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thc Evcrgrecn <br /> ��T�oF CONSTRUCTION everett <br /> ever�tt PERMIT <br /> CILYNA�� 159PBA5 <br /> [VENEit.NtSNihLtOM <br /> 98101 <br /> °`°' °' °°�'^°�"� BUILDING MECHANICAL PLUMBING <br /> occn ar�rtxr <br /> OWNER a y MAILADDRESS 21P �HONE <br /> � F�J.1 Gh I l�9tY:.. .t:� 'L�L� 2r,'X"iY <br /> ARCHITECT OF DESIGNE{i MAIL AOORESS PHONE LICENSE NO. <br /> 5�,,.� <br /> GENFR♦A�L CONTRACTOF MAIL ADDRESS PHONE � LICENSE NO. <br /> .,�.L <br /> MECHANIG\L CnNTFACTOF MAIL ADORESS PHONE LICENSE NO. <br /> PIUMqING CONTRACTOR MAIL ADORESS PYONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASSOF WORK ? <br /> Z <br /> �BVILDINC ❑PI.UMBING �MECHANICAL r <br /> ❑NEW ❑ADDITInN_ ❑ALTEfiATION ❑REPAIfi � <br /> VALVATION OF WOHK �j <br /> $t�n m ❑DEMOLISM tiFENCE ❑S�GN ❑SWIMMING POOL a <br /> i7+W• <br /> DESCFIUC WORK 2447 <br /> Cajo'w.�t a «• hl�s c�c2ce�e I10oee A �zru:-. 3�� 1 �. 2` c-. ci x n:T <br /> PFiOPOSED USE MECHANICAL <br /> � <br /> TYPLOFFUEL (JOIL �NAT. �LPG. �ELEC. <br /> LEGAL DESCFIPTION OF PROPEFTV �SHOW BELOW OR ATTACH GAS <br /> FD'JF COPIE51 <br /> Lo7 o�oCK—oF- NO. TVPEOFEQUIPMENT FEE <br /> AI(i C7ND. UNITS-Ii.P. EA. 5 I <br /> fiEFqIG[RATION UNITS-H.P. EA. <br /> OOILFRS-H.P. EA. � <br /> GAS FIfiED A.C. UNITS-TONNAGE EA. � <br /> FpRC[O AIR SYSTEMS-�.T.U. M EA. � <br /> JOB ADDR^E�S.S �rw� WALL HEATERS-B.T.U. M <br /> �� 1i�� �,�v� V�IIT HEATERS-O.T.U. M I <br /> EVAPOfiATIVECOOLGRS <br /> PLUMBING CLOTIIES DRYERS <br /> __ I <br /> VENTILPTION FAN <br /> RANGEHOOD I <br /> NO. TVPE OF FI%TURE OR ITEM FEE Alq HANDLING UNIT- CF.M. <br /> WAiENCLOSETITOILETI $ �NCINEftATOR � <br /> BATHTV� <br /> LAVATORV (WASM �ASINI � <br /> SHOWLR <br /> KITCHFN SINK P. OISP. SV6 TOTAL 5 <br /> I <br /> DISNWASHCH PEFMIT £ <br /> LHUNOHV TRAV <br /> TOTAL FEE 5 � <br /> CLOTNES WASHEF � TMIS PEFMIT �HCOMES NULL AND VOID IF WORK OR CONSTRVG <br /> WATEF HEATEP TION lWTHORI2ED IS NOT COMMENCED WITMIN 170 DAYS, OR IF <br /> UPINAL �- CONSTRUCTION OR WORK IS SUSPENDED OR AOANDONED FOR A <br /> DRINKINP FOU`lTAIN PGRIOD OF 140 CAYS AT ANY i IME AFTER WOHK IS COMMENCED. <br /> FLOOIi-SINK OR DFAIN } I HEREAV CERTIFV IHAT I IiAVE REI�� AND [%AMINED THIS AP� <br /> VACVUM �iiEAKERS PLICATION AND KNOW THE SAME TO �E TRUE ANU CORPEGT. ALL <br /> ROOF C.RNNS-RAIN�EAOERS PROVISIONS OF LAW5 AN� ORDINANCES GOVERNING THIS l VPE <br /> OF WORK WILL pE COMPLIEp WITH WHETHGR SPEQFIED HEflEIN <br /> SINK ISE�iVICE-BAR,EIC.) {— OF NOT, THF. GRANTING OF A PERMIT DOES WOT PNESUM[ TO <br /> GIVE AUTHORITV TO VIOLATE OF CANCEL THE PROVISIONS OF <br /> ANV OTNER STATE OF LOGAI LAW REGULATINGCONSTRUCTION <br /> OF TIiE PEFFORMANCE OF CONSTfiUCTION. <br /> _ SU� TOTAL _ _i <br /> PE(iM1T $ <br /> TOTALFEE S <br /> X � ��, � � � � � li+�sT+Ti <br /> SIGNATUREOFCONTRACTORORAUTH.AGENT DATE <br /> SIDEVARDSETOACK STREETSETUACK REAqYAHDSCT�ACYPLANCNECKNUM[3LR PLANCHECKPEE <br /> FEE InECEIPTNO. <br /> USE ZONE LOT AFEA VnCANT5ITE <br /> ❑vEs ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING 1 <br /> UNITS <br /> S12cOFFLUG. NO. OFSTOiilES MAX.00C. LOAD 13UILDING 4 C� ,�� <br /> PLVMBING � <br /> FIR[ ZONE BASEMENT FII3ESPpINKLERS <br /> RE�UIRED � <br /> ❑YES ❑NO MECHANICAL � <br /> SPECIAL CONUITIONS: OTHER � <br /> I <br /> PENGLTV SEC.3031a1 I <br /> TOTAL � <br /> ���� <br /> PERMIT VALIDATION <br /> WHF_N PROPERIV VAIIpATED (IN TNIS SPACEI THIS IS VOUF PCqMIT <br /> nvoucniioNncurrtoor� n�nrr,uipc✓mev. nrreovm�of �,5unmcc4r. <br /> !3 <br />