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:1�.� � ....q"'�'i� I <br /> �,,, ,,, CONSTRUCTION everet� � , <br /> � <br /> ' everett PERMIT � <br /> �� ��,, .,>�, :,��;, � <br /> �,E��,, ,,a., .,;,,,,•: PLUMBING <br /> ���, ��� ����:�•�����;� BUILDING MECHANICAL <br /> „��.<<���,.:��;� � <br /> � MAILADDHE55 LP_�'_.. �• ��� ,G� NHONE - .�`�- <br /> owNCa/ - j6sic -�Al:.�l.C. . �/ ✓<=c,:- � v_ �. . � <br /> .".�`.a.f}ict 31catLls� p' r ' � 7 �'7.�4th �'x� ?�• ":�J��:s �d42'J 7T�'^II7C�9 <br /> � V �'t .��� � LICENSE NO. <br /> nHCH1TECT oR OESIGNER MAIL AODRESS PMONE y7/� <br /> ��.� <br /> GENERALCONTNACTOR <br /> MAIL ADDFE55 PMONE LICENSE NO. <br /> MAI�ADDRE55 PMONE IICENSE NO. <br /> MECHAN�CALCONTRACTOR I <br /> � � � I <br /> MAILADDRESS PHONE LICENSE NO. W <br /> PLVMOINGCONTRACTOF m <br /> � <br /> I CLASS OF WORK Z ,I <br /> I -vEFM1T �, <br /> r i <br /> ��UILDING �PLUMOWG �MECHANICAI ^�iNEW �AODIiION ❑ALTEHATION ❑ftEPAIH � <br /> I LJ <br /> � <br /> I VALUATION OF WOPK -- - -'—"— --- W <br /> ❑O[MOI.iS�� ❑�-�NCE ❑SIGN ❑S�VIM11�dING POOL a <br /> , <br /> 5 1331 <br /> i oEscAioewoaK <br /> li enoroseo usc MECHANICAL ' <br /> I <br /> rrv�or- Fue� poi� Onns ❑�ra. jjiiE_c. I <br /> � LEGAL DESCRIPTiON UF �'����PE�iTV iS��01'J l3ELOW OF ATTACH � FEE � <br /> FOUr+COPIEsI Np, TVPEOFE�UIPMEN7 <br /> LOT 6LOCK—OI� l�Ifi COND.UNITS-11.P. EA. S � I <br /> REFRIGERAtION Uh1T5-H.P. EA. <br /> I _ _ F301LER5-HP. [A. � <br /> I - CAS FIPED A.C.UNITS-TONNAGE EA. �_ <br /> I FUFCGO AIP SVSTEMS-B.T.U. M EA. � <br /> I JL`6 ApDFE55 �IYALL HEl�TERS-6.T.U. M <br /> � � ' UNIT HEATEftS-B.T.V. M I <br /> ��� aL� I � T "•�^ �` f [VAPORATIVECOOLER$ I <br /> � PLUM[31NG ' c�or�+es onvF�s � i <br /> VENTILATION FqN I <br /> � qANGEMOOD � I <br /> i <br /> AIR NANDLING VNIT- C.F.M. <br /> NO. TVPE OF FIXTURE OR ITEM FEE �� [-�n oP <br /> WATER C105[T (TOILETI g II-����� .. ___I- --- <br /> �ATHTUO — _ � <br /> 1_AVATOfiVIWASH9ASIN1 --- -� � <br /> 1— <br /> SHOWER - -- - s"UB TOTAL S �� ' <br /> Y,ITCHEN SINK&OISP� _ ptqMlT 5 <br /> � UISHWASHER <br /> � 1.l+UlJDRV TRAY TOTAI FEE S I� I <br /> CLOTHES WASMER THIS PEftMIT BECOMES NULL nN� VOID IF 1YOPK OR CONSTRUC� I <br /> I - \YATEF HGNTER TION AUiHORIZED IS NOT COAIMENCEO WITHIN 120 DA�S. OR IF <br /> CONSTRUCTION OR WORK IS SUSPENDED OP A�ANDONED FOR l� <br /> URINAL PEFIOO OF 120 OAVS AT �NV TIME I�FTER WOFK ISCOMMENCEF � <br /> DRINKING FOUNTA�N � 1 HEFEBV CERiIFV THAT I NAVE READ ANO [%AMIYED TNIS A�' � <br /> f LOO(i-$INK OR DRAIN pUCATION AND KNON'THE SAM11[TO 0@ TRU[ AN�CORi1ECT. AU. <br /> VACUVM [1REAKERS PROVISIONS OF LAWS 1�N0 ORDINANCES qOVERNING THIS TVPE I <br /> FOOF DRAINS-RAINLEAOEFS OF WOFK WRL f3E COM1�PLIED WITH iNN[iHER SFfCIf-ICD H[PEIN <br /> SINK (SERVICE-DAR,ETC.) OR NOT, THE GRANTING OF A PERMIT OO[5 NOT PRCSUA'•F. T�> I <br /> GNE AUTHOfi1TV TO VIOLATE OR CAWCEL TH[ fHOVItilONS O� <br /> ANV OTHER STATE OR LOCAL �/�W �EGULAIiNG CONSTRUCTION I <br /> ORTNEPERPORMANCEOFCONSTRUC��ON. <br /> $UB TOTAL � <br /> PERMIT $ , I <br /> TJTAL FEE S �y, � �j� ���! �'�r� '�i<' <br /> _ xw � <br /> SIGNATUREOFCONTRl�CiORORAUTH ��+LNT ULTL � <br /> PI.AN CNECK FEE <br /> SIDEVARDSET�nCK STt1EET5El6ACK FEARY/1RDSETOPCKPLi1NCHECKNUAISER FEE ��ECEIPTNO. �I <br /> I USE ZONE LOT AR[A VACANT SITE - �' <br /> VALUATION FEE I <br /> ❑ves ❑No FEES I <br /> TVPE OF CONST. OCCUPANCY GPOUP NO.Of-DWELLING I <br /> II UNITS <br /> I <br /> $IZE OF �IDG. NO.OF STORIES MAx.00Q LOAG BUILDING S I <br /> I nI I <br /> PLUMBING __ <br /> PIREZONE f3A5EMENT RqESPRINKLERS <br /> I p ❑VESED ❑NO MECHANICAL y�� <br /> � - I I <br /> SPECIAIGONO1T10N5'. OTNER -- � <br /> PENELTY <br /> SEC 30:1�ni � <br /> -�- ' 1 <br /> TOTAL ���� <br /> i PERMIT VALIDATION � <br /> I — tyli[HPROPLPLYVAL�DAif'DUNTH65PACEITHISIS�OURPEHMIT <br /> I I <br /> II AP�LICAlIC1YPCCEFilOOV�. �L�N`.OICCRE�BY. P�PIIOVLDfOPISSU�NCff� 11 <br /> I �Z! <br />