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i 7hc Eirvp�rco'r <br />, CONSTRUCTION everett <br />� everett PERMIT <br />� e N4�� ulce� <br /> E�lqFii ',�q5niN61pY <br /> 45]i� <br /> ", °"°`'"�""" gUILDING MECHANICAL PLUMBING <br /> oFVFlcv��F4r <br />� OWNEF MAILADDflESS ZIF PMONE <br /> .t�St TJk?�`�3 �-� <br /> ARCMITECT OR DESIG�Eli cA:.IL ADDRE55 PMONE LICENSE NO. <br /> GENEFALCONTRACTOF tdA�l AGOfiE55 CMONE LICtNSE NO. <br /> MECHANICALCONTFACTOR 4�NLADORE55 PHp+yN��E�� r�r�� LI NO. <br /> �7f['...'(T :T c�i'iil"F'. .�i�'�'il� '9'_g't',tu ��.rc.+Y W� <br /> PWMBINGCONTflACTOH MAILADDPE55 PHOM1E UCCVSEKO. � <br /> W <br /> m f <br /> PERMIT CLA55OF WOPK � 1 <br /> ❑BVI�OING PLUMBING Z II <br /> ❑ �]MECHANICAL L � <br /> �]NEW ❑ADDITION ❑AI.TERATION ❑REPAIR � �, <br /> VALUATION OF WORK � i <br /> E ❑DEMOL1511 ❑FENCE ❑SIGN ❑SWIMdING POOI a . � <br /> DESCftIB[WORK <br /> �,u. �qrt *-r�;,� 2 i 3 ' <br />, PROPOSED USE MECHANICAL � <br /> I TYPE OF FUEL �OIL �NAT. ��PG. �ELEC. <br /> L[GAL DESCRIPTION OF PROPERTY ISHOW BELOW OH ATTACH GAS <br /> V FOUR COPIESi <br /> �or 6LOCK_OF NU. TVPEOFEOUIPMENT fEE �� <br />, �AIR COND. UNITS-M.P. E4. 5 1 � <br />� REFRIG[RATION UNITS-M.P. E/. ' <br />� BOII.ERS-N.P. EA. � <br />' �GAS FIREp A.C. UkIiS-TONNAGE EA. <br />� �_,_ <br /> a F ;RCED AIR SYSTEMS-B.T.U. M EA. I <br /> JOBAOOFE55 �1 u��tl�tta �V✓AI.1/+EA�ERS-B.T.U. M <br /> '"� a"j"Y���� ('�(rr� f VryITHEATERS-B.T.U. M I � <br /> EVAPOR�TIVEGOOLCRS <br /> PLUMBING CLOTHES ORVERS <br />, i J <br /> VENTILATION FAN i <br /> i RqNGEHOOD I <br /> — AIH MANOLING UNIT- 0.F.M. I <br /> NO. TYPE OF FIXTURE Or71TEM FEE iNCweRn7oR I <br /> WATEFCLOSfTITOILETI �S <br /> pATMTUB <br /> �/VATORV IWASH BASIN) I <br /> SNOWER <br />� KITCHENSINKt1015P. SUBTOTAL 5 <br /> I I <br /> DISHWASHER — <br /> FERMIT S <br /> I LAUNJF\' TRAV <br /> TOTAL FEE 4 <br /> CLCTIiES WASMER 7H15 PEH'aIT �ECOMES NULI. A�dD VOID IF WORK Ofi CONSTRUG <br />� W4TEN HEATER TION AUTHURI2CD IS NOT COMMENCED WITNIIJ 170 DPVS, OR IP <br />� UfiINAL CONSTRUCTION CR WO(iK �5 SUSPENJED OR ADANDONED FOR A <br />' ORINKING fOUNTAIN PERIDO OP 120 DAV$ AT ANV TtME AFTER WORK IS COMMF.NCED. <br /> __I FLOOR-SINK OF ORAIN I HEREBV CERTiFY THAT i HAVE REPO AND E%AMINED TMIS AC� ' <br /> VACUUM BREA•;ERS PLIC�TiON AND KNOW THE SAIAE TO BE TRUE AND CCRqECT. 4LL <br /> ROOF DRAINS-HAINLEADENS PA�VISIONC OF LAWS ANO OR�INANCES GOVERNING iH15 TVPE <br /> . OF WORK W�LL �E COM?LIED \VITII WHETHER SPECIFiED HEREIq <br />, SINK (SERVICE-BAN,ETC.) I Ofi NOT, THE GFANTING fF A PE4iMIT OOES h0T PNEiUME TO I <br /> GIVE AUTHORITY TO `�IOLPTE OR CANCF.L THE PROVISIONS OF <br /> ANY OTNEF STAT[ OR LOCaI LnW R@GULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CGNSTIiUCTION. <br /> SUB TOTAI. <br />, VERMIT $ <br />' TpTALFE[ 5 ���/..� <br /> X �'' C21(tdi i V�W s� <br /> SIG�ATUREOFCONTFACTORORAUTH.NGENT DATE <br /> SIDE YAfiD5E1�ACK STR[ET SETBFCK REAR VAFDSETfiACK PLAN CHECK kU4".OLR PLAN CMECK FEE I <br /> IFEE RECEIPTNO. <br /> VSEZONE LOTAREA VACANTSITE j <br /> J <br /> ❑vEs ❑No FEES VALI'ATION FEE <br /> TYPE OF CONST. OCCUPANCV GFOUP NO.OF DWELIWG <br /> UNITS I <br /> SIZE OF BLDG. NO.OF STOAIES MAX.00C. LOAD BUILDING $ � <br /> I I <br /> FIRE 204E BASEMGNT HRESPRi�KL6HS PLUMBING � <br /> IR Q�EqEO �N� MELNANICAL � � <br /> SPECIAL CONCIITIOPIS: OTMEfl � <br /> I <br /> - —�— PENELIY SEC.3031a) I <br /> I TOTAL 7 � <br /> PERMIT VALIDATION <br /> -- W NEN PqOPERLV VALtOATE� IIN THIS SPACEI TMiS IS VOUR PFRMIT <br /> — I <br /> enp��CnTIONALCEPiE�BY�. ClnNSCXFCxEOPY�. nPPROVEU�OAI5511RNCEBV. <br /> �� t.• <br /> I Q <br /> � <br /> _. ._ _ _ _ . i� _. . . .�.J_.— <br />