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IhP Ei�c/J/aerl <br /> ��" �� CONSTRUC�ION everett <br /> everett PERIVIiT <br /> C11Y NAII 159fiAfiy <br /> [VCflCiI,B'45NiYfiION <br /> 9Plil <br /> °��, °° �°"M°���° BUILDING MECHANICAL PLUMBING <br /> OEVCL01'MlNi <br /> OWNEfl A1AIL AOORE55 ZIP PHONE <br /> :�'.Y It"F!.�11 ry. I �.s',t*;'•'" ��t�•� .rii�t�7'li <br /> . I '� r. <br /> ARCMITECT OR DESIGNER MAIL AODRE55 PMONE I.ICENSE NO. <br /> GEN[fiALCONTFACTOR MAILADORE55 PHONE LICENSENO. <br /> �� <br /> MECHANICAL CONTfiACTOR MAIL AD�RGSS PHONF LICENSE NO. <br /> PIUMBING CONTRACTOR MAIL AODRESS PNONE LICENSE NO. � <br /> W <br /> m <br /> � <br /> PEFMIT CLASSOFINORA � <br /> z <br /> �6UILDING � VLUMOING �MECNANICAL �N[W ❑AODITION ❑ALTEf1ATION ❑RLPAIR ~ <br /> � <br /> V4LUATION OF WOfiK � <br /> 5 `M�Y��' ❑JEMOlISM ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> OESCRIB[WOFK C,:�G},�.,:�� �:M1Y � 475 - <br /> �. Y4 <br /> PHOPOSLD USE MECHANICAL <br /> TVPEOFFUEL �OIL �GnT. �LPG. �[LEC. <br /> IEGnL D[SCii1PTION OF PqOPERTV ISHOW[iELOW OR ATTACH <br /> F VRCOPIE5) <br /> Q �"'�'[ �j fT ';�Jl(j� NO. TVPE OF EQUIPMENT FEE <br /> L T OLOCK—OF q�q COND. UNITS-H.P. EA. 5 I <br /> REFqIGEfiATION VNITS-H.R E11. <br /> DOI�LRS IIP. EA. I <br /> GAS FIRGU A.C. UNITS-TONNAGE EA. <br /> FORCED AIR SVSTEMS-�.T.U. M EA. I <br /> J09 ADDRESS � y�. WALL NEATEPS-B.T.U. M <br /> y�+��'��yV �j�� UNIT H[GTEFS-6.T.U. M I <br /> [VAPORATIVECOOLERS —�_ <br /> PLUMBING c�oriies oAveas i <br /> VENTILATIONFAN <br /> RANGEF:OOD � <br /> NO. IYPE OF FIXTURE OR ITEM FEE _ nIR HANDLING UNIT- C.F.M. <br /> Wl�TER CLOSHTITOILETI § INCINCRATOR I <br /> �lTHTU❑ _� I <br /> LAVl�TONY IWASIi pA$IN) <br /> ---- SHOWER- - <br /> KITCHLNSINKkO15P. SU6TOTAl S � <br /> OISHWnSNEF PERMIT 5 <br /> LAUNDRY TRAY TOTALFEE 5 I <br /> CLOTHES WASHER _ THIS PERMIT l3ECOM[S NULL ANU VOID IF WOHK OF CONSTRUG <br /> _ YJAT[R HEATER �_ TION AVTHOfi12ED IS NOT COMMENCED WITHIN 1]0 DAVS. Oli IF <br /> UfiINAL CONSTPVCTION OP WORK IS SUSPEN�ED O(i f��ANDONE7 FOR A <br /> URINI.ING FGUNTA�N PERIDO OF 120 Ol��S AT ANV TIME AFTER WOFK IS COMMENCEO. <br /> F�OOF-SINK OR DRAIN � MER@�Y CERTIFV THAT 1 HAVE READ ANO E%AMWLO THIS AP- <br /> V4CUUM AfiEAK[R$ PIiCATION AN� KNOW THE SAAAE TO 6F TPUE AND COHPFCT. ALL <br /> PROVISIONS OF LAWS AND ORf�INAflCGS GOVEHNIGG THIS TVPE <br /> FOOF DRlUNS-RAINLEAOEfiS OF WOfiK WILL BL COMPLIE� 1'ITH WHEiHEli SPECIFIED M6RFIN <br /> SINK (SEfiVICE-RAR. ETC.) �— �� NOT, THE GPANTING Of A i CRh11l' DOES NOT PRfSUME TO <br /> - GIVE AUTHOHITY TO VIOLATE OR CANCEL THL PROVISiONS OF <br /> ANV OTHER SL'1T[ Oli LOCAL LAW REGVI_ATING CONSTliVCTION <br /> OfiTHEPERf-ORMANC�Of- CONSTRUCTION. <br /> SUOTOTAL <br /> PERM�T S � <br /> TOTALPFE 3—�__ <br /> x �� <br /> SIGNATURLOFCONTRAGiOfiORAUTI:.AGENI DATE <br /> SIDE VARU SET6ACK STHGEI SETOACK REAR VARDSETPACK PLAN CHECK NUAI6EH PLAN CHLCK FGE <br /> 7� +__ fEE � fiEGE1PT NO. <br /> US[ ZONE 1.0T AREA VACANT SITE ~�� ,y,�� <br /> ❑Y[5 ❑No FEES VALUATION FEE <br /> TYP[ OF CONST. OCCUPANCV GFOUP NO.OF DWELL!NG <br /> UNIT$ � <br /> SIZE OF �LOG. NO.OF STORIES MA%.OCC. IOA� BUILDING S ���� � '� <br /> PLUMUING � <br /> FIPL ZONE �ASEMENT FINESPRINKLERS � <br /> REDUIliED � <br /> ❑YES ❑NO MECNAtJICAL I <br /> 1 <br /> �SPECIl1L CONDITIONS: OTHER � <br /> I <br /> PEN6LTV SflC. 303i:0 I <br /> '. _. _ .-__- _ — I <br /> I <br /> TOTAL 2{+ <br /> - PEtiM1T VALIDATtON • I <br /> WNEN PFOPERI_V VAUDl�TEO ItN TIIIS SPAC[)TH15 15 VOUR P[HA11i <br /> I -_-- <br /> nff11fn110N�CCffiCDAV �lANSCN[CY.[OOv: P1'COOVIO�ONISiUANGf fIV <br /> r.. c. Y. t. ". i;. <br /> R I <br />