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' thc Eve�grer.n - <br /> I ��T�oF CONSTRUCTI01`I everett <br /> everett PERMIT <br /> (itv pq�t }59AAw5 <br /> ryLflflt,WASNIN4LON <br /> 9EII11 <br /> �E" �� =��M����� BUILDING MECHANICAL PLUM6IN <br /> otvar.ru�H, <br /> OWNER MAIL AO�R[55 ZIP PHONL <br /> �• '�• .�1�~ll <br /> AHCMITE�TORDESIGNEfi MAILAOOfiESS PHONE LICENSLNO. <br /> (3?�i <br /> GENERAI CONTfiACTOR MAIL ADORESS PIaONE I.�CENSE NO. <br /> MECHANICAL CONTFACTOR MNL ADOFESS PNUNE LICENSE NO. <br /> ;� !' F CL <br /> PIUMBING CONTRACTOH MAIL A�OFESS PHON@ LICENS[ NO. �yJ <br /> m <br /> � <br /> PERMIT CLASS OF WORK � <br /> Z <br /> ❑OUILOING ❑�LVMBING �+viECNANICAL ~ <br /> �NEW ❑ADDITION ❑ALTERATION ❑���n�R � <br /> � <br /> VALUATION OF WORK W <br /> $ , I ❑�EMOlISH ❑FENCE ❑SIGN ❑SVlIMMING POOL a <br /> DESCRIO[WOPK .�. L�QS <br /> ;�� . ,.,,, '. , <br /> PqOPOSEO VS� MECHANICAL <br /> TYP[OFFUEL �OiL ❑Gn5 ❑LPG. �EIEC. <br /> L[uAL OESCRIPTION Of PPO°ERTV ISHOW BELOW OH ATTACH <br /> FouR coriesi Np, TVPEOF EQUIPMENT FEE <br /> LOT f3LUCK_OF_ — /JR COND. UNITS-H.P. EA. 1 � <br /> —_ —r <br /> R[FIiIGERATION VNITS-H.P. EA. <br /> 601LER5-H.P. EA. � <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> FOFC[D AIR S�STEMS-6.T.U. M EA. � <br /> 1— <br /> JOB ADORESS �n�n WALL HEATERS-D.T.V. M <br /> �(� Mn.i�i�'� VNIT HEATERS-6.T.U. M � <br /> EVAPORATIVECOOLEPS <br /> PLUMBING c�orHes oavens �_ � <br /> VENTILATION f Ak <br /> RANGEHOOD � <br /> F,IR IIANOLING UNIT- C.F.M. <br /> NO. 7VPEOFFIX7UREUHITEM � FFE iNcwEr+nroH � <br /> WATER CLOSETITOILETI 5 __t r � <br /> AATHTUB �_ � <br /> LAVATORY�WASHBASINI -- --- <br /> $MOWER —---- <br /> KITCHEN SINK& OIS�. __ SUP TOTAL 5 I <br /> DISM�_JASHEIi _ PERMIT 5 <br /> LAUVDFVTRAV __ _�_ TOTALF[E 5 I <br /> CLOTHES WASHER THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUG <br /> \VATEP HEATER TiON AVTHOIl12E� IS NOT COMMENCEO WITr11N 120 DAVS, OR IF <br /> --- -+— CONSTi9UCTION OR WOFK IS SUSPENI][0 OR AOf�NOONEO POR A <br /> VRI�AL _ PEqIOC OF 120 DAVS 4T ANY TIM[ AFl @R WORK IS CCMMF.NCED. <br /> DRINKING FOUNTAIN <br /> FLOON-SINK OR DRAIN ; � ��E19Ff3v C[NTIFV THAT I NAVE READ ANO E%AMINED THIS AP� <br /> PLICAI ION ANO KhOW THE SAME TO�E TIi�E AN�CONRECT. ALl <br /> VACUUfd AREAKEPS PqOVI51CNS Of- L�1W; AND ORDINANCES GOVERNING THIS TVPE <br /> ROJF OHAINS-fi/UNLEFUERS --�� Of WOFK WILL C�E COAIPLIED YJITH WHETMER SP[CIFIED HLREIN <br /> SINK ISEFVICE-�AR, ETC.) OR NOT, TN[ GRANTING OP A PERM1'IT DOES NOT PRESUM[ TO <br /> GIV[ AUTHO(iITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTH[R STATL OR LOGf�L L1�\' REGULATING CONSTIiUCTION <br /> Of:TIIE PERFOPMANCE OF CONSTRUCTION. <br /> SU6TOtAL <br /> PERh11T 5 � <br /> TOTnL FFE $__ +— �� <br /> X <br /> SIGNATUR[OFCONTRACTIiFORAUTH.AGENT DATE <br /> SIDE YARO SETpAC: STREfT SETBACK REAR YARDSET[IACK �'LI1N CHECK NUMUEH �LAN CMECK FEE <br /> FEE NECEIPT NO. <br /> USE 20NE LGT AREl� VACANTSIIE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVP[ OF CONST. OCCVPANCY GROUP UNITOS DWELLING � <br /> — I <br /> SIZE OF pL�G. NO.Of STORIES �MAX.OCQ LOAD F3UILDING 5 I <br /> I <br /> PLUMOING � <br /> PIIiE20NE �/15EMENi FIHESPRINKLERS <br /> RE[]UIRED pnECHANICAL <br /> ❑y[5 ❑NO <br /> I <br /> SPECIAI CONDITIONS: OTME(1 __1 <br /> --___' PENFLTY �SEC SG31a1 — I <br /> --- TOTAL � � <br /> — PERMIT VALIDATION <br /> WH[N PPOPERLV VMIDATLII IIN `HISSPn�F.I TH1515 YOUP PC1iMR <br /> nPPLICPTIQNICCLPi(U6� �L�NSOICCNCD�Y I.1'PrtOVC�FOhI55V�NLCOY � <br /> � �� � � <br />