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rhr Errrqri�en <br /> ��„ �. C0�4STRUCTION everett <br /> ! eve��ett PERMIT <br /> � �,,.�>„ .,�,.,., <br /> NCNEtI v:4b��Af,1i'. <br /> 34"��I <br /> ��°� �� �°��:°�^� BUILDING IVIECHANICAL PLUMBING <br /> olvElorM(ni <br /> OWNER MML /+DOPESS ZIP PNO�NyE `, r}� <br /> �.. •• .�.....-'O ���(���1 �lj�!1 <br /> ARCHITECT Ofl�LSIGNER MAII AODFESS PHONE IICENSE NO. <br /> GENERAL CONTRACTOR MAIL AODRE'i5 PHONE LICENS@ NO. <br /> MECH�A L CONTPACTOF M/�IL AD�RE55 PHONE LICENSE NO. <br /> I PHON[ LICENSE ND. � <br /> PWR901NGCONTPACTOR MAILADOfiE55 w <br /> m <br /> � <br /> PERIdIT CLASS OF WOftK Z <br /> QfSUILDIVG ❑�LUMBING ❑M[CMANICAL ~ <br /> ❑N[W �nD�ITIJN ❑ALTB(iATION ❑REPAIR � <br /> � <br /> VA�_Ul�TION OF WORK W <br /> ?i"�•� ❑OEMOLISH ❑PENCE ❑SIGY ❑5\NIM1IMI��G PpOL a <br /> S <br /> JESCR113[WORK ��S H <br /> � , . . � T. �.��.��Idt 3 -�.��;a,�1 �• ���rc�l��5� <br /> aROPoseo use MECHANICAL <br /> TYPE OF FUEL �UiL �Nl�T. �LPG. �EI.EC. <br /> L[G�L O[SGRIPTION OF PROPERTY ISNOW RELOW OR ATTACM ��5 <br /> FOUR CO'PeIESI y.� , NO. TYPE OF E�UIPMENT FEE <br /> LOT� �LOCK—OF"�• � ^��' —— 1 <br /> iIIR CONp.UNITS-N.R EA. � <br /> R6FRIGEIiATION UNITS-H.P. EA. <br /> ❑OILERS-HA EA. I <br /> GAS FIfiEO A.C.UNITS-TONNAGE EA. <br /> FOPCE�NR SYSTEMS-�.T.U. M EA. � <br /> J06 AODRESS px, �,=�.�� � ' WALL MEAtL1iS-0.T.V. M <br /> �� UNITH[ATGRS-B.T.U. M � <br /> EVA�ORATIVECODLERS <br /> PLUMBING CLOTIiES DRYERS � <br /> VENTILATION FAN <br /> RFNGEMOOO � <br /> AIR NANDLING VNIT- 0.F.M. i _ <br /> NO. TVPEOFfIXTUREORITEM FEE iNCINEFnTOR � <br /> WATE�CLOSETITOILETI 5 T <br /> �MHTU6 — <br /> — I <br /> LAVATOIiV (WASH BASIM --�— <br /> SHOW�fi '+ <br /> KITCH[NSWKRU�S�. SU�TOTAL 3 1 <br /> DISNWl�511[!� PERMIT 5 <br /> LAVNDRYTRAV I TOTALFE[ 5 I <br /> CI.OTHE6\Nf�SHLR THIS PEPMIT 6ECOMES NULL ANO VOID If- NlORK OR CONSTIiUO <br /> N'�TER HGATER TION AUTHORIZED IS NOT COMMENCED WITHiN 120 DAVS, OR If <br /> URINAL CONSTRUCTIUN OR WORh IS SUSP@ND[O OR A6AfJDONE� FOR A <br /> PERIOD CF 1�0 DAVS AT l:NV 'i 1ME AfTEfi WOFK IS COMMENCED. <br /> DfiINKING 1"OUNTAIN <br /> FLOOP-SINK UP nRA�N � NEFE�Y CERTIFY THAT I HAVE HE�O ANO E%AMWEO THI` AP- <br /> PUCATiON AND KNOYJ THF SAME TO U[ TRUE AND CORRECT. ALL <br /> VACUUM pREl1KER5 pppV1510N5 OF LnWS ANO ORDINANC[S GOVEIiNING THIS TVPE <br /> POOF DRAINS-f�AINL[ADERS pF WOHK W�LL 13B COMPLIED WITH WHETHER SPECIF!EO HE(iE�N <br /> SINY. (SERV�CE-f1AF,ETC.) OF NOT, THE GRANTING Of A P[RM111T DOLS NCT P!i[SUM[ TO <br /> GIVE AUTHORITV TO VIOLATE OR CANCEL TH[ PROVI;IONS OP <br /> ANY OTHER STATE Ofi LOCAL LAW REGUL..IIRJG CONSIRUCTION <br /> _ UR THE�RFORMANCE OP CONSTRUCTION. <br /> SUBTOTAL <br /> PEflMIT 5 <br /> TOTl�FEE _ S / / <br /> _ x ; � ,. /` y/�/? <br /> s�cNnrur+e�orcoNrnacrot+o nurri.nc rvr' onre <br /> StOEVl1FiD5ET�ACK STREETSET6ACK FE4RVAR�SET�faCKPLANCH[CKNUMRER � PL NCHECKF[E <br /> I FEE '- f��CGIPT NO. <br /> I� USEZON[ LOTAREA VACANTSIT@ <br /> I ❑vEs ❑Nc FEES VALUATION FE[ <br /> TVPL OF CONST. OCCUPANCY GROUP ND.OF OWEIUNG � <br /> IU41tS - <br /> I SIZE OF BLDG. NO.OF STORIES MAX.000. LOAD BUILOING 5 ��y�,� Liy I V./ <br /> I PLUM9ING � <br /> FIREZONE �ASEMENT FIHESPRINKL[fi5 -�— <br /> Ff�VIRED � <br /> ❑YES ❑NO MECIiANICAL <br /> I <br /> SPECIAL CONUITIONS' OTHER I <br /> � _ - PEN[LiV SEC. :IOJI�1 � <br /> -- __--_ __-- I <br /> - — TOTAL '�(�aQ <br /> PEfiM1T VALIDATION <br /> WHEN PRUP[IiLV VALIUATED IIN iHl;SPAC[1 T111515 YOUP PERAIIT <br /> cini iro�ior,ncrrnn n i�r ano.ro ov--' - �nvnavm rori n�ui.r.0 r,v <br /> � � II � � !3 . <br />