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i �,�, �„ CONSTRUCTION everett � <br /> eve�ett PERMIT � <br /> � vH.1t1 )S�6PA1 <br /> ' <br /> 1\IFI11 �i....'�INI:i11V ' <br /> • nP1Jl I <br /> ���°, °� �,,.°°,°� BUILDING M�CHANICAL PLUMBING � <br /> oivnnrv�r.i <br /> I pWN�R MAILAJDIiESS ZiP VHON[ - .',I ?` �I <br /> i -R;-n � -;�,r*r� r. .o �, t,a�3 3r'.,�2t35 �.,�:-.., <br /> I ARCHrtECT Oq DESIGYflR h1AIL I100RK5 PHONE LICENSE NP � <br /> IGENEFALCONTRACTOF MAILADDRFSS PHONE LICENSEN(� I�, <br /> � ME MA�NICALCONI'RAGTOR MFILADDRESS PHONE IICENSENa. �I <br /> � <br /> ' PLVM6INGCONTRACTOR MAILAODRE55 PMONE LICENS[ NO W <br /> m � <br /> � <br /> V[NMIi GLASSOF\NORK � i <br /> z <br /> DDUILDING �yPLUM�ING b]M[CH�NICAL �NEW �qODIT10N ❑ALTERATION ❑REVAIIi � � <br /> � — <br /> VNLUATIONOF WORK � <br /> 4l: �Y1A+� ❑DEMOLISN ❑FENLE ❑SIGN ❑SWIMMING PooL a I <br /> S .�n.��.��r i <br /> DESCFJdfWORK ...-s; � . „� � „`.�„q� �,. T,r ., ..._. _,� 1465 I <br /> ., � <br /> rrvoroseo use MECHANICAL I <br /> I.CG�L D[SCRIPTION OF PHoI'LRI v I;IIOW UELOW OR ATTI�CH �����" �F 1-UEL �OIL ❑GAS� ��PG. �[L[C. <br /> fOUR COP ESI - <br /> n_•�,j �-rQ.+ NO� TYPEOFEQUIPMENT FEE <br /> LOT ULOCK—Of qIR�ONO.VNITS-H.P. EA. S � <br /> REfRIGEFATIONUNITS-�H.P. EA. �— <br /> 1_ <br /> ❑OILERS H.P. EA. I <br /> GAS FIREU A.C. UNITS-TONNAGE EA. <br /> FOR:,Ef�AIR SVSTEMS-B.T.U. M EA. •I <br /> JOO ADDRESS WALL HEATEPS-�.T.V. M <br /> � ��� ��I�T ��� • UNITHEATERS-E.T.U. M � <br /> � <br /> EV4PURnTIVECOOLERS <br /> PLUMBING CLOTHES Df1vER5 _�_ <br /> I� VENTILATIONFAN <br /> , RANGE HOOD � <br /> I D. TVPE OF FIX7URE OR ITEM FEE Aip HANO�ING UNIT— C.F.M. <br /> � WATER CLOSET(TOIIETI E _ �NCINERATOR I <br /> I - <br /> I pATHTU6 _� I <br /> � LAVATORV(WNSH DASINI - — <br /> SNOW[R ��--�}— <br /> I KITCHEN SINK& OISP. —� _ SUB TOTAI 5 11 ^" <br /> I OISHWASHEF I PERMIT 5 �_ . <br /> I I.AUNORViRAY _ I TOTALF[E 4 _ I . <br /> ' CLOTMES WnSHER THIS PLHMIT pECOMES NULL nND VOID IF WORK OR CONSiPUC <br /> �I WATFR HEATER TION AVTHORIZ[D IS NOT CUMMFNC[U WIiNIN 120 OAYS, OP IF �, <br /> URINAL CONSiRUCTION 7F WORK IS SUSPENDEO O!i AO�INDON[D FOR A , <br /> i — - PERIGO OF 120 OAYS AT ANY TIME AFTER\VORR IS COMp1ENCED. <br /> LIHINKIIJG FOUNTAIN ' <br /> FLOO(i-SINK OR DFAIN I M[RERV CERTIFV THAT I HAVE flEAD AND E%AAAWED TNIS AP <br /> �I VAGUUId fifiEAKERS — - - PLICATION AND KNOW TME SAME TO f3E TFUE AND COflRECf. I�LL <br /> ROOF DRAINS-RAINLEADERS -}-- ' � ��OVISIONS Of LAWS AND 0(ipINANCES GOVERNING TH19 TVP[ <br /> OF WORK WILL �E COMPLIED WITH WHETHER SPECIFIEO HEHFIN <br /> I SINK ISERVIC[-�Ar1. ETC.) _ I OR NOT, THE GRANTING OF A PERMIT OOES NOT P9ESUME TO <br /> -i-- GIVE AVTHOFITY TO VIOLATE OR CANCEL TH[ PROVISIONS Of <br /> I OR Tli�[PERFO MANCE OF CONST UCTGON ATIhG CONSTRUCTION <br /> SU�TOTAL <br /> PERMIT $ { I <br /> I _ TOTALFEE S _ , pMe/ry i <br /> x YR��I({ll <br /> � SIGNATUREOFGONTfiACtORORAUTH.AGENT DATE � <br /> SIDEVFfiO5ET6ACY. STREETSETBACK �HEAkYAFD5ET6ACKP�ANCMKKNUMBER - PLANCHECY. FEe � <br /> li f� M! �' f�LJ.l4f FEE �� RECEII!'L4Jp9 I 1 <br /> �� sw' �v�tac 4+�,a� <br /> , USE 20NE LOT AREA VACANT SITE '�, <br /> r'\Z �ves ❑No FEES VALUATION FEE � <br /> �II TVP[OFCONST. OCCUPANCY, ROUP ND.OFOWEILING � � <br /> UNITS t <br /> II 512E OF 13LDG WO.OF SfO�'GS MAX.OCC LOnO f3U1LDING 5 �.�yLyy �JW�� ' <br /> � �I�.ai <br /> P W M91YG <br /> ('IRE20NE 13ASEMENf RqESPftINKLLRS � �- <br /> fiEOVIRED M[CHANICAL 71� II <br /> 3 :�� ❑YES �NO <br /> I 3PKI�L COND1710N5�. OTHF.H � <br /> I � <br /> I _ ___ PENEITY SEQ 70J fal � <br /> I — 707AL �:��}I{�,] <br /> � <br /> ' — PERMIT��ALIDATION <br /> ', VJHLNPHUPEfiLVVALIDMEDIINTHISSPACEITH151SYOl1RP[NMIT � <br /> � I <br /> I <br /> i fiFP11C4T10NACCEPTEOPR� �LPHSfHFCFCUPY /P1�POYCOlORISSUANCCOV �, <br /> � C� <br /> � . <br />