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tAe Evcrgrc��n � <br /> ��-Y ��- CONSTRUCTIO�d everett <br /> everett PERMIT <br /> CItY IIAII }59flfl05 <br /> EVEPEII,WAS'llllfiON <br /> 9N)01 <br /> °k°' °`°°"'^°�"r BUILDING MECHANICAL PLUMBING <br /> ocvciovr.�cri. <br /> OWNER !�� MAIL ADDRE55 ZIP PHONE ��y(�y�� <br /> ��� 1�����.' 1.uci �I��.Fl �.�.��/i `r� i�� dl.V.7�� <br /> ARCHITECT OF DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br /> GENERAL CONTRACTOft MAIL ADDRESS PHONE LICENSE NO. <br /> S",j�4 <br /> MECHANICALCONTRACTOR MAILADDRE55 PHONE LICENSENO. <br /> PLUMOING CONTRACTOR MAIL ADDRESS PFIONE LICENSE NO. � <br /> W <br /> m <br /> PEPMIT CLA55 OF WORK � <br /> x z <br /> �y�UiLDING � PWMOING �MECHANICAL q � <br /> ❑NEW ❑ADDITION ❑ALTEflATION �RGPAIR � <br /> VALVATION OF WORK � <br /> 5 }�n7_� ❑pEMOlISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> Nvr�Fr�r <br /> DESCRI6E WORK <br /> t-:�s- tc�P�} 1175 <br /> PROPGSED USE <br /> MECH�tPJICAL <br /> TYPEGFFULL �OIL �NAT. �LPG. �ELEC. <br /> LEGAL DESCRIPTIOfv OF PROPERTV ISHOVP f3ELOW OR ATTACH GAS <br /> FOUFl COPIE51 <br /> Lo7 OLOCK__oF NO. TYPE OF EQUIPMENT FEE <br /> AIR COND. UNITS-H.P. EA. 5 I <br /> REFRIGERATION UNITS-H.P. EA. <br /> BOILERS-H.P. �A. I <br /> GAS FIRED A.C. UNITS-TONNAGE EA. � <br /> FORCED AIR SYSTEMS-B.T.U. M EA. I <br /> J08 A�DRESS � �� `� WALL HEATERS-B.T.U. M <br /> �� 1'� <br /> UNIT HEATERS-B.T.U. M I <br /> cVAPORATIVECOOLERS <br /> PLUMBING CLOTHESDRVERS I <br /> V tNTILATION FAN <br /> RANGEHOOD I <br /> NO. TVPE OF FIXTURE OR ITEM FEE nIF HANI"iLING UNIT- C.F.M. <br /> WATER CLOSET�TOILET) �_ INCINERATOR � <br /> 9ATHTUB <br /> �AVATORY(WASHBASINI � <br /> SHOWER <br /> KITCHENSINK& �ISP. SU6TOTAL 5 � <br /> DISHWASHER — I <br /> PERMIT 5� <br /> L,IUNDRY TRAY TOTAL FEE 5 —� <br /> CLOTHES WASHER THIS PERMIT BEC01dE5 NULL ANU VOID �" WOftK OR GONSTFUC- <br /> _ WATEF HEATER TION AUTHORIZFD IS NOT COh1M11ENCE' 'ITHIN 120 DAYS, OR IF <br /> URINAL CONSTRUCTION OR WORK IS SUSPENC ;ft ABAN[10NcD FOR A <br /> DRINKING FOUNTAIN PEFIOD OF 120 DAVS 1T ANV TIME F WORK ISCOIdMENCED. <br /> FLOOR-SINK OR DFAIN � HEREI3V CEFiTIFV THAT I NAVE RE. .NO EXAMIIVLU THIS AP� <br /> VACUUM BREAKERS � �'LICATION AND KNOW THE SAME l'O 6�c .9VE AND COIiFECT. ALL <br /> ROOF DFAINS-RAINLEADERS ��OVISIONS OF lAWS AND OROINANCES GOVERNING THIS TYPE <br /> OF WOfiK WILL 6E COMPLIED WITH WHETHER SPECIFIED HEHEIN <br /> SIWK (SERVICE-6AF, ETC.) OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> - GIVE AUiHORITY TC VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTHER STATE OR LOCAI LAW FEGULATING CONSTRUCTION <br /> ' OR THE PERFOilMl1NCE OF CONSTFUCTION. <br /> SUBTOTAL <br /> PERMIT 5 <br /> TOTALfEE 5 <br /> - � 7�, <br /> SIGNATVREOFCONTRACT9RORAUTH.AGENT DATE <br /> SIOE VARD SETUACK STf1E[T SETE3ACK REAR VARDSET6ACK PLAN CHECK NUMBEft PLAN CHECK FEE <br /> FEE NECEIPT NO. <br /> USE 20NE LOT AFlEA VACANT SITE � <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUN NO.OF DWELLING <br /> UNITS 1 <br /> 512E OF ALOG. NO.OF STORIES MAX.00C. LOAD BUILDING 5 tj�� ��� <br /> PLUMBING � <br /> FIfiEZONE BASGMENT RRESPqINKLERS _ I <br /> R@QUIREO I <br /> ❑YES ❑NO MECHAfJICAL � <br /> SPECIAL CONDITIONS OTHER � <br /> — — PENEITV SEC. 3071a) I <br /> — TOTAL CJ"j� <br /> PERMIT V.aLIDATION <br /> - l4HEN PFOPERLV Vl�LIOATED (IN THIS SPACEI TNIS IS VOUR PERMIT <br /> FVPIICPTIDNNCC[PlFDOY�. FLANSCHEGKE�BY-. qPPpOVE�FOflR�UANIEBY. <br /> ��L_ � �� C• .. .� � <br /> 1 -___..��—.._.. . �. <br />