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"„ E""����°" everett <br /> �„Ya� CONSTRUCTION <br /> everett PERMIT <br /> LIIY Ildll 159N995 <br /> E�fp"� ,�as��l����",+ MECHANICAL <br /> ��'n� BUILDING PLUMBING <br /> oeri.nr conwusnv <br /> o[vc�arn�¢v� Zi�, pHONE <br /> M.\IL HODFESS 9Yh_� ��t2 ;` <br /> OWNEF N���'a!'r. 1!.M S:' .�. �^. JJ1� W <br /> +!i,'O�� :�il:,i�!... .�� �i.p.+iG : � ' • <br /> ARCHITECT OR DESIGNER MAIL ADORE55 <br /> PHONE LICLNSE NC. <br /> PHONE LICENSE NO. <br /> GENERAICONTRACTOR MAILA �ORESS _ _��� <br /> , t:�r6,,S ,'"'>iqF1'''_� ?• c:• t�.i'�. c �r�6-� <br /> ',`�'.t'� ": �r� <br /> MECHANICAL CONTRACTOR MAII ADDRESS <br /> PHONE LICENSENO. <br /> � <br /> PHONE LICENSE NO. W � <br /> PLUM�ING CONTRACTOR MAIL ADDRESS m <br /> � <br /> PERMIT CI.ASS OF WORK Z <br /> f <br /> �UUILDING ❑PLUN.6ING ❑MEC�iANICAL �NEW �nODITION ❑ALTERl1T�ON ❑REP/11R � <br /> � <br /> VALVATION(LF�O� W <br /> ylA•�� A <br /> ❑OEMOLISIi �FLNCE ❑SIGN ❑SW�MMING POOL a <br /> 5 ���R <br /> DESCRI�L WOFiK ^-.-+^"' W <br /> T,:�::4`s.L Y1Q n �fT... . � . . ._ d'':, <br /> PROMOSED USE MECHANICAL <br /> TYPEOFFUEL �OIL ❑GAS� ❑LPG. �ELEC. <br /> LEGAL DESCRIPTION OF PROPERTY ISHOW 6ELOW OR ATTACH O TYPE OF EQUIPMEN7 FEE <br /> FOUF C�IE5) �y,.t,"'c, •'�1" ���•� �.�^�► I <br /> }� F;V'.. Jai a� 5 <br /> LOT �LOCK��� AIR CONO.VNITS--N.�'. EA. <br /> REFf11GER/1TION UNITS-Ii.P. EA. I <br /> pOIlLRS-I�I.R EA. <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> FORCED AIR SYSTEMS-B.T.U. M EA. � <br /> WI�LL IIEATERS-D.T.U. M <br /> JOB AODRESS '�(�} �T�:?� '�)"..� M � <br /> UNIT HEATERS-EI.T.U. <br /> EVAPORATIVECOOLERS I <br /> PLUMBING CLOTHESDRVERS <br /> VENTILATION FAN <br /> RANGEHOOD � <br /> plq IIANDLING UNIT- C.F.M. <br /> TVPE OF FIXTUREOR ITEM FEE iNciNEnnroa � <br /> NO. 5 — <br /> WATER CLOSET ITOILET) — <br /> I <br /> 6ATHTUB <br /> LAVAIORV IW��SH BASIN) <br /> SHOWER �� SUBTOTAL 5 I <br /> KITCHEN SINK& DISP. PERMIT 5 <br /> DISHWASHER TOTALFEE 5 I <br /> LAUNDRY TRAY <br /> CLOTHES WASHEP �—� THIS PERMIT BECOMES NULL AND VOID If NORK OR CONSTRVG <br /> WATER HEFTER TIGN AVTHORI2ED IS NOT COMh1ENCED �•�THIN 120 OAYS, OR IF <br /> CONSTRUCTION OR WOftK IS SUSPENOEU (�R AUANOONEO FOF /1 I <br /> URINAL PERIOD OF 120 �A�'S AT ANY TIME AFTER WORK �5 COMMENCED. <br /> DRINKING FOUNTAIN I HEREO� �ERTIFV THAT I h1AVE READ ANO E%A�4�NED THIS AP- <br /> FLOOP—SINK OP DRAIN PUCATION ANO KNOVr THE SAM17H TO[lE Tf1UE AND COliRLCT. ALL <br /> VACUUM [1REAKERS PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TVPE <br /> ROOF DIiAINS—RAINLEFDERS OF WORK WILI BE COMPLIED WIiH WH[THBR SPGCIFIED HEREIN <br /> ETC.) OR NOT. THE GRANTING OF A PEfiA'IT �nES NOT PRESUME TU <br /> SINK (SERVICE—OAR, GIVF AUTHOIiITV TO VIOLATE OR CANCEL THE P�OVISIONS Of- <br /> OR THE PE�iFORMANCE OPC ONSTRUCTGON,ATING CONSTRUCTION <br /> SU6 TOTAL <br /> PERMIT 5 1y JY/h� <br /> TOTAL FEE 5 �� •',:^'1�� u'� sxfa/ r <br /> SIGNATUREOFCONTfiACTORORAUTH.l�GENT DAT[ <br /> PLAN CHECK FEE <br /> SIOEVAFDSETOACK STIiEETSET�ACK REAR�'ARDSET�ACKPLANCHECKNUM6ER FEE RECEIPTNO. <br /> USE 20NE LOT AREA VAGANTSITE <br /> ❑YES ❑No FEES <br /> VAIUATION FEE <br /> TVPE OF CONST. OCCUPANCV GHOUP UNIT�S DWELLING <br /> 1 <br /> 1 <br /> $IZE OF BLDG. NO.OF STOIiIES <br /> MA`(.00C. LOAO DUIL�ING 5 • ,� <br /> I <br /> PLUMBING � <br /> OASEMENT FIRESPRINKLERS � <br /> PIPE ZONE qfOU1RED MEGHANICAL � <br /> ❑Y[S ❑n'� � <br /> I <br /> OTHER � <br /> SPECIAL CONOITIONS: I <br /> PENELT�' 5EC.S091e1 � <br /> _ TOTAL f�� I <br /> PERMIT VALIDA710N <br /> WHLN PfiOPLRLY VALIOMED IIN THIS SPACE)THIS IS�'OUR PEfiMIT � <br /> pin!I:OI[fK[UOv. t.1'P110VEOFOBISSUnNCCOY <br /> APPLICAilO��ALCII'ilU11i ' '�� �� <br /> I � <br />