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i !hC Ercrpn!Pn <br /> �,,,. �, CONSTRUCTION ev��rett <br /> everett PERMiT <br /> CiiY N>ll t598885 <br /> FY[P[il N'ASHINfiON <br /> 98101 <br /> ��t�� �� ��MM������ BUILDING MECHANICAL PLUMBIN <br /> I oiviinr��cx� <br /> MAIL ADDRESS ZIP PIiONE <br /> OWNER ';�� <br /> ..r..,n.� ...,;..,�..,: . <br /> ARCHITECT OR D[SIGNER h1A1L AODRESS PHONE LICENSE NO. <br /> GENERALCONTRACTOP <br /> MA:LADDRES': PHONE LICFNSENO. <br /> MECHAfJICALCONTRACTOR MFiLl�ODFESS PHONE LIGENSENO. <br /> � <br /> PLUMBING CONTRACTOF MAILADURESS PHONE LICENSENO. W <br /> + m <br /> �y.t�,1;74�y � <br /> .�. .F.+... �It' � <br /> PERMIT CL/!55 Of-WORK Z <br /> H <br /> ❑BUILDING �PLUM6ING ❑MECHANICNL �NEW �qDDITION ❑ALTLRATION ❑REPAIR � <br /> � <br /> VALUATION Of WORK W <br /> ❑DEMOLISN ❑FENCE ❑SIGN ❑SWIMMIN(; POOL a <br /> $ `�� I <br /> DESCRIBE WORI: <br /> PROPOSE�USE MECHANICAL <br /> TYPEO�' FUEL �OIL ��ln1. �LPG. �ELEC. <br /> LEGAL OESCFIPTION OF PROPEFTV ISHOW E3ELOW OF F.TTACH _ <br /> FovR C�PiEsl ryp, TYPE OF E�UIPMENT FF.E_ <br /> LOT OLOCK--.OF AIRCOND.UNITS-H.P. EA. 5 � <br /> REFRIGERAtION Ul�ITS-H.P. EA. <br /> 6DILERS-H.P. EA. � <br /> GAS FIRED A.C.UNITS-TONNAGL LA. <br /> FORCED AIR SVSTEMS-P.i.V. M EA. � <br /> WALL HEATERS-f3.T.U. M <br /> JOBADDREAS � <br /> �f (1(�1"-.'j"."T'Y�� VNIT H[ATFRS-�.T.V. M <br /> � _ <br /> EVAPORATIVECOOLEHS <br /> PLUMBWG CLOTME$ORVERS � <br /> VENTILATION FAN <br /> RANGEHOOD � <br /> AIR HANDLING UNIT- C.F.M. <br /> NO. TVPE OF FI%TURE OR ITEM FEE �nCINE(iATOR � � <br /> WATERCLOSET (TOILET) $ _ <br /> BATtiTUB _ 1 <br /> LAVATOFI'IWl�SH BASINI <br /> SHOWEH SUOTOTAL 5 I <br /> KITCNEN SINK& DISP. pERMIT 5 <br /> OISMWASHER <br /> LAUNDR� TftAV TOT1L FEE 5 I <br /> CLOTHES VdASHEii ___�— THIS PERAIIT l3LCOMES NULL NJD VOID IF WORK OR CONSTRUG <br /> WATER HEATER __� TION AVTHORIZED �5 NOT COh1MENGED WITHIN 120 UAYS, Ofi �F <br /> URINAL CONSTRUCTION OR WORK IS SVSPENDED OR A��INDONED FOR A <br /> --� PEfilO� OF 120 OAVS 4T ANV TIME AFTEP WORK IS COMMENCE�. <br /> ORINKING FOUNTAIN I HERE�V CERTIFV TI/AT I HAVE READ l�ND E%AMWED THIS AP� <br /> FLOUR–SINK OR ORAIN � PUCnTION AN� KNO\Y THE SAME TO BE TfiUE AND CORflECT. l�LL <br /> VACUVM OHEAKERS .—� PROVISIONS OF lAWS AND ORDINANCES GOVERNING TNIS TYPE <br /> POOF �FYAINS–RAINIEAOERS OF WOHK WILL 3E COMPI IFD WITH \VNEIHER SPECIFIED HEREIN <br /> SINK (SERVICE-6l�fi,ETC.I OR NOT, THE GRANTWG OF A PEiiMIT OOES NOT PR@SVME TO <br /> ANY OT[HOSTATETOF,LOCALtLl�W REGULATING CO�NSTRUCTION <br /> OP THE PE(iFORMANCE OF CONSTFUCTION. <br /> SU� TOTAL __ f <br /> PEIiM1T $ <br /> TOTAI F[E S ��JTT <br /> SIGNATVREOFCONTRACTOFORAUI'H.AGENT U4TE <br /> PLAN CHECK FEE <br /> E'AE �'nAO5ET0ACK STREET SET�ACK RF.AR YARDSETBACK PLAN CMECK NUMAER FEE RECEIPT NO. <br /> USE ZONC LOT AREA VACANTSITE _ <br /> ❑vES ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP UNIT�9 DWELUNG I <br /> I <br /> 5 I <br /> 512E OF �LDG. NO.OF STOFIES h7A%.OCC. LOFD BUIL�ING _� <br /> pLUMEIING l� '� <br /> FIREZONE AASEMENT FIR[SP(ilNkl[RS I <br /> FE�UIRED MECHAN�CAL <br /> ❑VES ❑NO <br /> - I <br /> SPECIAL CONDITIONS: _ OTHER � <br /> PENELTV SEC.7031a1 � <br /> TOTAL I� C� <br /> PERMIT VALIDATION <br /> — WHEN PROFERI.V VALI�IATED (IN TH65PhCG1l HIS �5 �OUR P�PhUT <br /> pM`1IU11ONnCC[�9(f�b� �LANSCNECNEOBY' AP�AOVfOfORI55UANCCRY <br /> � 1' c' <br /> a <br />