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[Ac Errrgier.n I <br /> �,T�a� CONSTRUCTION everett <br /> ev�rett PERMIT <br /> LI1Y IIAII 1599P85 <br /> fVENEi1.1YAY11NG10N <br /> 981a1 <br /> ��o� �f=�^°����°� BUILDING MECHANICAL PLUMBIN <br /> oevnuvuexr <br /> OWNEft y A1AIL ADDRESS �( r� <br /> Z�p PHONE <br /> 11 �: :l i.A�• 4k�'i !',. �i�t f <br /> ARCMITECTOROESIGNER MAILADORESS PHONE LICENSENO. <br /> GENERAI CONTflACTOF MAIL AD�FESS PIiONE LICENSE NO. <br /> JfS`� <br /> MECHANICAI CONTRACTOR MAIL ADDRE55 PHONE LICENSE NO. <br /> � <br /> PLUMBING CONTRACTOR MAII ADORESS PHONE LIGENSE NO. �yJ ' <br /> m <br /> � <br /> PERMIT CLASS OF WORK = <br /> Z <br /> �]�UILDING ❑PLUMBING ❑MECHANICl�L ~ <br /> ❑NEW ❑nDOITION ❑/>LTERATION ❑REPAIR � <br /> _ � <br /> VALUATION jj�_WO�jC W <br /> u]J���� �DEMOLISH ❑FENCE ❑SIGN ❑SWIMh11NG POOL a <br /> 5 <br /> OESCRIO[WOFK , � 2�8� <br /> ,'�s"�L..r, ":;4".': '.'T�i:i :X"T�!,'�fR <br /> eRoroseo�se . MECHANICAL <br /> iVPEOFFUEL [���� ❑GAS ��PG� ❑ELEC. <br /> LEGAL OESCRIPTION OF PROPERTY ISHOW 6EL04V OR MTACII <br /> FOUR�iE�yJ m•�m+ �?� (`.(�!� � NO. __ TYPEOF E�UIPMENT FEE <br /> LOT��6L � �Y.. •'.a c � <br /> OCK—OF-- (�Ifi COND.UNITS-H.P. EA. S <br /> REFRIGERl+TION UNITS-H.P. EA. <br /> �OILERS-H.P. EA. � <br /> G115 PIRED A.C. UNITS-TONNAGE EA. <br /> fORCEO AIP SVSTEMS-D.T.U. M EA. � <br /> JOD�1D�RESS M ��p WAIL HEATERS-6.T.U. M <br /> �{,+ PL:F3• UNIT HEATERS-O.T.U. M � <br /> EVAPORATIVECOOLERS <br /> PLUMBING c�oTHesoaveRs � <br /> VEtJTILATION FAN <br /> RANGENOOD � <br /> AIR HANDLING VNIT- C.F.M. <br /> NO. NPE OF FIXTURE OR ITEM FEE iNCINERnroa � <br /> WATER CLOSET(TOILET) 5 - <br /> BATHTUB I <br /> LAVATORV(WnSH 9ASIN) <br /> SHOWEF SU[3TOTAL 5 I <br /> KITCHEN SINK& DISP. PERMIT 5 <br /> �ISHWASHER <br /> LAUNDRVTRAV TOTALFEG 5 I <br /> CLOTHES WASHER THIS PEFMIT BECOMES NULL AND VOID IF WORK OR GONSTRVC� <br /> WATER HEATER ' TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br /> UflINAL CONSTRUCTION OR WORK IS SUSPEN�ED OR AEiANDONED f-OR A <br /> --Z- PERIOD OF 120 DAYS AT ANY TIME AFTER WOPK IS COMMENCED. <br /> ORINKINGFOUNTAIN <br /> FLOOR-SINK OR DRAIN I HERE�Y CERTIFY THAT I ViAVE READ ANO EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAA1E TO f3E TRUE AND CORRECT. A�L <br /> VA.:UVM OFEAKERS PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TVPE <br /> ROOF ORAINS-RAINLEAOE(iS Of- bVORI: WILL DE COAIPLIED WITH WNETH[R SP[CIFIED HEREIN <br /> SINK (SF.qVICE-OAP,ETC.1 OR NOT, THE GRAfvTING OF A PERAIIT OOES NOT PRESUME TO . <br /> ANV O H@R STATE ORVIOCALELRW REGVLA I1NG CONS R'UCTION <br /> OR TIiE PEfiFORMANCE OF CONSTFUCTION. <br /> SUDTOTAL <br /> PERMIT 5 <br /> TOTA�FEE 3 <br /> x .,1; <br /> SIGNATUREOFCONTRACTOPOflAUTH.AGENT DATE <br /> SIDE VFRD SETUACK STREET SET611CK REAR VAR�SETOACK PLAN GNECK NUA1(1ER PLI�N CH�ECE PT NO. <br /> F[E <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROVP uN'OS DWELLING I <br /> SIZE OF �LDG. NO.OF STORIES MAX.00C. LOAD BUILDING 5 �� _�� <br /> I <br /> PLUMBING � <br /> F�RE20NE �ASEMENT FIRESPRINKLERS I <br /> Ff�UIREO MECHAN�CAL � <br /> ❑VES ❑NO <br /> I <br /> SPECIAL CONDITIONS: OTHEP � <br /> PENELTI' SEC. 30�lal � <br /> TOTAL � � <br /> PERMIT VAl1DATION <br /> - WHLNPROP[RIVVALIOATEDI�NTHISSPACEIT1115IS�UUR�'ERMIT <br /> nP1`IICn110il�Uk�T[Of1Y Cl/NSCII(f,NCD�Y� APPIIOVCDFOBISSUPNCCNY <br /> 1� c. <br /> 3 <br />