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7hc E:���i�n wn <br /> a <br /> =�T�oF CONSTRUCTION everett <br /> everett PERMIT <br /> CIfY NAII }59E4i5 <br /> LVIP[1i,NASNIM4ipH <br /> 99]01 <br /> °`°T °oE�F";'�oME;;; BUILDING MECHANICAL PLUMBING <br /> OWNER MAIL ADDRE55 ZIP PHONE I <br /> �:�.�.' .�ii'S.��:R,:.'�' . . . .:'.w �37�� I <br /> ARCHITECT OR OESIGNF.R MAIL A .AESS PHONE LICENSE NO. � <br /> GENERALCONTRACTOR MAILADDFESS PHONE LICENSENO. <br /> MECHANICAL CONTRACTOR MAIL ADDRE55 PHONE LICENSE NO. <br /> PLVMBING CONTRAC70R MAIL ADDflESS PMONE LICENSE NO. W <br /> �r�.•Y�' :�5 iY, x�sA 6] <br /> PERMIT CLASSOFWORK ? <br /> ❑6U�LDING �]P�UMOING �MECHANICAL }q Z <br /> ly��«v ❑AUDITION ❑,OLTERATION ❑REPAIR ~ <br /> VALUATION OF WORK - � <br /> 5 ❑DEMOLISH ❑FENGE ❑SIGN ❑51NrMMING Pt�CL W <br /> oescAior_woSK — <br /> a <br /> 845 <br /> PROPOSED VSE <br /> MECHANICAL <br /> IEGAL DESCRIPTION OF PRpPERTV ISHOW f3ELOW OR ATTACH TVPE OF FUEI �OIL ❑GAS ❑LPG. �ELEC. <br /> FOUR COPIE51 <br /> Lot o�oCK—oF— N�� TYPE OF EOUIPMENT FEE <br /> AIR COND.UN�TS-H.P. EA. 5 I <br /> REFRIGERATION UNITS-H.P. EA. <br /> BOILLRS-H.R EA. � <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> FOFCED AIR SVSTEAIS-B.T.V. M EA. � <br /> JO�ADDRESS !��y� WALL HEATFRS-D.T.U. M <br /> ""�GG G'�t'�� UNITHEATEFS-�.T.U. M � <br /> EVAVORATIVECOOLERS <br /> PLUMBING — <br /> CLOTHESORYERS � <br /> VENTILATION FAN <br /> RANGEHOOD � <br /> NO. TVPE OF FIXTURE OR ITEM FEE A�A HANDLING UNIT- C.F.M. <br /> WATER CLOSETITOILETI g �NCINERATOfi � <br /> �ATN7UU <br /> LAVATOiiV IWASH �/�SIM � <br /> SNOWER <br /> KITCHEN SINK& OISP. SUB TOTqL S � <br /> DISIiWASHEq <br /> LAUNDRV TRAV PERM�T S <br /> CLOTHL^u WASMER TOTALFEE $ � <br /> WATEIi HEATEF THIS P[qh111 f3ECOMES NVIL nNO VOID IF WORK Ofi CONSTRUC� <br /> TION AUTHORIZE� IS NOT COMAIF.NCED WITHIN 120 DAVS, Ofi IF <br /> _ UfiINAL CONSTRUGTION OR WORK IS SVSPENDED OR A�ANOONEO FOR A <br /> DRINY,ING FOUNTMN P[FIOD OF 120 DAV$ AT ANV TIME AFTER WORK IS COMMENCED. <br /> FLOOR-SINK OF :�AA�N I HERE6V CERTIFY THAT I HAVE {iEAD AND E%AMWED THIS AP. <br /> VAGUUM f3REAY,ERS PLICATION ANO KNOW THE SAME TO OE TqUE AND CORRECT. ALL <br /> ROOF �qAINS-FAINI.EADEPS �'��VISIONS Of LAWS AND ORDINANCES GOVERNING THIS TVPE <br /> OF WORK WIIL �E CpbiVLIE� WITN WHETHER SPECIFIED HEREIN <br /> SINK ISERVICE-DAR, ETC.) UR NOT, TNE GR/�NTING OF A P[RMIT �OGS NOT PNESUME TO <br /> --- GIVE AUTHORITV TO VIOLATE OF CANCEL THE PROVISICNS OF <br /> l�NY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OH l'HE PG1iFORMANCG OF CONSTRUCTION. <br /> SUO TOTAL <br /> PERMIT $ <br /> TOTALFEE $ <br /> x � �7�� <br /> SIGNATUREOFCONTRACTOflORAVTM.AGENT pATE <br /> SIDEVAfi�SET�ACK STREETSEi6ACK qEARVARDSf:T�ACKPLANCHECKNUAIREP PLANCH[CKFEE <br /> FEE RECEIPT NO. <br /> USGZONE LOTAREA VACANTSITE <br /> ❑vEs ❑N� FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF OWELLING <br /> UNITS � <br /> 512E OF f3LDG. NO.OF STORIES MA%.00C. LOAO �UILOING 5 � <br /> I <br /> _—y <br /> PLUMBING � <br /> FIREZONE pA5Ef.1ENT FINESPqINKLENS <br /> RE(IUIFED � <br /> ❑VES ❑NO MECHANICAL � <br /> SPECIAL CONDITIONS: OTHER � <br /> I <br /> PENELTV SEC.�031a1 I <br /> TOTAL � � <br /> PERMIT VALIDATION <br /> WHLN PROP[RLV VALIOATED (IN THIS SPACEI THI515 VOUR PE(iM1T <br /> 4PPL�C�IIONpCflPIfDOV PU�N501[CI(CO�V' �PPROVE0�0(1155U/NCEOV <br /> � \� <br /> :� <br />