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� lhc E����rprcqn <br /> CiiY OF CONSTRUCTIOIV everett <br /> everett PERMIT <br /> cnvr�.�ii �sueae;• <br /> t+I eut'nnsmrvcln4 <br /> �°.1ii1 <br /> °"� °' �°''°"�"� BUILDING MECf-IANICAL PLUMBING <br /> ou�unvau�r <br /> OWNLR M�IIL ApDRE55 ZIP I'HON[ <br /> 53A rtP;.";�.'_..,r; i�. �. �:. 1E::2 �{}-TT <br /> ARCHITECTOR DEgiGNEri MAIL ADORESS PHpryE LICENSE NO. <br /> GENERALCONTHI�CTOR MAII.ADORE55 PHONE LICENSENO. <br /> �S�T <br /> MECH/�NICAL CONTRACTOIi MAIL ADDRE55 PHONE LICENSE NO. <br /> PLUMpING CONTRACTOP Ml�IL AD�RESS PHONE LICENSE NO. � <br /> W <br /> m <br /> PEf1M1T CLASS OF WOFK � <br /> ¢, Z <br /> [�DUILDING ❑P�UM�ING �MECHANICAL ,�a� F <br /> ❑NEW ❑ :DDITION ❑ALTERATION L�7�YEPAIP � <br /> VALUATIO O W/�OPK Q <br /> 5 �VJ ❑DEM1IOLISN ❑FENCE ❑SIGN ❑SWIMMING VOOL a <br /> OESCP16�WOriK <br /> r•s� ,���,_._.:., . . ., �.. .,.n 1981 <br />, PROPOSE�USE MECHANICAL <br /> TVVEOPFUEL �OIL �NFT. �I.PG. �ELEC. <br /> L[GAL DLSCRIPTION OF PROPGItiV ISIIOW fIELOW OR �ITTACH G�5 <br />� FOUR PI 1 <br /> �or �LOCK ���OF ���`.�� NO. ____ 7VPE OF E�UIPMEN7 FEE <br /> AIR COND. UNITS—H.P. EA. 5 I <br /> REfRIGEf1AilON UNITS-H.P. EA. <br />� ❑ORERS-H.P. EA. I <br /> GAS FIf�EO A.Q UNITS-TONNAGE EA. <br /> FORCEO AIR SYSTEMS-D.T.LL M EA. I <br /> JOO ADDRESS N'!LLL MEATERS-6.T.U. M <br /> q ..�•. � <br /> t " '� --�-' UNIT HEATERS-O.T.U. M I <br /> EV4PORATIVECOOLERS <br /> PIUMBING c�onies onveas i <br /> VENTILIITION FAN <br /> RANGEli000 I <br /> NO. TYPE OF FIXTURE OR ITEM FEE n�R HnNOLiNG UNIT- C.F.M. <br /> WATERCLOSETITOILET) S �NCINERATOF I <br /> BATHTU[1 <br /> LAVATORY �WASHBASIN) I <br /> SHOWER <br /> KITCMEN SINK& �ISP. SUB TOTAL 5 � <br /> DISMWASHER i PEqMiT 5 <br /> IAUNpRY TRAY � � <br /> �— TOTl�L FEE 5 <br /> _ CLOTHES WASMER THIS PEPAIIT 6ECOMES NVLL ANO VOID IP WOHK OP CONSTRUG <br /> WATER HEAT[R TION AUTNORIZED IS NOT COMh1ENCEC WITNIN I20 OAVS, OR IP <br /> UPIN.IL CONSTRUCTION OR tYOfiK IS $USPEN�ED Ofi A6A�'DONE� FOR A <br /> DRINKING F(IUNTAIN PERIOD OF 120 DAYL AT ANY 71M[ AFTEH WORK IS COMMENCEO. <br /> FLOOfl SINY. OF ORAIN 1 HEREOV CERTIFY TM4T I HAVE READ ANO E%Ah11NED THIS !�P- <br /> VACUUM [3pEAKERS �LICATION AND KNOW THE SAME TO�E TiiUE AND CORR[CT. 4LL <br /> ROOF pRAINS-RAINLLADERS PROVISIONS OF LAWS AND OROINANCES GOVFRNING THIS TVPE <br /> OF N'ORK WILL 6E COM1IPLIE�WITH WHFIHER SPECIFIED HEREIN <br /> SINK(SEfiVICE-RAR, ETC.) Ofi NOT, TH[ GRANTING OF A PERMIT DO[5 NOT PRESUME TO <br /> GIVE AUTHORITV l'O VIOLME OF CANCEL THE P�iOVISIONS OF <br /> l�NV OTH[R STME OR LOCAL Ll�W PEGULATING CONSTHUCTION � <br /> OFi THE PERPORM1tAKCE OF CONSTfiVCT10N. <br /> SUB TOT/1L � <br /> PERMIT $ —i <br /> _ _TOTALFEE_ 5 _ � '!<f, j� <br /> x •Y `t 1 <br /> FIGNATUREOFCONTRACTOROF'AUTH.AGENT OATE <br /> SIDEY"ARDSETIIACR STqEEtSET�ACK REARYAROSETE3ACKPLANCHECKNUAI�ER PLANCHECKFEE <br /> FEE RECEIPT NO. <br /> USE 20NE LOT AqEA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION ��E <br /> TYPE OF CONST. OCCUPANCY GFOUP NO.OF OWELLING —t— <br /> UNITS � <br /> 512E UF 13LOG. NO.OF ST'ORIES MA%.00G LO�D AUILOING 5 :JNM� 7 �W <br /> PLUMUING � <br /> �FIR[ LONE f1�15[MEM1T HIiESPFINKL[HS <br /> REDUIRED <br /> ❑VES ❑NO MECMANICAI I <br /> L-- <br /> SPECIAL CONOITIONS'. OTHER � <br /> —_ I <br /> vENELTV SEC.9031n) I <br /> — TO7AL 5 � <br /> PERMIT VALIDATION <br /> WHBN�'liOPERL\' V1ILIDAT[D IiN THISSPACE) THIS IS VOUR�[RMIT <br /> nrri.icnuoun¢rn�rouv r�m�so��cxrnnv. nrrimvmroa�s,unr+curc <br /> 1� �� <br /> n <br />