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drr Evrryrren <br /> ��>> �� CONSTR�ICTION everett <br /> everett PERMtT <br /> �.,, ,,.<< <br /> t,�F�„ :..,�:,;:;��.;�,:� <br /> °E°� °� °°°°�':��'° gUILUING MECHANICAL PLUMBING <br /> n[vu ovv��.� <br /> OWNEF A1AIL AUDRL55 Z'Y YMONL <br /> -. .� �`;-�.�}�..- �U� J!. .r.� .-�v� �i-�: e�.•i+.rf�� �,^wrV <br /> �lfiCHITECTOR DESIGNEft h1A;Ll��DRESS PMONE LI F.NSE NO. <br /> GEN��i(l,�NyT�ij[�CyT:F MAIL AODRESS PHONE LIC[NSE NO. <br /> �" U�j <br /> MECHANICAL CONTRACTOR MAIL ADDRE55 PHONE LICENSE NO. <br /> PlVMf11NG CONTRACTOR MAIL ADDRLS; �'HONE LICENS[ NO. � <br /> W <br /> m <br /> — � <br /> PERMIT ClAS50F WC H1: � <br /> Z <br /> ��JILOING �PLUMttIYG �MECIIANICAL H <br /> ❑r�ew ❑nooinoN r] n�_rrirnnor� .�'r�erniri � <br /> VALUATION OF WORK � <br /> 5 �� ❑orr.u�isr� ❑r�n�ce ❑,i�rv Oswin�r.aiNc roo� w <br /> a <br /> oescaier woRK Q <br /> '�`:"�'7'�,:?I�;) 3??: 2�p�sls traCi� .'�37.a s$ <br /> vaoaoseo use MECHANICAL <br /> Tvr� oFruti_ �oii- �r�nr. ��rc. �e�Ec. <br /> LGGAL OESCHIPTION OF PROPERTV ISMOW 6ELOW OR N TACII GAv <br /> FOUR COPIE51 .- <br /> �or�o�ocK—oF ��� R'�� � �� NO. _ _ __TVPE OF EQUIPMENi FEE <br /> l�IR CONp. UNITS-11.P. EA. 5 I <br /> fiLFP��GERATIONUNITS--H.P. EF. —�- <br /> __ IIOILERS-H.P. EA. I <br /> GAS FIfiEO A.C.UNITS-TONNAGE EA. <br /> FORCED NP SVSTEMS-B.i.U. M EA. I <br /> J08AODRE55 ►_� p}��-. ^�-- . .�.• W/�LLHEM[RS-U.T.U. M <br /> R! � � UNIT H[/�TERS-Fl.�l.V. M I <br /> EVAPORFTIVE COOIEPS <br /> PLUMBING CLOTMES�RYERS I <br /> � VENTILATION FAN <br /> PlaNGE NOOD 1 <br /> AIF HANDLING UNIT- QF.M. <br /> NO. TYPE OF�IXTURE OR I7EM FEE <br /> WATGPCLOSETffOIL[1�) g INCIN[fiATO(i � <br /> B.ITHTUIl � <br /> �AVnTOliV(WASH BASINI I <br /> SHON[F <br /> l-- <br /> KiTCHEN SINK&OIFP. SU8 TOTAL 5 � <br /> DISMWASNER PEHMIT $ T� <br /> LAUNDfi� TRAV TOML FEE $ ' � � <br /> CLOTHCS WASN[P THIS PERIAIT �ECOMES NUL� FN� VOID IF WORK OR COPJSTRUG <br /> WATER IVEiITf_R TION /1UTHOR�2LD IS NOT COMMF.NCED WITHIN 120 OAYS,OR IF <br /> UqINA�. CONSf HUCTION OH WORK IS SUSPENOED OR AOANDONED f-Of� A <br /> URINKING FOUNTAIpI �EFlI00 Of /30 Dl�YS AT ANV TIME AFTEP WORK IS COMMENCED. <br /> FLOOR-SINK OR pR41N I I HEPE�V CERTIFV THAT I Hl�VE (iEAO ANC EXAMWEO T1115 l�P� <br /> VACUUM OREAKERS C�ICATION ANp KNOW THE SAME TO !lE TRUE AND CORRECT. ALL <br /> PROVISIONS OP �AWS AND OfiOINANC[S GOV[RNING TH!: T�P! <br /> POOF OHAINS-RAWLEADERS pp WOqK W:LL �E COMPLIEO WITH WH[iHEli SPECiF1ED HCt16iN <br /> SINK ISERV:CB- f1Aq, CTC.1 �-- OP NOT, T'HE GRAWTING OF A PERMIT OO[' NOT PR[SUM@ TO <br /> — - GIVE AUTNOliRY TO VIOLME OR CANC[L T��P. PHtiVi;iONS OI" <br /> ANY OTHER STATE OP LOCAL LAW REGULf�TiNG f.���VSTRUCTION <br /> OP TME PEHFOFMANCE OF CONSTfiUCTION. <br /> SUUTOTAL <br /> PERMIT � � <br /> TOTALFEE <br /> _ x kr o�atc--3",G3--- ---- `'',�E'-- <br /> SIGNATUREOFCONT(iACTOfiOfiAUTH AGENI OATE <br /> SID@VARDSETDACK SiR[ETSETBACK REARVAqDSET6ACKPLANCMECY. NUMl3[R PLl�NCHECKFE@ <br /> FEE �KEIPT NO. <br /> WEZONE lOTl�RE/� VACANTSITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF UWELLING � <br /> UNITS I <br /> �_— <br /> 512E O� �LOG. n'O.Of-STOFilES Mf�X.OCQ �OnO OUIIUING S 3�(� `� � <br /> _'� — <br /> PLUM�ING � <br /> f-IfiE20Nt �/�SEMENT FIftESPPINKLERS � <br /> RC�UIftED � <br /> ❑v[S ❑NO MECl1ANICAL I � <br /> y-- <br /> SPECIAL CONDITION$'. OTMEP � <br /> I <br /> I —'---_ — ___ _—'— —�__ <br /> PENELTV SEC. �O]fN I <br /> I <br /> TOTAL <br /> 'n.'M .� i <br /> PERMIT VALIOATION <br /> _ WHfN PROPERLY VpLiDIiIEU liN THC:SPACEI 11115 I5 VOUIi PLRMR i <br /> � <br /> I — <br /> ' nnni.irnl,�,� ..� n�Siiid. �ni.:a��o�nr. nrraovmron�ssunrvceer <br /> 7. �. I <br /> i � � <br />