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Itire Evcrgrenn <br /> ��T� �� CONSTRUCT��DN everett <br /> everett PERMIT <br /> CIIY NAII )59FP4.5 <br /> k V(PCII.1':4C111�'fiI1N <br /> GAf01 <br /> °`°' "` `°"'A°""" gUILDING MECHANICAL PLUMBING <br /> o[v[io�iExt <br /> �WNER MAIL AppRESS ZIP PMONE <br /> �i.aTen ��''.t��'-•,'��i �.�.L? iT" ""'.. �.�.i.r'�' 7v.:� �'•1��� ��� <br /> ARCHITECT OF DESIGNER MAIL ADOfiE55 PHONE LICENSE NO. <br /> GENERAL CONTRACTOR MAIL AOOflESS PHpNE �ICENSE NO. <br /> � L? <br /> MECMANICAL CONTRACTOR MAi�ADDRESS PHONE LIC@NSE NO. <br /> PLUM6ING CONTAACTOR MAILADDR[55 PHONE LICENSENO. � <br /> W <br /> m <br /> PERMIT CLA55 OF WORk � <br /> � <br /> Z <br /> �OUILOING � PLUMOING ��1ECHANICAL F <br /> ❑NEW �DOITION ❑ALTEqATION ❑REPAIR � <br /> VALUFTION OF WORK -- <br /> I�y� � � <br /> 5 6�\FI�CN ❑OEMOLISH ❑FENC[ ❑SIGN ❑SYJIMMING POOL W <br /> a <br /> DESCRIO[WORK ��, �ehE � i,�r�� �, � 0981 , <br /> PAOPOSE�USE <br /> MECHANICAL <br /> iVPEOFFUGL �OIL �NAT. �LPG. �[LEC. <br /> FOUnL DLSES1IPTION Of- PFOP[RTV ISHOW �EI.OW OR ATTACH GAS <br /> � ��f+--� NO. TV'PE OF EQUIPMENT <br /> �07 ❑�ocK�of '`ti' FEE <br /> AIR COND. UNITS-N.P. EA. $ � <br /> RCFRIGERnT10NUNITS-H.P. EA._ I_— <br /> __ 60iLER5-H.P. EA. � <br /> GAS FI{iED A.C. UNITS-TOHfJACE EA. �— <br /> i <br /> FOViC[U AIR SVSTEAIS-D.T.U. M EA. � <br /> JOB AOORESS T �..T� WALL HE�ITERS-R.T.U. M <br /> lYk2 ` �'P:".. �,;^r: <br /> VNIT HEATERS--�.T.U. A1 I I <br /> PLUMBING evnrorannve cooieas � <br /> CLOTH[SDRVEFS � <br /> VENTILATION Fl�N <br /> RANGEHOOD � <br /> NO. TVPE OF FIXTURE OR ITEM FEE nIR N/�NOLINf UNIi- C.F.M. <br /> WATER CIOSET (TOI�ETI 5 INCINERA:Ofi � <br /> BATHTUB <br /> _ LAVATORV(WASH BA.^.IN) � � <br /> SHOWEP <br /> KITCHEN SWK K OISP._ SUB TOTA� 5 � <br /> DISNWASHER — <br /> LAUN�qVTRAV <br /> - PERMIT 5 <br /> CLOTHESWASHER TOTAIFEE 5 � <br /> WATER HEATER THIS PEfiMIT CHCOMES NVLL AND VOID IF WORK OR CONSTRUC� <br /> 110N AUTHORI2ED IS NOT COMMENCFp WITHIN 120 DAVS, OH IF <br /> Uri1NAL CONSTRUCTIOY OR WORK IS SUSPENDrD OR A6ANOONED FOR A <br /> DRINKING V_OUNTAIN � PERIOD OF 120 �AVS /�T ANV TIME AFTER WONK IS COMMGNCE�. <br /> FLOOR-SINK �R DRAIN I HEPEOY CEFTIFV THAT I HAVE READ ANO [XAMW[O THIS AP- <br /> V:.CUVM 6REAKERS PLICATiON ANO KNOW THE SAME TO�E TRUE AND CORRECT. ALL <br /> (i00F ORAI�lS-RAINLEAOERS --� �'AOVISIONS OF LAIVS fWD ORDWANCES GOVERNING TfilS TYPE <br /> - Of- WORK WILL f3E COMPLIED N'ITH WHETHER SPECIFIED HEREIN <br /> SINK �SERVICE-IIAR, ETC.) OR NOT, THB GqANTING OP A P[RA11T OOES NOT �RESUME TO <br /> GIVE AUTHOf91TV TO VIOLATE O? CANC@L THE pROVI510N5 OF <br /> nNV OTHEfl STATG OR LOCAI LAW AEGULATING CONSTRUCTION <br /> OF iNE PEftFORMI�NCE OI° CONSTRUCTION. <br /> SUB TOTAL � <br /> PERMIT $ <br /> TOTALFEE $--I <br /> x �� <br /> SIGNATUHEOFCONTAACTORORAUrH.AGENT OATE I <br /> $IDEVARDSETBACK ST�EETySE�T�DACK REARVAsyF.�OSETOl�CKPLANCIiECKNVMBER ,^ PLANCHECKFEG i <br /> C� N" (.�l� 'll,�'�� F[E 'iG� REC° P I <br /> V:E20NE LOTAFEA VACANTSITE <br /> ^� ❑YE5 �o FEES VALUATION FEE i <br /> TVP[ OF CONST. OCCUPANCY GROUP NO.OF�WELLING -- <br /> UNITS Z � <br /> SIZE OF QI.DG. Np. OF STORIES MA%.00G LOAO I3UILDING 5 {7.��A+�� Qj�yy <br /> I - <br /> PLUM�INC i <br /> PIREZONE pASEMENT FIRESPqINKLEHS <br /> RCOUIqED � <br /> 3 s ❑yE5 �p MECHANICAL � <br /> SPECIALCONDITIONS: _ OTHEfi i <br /> - — P[NELTV $EC. 30]lal I <br /> TOTAL �l�� <br /> PERMIT VALIDATION <br /> WHGN PROPERLY VALIDATED (IN THIS SPqCL) THIS IS VOUR PERh11T <br /> erpl�C�.lil'�;n�f[PIIUIv C11t CNCLKC}�OOY� MPH}O�VEOfORI$SUdN6BV <br /> �� t• w1 C� N� rr�.� �• <br /> I � <br />