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.. . ..- ,,:_-.�. . �c_. . . . _. . TT .. . '^ . �i <br /> (llc ECc'IpfBCn <br /> ��,� �,, CONSTRUCTION everett <br /> i eYerett PERMIT <br /> (nr��nu 15eeees <br /> FVLNLt1.1V42NiNLiON <br /> 9tl101 <br /> ��E�� nvtoMuuxnr BUILDING MECHANICAL PLUMBING <br /> o[vciavx[xr <br /> I OWNEF MAIL I�UDfiL55 ZIP VIIUNE <br /> Phtr(. ;;�& �. 3 'r. yr ,:: �kr'sZ;,jt ��90 Sf��,�SI �/q� <br /> APCMITECT OR DESIGNER MAIL ADOPE55 PHONE LICENSE NO. ,�1;f��j <br /> GENERcAI.�CONTN/1CTOF MAIL ADDRESS PMONE LICENSE NO. <br /> �Iu'G <br /> MECHANICAL CONTFACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> 'LUM�ING CONTFACTOF MAIL ADORESS PHONE LICENSE NO. � <br /> W <br /> m <br /> � <br /> PGPMIT CLA55OF WORK � <br /> z <br /> � 6UI�DING ❑PLUMOING �MECHANICAL r' F' <br /> ❑NEW uADDITION �ALTERATION ❑REPAIfi � <br /> VALUATION OF WORK � <br /> 5 �� ❑O[MOLI511 ❑F[NC[ ❑;IGN ❑SWIMMING POOL a <br /> DESCRIBG WORK �"A� <br /> �7.`!�(`y�� 'ti f'^' a a <br />� PROPOSED USE MECHANICAL <br /> LEGAL OESCRIPTION OF PROPERTY ISHOW UELOW ON ATT�ICH r��E�b �UEL �OIL ❑GAS ���G. �EL[C. <br /> FOU�C �'`IE <br />� Lor �` LOCK�oF s'�•�-�� A� NO. TVPE OF E�UIPMENT FEE <br /> nIR CONO. UNITS-Ii.P. EA. $ I <br /> r REfRIG[RATION UNITS-N.P. EA. <br /> [301LER5-H.P. EA. I <br /> GAS FIREO A.C. UNITS-TONNAG[ EA. <br /> FORCED AIR SYSTEMS-D.T.U. M E/1. I <br /> JOOAD�fi@SS �/h + T�]ti�.f" WALLHLMEPS-O.T.V. M <br /> n+� <br /> UNIT HGATENS-A.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING CIOTH@SDRV[RS i <br /> VENTILATION FAN � <br /> RANGEHO00 � I <br /> NO. 7YPE OF FIRiURE OR ITEM FEE A�� ���NOLING UNIT— C.F.M. � <br /> IYAT[RCLOSETITOILETI § INCINEqATOR I <br /> f�ATHTUH <br /> LAVATORV(WI�SH F3ASIN1 � <br /> SHOWER <br /> KITC1iEN SINK R DISP. $U�TOTAL 5 I <br /> UISHWA;H@(i PERMIT 5—�—� <br /> LAUNONVTRnV __ TOTALFEE 5 I <br /> CLOTH[S WASHEIi THIS PEFMIT p[COMES NULL AND VOID IF WOAK ON CONSTRUG <br /> W�TEN NEATER TION AUTHOfiIZEO IS hIOT COMMENCED WITHIN tt0 DAVS, OR IF <br /> URINAL CONSTflUCTION OR 1YORK IS SVSP[NO[U OR ApANDONED �OR A <br />� DRINKING FOUNtA1N PENIOn OF 120 DAYS A1 AhY TIME I�FTEF WORK IS COMMENCED. <br /> FIOOR-SINK Ofi DRAIN I HERE[3V C[RTIPV TMPT 1 HAVE f1[AU �ND E%AMIN[D THIS AP� i <br /> VACVUM pREAKERS PLICATION AiVO KNOW TME SAME TU OB TRUE AND COHRECT. ALL '� <br /> ROOF DRNNS-qAINL[ADERS I PROVISIONS OF L�WS ANO OROINANCCS GOV@RNWG TNIS TVPE . <br /> _ OP WORK WiL� pE COM1IPLIEO WITH ll'lIGT11EN SPECIFlED HERCIN <br /> SINK (SERVICE-DAR,ETC.I OR NOT, TME GRANTING OF A PERhUT DO[5 NOT PRESUME TO <br /> — GNE lUTHOPITV TO VIOLl�T[ OH C�NCE� THC PRCVISIONS OF <br /> ANY UTHER STATG OR LOClLL LAW li[GULATING CONiTPUCTION <br /> �_ Ofi TH[ PFHFORMANCE OF CONSTFUCTION. <br /> SU6 TOTAL <br /> PEFMIT 5 <br /> TOiALfEE S � •^�� <br /> x i.0 <br /> SIGNATUREOI°CONTRACTORORAUTM.O.GENT DATE <br /> SIpEV(1Rp5f.Till�CK STflE@TSETOACY. REAFVAl1OSET6ACKPLANCH[CKNUAIO[R PLANCHECKFL[ <br /> FEE R[CEIPT NO. <br /> US[ZONE LOIAFEl+ VACANTSITE <br /> ❑Yes ❑rvo FEES VALUATIOtJ FEE <br /> TVP[ OF CONST. OCCUPANCV GiiOUP NO.OF DWELLIN6 <br /> UNITS � <br /> SIZE OF pLDG. NO.OF STOFIES MA%.00Q IOAD BUIL�ING 5 �1V��y � W <br /> PLUMBING � <br /> PItiC ZOtC[ ❑I�5[MENi F'IRESPFINKLERS <br /> RE�UIREO � <br /> ❑YES ❑NO MECMANICAL I <br /> I <br /> SP@CIAL CONOII�iONS. pTHER � <br /> — PENELTY SEC. �091a1 I � <br /> _. ._—___— -- I <br /> -- 1 <br /> TOTAI >I (� <br /> - PERMIT VALIDATION <br /> WH[N�'liO�FRLV VALIOAiLD IIN 1HI55PACE) iH151;YGUH VL WdIT <br /> NTliCP11D11pCCtf'ifUflV PL�INSCNCCR[�9Y'. APPNOVEO((l/�I;SU/�NCCPY <br /> � C� <br /> � <br /> �I <br /> ir <br />