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Ihe Everprcen <br /> ��T,� �� CONSTRlJCT10N everett <br /> everett PERMIT <br /> C�IY�IALI ..... <br /> EV'I°lll.'.1A$�4hGiG4 <br /> 9°.)01 <br /> °`�"'��;°`;o�;;'..; BUILDING MECHANICAL PLUMBING <br /> OWNEF'_..�„� �MyN�LAOOHE55 �ZIP� �y.��PH�ON}qE ��)��} <br /> �i{� �'�r �Vli ��w� �{LL�i C�i �j1J1 �V�iYW <br /> ARCHIT[CT OR OESIGNER MI11L AJOKC55 PHONE LICENS@ NO. <br /> GENLRALCONTIiACTOR MAILADDRESS PHONE LICENSENO. <br /> � <br /> MECHANICALGONTRACTOR MAILADOAE55 PHONE LICENSENO. <br /> PLUM6INGCONTHACTOFi MAIL.IDORESS PIiONE LICENSENO. w <br /> m <br /> PEPMIT CLASSOFWORK j . <br /> Z <br /> � 6UILDING [] PLUMBING �MGCHANICAL � <br /> — �NEW ❑ADOITION ❑ALTERATION ❑FHPAIR � <br /> VALUl�TIONOf WOqK <br /> � /y� � <br /> b ��S/.A�JV ❑DEMOI.ISH ❑FENCE ❑SIGN ❑SWIMMING POOL W <br /> a <br /> DESCRI�f WOqK � � <br /> oa�eR.s� mn � 4d0 - <br /> PROPOSED USE <br /> � MECHANICAL � <br /> TVP60FPULL OpIL QNAT. �LPG. �ELEC. <br /> LGGAL DESCRIPTION OF PfiOPERT V ISHOtV RELOW ON nTTACH G/�5 <br /> FOUI�p_yAsl � �` "��� � NO. TYPE OF E�UIPMENT FEE <br /> i7I�'.' <br /> LOT ❑LOCK_OI' ._ <br /> Alft COND. UNITS-H.P. EA. $ � <br /> REFRIGERATION UNITS--N.P. EA. --��— <br /> �OILEfiS� H.P. EA. � <br /> GAS FIFi[Ul�.C. UNITS--TONNAGE EA. <br /> �n0. ep lORCFU AIR SYST[h1&��.T.U. M EA. � <br /> • 1 R�1� W�1LL NEATLRS-�.T.U. M <br /> �y� rpa" <br /> UNIT HLM[RS-�.T.U. M � <br /> EVl1PORATIVE COOLEPS <br /> PLUMBING c�or�ies or�vEn, � <br /> VENTILATION FAN <br /> RANG[ HOOD � <br /> NO. TVPE OF FIXTURE OR I7EM FEE ���j `�ANOLING UNIT- C.F.M. <br /> WATERCLOSET�TOILETI y INCINEFATOR � <br /> OATNTUA <br /> ! <br /> __ LAVATORVIWASNOASINI � <br /> SHOWEP F — <br /> KITCHEN SINK R DISP. — I <br /> DISHWASMER --} SUU TOTAL 5 � <br /> LAVNDRY TRAV �-- P[qM1T 5 <br /> _ � <br /> CLOTHBSWASNER -- TOTnLfEE 5 � <br /> WATER HEAT[R TNIS PERMIT 6ECOh1E5 NULL AND VOID IF JyORK OR CONSTRUC� <br /> TIpN AUTHORIZED IS NOT COMMENC6D VJITNIN 120 DAYS, Ofi If <br /> URINl�L � CONSTflUfTIDN OR WURY. IS SUSP[NDEO OR AIfANDON[D FOR A <br /> DFINKING FOUNiA1N P�RIOD OF 120 DAVS AT ANV TIME AFTEH WORK IS COMAtENCEO. <br /> FLOOfl-SINK O(i OflAIN 1 HEH[(3V CG(i11FY TNAT I MAVE HEAO AND E%l�A1WE0 TH�S qp- <br /> VACUUM pREl.K�R$ N�ICATION ANO KNOW TH[SAME TO f)B TRU[ AND COriHECT. 11LL <br /> ROOF DHAINi RAIN�EADEfiS --- -I ��OVISIONS OF �/�K'S ANU OR�INANCES GOVRRNING THIS TVPE <br /> - OF WORK WILL 13E COR4PLILD WITH WNGTHER SVECIFIE� HEftEIN <br /> _ SINK ISERVICE-UAF, ETC) _ Ofi NpT, THG GfiANTING Of° A PEf��11T OOG; NOT PRESUM[ TO <br /> � GIVG AVTIIORITY TO VIOLATE OR CANCFL THE PROVISIONS OF <br /> I1NV OTHER ST�TE OR IOCnL LAW RLGULATING CONSI�RUCTION <br /> _ SUB TOTAL � UN i��E VGRf-OHMANCE OF �ONSTRUCTION. <br /> PERMIT 5 <br /> TOTALFEE $ T— � <br /> 1 x <br /> SIG(Vt TURE OF CONTRACTOfiOfi�1UTH.AGEN�f DATE <br /> SIOE VARO SET�ACK STREET SGTIll1CK RGAR VARDSLTBACK PLAN C.'iFCK NUA9�ER PLAN CHECK FEE <br /> ��� FE[ � f�[CE1�1� <br /> USE ZONC LOT AREA VACANT SITG <br /> I ❑YES ❑NO FEES VALUATION FEE <br /> I TVPE OF CONSi. OCCl1Pl�ryCV GROUP NO.OF OWELLING -- �'— <br /> UNITS � <br /> 512E OF BLOG. NO.UF STOPIES MA%.OCG LOAD �UILDING $ �+�+•�J �Gv�y� <br /> I PLUMDING— I <br /> FIREZONE 9ASEMENT HH[SPHINKLERS � <br /> RfOU1RE� � <br /> I ❑VES ❑NO MBCHANICAL � <br /> SPECIAL CONDITIONS: OTHER � <br /> 1 <br /> — __T— <br /> ---- ' PENELIY SLC. 303b�1 1 <br /> __-- — .__-- _—L <br /> - 70TAL i{3�� <br /> PERMIT VALIDAiION <br /> 1NN@N PfiOP[RLY V/�UP.1T@U IiN 11115;P�C[)THIS IS VGUR P[RMIT <br /> HPfLIL�TION�C([PllIl11Y P��NSLI��DBN�, pppPO�'COIOitI55U/.NCfCY <br /> S/` <br /> Ti• � • r:��• <br /> n <br />