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� <br /> `;'° �"�,�,�°�'„ CONSTRUCTION �� <br /> ����� ��� � � PERMIT � everett <br /> d= <br /> everett <br /> CITV HALL 259 N]�5 I <br /> evene,T, wn oazo, COMBiNATION • BUILDING • MECHANICAL • PLUMBING � <br /> OWN[R MAIL f�UDH[ti5 ZIP i'l1UhL <br /> � <br /> r � � ;i,:� z�� � m <br /> ARCFIITECT Oq D��E$�ryER � � � — 7] <br /> M��IL ADDRESS PHONE LICENSE NO. 3 <br /> GENERA�CpNTRACTOR MAII_ADDftESS PFIpIJE LICENSE NO. � '� <br /> z <br /> C <br /> MECNANICAL CONiRACTOR MAIL nDURESS PHONE �ICENSE NO. � ' <br /> ;i4�',K S.�IiPS01Q b59-2236 , m <br /> PLUMOIhG CONT'FACTOR MAIL ADOfiESS PHONE LICENSE NO. � � <br /> PERMIT CLl�SS Of WOqK -,-� <br /> ❑COMBINATION � <br /> ❑OVILDING ❑ PWMBING �]MECF�ANICAL <br /> �N[W ❑npDITION ❑l�LTSIiATION ❑RLPAIP I <br /> VALUATION OF WORK <br /> 5 ❑DEMOLISH ❑PENCE ❑SIGN ❑SWIMMING POOL <br /> DESCRIBE WORK <br /> z2.5 ��r i�;��;nc�; � <br /> PROPOSED USE <br /> MECHANICAL � <br /> LEGAL OESCRIPTION OF" vNOPERTY ISHOW �ELGW OR ATTACH T'IVE OF ENERG V � <br /> FOVRCOPIE9 ❑GAS ❑ELEC. � <br /> NO. TVPE OF E�UIPMENT <br /> LOT 6LOCK__OF _ _ FEE � <br /> AIfl CON�. UNITS-Ii.P. EA. 5 � <br /> REf-qIGERl1ilON UNITS -LI.V. EA. —�— <br /> DOILERS 1�1.P. [A. � <br /> 1 FORCED AIH SVSTEMS-B.T.U. MEA. � ��� � <br /> JO� ADDRESS � -'-- <br /> I <br /> SPACE & Wl�LL HEATERS - Fi.T.U. � <br /> 2�102 T�IIS'i GR4i�ID ----�Nir i�Enr�r�s �3.-.u. i <br /> �- evnr�oranlive eoo�eas <br /> � PLUMBING -- <br /> � CLOTHESDRYERS � <br /> � VENTILATION F/�N <br /> RANGEHOOD <br /> NO. TVPE OF FIX7URE OR ITEM FEE I�IR FIANDLING JNIT- �.p.M, . <br /> BATH TUBS 5 --- ---- -- <br /> CWTHES WASHER i -- � ---_— � <br /> DISH WASHERS � _ �'�'nTER HEATER —T <br /> PAC. 6UILT FIREPLACE R CHIMNEI' <br /> DflINKING FOUNTAINS i I <br /> FLOOR DRAINS � ?AS. SVSTEM: NO oP oU7Lers �� <br /> KITCHEN SWKS 8� DISP. � __ __ � su6 TUrn1. 5 100 <br /> 9AR SINKS � PEf1Mlr 5 <br /> ROOF DRAINS - RAIN LEAGERS i TOTAL FEE 5 � <br /> SHOWER BATHS TI-11; PGRMIT f1ECOMEG NULL 4ND VOID IP WONK OF CONSTRUG <br /> SERVICE SINKS TION AUI IIORILLD IS t!OT COMMENCED WITHIN 120 �AVS, OR IF <br /> SUMPS - SEWAGE PUMP CONSTRUCrION OR WORri 6 SUSP[ND[O OR n�nNOONED FOFl A <br /> UHINALS � -' PERIOD OP I20 pAvy qi ANV TIML /1FTEq WORK IS COMMENCED. <br /> WATER CLOSETS I � MEFlE6V CERTIPV THAT I IIAVE qEAp ANn E`(AMINED THIS AP- <br /> WATER HEATERS - ELECT?IC � PLICATiON AND KNOW TIIE SAM[ TO LiG TRUE AND CORRECT. AlL � <br /> -- PROVISIONS OF Ll1WS /1NI� 01iDINANC@5 GOV[HNING THIS TYPE <br /> WASH BASINS � OI' WORK WILL f3G COMPLIED WIT11 WHETIiEN SP6CIFIE� H[FEW I <br /> LAUNDflY TRAYS OH MCT, IHE GRANTING OF �1 PGqMIT DOES NOT PRLSUME TO <br /> � GIVE /1UTHORII'V TO VIOLATI'_ Oli CANC[L THE PROVISIONS OF i <br /> - /�NY OTHLR ST�11L OR LOCAL L/1W R[GULATINu CONSTRUCTION <br /> — � OR TIIE PLtiFOflMf�NCE OP CON51 RUCT'ION. <br /> i <br /> SUB TOTAL � � <br /> TOTALTFEE SI�— X �JL(C!/�/ll,�-�-��JyL��i - �i ].Z 1 � <br /> WATERSERVICESIZE 6LUG. SUPPLYSIZE si NniUr�toFCCxvnincro nUr�f.nGENI onrE � <br /> SIDE VI�RD SETOACK ST'REET SET6ACK ftEAR YnRC 5[T6ACK PLl�N CHECK NUhiftER PLAN CFIECK PEE � <br /> FEE �RECEIPTNO. <br /> USE ZONE LOT/1REA VACANT SIT[ <br /> ❑�ES ❑NU FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPnNCV GROV� NO.Of DWELLING <br /> UNItS � <br /> ---_ - 1 <br /> SIZE OF pLOG. NO. OF STORIES MA%. OCC. l0l�O f3UILDWG 5 I ' <br /> I <br /> _ _ �__ <br /> PWM6ING I <br /> FIREZONE E3ASEMENT f-IHESPRINKLEHS � <br /> RGOUIflED — <br /> ❑y@5 ❑Yp MECHl1NICAL � yy� <br /> W <br /> SPECIAL CONDITIONS: OTHEH � <br /> -' I <br /> _�— <br /> --- — V[NALIV :'EC. 30JIa1 I � <br /> _— —"'—'--' _ �_ <br /> TOTAL � <br /> I <br /> __ _ PERMIT VALIDATION 2��� . .�D'(�7 4 <br /> WHFN i'ROP[HLv VNJDl�TfD IIN llp EI T1 SW4)U 'li�1lT <br /> ___—_"__— . --'� r . . <br /> —. -- �l�t 1$'�EGEtAT <br /> AI'PtIClJIU!!/�f.ClPlll]IfP Yl/��ISUItCNLUIIY rtPl'1111VlllfOl�ll'AIldp_I IIV <br /> - TFir91�� YfJt� <br /> I I 1.• CY ' u ' . ' � <br /> 1 � � r y . � <br /> � ^ _ �`� ���� � / , <br /> I <br />