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rhe fvergrrerr <br /> ��T�o� CONSTR UCTIOlV everett ,� <br /> everett PERMIT <br /> cnreatt 1s9Fs.v5 <br /> [VUlfil,KASIIINLIOH <br /> 90}01 <br /> �" °< <°^•^'°°^� gUILDING MECHANICAL PLUMBIIJG <br /> n[YFIov�A[Mi <br /> OWNEq ��1A�ILy�AO�D/�FiyE5�5 Z�P NHONE <br /> AR�T O�SIGNE� A1jA�a D�y R`E55� PMONE ��CE� NO. �� <br /> � <br /> GENERALCONTRACTOfl MAILADDRE55 PHONE LICENSENO. <br /> � <br /> MECHANICAL CONTRACTOR MAIL ADORE55 PHONE LICENSE NO. <br /> P`L�UMB�ING CONTPACTOF IdAIL ADDFESS PHONE LICENSE NO. � <br /> � W <br /> m <br /> PERMIT CLASS OF WORK � <br /> Z <br /> e�UILDING �PWMOING �MECHANICAL �NEW ❑l�DDITION ❑ALTERATION ❑REPAIP ~ <br /> � <br /> VALUATION OF WORK � <br /> 5 � ❑D[MOIISH ❑F[NCE ❑SIGN ❑SWIMMING POOL a <br /> DESCRIB[WOFK �^�� <br /> {�� '�T� 3 <br /> PROPOSED VSG MECHANICAL <br /> LEGALOESCRIPTIONOF PROPGfiTV ISIIOW f3ELOW OP ATTACH TVPE OP FUEL �OIL �GAns. �LPG. �ELEC. <br /> FO SI <br /> � �� �I� �1 �r NO. TVPE OF E�UIPMENT FEE <br /> LOT �LOCK_OF — <br /> AIP COND. UNITS-H.P. EF. $ I <br /> REFRIGERATION VNITS�-H.P. EA. �— <br /> �OILERS-H.P. EA. I <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> FORCED AIR SYSTEMS-O.T.V. M EA. I <br /> J�D�E�SSn � � WALL HEATERS-�.T.U. M <br /> 8 V UNIT NEATERS-B.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTHES DRVERS I <br /> VENTILATION FAN I <br /> RANGEHOOD I I <br /> TVPE OF FIXTURE OR ITEM FEE AIR HANOLING UNIT- C.F.A7. <br /> WATEF CLOSETITOIIETI 5 INCINEflATOR _ I <br /> �ATHTV6 � <br /> LAVATORY �WASHBASiN) � <br /> SHOWER ��y <br /> KITCHEN SINK & DISP. SUB TOT/1L $ � <br /> DISHWGSIiER PEflMIT 5 <br /> LAUNDRV TfiAV TOTAI FEE 5 I <br /> CLOTMES WASHEF THIS PERM1tIT �ECOMES NUIL AN� VOID IF WORK OR CONSTRUC- <br /> WATER HEATER TIpN AUTHOfi12ED IS NOT COMAIENCED WITHIN 120 Dl�VS, OR IF <br /> URINAL CONSTRUCTION OR WORK IS SUSPENDEO OR A�ANDONED FOA A <br /> DRINKING FOUNTl�IN --�— PEFIOD OF 120 DAVS AT ANY TIML AFTER WORK IS COMMENCED. <br /> FLOOR-SINK OR OqAIN � I MEREDY CERTIFy 7HAT I HAVE HCAD AND [XAAIWED tMiS AP� ' <br /> VACUUM OREl�KERS PLICATION AND KNGW THE SAA1E TO DE TRUE ANO CORFECT. AI.L <br /> _� PftOVI510N5 OF LAWS l�ND ORDINANCES GOVEFiNING TNIS TVPE <br /> ROOF DRAINS-HAINLEAOERS OF WORK WILL ElE COMPLIED WITH WHL'fHER SPECIFIED HEREW .�i <br /> SINK ISERVICE-DAR, ETC.) OR NOT, TNE GRl�NTING OF A PEFMIT UOES NOT PHESUME TO <br /> -- GIVE AUT110RITV TO VIOLATE OR CANCEL i11E PROVISIONS OF <br /> ANV OTHLR STAT[ OR LOCAL LAW H[GULATING CONSTRUCTION <br /> ON THE PERFOPMANCE OF CONSTqUCTION. <br /> SU� TOTAL <br /> PERMIT $ <br /> TOTALFEE $ � <br /> x ' <br /> SIGNATUREOFCONTPACTORORAUTFi.l1GENT DATE � <br /> SIDEYAROS@T�/1CK STPEETSET6ACK REARYAROSETOACKPIANCHECKNUMOER PLANCHECKFEE <br /> � FEE �� 7��.F�T NO. <br /> i7�Ui <br /> USE 20NE LOT AREA VACANT SITE . <br /> ❑vEs ❑NO FEES VALUATION FEE <br /> TVPE O�hST. OCCUPA�Y G9oU� UNIOS DWELLING I <br /> r� <br /> 5128 OF �L�G. NO.OF STpRIES MAX.00Q �OAD AUILDING > <br /> L <br /> PLUM�ING -� <br /> FINEZ�E BASLMEf� FlRESPRINKLGRS <br /> RE�UIFEDg� <br /> ❑YES 7�N0 MECHANICAI <br /> SPECIAL CONDITIONS: OTIiER � <br /> I <br /> PENELTV SCC. J031a1 � <br /> — TOTAL ��- <br /> I <br /> PERMIT VALIDATION <br /> VJHEN PflOP[FLV VALIpI�TED IIN THISSPACCI TNI515 VOUR PEfiA91T <br /> APPUCATiO11pCCE/PTTE�DY'. PLFNSCHELKyC�DB/rY�'. RVPqOVC�FOHI55U/+NCE��� <br /> �w! i'.N� ��C• <br /> � <br />