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_ ..� .. . .. <br />� <br /> i �n� F�.��r�������,� � <br /> �,�Y oF CONSTRUCT{ON everett <br /> everett PERN'iIT <br /> UiY 161LL }59tl98; <br /> EVEflEII.ltd5111NGi11N ' <br /> oezn <br /> �E�� „����°,�����r BUILDING MECHANICAL PLUMBI <br /> ���E« „E�;, <br /> OWNEF MAIL AfJ�RESS ZIP , i'HONE ' r � <br /> .;;.. .y+,.., , 3S>-� Sii9x..',ta <br /> , _.l. �.i�71 ��' Gi M.: .V� _. <br /> ARCHITECT OR DESIGNER MAIL ADDRE55 PHONE LICENSE NO. <br /> GENEFlALCONTRACTOR MAILADORESS PHONE LICENSGNO. <br /> �.-..^. :;�.�,. wRy..�ys...�...6 <br /> +......� _ -. .. 4'..::1..:. <br /> MECHANICAL CONTFACTOR MAIL ADORESS PHONE LICENSE NO. <br /> � <br /> PLUM�ING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. �yJ <br /> m <br /> � <br /> PERMIT CL�15S OF WOfiK = <br /> z <br /> [�6UILDING �PLUMUING ❑MECHANICAL �y ~ I <br /> ❑NEW ❑ADDITION ❑nLTERATION 1l8REPAIR � �I <br /> _ � <br /> VALUATION OF WOFK WIMMING POOL W I <br /> n(NA t'eL I ❑DEMOLISH ❑F[NCE ❑SIGN ❑� a I <br /> 5 4a+4�+WV _.._—__"—_" <br /> OESCRIBF WORK � a �$ I <br /> t'G;�'`"';"„: :?R. ^J�!:"•�"�'{i <br /> PROPOSED USE MECHANICAL <br /> TYPEOf- PUEL �uIL ❑GAS� ❑LPG. �ELEC. <br /> L[GCL OESCRIPTION OF PROPEFTY ISHOW DELOW OR ATTACH <br />� FOUH C PI 1 • -i;rSc� Np, TYPE OF EaUIPMEN7 FEE <br /> ��—�; �1. _?�':c'r: �, — — , <br /> WT E7LOCK—OF AIR CO��O. UNITS-H.P. EA. 5 <br /> REFRIGERNTION UNITS-H.P. EA. ,J_ <br /> r 901LEftS-H.P. EA. � <br /> GAS FIREO A.C. UNIT$-TONNAGE EA. <br /> F-OHCED l�IR SVSTEMS-B.T.U. M EA. � <br /> JG6 AODRESS WALL NEATERS-B.LU. M <br /> y17.,q ^�!y�, `A I <br /> Jt�, r,'j�ia 1W UNIT HENTERS-O.T.U. M <br /> EVAPOflFTIVECOOLEftS <br /> PLUMBING CIOTHESDRVEflS � <br /> �-- <br />' VENTILATION FAN <br /> RANGEHOOD � <br /> r — <br /> AIR HANOLINC UNIT-- C.F.M. <br /> N0. NPE OF FIXTUFiE OR ITEM fEE �NCINERATOR � <br /> WATEF CLOSETITOILETI 5 ' <br /> E3Al'HTUB — -- I <br /> LAVATORV IWASH DASINI — <br /> I <br /> SHOWER — SUBTOTAL 5 I <br />� KITCHEN SINK & D:SP. PERMIT 5 <br /> DISHWAS4ER _ <br />� Ll�VNDftV TRAV TOTAL FEE 5 � <br /> CLOTHFS WASHER THI� PERMIT E3ECOMES NULL AND VOIO IF WORK OF CONSTRUC- <br /> WATER HEATER TION I�VTHOFIZED IS NOT COM1itNENCEO WITHIN 120 DAYS, OR IF <br /> � CONSTfiUCTION OF WOFK IS SUSPF.NDED OR AUANDONED FOFi A <br /> URINAI PERIOD OF 120 OAVS l�T ANV TIME FFTEF WOfiK IS COMMENCED. <br /> DPINKING FOUNTAIN <br /> FLOOF-SINK OR DRAIN I HEfiE�Y CERTIFV THAT I HAVE READ ANO L%AMINED THIS - <br /> PLICATION AND I:NOW THF SAME TO 6E TRUE AND CORRECT. ALL <br /> VACUUM UREAKEftS PROVISIONS OF LAN'S 11ND ORDINANCLS GOVEFiNING THIS TVPE <br /> ROOF ORAWS-FAIN�EAOERS OF WORK WILL 6E COMPLIED W�ThI WHETHER SPECIFIE� HEREIN <br /> SIIJK (SERVICE-13AR, ETC.) OFl NOT, THE GFANTING OF A PERMIT OOLS NOT PRESUME TO <br /> ANV O HER�RTnTErOFVLUCALELAW REGULATING CONSTRI�UCTION <br /> -- OR THE PERFORMANC[OF CONSTRUCTION. <br /> SUO TOTAL _ ___' <br /> i pERM1T -�' �y� <br /> �� TOTALFEE_ 5 � +E����/;�"�j <br /> _ x v <br /> I SIGNATURCOFCONTltACTOFORAUTN.AGENT DATE <br /> II SIOEVAR�SETOACK STR[ETSETE3AC1: REARYI�FiD5ET6l�CKPLANCHECKNUMBER PLANCHE�CEPTNO. <br /> FEE <br /> i <br /> I USE ZONE LOT AftEA VACANT SITE — _ _____. <br /> �YES ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF OWELLING I <br /> UNITS <br /> I �ty� � <br /> SIZE OF RLDG. NO. OF STOFIES MA%.00Q LOAD �UILOING 5 4'�"'�+�� � <br /> I PLVMBING _ � <br /> I <br /> FIREZON[ BASEMENT FIRESPRINKLERS � <br /> R ❑YESED ❑NO McCHANICAL � <br /> I <br /> SPECIALCONOITIONS: _ OTHER _� <br /> '� — PLNELTY SEC. 30�(al � <br /> I '�;� nQ <br /> TOTAL <br /> I PERMIT VALIDATION <br /> WI1EN PROPE�i'-�� V.ILIOATED (IN THIS SPACE) THIS 6 VOUR PERMIT <br /> � — <br /> � <br /> II <br /> � <br /> ,1PPI1L11101i%Sf[Pl[9111' PLAl15CHCCKEOBY- PCPIiOVEGfp(1155UPNf.fUY. <br /> �� V� <br /> � 'j <br /> � I <br /> � <br /> __.. J <br /> �;..t..�_,. _ . . .___ —."" _ ` . � _ <br />