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Nre Evargn•r,n <br /> ��TYOF CONSTRUCTION everett <br /> eveTett PERMIT <br /> LrtV11Rll }59BA65 <br /> [VFflEIT.WASNIYCtON <br /> 98101 <br /> °E°, °�°°°M°���� BUILDING MECHANICAL PLUME3ING <br /> o[vttovx[xr <br /> Q�yryEq Ml�IL ADDR[SS ZIP PHO,N.rE,� �� <br /> e�tY]C3 R'S ._^�6t LT� 2� i��C n� ' G;.��ty7 <br /> ARCHITECT OR DESIGNER MAIL ADDFES� NNONE LICENSE NO. <br /> �6.. !':1 `.t2 . �i�i � u�H• �ir��i(. � '0+.:�.25'J�2. � <br /> � GENERAL CONTRACTOH MAIL ADDRE55 PHONE LICENSE NO. <br /> `-'av�� �.:r�3n•• 3 aaa k���r x�''930 <br /> MECF:IINICA�CONTRACTOR MAIL ADDRE55 PHONE LICENSE NO. <br /> � <br /> PLUM9I�IG CONTRACTOR MAIL AODflESS PHONE LICENSE NO. W <br /> T�B G�R ����.0l�.t.'a�S.0 Z.n�(� �16 � �1��r� �'� �'� � <br /> PEFiMIT CLA55 OF YlORK � <br /> Z <br /> �UILDING p PLUMBING �MEGHANICAL ~ <br /> ❑NEW ❑�+DDITION �A�-TERATION ❑fY[PAIR � <br /> VALUATION OF NlORK � <br /> ���! ❑DEMOLISIi ❑FENCE ❑SIGN ❑SWIMMING POOI W <br /> S Y:J�r� a <br /> DESCflIBE WORK ���� <br /> �f' .+a�. � <br /> PPOPOSED USE I!1ECHANICAL <br /> tYPE OF FUEL �OIL NAT. �LPG. ELEC. <br /> IEGAL OESCRIPTIDN OF PROPEfiTY ISHOW�[LOW OR ATTACN GAS <br /> FO�C.QPIE51 _ <br /> LO 1j ❑�oCK�r oF � Z�2},� 3h�} B.��a NO. TYPE OF E�UIPMENT FEE <br /> AIR CONO.UNITS-H.P. EA. 5 � <br /> REFRIGERl�TION UNITS-H.P. EA. <br /> DOILERS-H.P. EA. � <br /> GAS FIRG�A.C. UNITS-TONNAGE EA. <br /> f-ORCED AIR SVSTEMS-f3.T.U. M EA. I <br /> JOb ADDRESS •� WALL H[ATERS-B.TJJ. M _ <br /> Z9O�. �µy UNITHEATEFS-D.T.V. M I <br /> EVAPORATIVECOOLERS <br /> P�UMBING CLOTHESDR�ERS � <br /> VENTILATION f-AN <br /> FANGEHOO� .__ � <br /> AI{i 11ANDLING VNIT- C.F.M. <br /> NO. TYPE OF FIxTUNE OR�TEM Ft"E �ry��NERATOft � <br /> WATER CLOSET ITOI�ETI 5 <br /> BATHTUB <br /> LAVATORY(WASHDASIN) I <br /> SHOWER __ <br /> l;ITCHEN SINK& OISP. SUB TOTAL 5 I <br /> LtISN'NASHER PEHMIT 5 <br /> LAUNDRV TRAV TOTAL FEE S I <br /> CLOTHES WASMER THIS PERM1LT DECOMES NULI l�ND VOID IF WOFK OR CONSTPUG <br /> VlATER HEATER TION AUTIiOF12ED IS NOT CUMMENCED WITHIN 120 DAVS, Oq IF <br /> URINAL CONSTIiUCTION OR WORK IS SUSPENCF_D OR A�ANDONED FOF A <br /> PERI00 OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. <br /> DRINKING FOUNTAIN <br /> F�OOR-SINK Ofl DpAIN I NEREUV CERTIFV THAT I HAVE fiEAD ANO EXAMINED THIS AP� <br /> VACUUM OREFKERS PLICATION AND KNOIN THE SI�ME TOl3E TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVEfiNING THIS TVPE <br /> ROOF ORAINS-FAINLEl�OEiiS OF WOfiK WILL �E COMPLIED WITH WMETMER SPECIFIED IIEREIN <br /> SINK (SEfiVICE-BAR, ETC.1 UR NOT. T11E GRANTING OF A PEA�11T DOES NOT PFESVME TO <br /> GIVE AUTHORITY TO VIOLATE OF CANCEL THE PfiOVI510N5 OF <br /> ANY OTHEft STATE OR LOCAI LAW REGULATING CONSTRVCTION <br /> OR THE P@Rf-URMANCE OF CONS'f RUCTION. <br /> SUU TOTAL <br /> PERMIT S <br /> iOTALFEE 4 ��� <br /> x <br /> SIGNATUREOFCONTRACiORORAUTH.AGENT DATE � <br /> SIDEV/1RDSET[IACK STPELTSET6l�CK FEAfiYAFDSET�AC PLANCHECKNUMBER PLANCHECKFEE � <br /> �f�j�f FEE FECEIPT NO. <br /> USE20NE LOTAPEA VACANTSITE •'��-• ��~ Y <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVPE O� CONST. OCCUPANCV GROUP NO.OF OWELLING � <br /> � If VNITS <br /> �� <br /> � I <br /> SIZFOFOLOG. NO.OFSTORIES MAX.00C. IOAD BUILDING S I <br /> PLUMBING � <br /> F�FE20N BASEMENT FIRESPRINKLEFS � <br /> Ff(]UIRED � <br /> ` ❑VES ❑NO MECHANICFL I <br /> SPECIALCONOITIONS' OTMER I , <br /> I <br /> —_ PENELT� SEC.��71a1 � <br /> — --� TOTAL �"ff� <br /> PERMIT VALIDATION <br /> WHEN PROP[RLY Vl1l10ATED IIN THISSPACE)THIS IS VOUR FEFMIT <br /> Pi�nLIGVI(1NACLEPT[DBY'. PL/.NSCIIECK[DBY�. �PPAOVEOFOPISSUFNCfOV. <br /> .R <br />