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� flre ft�ergr,ren � <br /> ��T, �, CONSTRUCTION everett ' <br /> everet� PERMIT <br /> ��,, �a,� „�efi., <br /> ietam,nnsmr�sinv <br /> a�.n <br /> °'°' °`�°"°°�"` gUILDING MECHANICAL PLUMBING <br /> GiVFI'J�v�NI <br /> OWNEF /� Ml�ILADDRL55 ZIP �+ �_P���O�NryE .�y <br /> 1��:,.�;�; v�.+d'.M'� �j�w� ... �..('. :J '• G'��'JJJ.� �'V•'r� <br /> A(1CNiTECTORCESIGNEII MAILAODflESS PHONE LICENSENO. <br /> GENEF4LCONTHACTOH MAILAODRESS PHONE LICENSENO. <br /> �K� <br /> MECHANICAL CONT(iACTOR MAIL A�DRESS PHONE LICENSE NO. <br /> PLUMOINGCONTRACTOR MAILAL��cSS PHONL LICENSENO. � <br /> W <br /> m <br /> PEFMIT CLALS OF WORK � <br /> Z <br /> (�DUILDING ❑PLUMBING ❑MECHANICAL F <br /> ❑NEW ❑AODITION ❑ALTERATION �REPAIR � <br /> VALVATIONQ�O�/a.'K � <br /> 4�M�� ❑OChfOLISH ❑PENCE ❑SIGN ❑S�Vi�tA1iN6 POOL a <br /> S <br /> DESCRI�EWORK �„�,,.� �n�y,�� ^�� <br /> i l/ V <br /> PqOPO5E0 VSE MECHANICAL <br /> LFGAL DESCFIPTION OF PROPBRTV 15110W 13ELOW OR ATT/�CH TYPE OF FUEL �OI� �G45. r,LPG. �ELEC. <br /> FOUii COPIE51 - <br /> �07 oLOCK—oF _NO. __ 7YPEOf- EOUIPMFNT FEE <br /> nin coNo. uNirs-��.r.en. s i <br /> R[FHiG6HnTiON UNITS-H.P. EA. __� <br /> -- OOILERS-H.P. EA. I <br /> GAS FIR[D A.C. UNITS-TONNAGE EA. <br /> FORCEO AIH SVSTEAIS-6S.U. M [A. I <br /> JOB ADDRE55 (��p ..�_ �+� �,�. LVALL HEAT[(i5- f3.T.U. M <br /> Y.73V �:{.t 1.4G -- • - <br /> VNIT MEMEPS-B.T.U. M I <br /> _�EVAPORntIVE COOLEPS <br /> PLUMBING ClOT11ES DIiVEFS i <br /> VENTILATION f-AN <br /> RANGE HO00 I <br /> NO. TYPE OF FI%TURE OR ITEM fEE — ��� ��ANOLING UNIT- C.F.M, <br /> WATEfiCLOSETITOILET) g �NCINERATOR I <br /> 6AT41TU❑ � <br /> LAVATORY IWASIi BASIN) � <br /> SNOWEH <br /> KITCNCN SINK& �ISP. SUL'TOTAL $ � <br /> DISHWASHER �- PLRMIT 5 <br /> LAVhORY TRAV � <br /> .� TOTAL FEE 5 � <br /> CLOTHES WASHER THIS PERM ' pKOMES NULL ANO VOID IF WORK OR CONSTRUC� <br /> Wl�TFR MEATER .+_ TION AU1Hi�R;LEO IS NOT COMA"ENf.ED WITHIN 120 OAY$, OR IF <br /> URiNAL COMSTRUCTION OR WORK. IS SUSPLND[D O(i AOANOONED FOF !1 <br /> Ofi�NKING POUNTAIN PEPIOO OF 110 O�VS �T ANY TiME AFTEfi WORY. IS COAIMENCED. <br /> FLOOR-SINK Ofi URAIN I HPAE�3V CERTIFV THAT I HAVE (iEAD AND E%AMINEO THIS AP <br /> Vl�CUUM f3ii[!tKERS - PUCATION AND KNOW THE SAML TO �L TPUE AND f.ORRFCT. ALI. <br /> ROOF DRAWS-RAINIGADERS f-- -- - �RJVISIONS Of- Ll�WS ANU OROINANC[5 GOVGRN�NG IHIS TYPE <br /> Of 'NORI: WILL 6E COMPLIED \NIIH VJHflTMER SP[CIFI[D HEFEIN <br /> SINK ISEHVICE-13AR,ETC.) —} CH NOL TH[ GR(1NTING OP A PCRMIT DUES NOT FRE^vI/ME TG <br /> - �' — GIVi: AUTNORITV TO VIOLATE OF CP.NCEL TNE PROVISiCNS OP <br /> ANV OTN[R STAT[ OR LOCAL L�W REGULAT�NG CONSTRUCTION <br /> OR 1liE PERFOHMANCE OF CONSTRUCTIUN. <br /> SUf3 TOTAL <br /> PERMIT 5 —� <br /> _ TOTAL FE1: _ 5 1 �W �- � <br /> x l�/R� <br /> SIGN�TUREOFCONTFl1CTORORAUTH.AGENT Dl�TE <br /> SIDE YARD SET�ACK STREET 5[TF1AC✓. REAR VARDS[TfiACK PI.AN CHECK NUM6ER PL4N CHECK FEE <br /> FEE RECEIPT NO. <br /> USEZONE IOTAREl� VACf�NTSITE <br /> ❑vEs ❑��o FEES VALUATION PEE <br /> TVPE OF CONST. OCCUPANCY GROVP NO.OF OWELLING <br /> UNITS � <br /> )�{y� /�/� �M <br /> SIZE OF ULDG. NO.OF STOpIES MA%.O�C. l.OAD OUIL�ING S i{VJ�uM ?�W <br /> PWMBING � <br /> FIREZONE U4'��6MEIJT FIHESPRINKLENS � - <br /> ftEOUIPFD <br /> ❑VES ❑NO MECHANICAL I <br /> SPECIAL CONDITIONS-. OTNER � <br /> I <br /> ____._ - - PENtLi V SEC.303�nl � <br /> —— TOTAL >IO�P <br /> PERMIT VAL�DATION <br /> _ WHEN PqOPCPLY VALIUMED IiN l H6;PnC[I1H15 �S VOUN PC9A9T <br /> APP�JCi111pNPCC[�i(IlOY- PLFNSOIELY.CDBY' PP>flOVC�FOhI$'UANCI'0� <br /> t• �:� <br /> � <br />