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!he Er�'•yn�ur <br />��r� a�- <br />everett <br />LIiM 114L1 }�9fl�A] <br />lVlPlli 1}ti�11YL11N <br />semi <br />°�°' °' �°'^°°�°' gUILDING <br />ntv[invvtrvt <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL PLUMBING <br />everett <br />OWNER MAILADDliESS ZIF VHON[ <br />~�r.. - . �� -- �. , i��_�b <br />ApCMIIECTOFnE51GNLF MAIL�DORESS PNONE LICENS[NO. <br />GENERAL CONTRACTOF MAIL ADURE55 PNONE LICENSG NO. <br />MECHAYICALCONTRACTOR MAILADOflE55 PHONE LIGENSENO. <br />� j� n <br />PLUMBING CONTRACTOii MAIL AO�RE55 PHONE iJCEN$E NO. � <br />W <br />m <br />— L <br />PENMIT CLA55OF WORA � <br />Z <br />[]pU1LOING ❑PLUMBING �MECHANIC�L �NEW ❑ADDITION ❑ALTEfiATIUN �REPAIR ~ <br />VALVIITIONOFWOFK � � <br />s ❑O[MOLISH ❑FENGE ❑SIGN ❑SWIMMING POOI. a <br />DESCPIBG WOHK � � � � <br />:r�..n. �i. A` . °,t' .'?!,,'-� ;... .. '!-a <br />vRovosea �se MECHANICAL <br />�EGAL DESCRIPTION OF PRO�EATV ISHOW BELOW OR ATT�Cn T ��t OF FUEL �OIL �Gns. �LPG. �'j_LEC. <br />F OU R COPI ESI <br />Lot ULOCK—OF NO. ____TVPEOFEQUIPMENT FEF <br />AIR CONO. UNITS-Ii.P. EA. 4 1 <br />REFNIGEFATiON UNITS-H.P. FA. <br />60iL[RS-M.P.[A. I <br />GAS FIF[O A.C. UNIT; -TONNAGE GA. <br />FORCEO AIP SVSTEMS-f3.T.U. M EA. I <br />JOB AOORE55 �� ���,�y�„ WALL HEATEIiS-B.T.U. M <br />0.f UNIT H[ATEPS-E.T.U. M I <br />E��POpqq71VECOOlEHS <br />PLUMBING � c�oT�a�s onvens i <br />VENtILATION FAN <br />RANGEHODD I <br />AIR HANDLIkG UNIT- C.F.M. <br />NO. TVPE OF FIXTUNE OR ITEM FEE <br />WATERCLOSET(TOILETI s - �NCIN[RATOR I <br />�ATHTUt3 — -� �'�{� �` <br />I.AVATORY IWASH BASINI � "'^^ � <br />SHOWEfi �� <br />YTCH[N SINK 8i �ISP. SU8 TOTAL 5 <br />CIStiWASHER PEFMIT S <br />LAVNDRVTFPY T'OTA�FEE 5 I <br />CLOTHES WASHER THIS P[RMI1 �CCOMES Nl'lL nNfJ VOID IF YJORY. OR CONSTFUC- <br />WATER NEATEfi _� TION AUTHORI2ED IS NOT COA1MENrFD WITNIN 170 DAVS, OR IF <br />URINAL CONSTRVCtION OR WGFK IS SUSP[NUEO OR Af3ANDONED FOR A <br />DRINKING FOUNTAIN � PEFlIOD OP 120 �AYS AT ANY TIMF AFTER WOfiK U^ COMMENC[U. <br />FLOO(i-SINY. OR OftAIN � MEfiE6V C[RTIFV IHAT I HAVE RE�O ANn E%AMINED THIS AP- <br />VACUUM 9REAKEfiS � �LICATION ANO KNOIN THE SAME TO f3L TPU[ AND CORRECT. ALL <br />ROOF DPAINS-RAINLEAUERS �'��VISIONS OF �AWS AND ORDINANCES GO\'ERNING THIS TVPE <br />OF VJORY. WILI BE COMPLILD WITH WH[TN[P ^vPLCIFIED HEREIN <br />S�NK (SERVICE-EiAR, ETC.1 O� NOT, 1HE GRANTING GF /1 PE!iMIT OO[5 NOT PR[SUM11E TO <br />— GNE AUTHORITV TO V10LATF OF CAkCLL THG PROVISIONS OF <br />— AN� OlH[fi STATE OR'_OCAL lAW IiEGULAT'NG CGN;TRUCT'ION <br />OR iNE PERfORMANCC O� CONSTRVCTION. <br />SUDTOiAL _ _� <br />PERMIT 5 <br />TOTA� FEE S i _ ,�h� �,.�/ <br />x .kjs+t/ (�. <br />SIGNATVREOFCOtatRACTORO:�AUTH.AGENI UATE <br />SIpBVAfiOSETBACK STREETSETOl�CK REARVAPVSETfiACKPLANCHECKNUMBLR PLANCHEC✓.PEE <br />FEE R[CEIPI NO. <br />VSEZ(JNE LOTAREA VAC�NTSITE <br />❑vEs ❑No FEES VALUATION FEE <br />TVPE OF CONST. OCCUPANCV GNDUP NO.OF DWELLING --� <br />UNITS � <br />SIZ[ OF BIOG. NO.OF Sl'OflIES MA%.00G LOAO ❑UILOING S I <br />1 <br />_�— <br />PLUMOING � <br />FIRi: ZONE F�4^.EMGNT FIIiESPHINKLERS ��— <br />RE❑QVLRED ❑Nu MECHANICAL —TI �� <br />`.S�'[CI�L CDNDITI(`NS�. OTHEF � <br />1 <br />— r <br />- --- PENELTV SEC.30� In) L <br />I <br />- -- TOTAL �� •� <br />PERMIT V ALIDATION <br />_- WHfN PROP[RLV VAUDATEO (IN THIS SV�CtI i H6 iS VOUF'ER�dIT <br />r^�i�nliUrvn6LMiE[�[�v n�nH;n�crK(ppv nrPnOVFD�oR�S'bnllc[!f'r <br />� � <br />� <br />