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ithe E� vmrcn <br /> ���� �, CONSTRUCTION everett <br /> �v�rett PERMIT <br /> CIiY H4�� )tgeqYS <br /> 6'[PI11 15ASN14!ilU�' <br /> 41:.1 <br /> ^��, °` �°��°^.^ gUILDING MECHANICAL PWA�BING <br /> ntvtior.[n <br /> pWrytq i tAAIL AD�RESS ZIP PMONVI <br /> �°rid g• '3i."3 �27.1 :;." l�lcrt :C. _.� ':*: t'1�'�177 ';5"�4T <br /> AFCHIiFCT Ofi DESIGNEli p1A11.AUORE55 PMONE LICENSE NO. <br /> GENEflALCONTHACTOR M0.1LH�DiiE55 PMONE LICENSENO. <br /> MECr1AMCA�CONTRACTOR N�AIL ADDflE55 PNONE LICENSE NO. <br /> PIVMOING CONTRACTOR MAIL ADORESS PNONE LICEIJSE NO. � <br /> W <br /> �.'�.� � � <br /> PERMIT CLAS�OF WORK � <br /> {, Z <br /> ❑pUILDING {JPLUMBING �MECIIANICAL �NEW ❑AOpIT10N ❑ALTEfiAT10N L7REPAIR ~ <br /> � <br /> VAI.UATION OF WOFK ¢ <br /> ❑DEMOLISH ❑FENCE CSIGN ��SWIM�dING POOL W <br /> $ a <br /> D[SCRIB[WORK ��• � }��,� 1�~�✓>��i. Zf� / V <br /> PROPOSED USE MECHANICAL <br /> LEGAL O[SCRIYTION OF PROPERTV ISfiOW BELOW OR ATTACM TVPE Of FUEL �OIL �Gn1. QIPG. �ELEC. <br /> FOUF COPIES) <br /> �or oi_ocK—or NO. _ TVPE OF E�UIPMENT FEE _ <br /> AIR CONO. UNITS- H.P. EA. E I <br /> REFHIGEfiMION UNITS-N.P. EA. <br /> ROiLERS-H.P. [A. I <br /> GAS FIP[p A.C. UNITS-TONNNGE EA. <br /> PORC[D AIR SVSTEMS-�.T.U. M EA. 1 <br /> JOB ADDRESS y� t�yyy 'N/�L� Nf11TE(i5-O.T.U. M <br /> ���7 '7�`i�s'`���%•� i�'� UNIT HEATERS-R.T.U. M � <br /> [VnPORATIVE COOLERS _� <br /> PLUMBING CLOTM[SDRVEFS I <br /> VENTILl�TION FAN <br /> RAfJG[ HOO� I <br /> Np. TYPB OF FIXTURE OR ITEM FEE n�H HAhOLING UNIT- C.F.M. <br /> WATERCLOSIiTI101L[TI g �NCW[RATOR I <br /> pAtNTUA <br /> t_AVATO�Y(WA,iH pAilN) � <br /> SHCWEN <br /> KITCMEN SiNK W OISP. SU�l'OTAL S � <br /> D�SHWASIIER _�_ PERMIT 5 <br /> LAUNORVT�iAV TOTALFEE 5 I <br /> CLOTIiES WASHER T�{IS PERMIT BECOMES N'JLL ANO VOID 11= WORK Oli CONSTfiUC� <br /> WATER H[ATEfl TION AVTHORIZED IS NOT COMM[kC[D WITMIN 170 OAVS, OR IF <br /> URINAL CONSTRUfTipN Oii VJORK IS SUF'EtiDED OF ApANDONED FOR A <br /> '�RINKING FCUNTAIN PERIDD O� 120 DAVS AT ANV Tlbtc AFTER WORK IS fOMMENCED. <br /> FWJH-SINK OR DF.AIN �1� � HEREIlv LLR�IFY THAT I MAVE READ ANIJ EXAMW@D lH1S AP- <br /> VACUUM ItHEAKERS I PLICATiON AND KN01N lHE SAME TO 8[TPU[AND CORRECT. ALl <br /> PROVISIONS DF LAWS ANO ORDINANC[S GOVERNI�'G 1HIS TYP[ <br /> ROOF DRAINS-RAINLEADEIiS _ OF WORK WILL �[ COM�LIEO Wi'N WHETN[R SP[CiFiC� NCP[IN <br /> SIN ISEfiVICE-�AR,ETC.) OR NOT, TME GFl�NTING Of A PEAM1IIT DOE$ NOT PNE;UME TO <br /> GIVE AUTHORITY TO VIOLAT[ OF Cl�NCGL TH[ PROV�GIONS OF <br /> ANY OTHER STATE OIi LOC�L lAW REGVLMINGCOIJSIPJJCTION <br /> Oi4 THE P[RFOHMANC[ OF CONSTRUCTION. <br /> SUDTOTAL -yy�-- <br /> ----- ----- PEFMIT S W <br /> TOTALFEE $ <br /> — x bJ n.��ocit 2tII79 .�/".3/TT <br /> SIGNATUR'cOFCON�H�CTORORAUTM.�G[NT DATE <br /> SIDEVAROSETOACK SiHEETS[TpACK FEARVAFDSEtOACKPLANCHECKNUA99[R PLANCHECKFEE <br /> FEE RECEIPT NO. <br /> VSE ZONE LOT AFEA VACANT SITE <br /> �vEs ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPFNCY GROUP NO.OF DWLLLING <br /> UNITS � <br /> SIZE OF BLDG. NO. OF STOflIES MAX.OCC. LOnO Bl11LDING 5 � <br /> I <br /> PLUM6ING � �W <br /> �IREZONE �ASCMFNI Pil;ES�'RiNKLERS <br /> F[QUIfiED � <br /> ❑VES ❑NO MECMAfJICAI I <br /> SPKIAL CONpITIONS. OTHER I <br /> I <br /> —_.— _. __ " _'_. —_ —_— <br /> -- PENELiY S[C. 30:41a1 � <br /> 1 <br /> TOTAL � j� <br /> PERMIT VALIDATION <br /> 1YHEN PRO�ERLY VALiDATEO [i1J TH135PACG1 THIS IS VOUR PERMIT <br /> A1`I`LICAllO�l��Cl�tCllltv PIPNSCHECKEOBY. F�CRO\'1I110H1`.1![.ilCl [iY <br /> � �� <br /> � � <br />