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thc fv,�r,qrecn I <br /> ��T�o� CONSTRUCTION evereti <br /> everett PERMIT <br /> O�V��nll .1 E2Fi <br /> L\'[P(11 �'i>SIIINf�104 <br /> 951R <br /> °�°� °� �°"M°����° BUILDING MECHANICAL PLUMBINU <br /> n�vuovvtrvi <br /> GWNER � �y� MAILA�ORE55 ZiP I'14.�N�. <br /> � -+�+�+i'. )M�I � �+� � � 1� <br /> ANCHITECT UR O[SIGNLR MAIL AU�RE55 PIIONE LIC[NSC NU. <br /> GENERAL CONTRI�CTOIi MAIL ADDRESS PMONE UCENSE NO. <br /> MECHANICALCONTIiAGiOF MAI�ADORESS PHONE LICENSE NO. <br /> PLUMeING CONTRl�CTOR MAIL ADURESS PHONE UCENSE NO. � <br /> W <br /> 9�f�0� P�lnd .'• I�g g <br /> PERMIT CLASS Of WORK � <br /> Z <br /> �pUILDING �PLUM6ING ❑MECHANiC�L �NEW ❑AODITION ❑NLTEFATION ❑P[I'Alq ~ <br /> � <br /> VALUATION OP WORK � •_ <br /> $ I ❑OEMOUSH ❑F[NCE ❑SIGN ❑SN'IMMR,^ POO� a <br /> ❑ESCRIBG WORK �I��I� <br /> � J <br /> P190Pp5ED USE MECHANICAL <br /> LEGAL DESCRIPTION OF PROPERTY ISIIOW DELOW OP ATTACH ��rL t)' 4liLL �niL ❑GAS ❑LPG. �EIEC. <br /> FOUR COPIES) - <br /> NO. T\'PE OF E�UIPMENT FEE <br /> LOT OIOCK_-OF _ <br /> AIRCOND.VNITS-��.�. EA. 5 � <br /> qEFRIGERATIONUNITS-H.P. EA. � <br /> �OI LERS-M.f', E A. I <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> FOfiCEO Alfi SVSTEMS-B.T.U. M EA I <br /> JO� ADD(iESS �►� y�..� WALL HEMERS-(3.T.U. M <br /> )i�( � �+y UNIT H[ATERS-B.T.U, M I <br /> EVAPOFATNE COOLEFS �— <br /> PLUMBING c�oTHes oRveAs I <br /> VENTILATIDN FAN —� <br /> RANGEHOOD � <br /> AIF HANDIING UNIT- 0.F.M. <br /> O. TVFiUFFIXTUREORITEM WCINEFnTOR I <br /> WATEf�CL05[TITOILET) 8 <br /> BAtHTU� —� <br /> LAVATOIiV IVeASH 8/1SIM _ —� _ . <br /> SHOW�� __ � <br /> KITCHEN SINK P. pISP. _ SU�TOTAI S � <br /> DISHWASNEH __ ?ERMIT 5 _�_"_ I <br /> LAUNDRVIRAV __ TOTALFEE S I <br /> CLOIHE;W45HER _ THIS �LRM111T p[COMES NULL ANO VO10 IF WOFK OR CONSTHVG <br /> _ WATEF HSATER �____ TION 4UTIlOR12E[] IS NOT COMMENCEfJ WITHIN 120 DAVi, OF �F <br /> URINAL CONSiRUCT10N Ofi WORK IS SUSPENDEO OR AbANDONEO ron n <br /> DRINKING FOUNTlUN -� PERIO� OF 120 DAVS AT ANV TIME AFTER WOfiK IS COMMENCED. <br /> FLOOR-SINK OR DR41N � HEF@9Y CERTIfV THAt I HAVE READ AND [%AMINEO THIS AP- <br /> VACUUM1I RqEAKERS — PLICATION AN� KNOW THE SAME TO EIE TRUE ANO CORHECT. ALL <br /> - PROVISIOIJS Of LAWS AIJD OHDW(�NCES GOV[RNING TMI$ l'YPE <br /> ROOF UR.�IM1S-RAINLEADERS I Of- VJORK WLLL 6E COMPLIED WITH IYHETHER SPECIFIEO HEREIN <br /> SINK ISERVICE-O�F,ETC1 OR NOL THE G(iANTING OF 1 P[RMIT DOE; NOT PR[SUME TO <br /> I — GIVE AUTHORITV TO VIOLAiE OR C/�NCEL THL PROVISIONS OF <br /> � 4NV OTHER STATE OR LOCAL ��W REGULATiNf, CONSTRUCTION <br /> OH THE PERFORMANCE OF CUNSIPVCTION. <br /> SUO TOTAL <br /> -' - - PERMIT- � 5-- — I <br /> ."__ TOTAI_F[l __. 5 _ �___ IS.�L b ll�M M1�1�1��✓- <br /> x N+1FR 7� V1L.7J w i l f V <br /> SIGNATUREOFCONTRACTOROfiAUTH.AGENT UATE <br /> SIDEVl�RD;ETfIl�CK STREETS[tl3ACY, REARVARnSFTflACY. PL4NCHECKNUMBEP PLANCNECKFEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANTSITE <br /> ❑vE5 ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING <br /> UNITS � <br /> SIZE OF BLOG. NO.Of STOflIFS MA%.00G LOAO `1UILDING S I <br /> 1 <br /> —j_— <br /> PWMBING � � <br /> fIREZONE RASCMENT FIfiESPqiNKLERS -_ -- - <br /> RE(]UIHE� � <br /> ❑VES ❑NO MfCHA1JICAL I <br /> SPECInL CONn1110NS: Ol HER � <br /> I <br /> -- PENELTV SEC.J031e1 � <br /> — TOTAL � � I <br /> - PERMIT VALIDAT�ON I <br /> WHEN PROPLFI V VAI.IDATED(IN TNISSPl�CEI THIS lti VOUIl P[RMR <br /> —— I <br /> ��r-�.e., ,�.nrrrr:ronv� rie��s����rr�croov - nnnaov�oro�ri.^un�_i.� e. <br /> 1� <br /> i � n <br />