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tlrr fonrp�ccn <br /> j �.r� �� COfVSTRUCT'ION everett <br /> I <br /> ' everett PERMIT <br /> ��,.�>�, :,�.FA;, <br /> � u�teuc� '.x��nrv:rnN <br /> r:: i <br /> °,", °p,`��;a�M°; gUILJING MECHANICAL PLUMBING <br /> IOWNEii MAIL 11DD1YE55 ZIP PI/OIJE <br /> , ,�.A� ,— "!":7r'�,+ 1Lc"7�7G <br /> ARCHRECTOROESIGNER MAILADORE55 PMONE LICENSCNO. <br /> ce_'�'i?�EF:�1'iT�8 p tF a�! �'F+�3nl�uoh� � � <br /> MECHl���L CONTqACTOR MAII.ADDR[55 PHONE LICENSE NO. <br /> 1 <br /> I P�UMpIN�Gp CONTRACTOR MAIL AODHE55 PHONE LICENS[NO. � <br /> �A."L m <br /> PERMIT CLA55OF WOfiK � <br /> y Z <br /> 0 7UILDING �YLUMBING b IdLCHANICAL F <br /> �NLW ❑l�DDRION ❑ALTERATION ❑REPAIfi � <br /> VALVATIONDf��WJ]$�gy y,� � <br /> W,^^_,u ❑OEMOLISN ❑F@NCE ❑SIGN ❑SWIMMING PUOL W <br /> s __ d <br /> OESCqB@WORK n .h^ � �+ wr* iT"' , <br /> C�-._:, �•2 9s'�; :,",'a, F,S �FS ;StA ... S20 lO2S <br /> PROPOSEO USE <br /> MECNANICAL <br /> LEGAL DESCRIPTIONOF PROPERiV I:.HOW L3ELOW OR ATi4CV1 ��rL OP fUL� �Otl. �Gn�. �LPG. �ELEC. <br /> FOUR CqPIE51 /� �-,� �ryr� <br /> �r > >�" NO. TVPE OF EQUIPMENT FEE <br /> LOT OLOCK_O�- <br /> AIR CONU. UNITS-H.P. EA. S I <br /> RCGRIGER�TIDN UNITS-H.R EA. <br /> BDILBRS-H.P. EA � <br /> GAS FIRED AC.UNITS-TONN/�GH EA. <br /> PORCEO AIR SVSTEMS-B.T.V. M EA. I <br /> JOB ADD�[55 ��R „ �� Wt.LL HEMERS-B.T.U. M <br /> UNIT NEATERS-H.T.U. M I <br /> — EVni'pRATIVE COOLERS <br /> PLUMBING CLUTHESDRYERS I <br /> VENTILATIONFAN <br /> RANGEHOOD I <br /> TVPE OF FIXTUREOR ITEM PEE _ nIH Nl�NDLING UNIT- C.F.M. <br /> WATERCLOSET(TOILETI g �NCWEPATOR I <br /> DATHTUO <br /> LAVATOFV IWA5118ASIN) I <br /> SFIOWER <br /> KITCHEN SINK R OISP. SUD TOTf�L 5 <br /> DISNWASHEH PERMIT 5 <br /> IFUNORVTPAV iOTALfEL 5 1 <br /> CLOTMES WASHER TNIS PEFMIT �ECOM[S NULL AND VOID IF Wf�F2K Oq CONSTfiUG <br /> WATEfi HEATEfl TION AVTHORIZEO IS NOT COMAIEN^_tiD WITHIN 120 DAYS, OR IF <br /> UqIN/1L CONSTiiUCTION OR WOfiK I^v SUSP�NDEO Ofi AUANOON[U FOF A <br /> DPINKIIJG FOUNTAIN �'ERI00 OF 120 DAVS /1T ANV TIryiE AFTEF WOfiK IS COMMENC[D. <br /> f LCOF-SINK OR URAIN 1 H[REHV CERTIFV THAT I HAVE REl�D l�ND E%AMINLD TIUS AP� <br /> VACUU�9 AREAKERS � — �'UCATION I�ND KNOW THE SAME TO 13[ TRUF ANU COfiF[CT. ALL <br /> � —}-- PROVISIONS OF L�WS AN� ORDWANCES GOVEfiNI1JG THIS TVPE <br /> ROOf DRNNS-P�INLEADERS OF WORK WILL 6F COMPLiED WITH WH[THLR iP[CIPI[O HEREIN <br /> I _ SINK (SERVICE-pAR. ETC.1 { OR NJI. THE GR.�YTIfvG OF A PFFMi1 �OES NOT !'NESUME TO <br /> —I-- GNP AUTI�ORIT�' TO VIOL�TF. OF C/.NC[L THE PROV�LiONS OF <br /> ANY OTH[R ;TME ON LOCAL LAIY REGUTATING CDNSTRUCTION <br /> Ofi TH[ Pf.RFONF.IANC[OF CONSiRUCl10N. <br /> SUUTOTAL <br /> PERMIT S <br /> TOTn� FEE__ $ _�__ +�/�j�J�[ <br /> �/M/ 1�� <br /> SIGNMUH[OlCONTR�CipROR�UTII.AGENi OATE <br /> SI�E TIiACK STPEEt�41f3t1CK iiEAq�DSETItA[K PLAN CHECK NUM1IBER PLAN CHECK F[E <br /> G-�" 4. q <br /> I USE �.s�g LOT AREA V!i�ANT SITE — �d� FEE � M (�[C.�IRJji�l. <br /> a`w��+ �T•Ji <br /> uvEs ❑No FEES VALU/1TION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP UNIOF DWiLLING 1 <br /> I d. — <br /> I SIZC OF BL�G. NO.OF 5 fl�ES MA%.OCC LOAO HUII.OING 5 � <br /> ' xJ � <br /> 1'IUMBING <br /> i FIH[ ZO� UASFMFNJ FIRESPFiNK RS ! <br /> I'^3 Rf(]UIR[O 77 � <br /> � ❑v[5 NO MECIIANICAL `7 <br /> SPFCIAL CONOiTIONS: OTIIER � <br /> I <br /> — PENELTY SEC.30�1a) � <br /> TOTAL �Zlj OD <br /> I PERMITVALIDATION —� <br /> � _. - WHEN PfiOVERLV VALIOl.TFD UN TNIS SPAC[1 THS IS VOUfI PERMIT <br /> � <br /> I . <br /> I •.�r'LIO�110NBCCCPIEUBY� PLANSp�NCp(l; i�.�P�p1'lp.EOH U�NLI.fY <br /> i1 4� K� 4: 6� li l� <br /> j �S <br />