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Ilr.� �rr��n..rn � <br /> I ��„ �� CONSTRUCTIOIu evereit I <br /> everett PERMlT ; <br /> , �„� ,,.,�� .�9�xP�, � <br /> I n�iiin v,a�nu4cmv <br /> �xmi <br /> °°� ° ��^"°'�°° BUILDING MECHANICAL PLl'MBING I <br /> � ���,.��.,�,.�.,, <br /> OWNEH MAIL ADORL55 t�P �����%N� <br /> ���.. . . --. . ., s� .�f . � d <br /> AqCNITECT OH OESIGN[li MAI�AODNI.tiS PIIONE LICLNSC M1O I <br /> GENERALfONTFACTOR MAItADURE55 PMONE LIGENS[ NO. <br /> i . . .t_ �� <br /> iMECIIANICAL CONTRACTOP MAIL ADDRE55 PHONE LICENS[ NO. <br /> ' PWM1IUINGCONTRACIOR MAIL/�DORE55 PNONG LICEN51�_ NO. � <br /> w I <br /> II m i <br /> PER�11T CLASSOFWORK � I <br /> z I <br /> QpUILGING � PWMOING �MECHANICAI �NEW ❑nD�ITION ❑ALTERATION �fiU'AIN ~ <br /> � <br /> VALUATION OF WORK � <br /> s •��h�•� ❑OEMOLISN ❑FENCE ❑SIGN ❑SWIMMING POOL — a <br /> � <br /> OESCRIB[WOFK _ /�/� O� <br /> ca <br /> Paoroseo use MECHANICAL <br /> r.vc or i u�_�_ �oi� pNns. ❑�rc. pe�Ec. <br /> LLGAL DESCRIPTION O�' PNO�'[PTV (SI10W OELOW ON AiTACH <br /> FOVR CPIE5) <br /> LOT��{. Rb E'(SriT" ` NO.f— TVPEOFEOUIPMENT FEE ___ � <br /> �LOCK—OF _ I qlli COND. UNITS-���P� EA. S I I <br /> 1 <br /> REfRIGERATION UNITS-H.P. EA. <br /> ❑OILEfiS-HJ'. EA � <br /> GAS FI{iE�A.C. UNIT$-TONNhGE EA. <br /> FORCED AIR SYSTEMS-0.T.U. M [A. I <br /> JOO ADORESS �NALL MEATERS-�.T.V. M <br /> �� � � � �� � UNIT NEATERS-6.T.U. M I <br /> � EVAPOPATIV[ COOLERS <br /> PLUMBING c�orH�s oaven, i <br /> \'ENiI�ATION fAN <br /> pANGEHOOD � I <br /> NO. TYPE OF FI%TURE OR ITEM FEE — ^�� ��ANDLING UNIT- C.F.M. _ _ i <br /> WATER CLOSET ITOILETI S INGNERlITOq _ I <br /> UATHTUB —- � <br /> lAb'ATORV IWASH BASIM __ � <br /> SIIOWEfi <br /> KITCHEN SINK &�ISP. SUD TOTAL 5 I <br /> flISHWl�SHER PERMIT 5 <br /> __� LAUNnfiV TRAV }_ T07ALFEE 5 I � <br /> � CLOTHFS WASHER THIS PER�11T DECOMES NVLL PND VOID IF WORK OR CONSiRUC <br /> W�TfEli M@ATEP TION AUTNORIZEO IS NOT COMMENCED WITHIN 120 OAYS, OR IP <br /> URINAL CONSTRUCiION OR WORK IS SVSPENDED Oli ,10ANDONED FOR A <br /> fJHINKING �OUNTAIN P[RIOD Of 120 DAVS AT ANY TIME AFTER bYOFK IS COMMENGE�. � <br /> FLOOP-SINK OR D(iAIN � ��ERE[lY CERTIFV THAT I MAVE FEAO AhD E%AMINED THIS AP� <br /> VACUUAI nRItAY.ERS PLICATION ANO KNOW TME SAME i0 UE TRUF nN�CORRECT. ALL <br /> PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYP[ <br /> ROOI DRAINS-RAINLEADERS OF WORK WILL �[ COA�PLIED WITH 1Y11ETHEfl SPECIFILD HEftE1N <br /> SINK (SERVICF-t3AR, ETC.1 OR NOT, TNE G(iANTING OF A PE(iAaIT OOES NOT PRESUME TO <br /> '�— GNFi AUTHOiili'� TO VIOLATE OF CANC[L Tr1E PROViilONS Of <br /> I ANV OTHLR STATE OR I.00AL LI1lV RECiULATING CONSTHUCTION � <br /> OR TN9 PERFORh1ANC@ OF CONSTRUCI ION. I <br /> SVBTOTAL I <br /> VERMIT S � <br /> IOTALFEE S <br /> x �, .� '�+1''L_ <br /> SiGNMUREOf-CONTRACTOfiOfiAUiH.AGENT DATE i <br /> ;IOE 1'ARD SETBl�CK STFEET$ET6FCK FiEAR YARDSET6ACK PLAN CHECK NUM�Efi ❑LAN CHECK FEE I <br /> FEE RECEIPT NO. I <br /> I U'sl ZONE �OT AFEA VACANT SITE � <br /> I ❑vEs ❑No FEES VAIUATION FEH I <br /> i 1Yf�LOFCONST. OCNPANCYGYOUP NO.OFOWELLING '� <br /> VNITS � I <br /> I ;iZE OF EiI.DG. NO.OF STO�IES MA%.00C. LOn� PURfJING S �r��.� � � <br /> IP W M(31 NG v� ' <br /> ( fIRE20NE 6ASEMENT FINESPRINKLERS � � y— I <br /> Nf�U1R[p � <br /> ❑VES ❑NO MECMANICFL �, I <br /> SPECIA�CONDItIONS: OTHER � <br /> _ __ 1 I <br /> PENEITY SEC.303101 � I <br /> I <br /> - TOTAL M � �I <br /> � <br /> PENMIT VALIDATION I <br /> _ WHEN PROPGFLY VAUDATEO(IN TMI:SPACF)TIIIS IS�OUR PCNMIT i <br /> _ I <br /> II i <br /> I nroLICATiONPCLEPT[D�Y' PLPNSCIIEIXE08�- A�PPOVLIIInhiSalnrvC[[Iv <br /> I b r. il <br />