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everett <br />PLUMBING �e'j <br />OWNER MAIL ADDRESS ZIP PHONE <br />Go-orgEe: ^arvII 2518 Monrou nvo. &veratt MCI 353-0078 <br />g7a_77 <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE _ LICENSE NO. <br />GENEjieAJ_LONTflACTOR MAIL ADDRESS PHONE LICENSE NO. <br />M ECHSSA N1II CZAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />c: <br />LU <br />m <br />PERMIT <br />p BUILDING [:)PLUMBING ❑ MECHANICAL <br />CLASS OF WORK <br />yy, <br />❑NEW M ADDITION El ALTERATION ❑REPAIR <br />Z <br />F <br />VALUATION OF WORK <br />$ 6sS)C'.l. hO <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />cc <br />LU <br />G. <br />DESCRIBE WORK <br />15' x 30' Patio -recreation area addition <br />2690 <br />PROPOSED USE <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUl9OPIRJIF L 19 39 Plat of PiTlehurat il <br />LOT BLOCK —OF <br />TYPE OF FUEL []OIL QNAT. ❑LPG. ❑ELEC. <br />GAS <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />S I <br />REFRIGERATION UNITS-H.P. EA. <br />_ <br />BOILERS-H.P. EA. <br />I <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />I <br />JOtj, [�D�RESS 251- Aonroo Avomv.;a <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS—B.T.U. M <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT— C.F.M. <br />WATER CLOSET (TOILET) <br />$ <br />INCINERATOR <br />1 <br />BATHTUB <br />LAVATORY(WASH BASIN) <br />1 <br />SHOWER <br />SUBTOTAL $ <br />1 <br />KITCHEN SINK &DISP. <br />DISHWASHER <br />PERMIT $ <br />LAUNDRY TRAY <br />TOTAL FEE $ <br />I <br />CLOTHES WASHER <br />WATER HEATER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK, IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />6/10/17 <br />SIG T RE OFSGNI HACTOROR AUTH. AGENT DATE <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR —SINK OR DRAIN <br />VACUUM BREAKERS <br />I <br />ROOF DRAINS—RAINLEADE RS <br />_ <br />SINK (SERVICE —BAR, ETC.) <br />_ SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />$ <br />'SIDE YVJO SETBACK <br />STREET SET CK <br />i0f77/368 <br />REAR YAROOS, TBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE IS. oO RECE �TJ40T <br />i <br />USE ZQ^E <br />Rom) <br />LOT AREA <br />VACANT SITE <br />❑YES [5NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CO NST. <br />OCCUPANCY GROUP <br />NO.DWELLING <br />UNITSTS � <br />1 <br />BUILDING <br />�• A <br />S <br />I V <br />1 <br />SI E OF BLDG. <br />�5x30 <br />NO. OF STORIES <br />1 <br />MAX. OCC. LOAD <br />PLUMBING <br />1 <br />FIRE 7.0 <br />BASEMENT FIRE <br />n0 <br />SPRINK lERS <br />Rr UIRED y�( <br />❑YES O <br />MECHANICAL <br />I <br />1 <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />PENELTY <br />SEC. 3031.) <br />1 <br />TOTAL <br />1 <br />I <br />' <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />APPLICATION ACCEPTED BY: <br />PLANS CHECKED BY: APPROVEO <br />Z.C. <br />FOR ISSUANCE BY. <br />R.C. in <br />