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thc Err.ryreen I <br /> ��,� ���: CONSTRUCTION everett <br /> eve�ett PERMIT I <br /> f.il� �UIL ]59PPN5 <br /> IVlIIIIt.1'iA\IIIHIa111N <br /> 9e:^� gUILDING MECHANICAL PLUMBING <br /> 11(19 04 L0�!M11UNIlY <br /> IiR'(l04'NI N! <br /> p MAIL ADDRESS ZIP PNONE ��•� <br /> Fbec1 ' � £ivm7lwr Divd. 9�'.'03 353 E�T,�► <br /> ARCHITECT OR DESIGN[R MAIL AD�FE55 PHONE LIClNSE NO. � <br /> GENERAL CONTRACTOR MAIL AODRE55 PHONE LICENS[ NU. <br /> � <br /> MECMANICAL CONTRACTOR MAII. ADORE55 PHONE LICENSE NO. <br /> PLVM�ING CONTRACTOH MAIL AODRESS PHONE LICENSE NO. � <br /> W <br /> m <br /> � <br /> PERMIT CLl�SS OF WORK � <br /> Z <br /> �OUILDING �PLUM�ING ❑MECNANICAL F <br /> �NEW ❑AO�ITION ❑ALT[RATION ❑FEPAIR � <br /> VALIIl�TION OF WORK �y � <br /> � ❑OBMOLISN �IFBNCE ❑SIGN ❑SWIMMING POOL W <br /> s °' <br /> oescaier woaK 1333 <br /> � � . <br /> PROPOSED USE MECHANICAL <br /> TVPEOFf-UEL �OIL ❑CAS �LPG. �ELEC. <br /> �EGAL DESCRIPTION Of- PROPERT V ISHOW�ELOW OR nTtAClI <br /> FOUR COPIESI <br /> NO. TVPE OF E�UIPMENT FEE <br /> LOT DI.00K_OF AIR COND.VNITS-Ii.P. EA. S � <br /> RE(RIGERATION UNITS-H.P. EA. <br /> UOILER$-H.P. EA. I <br /> GAS FIREU A.C. UNITS-TONNAGE EA. <br /> FORCED AIR SVSTEMS-�.T.U. M EA. I <br /> JOB AODRESS WA�L HEATERS-�.T.U. M --T <br /> UNIT MEATERS-O.T.U. M � <br /> EVl�POfi/ITNE COOLERS <br /> PLUMBING CLGTHES DRVERS �_ <br /> VENTI�ATION FAN <br /> NANGEHOOD � <br /> NO. TVPE OF FIXTURE OR ITEM FEE —_ A��a HANDI.ING UNIT- 0.F.M. <br /> WATEHCLOSETITOILETI g _ INCINERATOfI � <br /> BATHTUB — <br /> IAVATCIRY (W/15H BASINI __— — � <br /> SHOW��� <br /> KITCIIEN SINK A� DISP. SU6 TOTAL 5 I <br /> DISHWASH@f� PERMIT 5 <br /> LAUNDRV TRAV TOTALFEE 5 I <br /> CLOTH[SWASHER —� --- <br /> TNIS PERMI f DECOMES NULL AN� VOID IP WORK OR CONSTRUG <br /> WATER HEATER _ � TION AUTHO�IZED IS NOT COMMENCED WITHIN 120 DAVS, OP IF <br /> URINAL CONSfRUCTION OH WORK IS $USPENOEU OR A�ANOONED FOR A <br /> PGHIOD Of 120 �AVS nT ANV TIME AFTER IVOFK IS COMMENCEO. <br /> ORINKING f-OUNTAIN <br /> FLOnq-SINK OR DPAIN —�� I FIEfiEf:V CEHTIFV THAT 1 HAVC REAO ANp E%1�h11NEU THIS AP- <br /> VACVUM �PEAKERS PLICATION ANO KNOW THE SAMF TO(3E TRUE AND CORIIECT. ALL <br /> � - PRO\'ISIONS OF LAWS AND OROINANCES GOVEFNING THIS TVPE <br /> ROOF ORAINS-RMNLEAGEFS pF WORK WILL UE COM1IPLIED VJITH WHLTHF.R SPECIHE[t HEREIN <br /> SINK (SEFVICE-pAR, ETC.) —� n� NOL THE GRANTING Of- A PERMI7 OOES NOT PI9ESUIdE TO <br /> f (iIVL AUTHONITV TO VIOLATE OR CANCEL THE PROVISION$ OF <br /> ANY OTHE(i STATE OR 1_UCAL � 1W RLGULl�TING CONSTFUCTION <br /> OR THfi P[RPOfiMANC[ OP CON: tRUCTION. <br /> SUO TOTAI <br /> PERMIT S--T <br /> TOTAL FEE S_ 11� <br /> x lr <br /> SIGNATVR[OFCONTRACTORORAUTH.l�G[NT DATE <br /> $IOE YARU SFTRI�CK STREET SET6ACK REAR VARO SETLSl�CK PI.AN CNLCK NUM1i�[R � PLAN CHECK FEE <br /> FEE RECFIPT NO. <br /> USEZONE LOTAREA VAGANTSITE <br /> ❑vEs ❑rvo FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.Of DWEILING � <br /> UNITS <br /> SIZE OF �LDG. NO.OF S10FIE5 MAX.00C. IOAD UUIL�ING 5 � <br /> PLUMOING � <br /> FIFE 20NE ❑/1SEMC-NT FIHESPRINKLEFS — � <br /> fiE�UIRED <br /> ❑VES ❑NO MECMANICAL � <br /> 1-- <br /> SPECIAI CONDITIONS: OTHER I <br /> PENELTV SEC.3031a) � <br /> TOTAL I <br /> PEfiMIT VALIOATION <br /> WH[N PfiOPER�V VALI�AT[D (IN THIS SPACEI THIS IS YOUFi P[R1d1T <br /> API'll(nii01!l�CC[j��TCUBY fl%•i:sGrtLNCDIIV nPP110VE0pf�O/B�IS:IIANCCB�� <br /> �W� I1�V• <br /> :3 <br />