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Ihc Lreryrecrr <br /> ���� o� CON$TRUCTION everett <br /> eve rett PERMIT <br /> LI1Y H�ll )598fiA5 <br /> IV[NEIt,1145NINGIp4 <br /> 9�9'.I <br /> °'°' °;,�°;;'op;;;,;, BUILDING MECHANICAL PLUMBING <br /> OWNEF MlUL AODR[;5 Z�P �'�i�'�E <br /> c :�r� 2,C:, .atnoer <br /> ARCNITECT ON OES�GNER MAIL AODfiESS PMONE IICEIJSE NO. j•��'�`l <br /> GENEFiAL CONTRACTOF MNL ADDFESS PMONE LICENSE NO. <br /> MECHANICAL CONTRACTOR MAIL ADDH[55 PMONE LICENSE NO. <br /> ;h� �+'R9� �RM ` �• CG � <br /> PWMDINGCONTRACTOR MAILADDftESS PHONE LICENS[ NO. w <br /> m <br /> � <br /> PEflMIT CLASSOf WOftK Z <br /> ❑OUILDING ❑PLUMBING �MF.CHhMICAL ~ <br /> ❑ryEW ❑l��DITION ❑AITERAiION ❑R[PAIR � <br /> � <br /> VALUATIONOF WOfiK <br /> ❑DEMOLISN ❑FkNCE ❑SIGN ❑SWi�+1MING POOL W <br /> s _ <br /> a <br /> DESCRIBG WORK n�O/� <br /> �. 0�J <br /> PROPOSED USE MECHANICAL <br /> ' TVP[ Of FUEL �OIL ❑GAS ❑LPG. ��LEC. <br /> 1.[GAL D[SCRIPTION OF PqOPlRTV�SHOW�ELOW OR AtTACl/ <br /> FOUF COPIES� <br /> NO. TYPE OF E4UIPMEN7 FEE <br /> l0T _. _—BLOCK—OF nIR COND.UNITS-H.P. EA. S � <br /> REFRIGERATION UNII'S�-Ii.P. EA. <br /> OOIlENS-H.P. LA. � <br /> GAS FIREO l�.C. UN�TS-TONNAGE EA. <br /> FOIiC[D AIH S�STEMS-�.T.U. M EA. I <br /> JOB AODiiE55 WALI HEATEf15-6.T.U. M <br /> � iL��r� VNIT HEATERS-I1.T.U. M � <br /> N�if�114G <br /> EVAVORATNE COOLERS <br /> PLUMBING c�orHesoRVE�s i <br /> VGNTILATION FAN _ _� <br /> RANG[ HOO� � <br /> Alfi HANDUNG UIJIT- C.F.M. <br /> NO. TVPE OF FI%TURE OR ITEM FEE T ; � <br /> WFiEF CLOSET(TOILETI S � <br /> BATHTUB —� <br /> LAVATORV(WASH BASINI I <br /> —7 <br /> SHOWEF -- <br /> KIiCHEN5INKRDISP. SU[1TOTAL 5 ly� <br /> DISHWASHER �ERMIT S �� <br /> LAUNDRYTRAV TOTALPEE 5 I <br /> CLOTHES WASHER THIS PERMIT �CCOMES NULL ANp VOID IP WORK OR CONSiRUC- <br /> __ WATEP NEATEF _f_ TION I�UTHOii12EO IS NOT C01.1M[NCEU WITHIN 120 DAYS, OH IF <br /> URINnL CONSTRUCTION OR WOIiK IS SUSPENDED OR A6ANDON@D FOR A <br /> PGRIOD OF 1J0 U4VS AT ANY TIME AFiER WOIiK IS COMMENCED. <br /> DRINKING POUNTAIN <br /> FLOOP-SINK OF DFAIk 1 HERc'f3V CERTIFV THAT I HAVE RSAD ANC� EXAMWflO THIS AP� <br /> - PLIC4TION AND KNO\Y THC SAW[TO t3E TRUE ANp COPRECT. ALL <br /> VACUUM UREAKERS — PROVISIONS OF LAWS AND ORUINANCES GOVEfiNING TNIS TYP[ <br /> ROOF DfiAINS-NAINLEADEPS OF N'ORK WILL p[ COh1PLIE� WITH WNETHEfi SPECIHEO HEPEIN <br /> S�NK ISF.RV�C[-OAR, ETC.1 Ofi PIOT, TH[ GRANTING OF A PF.fiMIT pOES NOT PF[SUME TO <br /> GIVE AUTHO�ITY TO VIOLAi@ OR CANC[1. THE PIiOVI510N5 OF <br /> —�— ANV OTHEfi ;TATE OP LOCAL LAW REGULl�TING CONSTRUCTION <br /> �_ OfiTHEPERFORMANCEOFCONSTRUCTiON. <br /> SUBTOiAL <br /> PERMIT 5—� <br /> TOTAL F[E S - � � � _.p _±� <br /> x I3�+� <br /> SIGNAIUREOF UNTRACIOROFAtITH.AGENT OATE <br /> SiDE VARD SETDACK STRE[T SET�ACK REHfi VAROSETDACK PL�N CHECK NUtdf3EN PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> VSE ZONE I.OT AFEA VACANi SITE <br /> ❑rEs ❑No FEES VALUATICN FEE <br /> TVP[ OF CONST. OCCVPl�NCV GPOUP LN10S DWELLING � <br /> I <br /> SRE OF pLDG. NO.OF STORIES MAX.OCC. L011D (3UILOING 3 — I <br /> PWM9WG � <br /> p�q� ZpryE pl�SEMENT FIRE3PRINKlEPS <br /> Rf�U1FED �� <br /> ❑YES ❑NO MECHANICAL <br /> J <br /> I <br /> SP[CIALCONDItIONS: OTHER � <br /> ____ -- PE!lLLTY 5[C. 8031n1 � <br /> I <br /> TOTAL �� <br /> — PERMIT VALIDATION <br /> WHCN PROY[HI.V VALiOATROIIN THIS SPACF.1 THI515 VOUIi�ERMIT <br /> I <br /> I <br /> i npl'LICn1i0NRGClf'iff.PY �IAG:biCLK[DBP Anpp0�1��0(�P.'Dl-M1LfCv <br /> I .� <br />