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J <br /> i <br /> (lIB �VBlQIe'011 <br /> ���� �� CONSTR UCTION everett <br /> everett PERMIT <br /> urv�au naeess <br /> [VEPEiL.4YA5NIHGION <br /> 982�1 <br /> °`°' °`°°"'"°�"° BUILDING MECHANICAL PLUMBING <br /> ofvELovMfNt <br /> OWNER { Gl �� MAILADDPE55 �ZI�Pp PH�ON(E �! ��(y y� <br /> M��Y�j t:LLr)�..�'J Jf�•7 J�3Gr� A�`.�. �L-�J ��7�.:i'V .Wi%r(a! <br /> ARCHITECTORDESIGNER MAILADORE55 PHONE ;; � . IJ��NS�NI�Iv <br /> 3 7; <br /> GEN[RAL CONTRACTOR MAIL ADDRESS ^PIiONE LICENSE NO. <br /> .].hr�ii :ii� �'T K��� <br /> MECHANICAL CONTAACTOR MAIL ADDftESS PHONE LICENSE NO. <br /> J�T??9 :�A <br /> PLUMBING CONTRACTOH MAIL AODRE55 PHONE LICENSE NO. � <br /> W <br /> .1��.� :i:�.�S � <br /> PEFMIT CLl�SS OF WORK � I <br /> y� Z <br /> �DUIL�ING �y PLUM�ING ��MECIIANICl�L �- <br /> QNLW ❑AUDITION ❑l�LTERATION ❑REPAIR � , <br /> VALVATION[1F WORK � <br /> 5 (•A_�� ❑UEMOLISH ❑FENCE ❑SIGN ❑SWI�IMING POOL � I <br /> �7 <br /> DESCRIPE WORK J <br /> r.����.�.� h -�: : sr:. 15 6 9 <br /> PFOPOSED USE <br /> MECHANICAL <br /> TVPEOFFUEL �OIL �NAT. �LPG. �ELEC. <br /> L[GAL DESCFiIPTION OP PROPERTV ISHOW BELOW ON ATTACH GAS <br /> FOUR COPIES` <br /> 5 r''�Gi�� �F FI'i�u,T� �j � NO. TVPE OF E�UIPMEN7 FEE � <br /> IOT� �LOGK_OF_� qIFiCOND. UNITS-H.P. EA. S I <br /> REFftIGERATiON UNITS-M.P. EA. <br /> [3DILERS -II.P, E0. � <br /> GAS FiRED A.C. UNIiS-TONNAGE EA. <br /> FOiiCED AIN SYSTEMS-O.T.V. M EA. I <br /> JO� AUORF.55 WALL HEATERS-�.T.U. M <br /> G$� ?AZ$TI� IIi� urvir ��enrens—e.T.u. nn i <br /> [VAPORATIVECOOLEHS � �I <br /> PLUMBING c�ort+es oaveas i <br /> VENTILATION FA�I —� <br /> flANGEHOOD i <br /> O. TVPE OF FIXTURE OR ITEM FEE �+�R HANOLING UNIT- C.F.M. _1_ i <br /> WATEPCLOSETITOILETI g�— INCWEF4TJR I <br /> 6ATHTUB <br /> LAVATORV IWASH BASINI � _ I <br /> SHOW Efi <br /> KITCHENSINK & DISP. SU870TAL 5 � <br /> �IFHWASIIER PERMIT S <br /> LAUN�RV TRAV _f_ TOTAL FEE 5 � <br /> CLOTHES W4SHER THIS PERA�IT E3FCOh1E5 NULL ANO VOID IF WORK OF CONSTRUC� <br /> WATER HEATER TION AUTHOPIZE� IS NOT COMAAENCED WITHIN 120 �1�V5, OR IF <br /> UFINAL —�-- CONSTPVCiION OF WORK IS SUSPENDED Oli A�ANDONED FO�i A <br /> DPINKING FOUNTAIN PERIOD OF 120 DAVS AT ANY TIME l�FTEfl WOfiK IS COMMENCED. <br /> FLOOR-SINK OR DRAIN � �i[pE�Y CERTIFY THAT I HAVE fi[AD AND EXAMINED THIS AP� <br /> VACUUM BREAKERS PLICl�T10N AND KNOW THE SA�1E TO UE TRVIi nND CORRECT. ALL <br /> —r— �RpVI510N5 OF LAWS �ND OiiDINI�NCES GOV[RNING THIS TYPE <br /> ROOF DRAINS-flAWLEADERS OP WOftK WILL DE COMPI.IEU WITII WN[THER SPECIFIED HEREIN <br /> SINK (SEHVICG-UAR, ETC.) U� NOT, THG GRANTING Of A PEfiAtIT DOES NOT PRESUM2 TO <br /> — GIVI AUTIIORITV TO VIOLATE OR CnNCEL THE PROVISIONS OF <br /> - — AN1' OTHEti STATE OR LOCAL LAW REGUI_ATING CONSTRl�CT10N <br /> ___i. OR THE PFHFORMANCE OP CONSTRUCTION. <br /> SUBTOTPL I <br /> PERMIT $ ' I <br /> _TOTA� FE@_ 5 ' �� ` -� <br /> X •�.J'�✓ <br /> SIGNATUREOFCONTRACTOf10RAUTH. I,FNT UATE <br /> SIOEVAR�SETUACK STREETSET�ACK REARVnRD5ET6ACKPlANC'i/[���q}K�fJU�9A@F FEE PLANCHE'KF6E <br /> 7 v�l�Z � ��i '�J� <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVPE OF WNST. OCCUPFNCV GflOVP UNIOS OWELLING I <br /> SIZE OF �LOG. NO. OF STORIES M.AX.00C LOAD BVIIDING S �Q]\1W�W {�.�r�� � <br /> PLUM�ING ��� <br /> FIREZONE BASEMENT FIRLSPHINI<LERS '��J <br /> RE�UIRE� I <br /> ❑VES ❑NO M@CHANICAL � <br /> SPECIAL C0�IDITIONS' OTNER � <br /> —. I <br /> -------' -- PLN[LlY 5[C. 30:t1a) � <br /> TOTAL � <br /> I <br /> P[HMIT VALIDATION <br /> _ WHPN PROP@RlY VN_�DAT[D IIY THI�SPACL)TH'S li VUUH P[(1h11T <br /> m�Piit'n1�0;:/.Cc!Pl[b¢v �I:.ry501ECKC00Y �PPflOVE�fOIIi:SUAM1CCl1Y. <br /> � Q� <br /> n <br />