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thc Evcrgrar,n I <br /> ��TYo� CONSTRUCTION everett <br /> everett PERMIT <br /> Glr��all 15988ef <br /> LVFflER.NASIIINLLON <br /> IIFGI pf LOAIAIUN0101 <br /> ��,,�,��„�„, BUILDING MECHANICAL PI_UMBING <br /> OWNER A1AIL A��RE55 ZIP P.�N`ONE <br /> �33t '.�ett�-^:Tca :3:� "'k+�'�•s '=TM. 353-�3�7s3 <br /> ARCIiITECT OF �ESIGNER MAIL AOORESS PHONE LICENSE NO. <br /> ���K..?(� <br /> GENERAL CONTRACTOF MAIL ADORESS PHONE , LICENSE NO. <br /> ,� r - c15�o z��a� ,, r�� rri-a�.-;� <br /> MECHANICAL CONTRACTOR MAIL AODRE55 PNONE LICENSE NO. <br /> PLUMBING GONTRACTOF MAIL ADORE55 PHON[ LICENSE NO. � <br /> W <br /> m <br /> PEFMIT CLASSOFWORK � � <br /> R z <br /> []OUILDING �PLVMUING ❑MECHANICAL r <br /> �NEW ❑ADDITION ❑ALTERATION ❑AEPAIR � <br /> VALUATIONOFIYORK � � � <br /> S r��•� ❑DEMOUSH �ENCE ❑SIGN ❑SWIMAIING POO� W <br /> �. a <br /> DESCRIB[WORK 1237 <br /> �3.9L`�u t'ti�_l T.�tdi =�CSY:C <br /> PROPOSEO USE MECHANICAL <br /> TVPEOFFUEL �OIL �NAT. �LPG. �ELEC. <br /> LEGAL DESCRIPTION OF PliOPERTt lSHOW �ELOW OR ATTACN GAS <br /> FOUa COPiEsI ef -�� ,.��� •�t.3 NO. TYPE OF E�UIPMENT FEE <br /> LOT E3LOCK�-OF <br /> AIR COND.VNITS-H.P. EA. 5 � <br /> REFRIGERATION VNITS-H.P. EA. <br /> I301LEIiS-H.P. EA � <br /> G115 FIRED A.C. UNITS-TONNAGE EA. <br /> FORCED AIR SVSTEMS-B.T.V. M EA. I <br /> JO� ADORESS WALL li[ATERS-O.T.U. M <br /> �� ( /�{ � )�.r^� ' �,_ ) � VNITHEATERS-�.T.U. M I <br /> i _ , <br /> EVAPORATIVECOOLLRS <br /> PLUMBING CLOTNES�RVEHS � <br /> VENTILATION FAN <br /> RANGEHDOD � <br /> NO. TVPE�OF FIX7URE OR ITE�A FEE AIR FIANDLING UNIT- C.F.M. <br /> WATER CLOSET ITOILETI 5 INCINEfiATOR � � <br /> DATHTUB <br /> LAVATORV (Wf�SH BASIN) � <br /> SHOWEF <br /> KITCNEN SINK& DISP. � SUB TOTAL 5 I <br /> DISIilYA511ER PERMIT 5 <br /> LAUNDRVTRAY TOTALFEC 5 I <br /> CLOTHES WASHER 7HI5 PERMIT 6ECOMES NVLL AND VOID IF WORK OR CONSTRUC� <br /> WATER MEATEfi TION AUTMORI2ED IS NOT COMh1ENCE0 WITHIN 120 DAYS, OR IF <br /> URINAL CONSTRUC710N OR WOFK IS SUSPENDED OR l.9ANOONED FOR A <br /> DRINKING FOUNTAIN PER100 OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. <br /> FLOOR-SINK Ofl OPAIN I HEREBV CERTIFY TNAT I HIIVE READ AND [%AA1INF.D THIS AP� <br /> VACUUM (iREAKEiiS P�iCATION AND KNOW TNE SAME TO PE TRUE !WD COH(iECT. ALL <br /> flOOF DRAINS-RAINLEADERS �— PR�VISIONS OF LAWS AND ORDINANCfiS GOVERNING THIS TYPE <br /> OF WORK WII.L 8E COMPLIED K'ITH WHETHER SPECIFIED HEREIN <br /> SINK ISERVICE-DAP, ETC.) Oft NOT, THE GflANTING OF A PEF�11T OOES NOT PRESVME TO <br /> I GIVE AUTHORITY TO VIOLATG OR CANCEL THE PROVISIONS OF . <br /> ANY OTHEft STl1TE OF LOCAL LAW fiEGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTfiUCTION. <br /> SUB TOTAL <br /> PERMIT 5 <br /> TOTAL fEE $ i <br /> x C3ieck :Fe. t : s•I3••7� <br /> SIGNATVREOFCONTF�ICTORORAUTH.AGENT OATE <br /> SIOEYARDSETDACK STREETSET6ACK FEARVr�yIRyDSETOACKPLANCHECKNUM�ER PLANCHECKFEE <br /> C� �N] ;y FEE RECEIPT NO. <br /> US[ 20NE IOTAREA VACANTSITE <br /> r,� <br /> ❑vES ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GRDUP NO.OF OWELLING —� � <br /> UNITS � <br /> I y� <br /> SIZE OF D�DG. NO.OF STOfiIES MA%.00C. LOAD BUILDING 5 ���� � I w <br /> PLUMUING � <br /> f-IFE ZONE UASGM1tENT FIRESPRINKLEftS _ <br /> RE�UIRED � <br /> ❑VES ❑NO MECNANICAL 1 <br /> I <br /> SPECIAL CONDITIONS: OTNER � <br /> PENELTY SEC. J031a1 � <br /> ' — I <br /> TOTAL T � r� <br /> PERMIT VALIDATION <br /> WHEN PROP[HlV VALIOM[U 1 W THIS SPACEI LHIS IS YOUN PERp11T <br /> I <br /> I <br /> � <br /> APPLICnTIONACG[PiEU�Y: PlNISCN[CK[OBV: FCPOOVCOFO 165UANC[�V. I <br /> .� <br />