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76e fver9reen <br /> �,T�oF CONSTRUGTION everett <br /> everett PERNIIT <br /> LIiY HALI ]599FP5 <br /> FY[P[tt.WASNINLIOY <br /> 981u� gUILDING MECHANICAL PLUMBING <br /> IIEPI OF C�MMp1111Y <br /> O[V(LOPM[Hi <br /> MAIL A�D4ESS ZIP PNONE <br /> OWNf^. n � <br /> �:� � � ���� 7`� <br /> MAIL ADtiRE55 PHONE LICENSE NO. <br /> ARCHITECT OR DESIGNER � <br /> GENE aL CONTRACTOR MAIL 4D�RESS PHONE IICENSE NO. <br /> � � �l� M�ADOR� � � <br /> PIiONE LICENSE NO. <br /> MECHANICF' 70NTHACTOR <br /> � <br /> MAIL AODRE55 PHON[ LICENSE NO. W <br /> PWhiBING CONTRACTOft � <br /> � <br /> CLASS Of WORk = <br /> PEFMIT Z <br /> H <br /> "�GUILDING ❑ PLUMOING ❑MECHANICFL �NEW ❑nDOITION ❑nLTERATION ❑RLPfJIi � <br /> � <br /> \ALUATION OF WORK W <br /> $ — e� � ❑OEMOLISH ❑FENCE ❑SI�N ❑SN'IMMING POOL a <br /> yo�a�i <br /> 'oescrau�o� � �� �S5 <br /> PROPOSED USE ME�HANICAL <br /> S�� TYPEOFFUEL �OIL ❑GnS� ❑«G. �ELEC. <br /> LEGAL DESCFIPTION OF PROPEFi"fV ISHOW f3ELOW OFi MTACN - FEE <br /> FOUIp',O�'1fM L� NO. TYPEOf E�UIPMENT <br /> �r1� i7 4 <br /> AIR COND. UNITS—H.P. EA. 5 � <br /> LOT-- OLOCK—_OF --�—T <br /> FEFRIGE(1ATIDN UNiTS-H.P. EA. <br /> -- AOILEriS-II.P. EA. � <br /> GAS FIfiED A.C. UNITS-TONNAGE EA. <br /> FORCED AIP SVSTEMS-f3.T.U. M EA. � <br /> WAL1. HEATERS-B.T.U. M <br /> JO PE55 I <br /> �� UNIT HEATEHS-B.T.U. M T <br /> FVAPORAI�VECOOLEFS <br /> CLOTHESDRVEFS � <br /> PLUMBIN3 <br /> VENTILATION FAN <br /> ftAN(:E HOOD � <br /> AIR HANOLING VNIT- GF.M. <br /> NO. T'7E OF FIXTURE OR ITEM FEE iNCINEnnroR � <br /> WATEF�LGSEi(TOILETI 5 <br /> BATHTUB --{ � <br /> L4VATORV IWASM BASIN) _ -- <br /> SHOWER --�— SUB'1DTAL 5 � <br /> KITCHEN SINIi(b OISP. PERMIT 5 —� <br /> DISHWASHER — <br /> TOTALFEE S � <br /> LAUNDRVI'RAV <br /> CLOTHES WASHER TNi; PERMIT oECOMES NVLL AN� VOID Ir WOHK Ofi CONSTRUC- <br /> WATER HENTEH TION AUTIiOF12EU IS NOT COh1ME�ICED tNITHIN 120 OAVS, OR IF <br /> CONSTRUCTION OR �VORK IS SUSP6NDED OR /\�nNDONED FOR A <br /> l'RINAL PERI00 OF 120 DAVS AT /WY TIME /1FTER WORK IS COMAIENC[D. <br /> DRINKING FOUNTPIN I HEPE�V CERTIFV THAT 1 HAVE fiEA� AN� EXl�MINED 1HI5 AP� <br /> FLOOR-SINK OR DRA�N_ --+--- p���nTION AND KNOW THE SAME i0 6E TIiUE l�ND CORRECT. A�L <br /> VACUUM BREAY.ERS f— rnovisioNs or LAN'S AND OfiDINANCES GOVERNING Tl1�5 TVPE <br /> ROOF DRAINS-RIUNLEAOER$ OP IVORK \NILL BE CnMPLIE� WITH WNETHEfi SPECIFIE� HEHEIN <br /> ETC.1 OR NOT, TNE GFANTING Cf � VEPMIT OOES NOT PRESUME TO <br /> SINK (SERVICE-6AR, GNE 4UTIiORITY TO VIOLATE OR CANCEL THE PFiOVISIONS OF <br /> ANY OTH@R STATE OR LOCl�1. LAW FEGULATINGCONSTFUCTION <br /> OFi TH6 PERFOfiMnNCE OF CONSTRVCTION. ' <br /> SV[t TO1AL ___�_ <br /> P[RM1T 5_� �( <br /> TOTAL�EE S �(V <br /> SI6NATUf�[OfCONTRI�CTOaOPAUTH.AGENT Dl1TE <br /> PIAN CHECK FEE <br /> SIDEVAflOS@TDACK STftEETSET�ACK FiEARYARDSETeAGKPLf�NCHLCKNUM118F� FEE IRECEIPTNO. <br /> USE 20NE l0T AREA V ACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TVPE OF GONST. OGCVFANC� GROUP NO.OF�WELLING - � <br /> VNITS m <br /> SIZE OF OL�G. NO. OF STORIES MA%.00C. LOAD bVILDING <br /> 5 I'� <br /> I <br /> PLUMOING <br /> FIRE ZONE BASEM[NT FI(iESf RINKLEfiS � <br /> RE�UIREO MEC��ANICAL � <br /> ❑VES ❑NO I <br /> SPECIAL CONDITIONS: OTHER � <br /> PENELTY <br /> SCC.3091a) � <br /> TO:AL � � <br /> - PERMIT VALIDATION <br /> WHEN PROFLRL� Vl�LIOATED(IN THIS SPACE) THIS IS VOUfi PGHMIT <br /> I <br /> nvP1�CAilONFCUPTFUPY� �LAMSCIIfCNED1IY nPP110VC�F0�ISSCPNCIBY. I <br /> ��C• ¢�• � <br /> I �_ � <br />