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i <br /> the fveigrer,n <br /> �,rYaF CONSTi�UCTION everett <br /> �verett PERMIT <br /> [Ilv "_.� ]SaPAPS � <br /> Fv[hEll.WA5�1iN410H <br /> 9B101 <br /> ��_, ����uM��^r BUILDING MECHANICAL PLUMBIN <br /> ocv[iorrnEni <br /> OWNER MAILADDRESS ZIP PHONE <br /> r'E�4� •'�dP.':'��"''•2 �T� rJCi'F'ft?7y.:'�: 97T•7L <br /> AflC1i1TECT OR DESIGNF9 MAI�ADDftE55 PHONE LICENSL NO. <br /> IiENERAL CONTR/�CTOR MFIL ADDFESS PHONE UCENSE f10. <br /> MECHANICALCONTRACTOR MAILADOfiESS PNONE LICENSENO. <br /> � <br /> f W.'dBING CONTfiACTOR MAIL ADDRESS PMONE L�CENSE IJO. �yJ <br /> pt�i�� b�'y "�l�✓� � <br /> PlRM1T CLASSOf WORK � <br /> Z <br /> ❑DUILDINa �PLVMBING ❑MECNANICAI ~ <br /> ❑NEW ❑AODITION ❑ALTERATION ���PA�R � <br /> � <br /> VALUATION OF WORK W <br /> ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOI a <br /> 5 <br /> DESCRIB[WORK II' S3 <br /> PROPOSED USE MECHANICAL <br /> iVPEOfFUEL �OIL ❑GAS ❑LPG. �[LEC. <br /> LEGAL DESCRIPTION OF PFOPERTV ISNOW REIOW OR ATTACN <br /> FOUn CorlEsl NO. TYPE OF E�UIPMENT FEE <br /> LOT BLOCK--OF AIR COND. UNITS–H.P. EA. 5 __�� <br /> REf-RIGERATION UNITS�-H.F'. EA. . <br /> ❑OILERS-II.P. GA. � <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> FOf1CFO AIR SVSTEMS-�.T.U. M EA __t _ <br /> JO6 A�DHE55 y{�� �`� _ WALI HEATEPS-B.T.V. M <br /> �Fi67Y ��'�r'��' UNIT HEMERS-P.T.V. M _ .�1. <br /> [VI1POf�ATIVECOOLEFS _ . <br /> PLUMBING CLOTH[SURVERS � <br /> VENTIL/1TION FAN <br /> RANGEHODO � <br /> AIP HANDLING UNIT- QF.M. <br /> TYPE OF FIXTURE OH ITEM FEE �NCINGfiATOR � <br /> WATER CLOSETITOILETI s <br /> —1 <br /> BATHTUB —� —-- _ I <br /> LAVATORYIWASHBASIN) ,� — T <br /> SHOWER --— <br /> SU�TOTAL 5 I <br /> KITCHENSINKA. DISP. — pERMIT $--� <br /> DISIiWA51iER - <br /> LAUN�RVTRHY TOTALFEE 5 I <br /> CLOTHES WA.SMER THIS PERMIT BfCOME$ NVII ANU VOID IF WORK OR CONSTNUC- <br /> WATER HEATE(i TION AUTHOPIZED IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br /> URINAL CONSTFUCTION OR WOl1K IS SUSPENDED Oi� A�ANDONED POR A <br /> P[RIOD OF 120 OAYS r�T ANV l'IME AFTER WORK IS COMMENCE�. <br /> �RINKING FOVNTAIN <br /> FLOOF-SINY. OR DRAIN 1 HEREBV CGRTIFV THM I HAVE READ AND EXAMWED THIS A - <br /> PLICATION ANO KNOW THF SAME TO OE TIiUE AND COP�ECL ALL <br /> VACUUM ORFAKERS 1'ROVISIONS OF LnWS AND OROINf�NCES rOVEfiNING THIS TYPE <br /> ROOF DRAINS-RAINLEADERS +__ OF WORK WILL f3E COMVLIED WITH WNETH[R SPECIFIE� HERFIN <br /> SINK (SERVICE-11AF.ETG.) Oft NOl'. THE GRANTING OF A PERM1IIT �OE; NOT PRESVME TO <br /> _ —� GIVE l�UTHORITY TJ VIOLATE OR CANCEL THE PfiOVIS10NS OF <br /> {-- ANV OTHER STATE OR LOC/�L L/1W I:EGVLATING CONSTRUCTION <br /> OF THE PERFOPPdANCE OF CONSTRVCTION. <br /> SUB TOTAL __ _ f <br /> PERMIT S <br /> TOTAL FEE _ $ �InI'fL <br /> — )( �7f /v <br /> SIGNATV(7EOFCONTHACTORORAUiH.AGENT l]ATF_ <br /> PLAN GHECK f-EE <br /> SIDE YARD SGT6ACK STREET SETDIICK (1EAR�'ARDSETBACK PLAN CN@CK NUM�ER RECEIPT NO. <br /> FEE <br /> USEZONE IATAPEA VACANTSITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUVANCY GROUP VNITS OWELIING � <br /> I <br /> 512E Of- [ILDG. NO.OF STOfilES MA%.00C. LOAD BUIIDING <br /> 5 I <br /> PLUMBING 7 T^' <br /> FIRE20NE BASEMENT FIRCSPRINKLGRS — � <br /> FEOUIf1E� MECHANICAL � <br /> ❑yES ❑NO — <br /> I <br /> SPBCIAL CONDI TIONS: OTIIEP I <br /> PENE�LTY SEC. 3031a1 � <br /> ---_ TOTAL �— 9 � <br /> — PERMIT VALIDATION <br /> W HF:N PROP[RLV VALIDAT[D IIN l'HIS SPACEI THIS IS�'OUF VERM1IIT <br /> ppl'I���llf��l/�lCll`tCODY �LANSChCLNEOPP f�P��OVLDFO�LSUPNCCBV. <br /> � C� <br /> D <br />