEM: NO OP pUTLETS <br /> KITCHEN SINKS 8i DISP. � � SUtt TOTnL 5 � <br /> BAR SINKS ---- <br /> � r[n�nir 5 <br /> ROOF DRAINS - RAIN LEADERS � toTn� peE <br /> SHOWER BATHS - S � <br /> SERVICE $INKS THIS PERMI7 IIECOMLS NULL ANO VOID IF Wp�� OR CONSTRUC <br /> . TION AUTHORI7FD IS NOT COMMENCED WI�'iIN 120 OAVS, OR IF <br /> SUMPS - SEWAGE PUMP CONSTflUCT'ION ON WORK IS SUSP[N�GU Oq nppN�ONEO FOR A <br /> URINALS � PER100 OF 120 DAVS AT I�NV 71ME AFTER'NOfiK IS COMMENGED. <br /> WATER CLOSETS j' I IIBH[ItV CEf1Tl!-V T11AT I IIAVE READ AND E%l�MWEO 1HI5 AP- <br /> WATER HEATERS - ELECTRiC � N��CATI(>N AN� KNOW l'l1E SAMG i0 6F TfiU[ AND CORFiECT. nLL <br /> WASH 9ASINS �'�OVISIONi Of LnWS 11Np pqpINANCES GOVERNING TNIS TVPE <br /> LAUNDRY TR/1VS � OP WONK WILL 6[ COMPLIGD WITII WHETHEq SPLpF�ED HEREIN <br /> . OR NOT, 1'HE GRANTING OF A PERMIT OOES NOT PqE1:UME TO <br /> � GIV[ AUTIiORITV TO VIOLI�TG OR CANCEL TH6 PROVI:110N5 OF <br /> I�NY OT11EA tiTME OR LOG1L Ll�W RGGULAiWG CON5T1iUCTION <br /> � OR THE P[ =OfiMANCL OF CONSI'RUCTION. <br /> 1 <br /> � l <br /> SUB TOTAL ✓� <br /> _PERMIT g <br /> TOTAL FEE �,�������� <br /> WATER SERVICE SIZE ��" �='- <br /> BLDG. SUPPLYSIZE_ 1 n7UREOF� TRnCTORO UTH.nGENi oni[ <br /> SIDEYqRDSET�ACK STREETS[T�ACK REARVARDSLT[iACKPLANCH[CKNUMItLR <br /> PLAN CHECK F E[ <br /> FEE RECEIPT NO. <br /> USE ZONE l0T AfiEA VACANT SITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TYPE OF CpNST. UCCUPl1NCV GPOVP NO.pF DWGLLING <br /> UNITS <br /> I <br /> $12E Of- DLDG. NO.Of STOHIES MA%.OCC. I.OAD flUILpING g I <br /> — ��k�-- I <br /> FIRE20NF pASEM[NT FIRESPfiIryKLEliS �WMIIING � <br /> RE�UIR[D — — - � <br /> ❑VFS ❑NO MECIIl�NICAL � <br /> I <br /> SPEdAL CONDITIONS: - I <br /> — OTHER � <br /> PENALTV SGC30CIa1 I <br /> TOTAL � <br /> I <br /> PERMI7 VALIDATION <br /> — WRGN 1>qOPBRLY VALIf�/�T[D (IN 1181$�+,,C[1 TI���Y�I,�eE�� � <br /> • <br /> _ <br /> - `YOU R �ECEi�i' <br /> �,�����,�„����,:���,�����. �����,,,:,,�,:K��,��. -- ��.�„��������,,,t,������� ��Y , THi4KiK YO�; <br /> L:; ' . <br /> Q ' <br /> � � t� Al1C ]] <br />