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; <br /> Ihc Evcrgrr.en <br /> �,r� o�: CONSTRUCTION everett <br /> everett PERMIT <br /> Oiv IId11 159tla95 <br /> lVLfll fi.11'49�INfI111N <br /> oqjpl <br /> °�°� °°°°^,',°���� BUILDlNG MECHANICAL PLUMBING <br /> utvtiaru[�rt <br /> OWNEti y ♦�r M���11L I�DpRE55 ZIP PMONE �( <br /> Fl� �� 3c��4::.� iLC4 :' 1��'i� �lI�IV <br /> ARCNITECT OF DESIGNER MAIL ADDRESS PHONE LICLNS[ NO. <br /> GENERAI.CONTRyACTOR MAIL ADDRE55 PIiONE LIGENSE NO. <br /> ��i �~��1 <br /> MECHANICAL CONTPACTOF MAIL ADDRESS PNONE LICENSE ND. <br /> PLUMOINGCONTFACTOF Ml�ILADORE55 PHONE �ICENSENO. � <br /> :.�� m <br /> PERMIT CLASS OF WORK' � <br /> Z <br /> �]pUILOING �PLUM�ING �M[CHANIf,AI F <br /> ❑NEW ❑ADDITION �ALTEHI�TION ❑REPAIR � <br /> VALUATION OF WORY. � <br /> 5 ❑OEMOUSH ❑fENCE ❑SIGN ❑SWIMMING POOL a <br /> DESCRI�f.WORK <br /> KxI�1 t�*.'�IErL �6 0$ <br /> PFOPOSEO USE MECHANICAL <br /> LEGAI.OESCRIPTION OF PROPERTV ISMOW HEI.OW OR ATTl�CH TYPE OF FUEL �OIL �Gns. �LPG. []LLEC. <br /> FOUsft�C�OPIE51 <br /> �orG�Q 6LOCK�—���T h TJ:��i"�'3 NO. 7VPE OF EQUIPMENT FEE <br /> nir+coNo.uwrs-ii.r, en. 5 i <br /> liEFqIGFFATION UNITS-H.P. EA. <br /> OOILERS �M.P. EA. I <br /> GAS FIREO l�.C. UNITS-TONNAGE Ei�. <br /> FOHCED AIq SVSTEMS-�.T.U. M EA. I <br /> JOB ADDRE55 ]�� an.�.r�� WALL HEATERS-�.T.U. M <br /> �^ ��'���LI� UNITHEATERS-[3.T.U. M I <br /> EVAPORATIVECOOL[RS <br /> PlUM81NG c�oTy�soAVFns I <br /> VENTILATION fA�G <br /> PANGEHOOD I <br /> NO. TYPE OF FIXTURE OR ITEM FEE A�� ���NDLING UfJIT- C.F.M. <br /> WGTEf1CLO5ETITOILETI 5 INCINERATOR I <br /> DATHTUB - <br /> I.AVATORY IWASH BASINI � <br /> SHOWER � <br /> KITfMEN51NK A� DISP. SV6 TOTAL $ � <br /> DISMWASNGR �_ PEFMIT 5 _ <br /> LAUND(iV TlIAV _ TOTALFEE 5 I <br /> CLOTHES WASHER �-- THIS PE(iMIT 6ECOMES NULL AND VOID If WOl�K OR CONSTRUC� I <br /> WATER I1EAT[R TION nUTHOR12E0 IS NOT COMMENCED WITHIN 110 DAVS, OR If � <br /> URINAL CONSTRUCTIDN OR WORK IS SUSP[NDED OR AIIANpONLO FOR l� <br /> DPINKING FOUNTAIN PEHIOD Of 120 DAVS AT ANV TIMC Af-TERINOFK IS COMMENCED. <br /> FLOON-SINY.OR ORAIN I HOREdV CERTIFV THAT 1 Hl1VE READ �ND E%AMINED THIS AP� <br /> VACUUM OREAKERS PLIC/�TION AND KNOW TH[SAM[TO�[TRUE I�ND CORRCCT. ALL <br /> — PHOVISIONS OF I.AWS ANO ORDINANCES GOVERNIPIG THIS TYPE <br /> AODF t`.�NNS-FAINLEADERS OF WORI: WILL �E COh1PLIED WITH WHETMEF SPECIFIED NE EIN <br /> ' (SERVICE-pAR, ETC.) —� OR NOT�. THE GR(�NTINC OP A PERAIIT OOES NOt' PRESUM6 T'O <br /> '� 1•� GIVF �UTHORITV TO VIOLATE OR CANC[L THE PFlOVISIONS OF <br /> ANV OTHCP STATL OR LOCAL LAW REGU�AiING CONSTRUCTIOf�' <br /> OR THE PEPFOIiMqNCL Of CONSTRUCTION. <br /> SUP TO�l+'. , <br /> I _ P[FMIT -- 4 _ <br /> � TOTALFE[ _ $ <br /> � �r � <br /> . <br /> 3� LOFCONTfiACt fi0 OH:U I.AG[NT DATF <br /> SIOEVAHDS[Tf1ACK STRE[TSET6ACK REAfiYqRpSET[)ACK �'LANCHECKNUMfl[R PLANG�ECKFE@ <br /> Ts . .,� FE[ t' _` REC[I �. <br /> t}42 l�P`� <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑vEs ONo FEES VALUA710N FEE <br /> TVP[Of- CONST. OCCUI'ANCY G�OUP N0.0P OWELLING <br /> VNITS I <br /> 512E OF 6LDG. NO.OF SiOFIES MA%.OCl'. LOAO �UILOING 5 �� J � <br /> _�I <br /> 1 <br /> PLUM[iING �' � <br /> FIFE 2UNE �ASEMENT RHESPRINY.LERS <br /> flfOUIRED � <br /> ❑V[5 ❑NO MGCNANICAL I <br /> SPECIAL CON�ITIONS: OTHf.R � <br /> __ _ I <br /> —_ - PENELTV SEC. 30JIa1 � <br /> — "-- TOTAL <br /> PERMIT VALIDATION <br /> tVH[N VROP[RI.Y VALI�AiED IIN iH15 SPACEI THIS IS VOUq PCHMIT <br /> AvvL�L�lip'�llilnllDCv PLANSf�qlnCfJllV .1TI�0A'Itll]BISSUPNCEflY <br /> � <br /> :� <br />