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Ithe Evernrren <br /> ��T� �� CON��f�2UCTIOIN everett <br /> everet� PERMIT <br /> Ci"Y NAIL 'S9PRE5 <br /> fVLPE1t,PiAUUNG'ON <br /> 1Pl:p <br /> °�°� °< <°'�:•�°°,Y BUILDING MECHANICAL PLUMBING <br /> ��«�<<o��.,t�:� <br /> OWNEH hiAIL ADURESS 21P PHONE <br /> ifl4'� :?T.�,!`a��! �'�i ��1�...1�13: i.`� ��l��7 <br /> APCliITECT OR OESIGNEP MAII. A�ORE55 PHONE LIGENSE NO. .�p <br /> ��R�'t`' <br /> GENERAL CONTFACTOF MAILl�DDPESS PHONE LICENSE NO. <br /> `..310k�l� Ctl� 71RE �.r LII�U ?�.LiV�t1'3 i�{.i���� � ..'�C�. <br /> MECHANICALCGNTFACTOF MAILADDRE55 PHONE - LICENSENn <br /> � <br /> PLUMOINC CONTRACTOR MAIL A��RE55 PHONf LICENSE NO. � <br /> W <br /> m <br /> � <br /> PERMIT C_ASS OF WC��K � <br /> j z <br /> QBVILDING �PLUM�ING ❑MECFIl1NICAL $ � <br /> ❑NEW ❑ADDITIJN UALTERATION ❑RLPAIR � <br /> VALUATION OF WORK � <br /> � �y� )y� ❑OGh10lI5H ❑FENCE ❑SION ❑SWIMMING r'OOL w <br /> y4�GV�1AI a <br /> oescAioe wor+K — <br /> f!ern�t•c;� OsG;hatt;r+�aclda�-�SqyT ;Nkdis�;- at�TaQa 3 �'1'sAa:a 13�4 <br /> PROPOSED USE MECHANICAL <br /> TYPFOFFUEL �OIL �N/1T. �LPG. �ELEC. <br /> L[GAL ESCRIPTION OF VROPERTV ISMOW I3ELOW ON l�TTACH GAS <br /> FOUR �PIE51 Z �v� »t�� �`n(��{.� <br /> NO. TVPE OF EaUIPMENT FEE <br /> LCT____ ULOCK_Of AIfiCONp.U`IITS-H.P. EA. 5 � <br /> R[F(i1GEF/�TION UNITS-11.P. EF. <br /> OOILERS-NP. EA. I <br /> GAS F11iED A.r.. UNITS-TONN.-.GE EA. <br /> FORCED AIR SVSTEMS-B.T.U. M11 EA. I <br /> J U A CPESS �y WALL HEATERS-�.T.U. M <br /> �� � �.�i ui"u UNIT HEAiERS-d.T.U. M � <br /> EVAPGRATIVECOOLERS <br /> PI UMBI�'G CLOTHES DRYEPS I <br /> - VENTILATION FAN <br /> NANGEHOOD � <br /> AIF HANDLING VNIT- GF.M. <br /> N0. TVPE OF FIXTUFlE OR ITEM FEE — �NCINERIITOfi I <br /> WATER CLOSET ITOILETI S t__ <br /> BATHTV9 — — —� <br /> LIIVATORY(W�15H BASIN) � � <br /> � SHOWER -� <br /> KITCHEN SINK R OISP. � � SUF3 TOTAL 5 I <br /> DISIIWpdMER —�- PERMIT S <br /> LAUNDRV TRAV _� TOTALFEE 5 I <br /> CLOTNEO WASHER l-HIS PEHMIT RGCO��ES NULL AND VOID IF WORK OR CONSTFUG <br /> WA7ER HEATF.F _ � TION AUTHO�IZF� IS NOT CUMM[NCEO WITNIN 110 DAYS, OR IF <br /> URINAL CONSTRUCTION OR WORK IS SUSPENDE� OF AIiANOONED FOR A <br /> DFINKING FOUNTAIN —,— PERIO� OF 77.0 DAV$ AT ANY TIME 4FTFR WORK IS COMYIENCEO. <br /> FLOOH-SINK OR DRAIN _� I HEREOV GEflTIFY TI1AT I Hl VE R6AD AND EXAMWEO TNIS AP <br /> VACUVM AREAKG(1S PUCA�ION AND ANOW THE SAME TO �E TliUE AN�CORpECT. ALL <br /> ROOP DFAINS-ftAINLFADERS '-I— N�OVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TVPE <br /> UF WORK ✓JILL DE COMPLIED WITH WHETH[9 SPEGFIED HEfiEIN <br /> SINK ISERV�CE-OFR. ETC.1 —� Oii NOT, THE GRnNT11JG OF A PER�11T DOES NOT PRESUME TO <br /> - - GIVE AUTNORITV TO VIOLME OR CANCEL THE PROVISIONS OF <br /> �— ANV OTNGR STM'G OR IOCAL LAW REGULATING CONSTRUCTION <br /> pq TNE PERFOR'1l1NCE Of- CONSTRUCTION. <br /> _ SUD TOTAL _�_ <br /> PERMIT 5 <br /> TOTAL f-E[ _ 5 __� <br /> x Fs.24-7� <br /> SIGNl�TUREOFCONTRACTORORAUTH.AGENT DATE <br /> SID : VARD S[TOACK STREET SETUACK fiEAR VARDSET�ACK PLAN CH[CK NUMBER PLl�N CHECK f-EE <br /> IGEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑�'ES ❑NO FEES VALUATION FEE <br /> TVP@ OF CONST. OCCUPANCY GROVP NO.UF DWEILING � <br /> UNITS <br /> ��/� I M <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCQ LOA� OUILDING 5 J��;.y�O� � I i V <br /> PLUMBING � <br /> FIFEZONE 6ASEMENT FINESPRINKLERS � <br /> fifaUIRED � <br /> ❑VCS ❑NO MECNANICAL I <br /> I <br /> SF[CIAL CON�ITIONS: OTHEF � <br /> — YENELTY 5[C.30]I:J � <br /> _— - 1 <br /> I 70TAL �• I <br /> i� I� <br /> PERMIT VALIDATION <br /> WHGN VfiOPEfiLV VALIpATF.D IIN T1115`PACLI ili151S VOUR PERAtIT <br /> APPIIUi�ONnLLU4(DUV� �IAk<C4CIXC�DY�. A1'PPOVEDFOpGSU�NCi2v <br /> I �� '� <br />