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i <br /> ri�� E�,�.����„� <br /> E ��TV o�- CONSTRUCTION everett <br />� everett PERMIT <br /> [iiV�IAII 159' d5 <br />` FVEPE11.ItiA5HING111Y <br /> 981I11 <br /> °��� °� �°'�°�°�°° BUILDING MECHANICAL PLUMBING <br /> ocvciarvnc!�r <br /> OWNEF y.��y �q�,� MAI�L�+ADDRE55 ZIP PHONE $1 <br /> 9• C.• MS�''•. �i�Mi ��I "��� <br />�I ARCHITECTOflDE51GNEF MAILADOFESS PHONE LICBJSENO. <br /> I <br /> GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> :3 �:it!2�5 T;=t`;�nT.Si!.�'T: Fi Ta'F!St'^L� <br /> MECHANICAL CONTRACTOR MAIL ADDRE55 PHONE LII:ENSE NO. <br /> � <br /> PLUMOING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. W <br /> m <br /> � <br /> PERMIT CLASS OF WORK � � <br /> z <br /> �VILDING ❑ PLUMBING �MECHANICAL ~ <br /> ❑NEW ❑ADDITION ❑ALTEFAI'ION C�IEPAIP � <br /> VALUATION OF WORK � <br /> ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOI W <br /> s � a <br /> DESCRIOE WORK �J S C� <br /> t?�GeJ3" (C:;t.�ji � o <br /> PFOPOSED USE MECHANICAL <br /> TYPEOFFUEL �OIL ❑GAS ❑LPG. �ELEC. <br /> LEGAL DESCftIPTION OF PROPERTY ISHOW BELOW OR ATTACH <br /> FOl'R CUPIE51 <br /> NO. TVPE OF EdUIPMEN7__ FEE <br /> LOT �LOCK—OF AIR COND. UNITS--H.P. EA. 5 � <br /> REFRIGEAATION UNITS-H.P. EA. <br /> UOIlERS-H.P. GA. I <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> fORCED AIR SVSTEMS-R.T.U. M EA. I <br /> JOO ADORE55 '��}�p Wf�LL HEATEFS-�.T.U. M <br /> � ��y��fjL UNIT HE/1T[RS-B.T.U. M � <br /> EVAPOR(�TIVECOOLERS <br /> PLUMBING CLOTHES �RVENS � <br /> VENI ILATION FAN <br /> RANGEHOOD � <br /> AIR NANOLING UNIT- 0.F.M. �— <br /> N0. TYPEOFFIXTUREORITEM __ FEE INCWERA7UR � <br /> WATE(i CLOSET ITOILETI 5 � <br /> 6ATHTU6 ,_.-.I — � <br /> IAVATORVIWASH �ASIN) <br /> T <br /> [,NOWER <br /> KITCHEN SINK& CISP. SUB TOTAL S I _ <br /> DISMWASHER PERMIT S <br /> �FUNDFVTRAY _ TOTALFEE S I <br /> CIOTHES WnSNER THIS PERMIT OECOMES NVLL AND VOID If- WORA OR CONSTRUC- <br /> WAT[R HEATER �_ TION AUl HORIZE� IS NOT COMAIENCED WITHIN 110 OAVS. OF IF <br /> UIiINAL CONSTPUCTIOf< OR WORK IS SUSPFNDE� OR AUANDONED FOR A <br /> � PERIOD OF 120 DAYS AT ANY TIME AFiER WORK IS COh1MENCED. <br /> DfiINKING FOUNTAIN . <br /> FLOGR-SINK OF �RAIN � HERE6V CERTIFV l'HAT I HAVE fiEAD ANO EXAMWBO THIS AP� <br /> PLICnT1ON l�ND KNOIV TNF SAME TO OE TFUE AND COfiRECT. ALL <br /> VACUU1d �REAKERS pqOV6lONS OF LAWS AND ORDIN�INCES GOVERMNG Th115 TVPE <br /> ROnF DRAINS-RAINIEADERS OF WORK WIV_ OE COAIPLIED WITH \NHETHEq SPECIFIEU MEREIN <br /> SINK (SERVICE-�AR, ETC.1 OR NOT, THE GRANTING OF A P@FMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITV TO VIOLATE OR CANCEL THE PFiOVISIONS OF <br /> ANV OTH[F STAiE OR LOCAL L�1N REGULl�TING CONSTRUCTION <br /> _ Oft THE PERFORMANCE OF CONSTflUCT10N. <br /> SUO TOTAL <br /> PERMIT 5 <br /> TOTAIFEE S � <br /> x <br /> S'IGNATUREOFCONTflACTORORAUT1i.AGENT DATE <br /> SIDE YARD SETDACK STREET SET�ACK REAR VARDSETBACK PLAN CHECK NUM[3ER PLAN CHECK FEE <br /> FEE ftBCEIPT NO. <br /> USE 20NE LOT AREA �.��ANT SITE <br /> ❑vES ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF OWELLING T— <br /> UNITS � <br /> SIZE OF ULOG. NO.OF STORIES MAX.OCQ LOAD BUILDING 5 �µ/y�yy VI lK <br /> PLUM6ING � <br /> FIPEZONE �ASEMENT FIRESPRINKLERS <br /> flf�UIRED <br /> ❑YE'_1 ❑NO MECHANICAL � <br /> I <br /> SPECIAI CONDITIONS: OTHEF I <br /> PENELTV SEC. �031a1 � <br /> --_' ._ _ 1 <br /> TOTAL �J{p <br /> - PEHMIT VALIDATION <br /> WNfN PROPERLY'VALIDATEO UN THIS SPACE)THIS I$VOUF PERh11T <br /> AIY'LILATIONALLEATEOBY�. PLANSGHECKCD�V' AGF110VEOFORI:SUI.NC[OY. <br /> � C� <br /> � <br /> � <br />