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thc Evcr9recn � <br /> =�T�oF CONSTR UC�'ION everett <br /> everett PERMIT <br /> Ci1V nRll [59¢'Sf <br /> (\'f flRt.IYAfNINLiOH <br /> 9L101 <br /> °`°' °"°""°""' BUILDING MECHANICAL PLUMBING <br /> uEu[iovu[Nr <br /> OWNER MAIL ADDRESS ZIP PI10NE <br /> r��, �'��ai�� �� <br /> ARCMITECT OR DFSIGNER MAIL AODRE55 PI{'JNE LICENSE NO. <br /> GENERAL CONTRACTOR Ml�IL ADOFESS PHONE LICENSE NO. <br /> MECHANICAL CONTRrAC{TOR MAI�ADDRESS PHONE LICENSE NO. <br /> .1•.T'i� I; ?S'r�i` IS <br /> PLVM�ING CONTRACTOk MNL ADOflESS PHONE LICENSE NO. W <br /> m <br /> PERMIT � �LASSJFWORK � <br /> � <br /> ❑BUIIDING � PLUMBING �J MECHANICAL Z <br /> �NEW ❑ADDITION ❑ALTERATION ❑FEPAIR ~ <br /> VALVATION OF WORK � <br /> S ❑DEMOLISH ❑fENCE ❑SIGN ❑SWIMMING POOL W <br /> UESCRIBE WORK a <br /> �5 �' ''�'•'� 212 4 <br /> PFOPOSED USE <br /> MECHANICAL <br /> TYP[OFFU[l �OIL �NAT. �LPG. �ELEC. <br /> LEGAL DESCRIPTION OF PROPERTY ISHOW�ELOW OR ATiACN GAS <br /> FOUR COPIESI <br /> LO7 BLOCK—OF _ _ Na• 7VPEOFEDUIPMENT FEE <br /> A�q COND. UNITS-H.P. EA. S I <br /> REfRIGEF.AiION UAIT:i N.P. Fl�. <br /> - POILERS-II.P. EA. � <br /> GAS FI(iED AG UNITS-l'ONNAGE FA. <br /> _ __� FORCEO AIR S�'STEMS-B.T.U. IA EA. � <br /> ' JOB ADDRESS ��/ WAt L HEATHfiS-B.T.U. M <br /> GG.�7 ��+� UNIT HEATEPS-B.T.U. M � <br /> � EVl�POHATNf COOLE65 —� <br /> PLUMBING C�OTHESDF"CRti i <br /> VENTII.nTIOA I�AN —�1— <br /> _— — � <br /> flAN=i1 HUOU � <br /> NO. TVPE OF FIXTURE OR ITEM FEE _ ��F NAN]�ING UNIT- C.F.M. <br /> WATERCLOSETITOILETI S _ INCINEPATOR � <br /> �ATNTUB <br /> �AVATOPVIWASH6ASIN) � � <br /> SHOWER <br /> KITCNEN SINK & DISP. —� <br /> DISHWASNEN SVBTOTAL 5 <br /> PERMIT 5 <br /> LAUNORY TRAV ___ <br /> GLOTHES WASIiER TOTAL FEE 5 <br /> WATER HEATER THIS PERMIT OECOMES NULL AND VOID IP WORK Oi� CONSTfiUC� <br /> TIGN AUTHORiZFD IS NOT COMMENCED �yITHIN 120 OAVS, OR IF <br /> URINAL CONSTRUCTInN OR WORK IS SUSPEN�ED OR A[iI�NDONEO FOR A <br /> �PINKING FOUNTAIN —� P[filOD OF 170 DAV$ AT ANV T�ME AFTER WOIiK IS COMMENCED. <br /> FLOOF-SINK OR OfiAIN I HEFGOV CERTIFY TNAT I HAVE READ AND EXAMWEO THIS AP- <br /> VACUUM BREAKERS PLICATION AND KNOW THE SAME TO UE TRUE AND CORRECT. ALI. <br /> FOOP DFAINS-RAINLEADERS ���OVISIONS OF LAINS AND ORDINANCES GOVERNING T1115 TVPE <br /> — __ OF WOqK N'ILL 6E COMPLILi� WITH WH[THER SPGCIFICO NEIiEIry <br /> SINK (SERVICE-BAR, ETC.1 Ofi NOT, THL GRANTING OF A PERMIT pOES NOT PRESl1ME TO <br /> GIVE AUTHOfiITV TO VIOLATE OR CANCLL THE PROVISIONS OF <br /> ANV OTH[F STAT@ OR �Orq� LAW FEGVI.ATING CONSTRUCTION <br /> --� UR THE PEf1FORMANC[ Of CONSTFUCllO�. <br /> SUB TOTAL <br /> PERM:7 § <br /> TOTnL r•I: 51'_'- f ���q <br /> X �a'�1((( <br /> SIGNATUREOFCONTRPCTOfiOfl�VTH.AGENT DATE <br /> St�E VAFO SETBACK STRE[T SETt3ACK RE�,^,VAROSETF3ACK P�AN CHECK NVMLIGR PLAN CNECK FE@ <br /> FGE RECEIaT NO. <br /> USEZONE LOTAREA VACANTSITE <br /> i.�vES ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GFOUP NO.OF DWELLING <br /> UNITS � <br /> SI2E OF BLDG. NO.OF STORIES MA%.00C. LOAD OUILOING S � <br /> I <br /> PLUMOING I <br /> FIRE20NE BASEMLNT FIRESPPINKLEFS <br /> fiC�UIRED <br /> ❑YLS ❑NO MLCHFNICAL � <br /> SPECIAL CONDITIONS: OTHEP I <br /> _ I <br /> PENFLTY SEC.J091a1 I <br /> TOTAL � <br /> 7'OU <br /> PENMIT VALIDATION <br /> W HEN PROPERLV VAIIpATEO IIN THIS SPACEI THIS IS YOUR P[(iM1T <br /> qPn�i�p�iprynCClPiF�fIY Pl�t�SCNCLKED�Y�. qPpqOVEOFORI55UANC[BY. <br /> �� �� I <br /> � <br /> � <br /> � ! <br />