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tfre Fvergrecn <br /> ��T� oF GONSTRUCTION evereit <br /> everett PERMIT <br /> a�r nnu tsveans <br /> [v[ntn.�,vasinrvrmr� <br /> ssim <br /> °`"' °"°"'"'°""' gUILDING MECHANICAL PLUNBING <br /> ocvnarnrtrvr <br /> OWNER MAIL A�DRE55 ZIP PHONE <br /> �Si'�.t1Y '?�C'41°; T21 ��iL73�!` ��?6 <br /> ARCHITECT Ofl f��^_;.:I:fA MAIL ADDRESS PHONE LICENS[ NO. <br /> GENE�ALCONTHACTOR MAILADDRE55 PHONE LIGENSBNO. <br /> K�ECHANICpAL CONTRACTOR MAIL AU�RE55 PHONE LICENSE NO. <br /> � � [S <br /> PLUMAING CONTRACTOR MAR ADDRESS PHONE LICENSE NO. � <br /> W <br /> m <br /> � <br /> PEflMIT CLASS Of-WORk � <br /> Z <br /> ❑6UILDING �] PLUMBING S1dFC11ANICAL �NEW ❑ADDITION ❑ALTERA�ION ❑pEPAIR ~ <br /> � <br /> VALVATION OF WORK � <br /> 5 ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> OESCFIOF 1YORK �� � �.'T ��� <br /> •t�,! 384 <br /> PROPOSED USE MECHANICAL <br /> LEGAL DESCRIPTION OF PFOPERTv ISM�W BELOW OR ATTACH TYPE Of FUEL �OIL �G^S. �LPG. �ELEC. <br /> FOV R COPIE51 <br /> NO. TVPE OF EDUIPMENT FC-E <br /> LOT ❑LOCK_OF <br /> AIR COND. UNITS-N.P. BA. 5 � <br /> REFRIGERATION UNITS-H.P. EA. —�- <br /> �OILEfiS-H.P. EA. I . <br /> GAS FIREU A.C. UNITS-�TONNAGE EA. <br /> FORCEU NR SVSTEMS-�f3.T.U. M EA. I <br /> JOB ADURESS �y� � WALL HEATEFS-(i.T.U. M <br /> �i4 �Y� UNIT FIEATERS-B.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUMQING CLOTHESDRVERS I <br /> VGNTILATION FAN <br /> RANGEHOOD I <br /> NO. TVPE OF FIXTURE OR ITEM FEE l�IR HANOLING UNIT- C.F.M. � <br /> WATER CLOSET�TOILETI 5 INGINEflATOR I <br /> �ATMTUA —f--- � <br /> LAVATOFY (V.'AS4 BASIN) � <br /> SHOWEH <br /> KITCHEN SINK R OISP. SU�TOTAL 5 <br /> DISMWASI1Eli PERMIT G <br /> LAUNDRV THAV TOTALFEE 5 <br /> CLOTHES WASHER . _ �__ TNIS PERMIT pEC�MES NUI� AND VOID IF WORI: OR CONSTRUC� <br /> WATEIi HEATER � __ TION AUTHORI2ED IS NOT COMMENC[D WITHIN 120 DAVS, OR IF <br /> URINAL CONSTFI�CTION OR WOHK IS SUSPENDED OR Af1ANOONLD fUH .� <br /> DRINKINn POUNTAIN PEPIOD OF 120 DA' S AT ANY TIME AFTER WORK IS COMMENCED. <br /> FLOOR-SINK OR ORAIN I HEREf3v CEHTIFV TMAT I HAVE READ nNp E%Ah11NED THIS AP� <br /> VACUUM PREAKE(iS —� PLICATION ANC� KNOW THE SAME TO �E TF.UF. l�ND CORREGT. l�LL I <br /> F PROVISIUNS OF LAWS AN!] Ofi[)INANCES GOVENNING THIS TVPE <br /> ROOF DPAINS-FAW�EAOERS OF WOR� WILL 6G COMPLIED WITH WH[THEF SP[C�FIED HEREIN <br /> SINK (SERVICE-OAR, ETC.) �R NOT, THE GFANTING OP A PERM1IIT DOES NOT PRESUh1E TO I <br /> GN[ AVTNORITV TO VIOI.ATE OR CANCEL THE PfiOVI510NS OF <br /> 11NV OTNFR STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> t_ OP THE PERFORh�ANCE OF CONSTRUCTION. <br /> SUUTOTAL <br /> PERMIT 5 <br /> TOTAL FEE 5 <br /> - x �/].4•7b <br /> SIGNA7'VREOFCONTRACTOROPAUTH.AGENT OATE <br /> SIDEVl�R�SET�ACK STfiELTSET�ACK REARYAflO5ET6ACKPI.ANCHECKNUA1ElEli PLANCHECKFEE <br /> FEE fiECE1PT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑vE5 ❑No FEES VALUATION fEE <br /> TVPE OF CONST. OCCUPANCY GPOVP NO.OF OWELLING <br /> UNITS I <br /> 512E OF OLOG. NO. OF STiJN165 MA%,i\;C. LUlaU bUl WING 5 � <br /> I <br /> PLUMBING � <br /> FIREZONE �ASEMENT FIRESPR�NKLEFS - � <br /> RfOUIRED � <br /> ❑VES ❑NO MECHA�JICAL <br /> SP[CIAL CONDITIONS: OTHER � <br /> 1 <br /> T <br /> — PENELTV SEC.�031n1 � <br /> TOTAL �L�j � <br /> P[RMIT VALIDATION <br /> WnCN I'fiOPCfiLV VALIDATEO IIN THIS SPACEI THI515 VOUII PE(1MIT <br /> nPPLIC�TIONACtEPT[DBV'. PLFNSCIIECKEDBY: ACPIIOVEOFORISSU�NCCBY. <br /> �� C� <br /> � <br />