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tlre Ever9rcen <br /> °�T�°F CONSTRUCTION everett � <br /> everett PERMIT <br /> cnriwu }59BP95 <br /> fVEfl[I1,IVASNIHGLON <br /> 9E10� <br /> o�ri.mcouMuxirv BUILDING MECHANICAL PLUMBING <br /> n[vcioruEni <br /> OWNER MAIL ADORE55 Z�p <br /> PHONL <br /> �naa s � tk�S 9.s2�"$ 2rA 8'T,�6 <br /> AfiCHITECTOliDESIGNEfl MAILAODFESS PHONE � <br /> LICENSE NO. <br /> GENERALCONTRl�CTOR MAILAD�RE55 PIiONE �f9C_�l[ <br /> y� LICENSE Np. ����^�V <br /> .+w� <br /> MECHANICAL CONTRACTOR MAIL ADDRESS PHONE <br /> LICENSE NO. <br /> P�UMBING CONTRACTOR MAILADDRES: PHONE � <br /> LICENSE NO. W <br /> m <br /> PERMIT CLASS OF WOFIC � <br /> � <br /> �BUI�DING �PLUM6ING �MECHANICA� Z <br /> ❑NEW ❑AD�ITION �qLTERATION ❑REPAIR ~ <br /> VALUATION OF WORK — � <br /> 5 � ❑DEMOl15H ❑FENCE ❑SIGN ❑SWIh1MING POOL W <br /> OESCRIBE WOFlK a <br /> �e.�t ""� a°°� '�'as"'+ 10 4 3 <br /> PROPOSED USE <br /> MECHANICAL <br /> �EGAL DESCiiIPTION OF PROPERTV �SHOW BELOW OR ATTqCH TYPE OF FUEL �OIL �Gns, �LPG. �ELEC. <br /> FOUR COPIE51 <br /> �07 BLOCK_oF N�� TVPE OF EDUIPMENT FEE <br /> AIR CONO. UNITS-H.P. EA. 5 I <br /> REFRIGEqATION UNITS-H.P. EA. <br /> _ �OILERS-H.P. EA. � <br /> Gl�S FIRED A.C. UNITS-TONNAGE EA. <br /> JOB ADDRE55 — <br /> FORCED AIR SYSTEMS-�.T.U. M EA. � <br /> � � � WALL HEATLRS-F7,T.U. M <br /> UNIT HEI�TERS-B.T.U. M � <br /> PLUMBING EVAPOR/�TIVE COOLERS <br /> CLOTNESDRVER$ � <br /> VENTILATION f-qN <br /> RANGEHOOD � <br /> NO. TVpE OF FIXTURE OR ITEM FEE nir� HANDLING UNIT- C.F.M. <br /> WATER CLOSETITOILET) 5 INCINEPATOR � <br /> BATHTUB — <br /> LAVATORY�WASHBASIN) <br /> SHOWEFi � <br /> KITCHEN SINK R DISP. <br /> DISNWASHER SUUTOTAL S � <br /> LAUNDRY 7RAV PERMIT 5 <br /> GLOTHGS WASHER TOTAL FEG 5 � <br /> WATER HEATER THIS PERMIT pECOA1ES NULL �1ND VOID IF WORK OR �ONSTRUC- <br /> URINAL TION /�UTHOli12ED IS NOT CnM11MENC[D WITHIN 120 DAVS, OR IF <br /> DNINKING FOUNTAIN P�R OD OFT140 D VS M ANV 7`IME AOPTER WORK 5 COMME CED. <br /> FLOOR-SINK OA DRq�N I HEFEBY CERTIFY THAT I HAVE REAO ANO F%AMWED THIS AP. <br /> V,aCUUM PREAKEFS PIICf�TION AND KNOW TME 5�1A1E TO DE TRUE AND CORqECT. ALL <br /> ROOF DRMNS-FAWLEADERS � P�OVISIONS OF LAWS AND OROINI�NCES GOVERNING THIS TVPE <br /> SINK(SERVICE-�AR,ETC.1 �F WORK WILL BE COf.iPLIED W17ry WHETIIER SPECIFI[p HEFEIN <br /> OR NOT, TNE �RqNTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY Tp VIOLATE OR CANCEL THE PROVISIONS Of <br /> _ ANV O7HER STATE OR LOCAL LAIV RGGULATING CONSTFUCTION <br /> SU� TOl'AL OR TIiE PERFORMANCE OF l:ONSTRUCTION. <br /> PERMIT 5 ��— <br /> _ TOTAL f-EE $ �— <br /> SIGNATUREOFCONTRl1CTORORAVTH.AGENT pTE <br /> SIDE YARO SETOACK STREET SETBACK REAR VAR�SETOAC P� qN CHECK NUMBER <br /> PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE 2(:NE LOT �REA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYP[ OF CONST. OCCUPANCV GROUP NO.OF DWELLING <br /> UNITS <br /> ' I <br /> SIZE OF E7LDG. NO. OF STpRIES f.AAX.00C. LOAD 13U1LOING S •/Mt.fYf � M <br /> rya7+1V W <br /> PLUM[31NG —� <br /> F�FEZONE tlASEMENT FIHESPRINKLERS � <br /> flEQUIP.ED I <br /> ❑VES ❑NO MECIIANICAL <br /> I <br /> SPECIAL CONOITIONS: <br /> OTMER � <br /> I <br /> PENELTY SEC.SCJ lal � <br /> TOTAL <br /> _ N �,_ .�- <br /> 71 <br /> PERMIT VALIDATION <br /> WHF.N PROPERL V VALIDATFD IIN THIS SVACEI THIS IS YOUR PERMIT <br /> AW'IIC�TIONA�CCPiE00Y. PLANSI'MECKEOBY'. qCPROVfpFOpPI55pANCE1IV. <br /> �� 6�• <br /> :1 <br />