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�n,� F�-��,�„��,� <br /> i <br /> � ��,Y �f CONSTRUCTION everett � <br /> � ever�tt PERMIT <br /> � ��,.,,a,� ��,, �. <br /> l\II�IIt \:A',�V:'rlilf�'. <br /> ��°, � ��:�^:°���° BUILDING MECHANICAL PLI,'IVIBING <br /> I ptV[larv.FMi <br /> A1ML ADORESS ZIV 1'HON@ / <br /> OWNEH �I 7w�{,1 <br /> �j"� ;I�r� ll1l�, i' .l':� �'�• <br /> A(iCHITECT OP OESIGNE.i AiAIL AD�RE55 PHONE LICLNSL ND. <br /> G[NERl+L CONTflACTOR MAIL ADUHESS PHONE LICENS[ NO. <br /> T r .�,..,. p � � Mr.a 25c-t�t�ifi <br /> M_�HANICALCONTftACiOR Mp11.AODPE55 PHONE LICEh5EN0 <br /> � <br /> PWMF111JGCONTFACTOR MNIADDRESS PHONE LICENSENO. W <br /> gp m <br /> :S�c.l � <br /> PERMIT CLASSOP WORK � <br /> z <br /> �pUILDING [J` �LUAI�ING ❑M1ILCHANICAL ~ <br /> ❑NEW �nDDITION ❑ALtERAT10N ❑REPAtR � <br /> � <br /> VALUATION � <br /> '�� ❑pEMOL15�� ❑fENCE ❑SIGN ❑SWINMING POOI a <br /> 5 _ _� - __- <br /> o,.scAio�woriK pyt[;� 2 �C1hX#��i -?(±Yr rylTf{ 5 5� <br /> PROPOSED USL MECHANICAL <br /> 1vPL �"JF FU[L (�OIL �Gns� ,'�LPG. ��L[C. <br /> l.[GAL OESC{iIPTION Of PROPEIit V i:;1101V¢I.L01N OR ATTACH <br /> FOUn 4 YPIE51 �s�n NO. _ _ TVPE O'r E�UIPMEN7 FEE _ <br /> LUT uj �LOCK-OF_ Y,�i� �� <br /> AIR CONO. UNITS-N.P. EA. 5 I <br /> REFRIGERATION UNITS-���P� EA. <br /> 60R@RS- II.P. EA. � <br /> GAS FIN[D �.C. UNITS-iONNAGE EA. <br /> i FORCED AiP SVSTEMS-0.T.U. M EA. � <br /> JOA ADDRE55 - WnLL HEnTCHS-f3.T.V. h� <br /> � 1^Q �"�f '.�`y UNII' HEATERS-�.T.U. M � <br /> LVAPORATIVE COOlERS <br /> PLUMBING CLCTNESORVERS � <br /> VENTILATION FAN <br /> RANGC HO00 � -- <br /> Ali1 HANDUNG UNIT- QF.M. <br /> p. TYPE OFFIXTUREORITEM FEE iNCINERATOR � <br /> WATER CLOSET ITORETI S <br /> �_ <br /> OATIiTVO I <br /> �qVATORV IWASH BASIN) - - <br /> SHUWGR -- � <br /> -� SU6 TOTAL 5 I <br /> KIICNEN5INKRU�SP. --�- - pEflMIT $ -� <br /> OI511\YASHER � -�- __ <br /> L4UNORV THA� TOTALFEE 5 I <br /> CLOTHES WI�SHGF1 . THIS �ERMIT f3ECOMES NULL nND VOIP IP NAHY. OR CONSTRVG <br /> WATEfi H[AT[R _+_ TION AVTHOFlIZGD IS NOT COMM[NCE�` WITHIIJ 120 OAYS, O(i IF <br /> URIN4L CONSTRUCTION OR \VOFK IS SUSFENDf O OR ��R�NOONEU FOR A <br /> ---�-- PEliIOD OF 120 OAYS AT ANY TIME AFTEf.WORK IS COMPIENC[D. <br /> pRINKING FOUNTAW �-- <br /> FLOOF-SINK OR DPAIN I HEfiL�Y CEfiTIFY THl�T 1 HAVF. REAU AN� E%AMW@D THIS AP- <br /> -�- PLICATION AND KNO1Y TNE SAME TO UE TRUE I�ND CCfiRECT. ALL <br /> V�CUUM ORLAKERS -�- PROVISION: OF LAWS /1ND CR�IYANCES GOVERNING THIS TVPG <br /> POOf DRAINS-fiAINLEADEFS Of WOR:< IVILL OE GO\1PI.IED iNITH WH[THHF SPECIFIED HEftEIN <br /> -� OR NOT, THE GRANTING OF A PER��Ii pOES hOT PH@SUME TO <br /> SINK ISERVICE-0AH. ETC.) _ ---�--- r��VE AUTHORITY TO VIOI.l.TE OR GANCEL TH[ PIlOVI510N5 OF <br /> _-f- ANV DiHGII SIATC Oft LOCAL L�CJ HEGULATING CON^,TRUCTION <br /> OR T�L PER�ORM11l.NCEI OP �ONSTRUCiION. <br /> SUDTOTAL <br /> PEFMIT 5 <br /> TOTALFFE 8 _ <br /> - x � 7`� -- <br /> SIGNATURLOPCONTPACTORORAViH.AGENT Dl�1E <br /> SID[�n�DSETCiACK STFEETSETOACK REARVf�FU5ET8ACKPLANCH[CKNUM�ER FLANCHECKFE[ <br /> fEE M RECEIPT NO. <br /> U;[ ZONE LOT AREI� VACANT SIT[ � ��W ��� <br /> I ❑yEs ❑No FEES VALUATION FEE <br /> TVPE OF COk^vT. OCCVPANCY GROUP UNIT�S OW[LLING � <br /> -_' ♦��y.,/� /�/� Iry� <br /> SIZE OF OLDG. NO.OF STORIES �dAX.UCG LOAU �UILDING 5 iVMTMyIM IW <br /> PLUMBING _� I <br /> FIflE20NE �ASEMEIJT HRESPPINKLLRS _ � I <br /> REOUiHEO MECHANICAL � <br /> ❑VES ❑�10 <br /> 1 I SPfCIALCONDITIONS: OTHER I <br /> - -t- I <br /> PLN6LTV SEC. 30�1a1 � <br /> - ---- TOTAL � I <br /> � PERMIT VALIDATION I <br /> - yyMEN{'liO�ERLYVALIDATEDUNTHI55PACE1TH156Vi�UP �IR�iIT <br /> Pf�UGtIONPCCCPTE�PV �LPNSCNEIXF�BY PfPflOVC0f0(11GSUnNCC9r ' <br /> � � • �.w y♦ ti� �'• i <br /> � I <br />