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thr, fvergrce�n <br /> ��T� o� CONSTRUCTiON everett <br /> everett PERMIT <br /> ptY�'-0IL )SnpqPS <br /> frteu�.�+avurvo�nrv � <br /> Yi.:ll <br /> °�°� °< <°^�^•°�°� BUILDING MECHANICAL PLUMBING <br /> otvLLoru[x� <br /> OWNEF MHII. FDpRE55 ZIP PMONE <br /> ^��4 l,2�1�7M�'�; '�'�'"�'!a' �7�.3•'t'� <br /> ARCHITECT OR DESIGNER MAIL AODFE55 �HONE LICENSE NO. <br /> GENERALCONTRACTOR MAILA�OPESS PHONE LICENSENO. <br /> N <br /> MECHANICAL CONTRACTOR MAIL ADDflESS PMONE LICENSE NO. <br /> � <br /> PLUMBING CpNTRACTOR MAIL ADDRESS PHONE LICENSE NO. W <br /> m <br /> — � , <br /> PERMIT ClASS OF WORk � <br /> z <br /> � �DUILOING �] PLUMBING �MECHANICAL F <br /> ❑NEW ❑l�DUITION �ALT[RATION ❑REFAIR � <br /> VALUATION OF V'OFK � <br /> S r �yy�U, -- ❑DEMOLISI� G�ENCC ❑SIGN ❑SWIMMING POOI a <br /> f]lF,� <br /> CESCRI�E WORK �I)�� <br /> 9csv �i.Eet�en Ca:�ira��, � a�nae d.ro^s in A¢ck�oac,�! t� .E`�-srt mc��-:�stpo�:k Fitc�icn � <br /> PqOPOSED USE MECHANICAI - <br /> TVPLOFFUEL �OIL �NM'. �LPG. �ELEC. <br /> L[GAL DFSCRIPTION OP ?1iOPEFTV ISHOIN fIELOW OR AiTACH GAS <br /> FOUR CO IESI �f�f — <br /> LOT ��1�U�oCKJ�7oF�"�� i�� � NO. TVPEOFEQUIPMEN7 FEE <br /> 1 AIF COND.UNIT$-H.P. EA. S � <br /> I REFRIGERATION UNITS�-H.P. EA. <br /> �OILERS-H.P. EA. i <br /> GnS FIRGD A.C. UNITS-TONNAGE EA. <br /> FORC[D AIF $VSTEMS-O.T.LL M EA. I <br /> JO[3 AODRESS W�+LL HEnTERS-f3.T.V. M <br /> 'l1M �LL2 UNIT HLATERS-(i.T.U. M I <br /> �aac a�rr <br /> EVAFOPAIIVECOOLERS <br /> PLUMBING CLOTN[S ORVEF� I <br /> VENTILATION FAN <br /> FANGIMOUu � <br /> NO. TYPE OF FIXTURE OR ITEM F E nua �anrrouNc uNir- aF.ht. <br /> WATER CLOSET ITOILETI S _ INCINERATOR <br /> 6ATNTUB — <br /> LAVl+TORV IWASH BASINI � <br /> SHOWLN —� <br /> KItC11EN SINK 14 OISP. $UD TOTAL S � <br /> OISHWASHEF PF;RMIT $ _+ <br /> LAUNDqV TfiAY �— TOTAL FEE 5 I <br /> CLOTNES Wl�SHER THIS PGRM1IIT BECUMES NULL AND VOID If WORK OR GONSTRUC- <br /> WATF.R N[MEq TION AUTHORIZGD IS NOT COMMENCEJ WI'HIN 120 OAVS, OR IF <br /> URINAL —�� CONSTNUCTION Ofl WORK IS SUSP[NOGD OR ADANDONED FOfi A 1 <br /> URINKING FOVNTAIN I PGRIOD OF 1�0 pl�VS AT ANY TIMG Ai'�CH WORK IS COMMENCED. <br /> FIOOR-SINK OR DfiAIN 1 HEHEt1Y C[flTIFV 1HAT I HAbE REI�U l�ND F%AMINLD THIS AP- <br /> � VACUUM BREAKERS PLICl�T�ON AND KNOW THE 5l�ME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF Ll�WS l�NO OFDINANCBS GOVf:FNYVG 1H15 TVPH <br /> ROUF URAINS-RAIN�[ADER$ pF WORK WILL �@ COMPLIED WI1H WHETH[H +PEQFIbb HEREIN <br /> SINK (SEIiVICE��OAF,ETC.i Oli NOT, Tli[ GRANTING OP A P[(iM111T OOES NOT PR[SUME TO <br /> ---1— GIVE l�UTHOl11TY TO VIOL/�T[ OR C/�NCLL THB PROVISIONS OF <br /> — � - ANY OTHER STAT[ OR LOCAL LAW FEGUI_AtING C.]NSTfiUCTION <br /> UR THE PBRPORMANC@ OF CONiTRUCTION. � <br /> SU� TOTAL <br /> PERMIi $ <br /> TOTALFEE $ <br /> x <br /> 516NATUfi[OFCONTRACTOF�ORAUTM.AGGNT OATE <br /> SIDE vARD SETOACK STREET 5@Tf1ACK liEAR VARDS@TPACY. PLAN CHECK NUp1AER PLAN CHECK FEE <br /> FEE HECEIPT NO. <br /> USEZONE LOTAFEA VAGANTSITE <br /> ❑YEs ❑No FEES � VALUATION FEE <br /> iVP[ OF COkST. OCCUPANCV GROUP NO.OF �WELLING � <br /> VNITS � <br /> SIZE OF �LDG. NO. OF ST091E5 MA%.00C. LOAD �UII.DING $�VyJ�)v� �G �W <br /> PLVM91NG ty �W <br /> flfiEZONE Ii�SLME�.M FifiESPqINKL[RS <br /> RLOUI{i[D � <br /> ❑VCS ❑NO M[CHAtJICAL I <br /> SPLQf�L f,ONOIT10N5' OTNER � <br /> I <br /> PENELTV SEC.703(e) � <br /> — + <br /> — - TOTAL � I� <br /> PERMIT VALIOATION <br /> \9HFN PRUPERLV VAUDI�TED (IN THIS SPACEI THI515"OUR PERMIT <br /> I <br /> AI'1'IiCNin":n¢[�1COBV PL��ISOICCv.fflPv anPPOV[�IUbi'SU�NL6BV � <br /> 1� <br /> 3 I <br />