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- _--�-�` <br /> ri��, E�-,�<<�����•�� <br /> �;,,� .,� GONSTRUCTiON everett <br /> I everet� PERMIT <br /> � CIiV 16111 15'IGP.:L <br /> I�fNlll,tiA5NIN4111q <br /> 98101 <br /> n[rr Of LOM1I51pHIiT g�lLDING MECHANICAL PLUMBING <br /> ocv[wvra.rv� <br /> OWNER �dN�ALlpRE55 ZIP �/��PHONE <br /> �'�� 'XJ. . _ie �f�J"SuA :'�J��IT <br /> APCHITECT OR OESIGNE(i MAIL AODRE55 PHONE LICEhSE NO. <br /> GENERALCONTRACTOR MAILAODRESS PHONE LICENSENO. <br /> ;.: -: �.y�.,.._ .::�� <br /> MECHANICAL CONTRACTOfl MAIL AODqESS PHONE LICENSE NO. <br /> � <br /> PLVMBINGGONTRACTOR MAILADDRESS PHONE LIC[NSENO. uJ <br /> m <br /> � <br /> PEFMIT � CLASSOF WORK � <br /> z <br /> ..��UILDING +�PLUMBING �}MECHl�NICAL ~ <br /> �NEW ❑ADOITION ❑nLTERATION ❑���'A�� � <br /> — CC <br /> VALVATION OF WOflK W <br /> ��1'3'y',��� I — ❑UEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> s ——_' L L11� <br /> �ESCRI�H WORK <br /> . .�.+r � + <br /> PROPOSED USE MECHANICAL <br /> TVPEU� fl1EL �OIL �NnT. �LPG. �ELEC. <br /> LEGAL�ESCRIPTION OF PHOPERTV ISHOW 6ELOW UR ATTACH GAS <br /> FOUR OPIE5) e. ov..s ,f• ' FEE <br /> �"3 A1� �S"''i`:l y�. ln�� v: . � . �C�e _NO. _ . TVPE OF EQUIPMEN7 <br /> l0T BLDCK—OF — — qIR CONO. UNITS—H.P. EA. S I <br /> �,.y �j -{/� RE�RIGERI�TION UNITS-H.P. EA. I <br /> I <14tYA1 � < L �� ( Cr+ C` �L.� BOILERS�H.P. [A. . <br /> GAS fIRED A.C. UNITS-TONNi\GE EA. <br /> TREET FORCED AIF SYSTE'dS -D.T.0 id EA. 1 <br /> JOB AUDRESS INALL HEATERS-R.I.U. M � ,i <br /> R�1�� (;"�!':'`,"y:�{� (Chang� t0� UNtTHEATERS-6.T.1�. �d � <br /> EVAPORATNE COOLEflS <br /> PLUMBING CLOTHLSDRVERS I <br /> VENTILATION FAN <br /> RANGE HOOD r) <br /> AIR HANDLING UNIT- 0.F.M. <br /> Np, TVPE O.'- FIXTURE OR ITEM FEE iNCiNERATOR � <br /> WATER CLOSETITOILETI 5 <br /> _� <br /> �1 BATHTUB __ � <br /> LAVATORY (NASH OASIM s.p� <br /> SHO'NER � — ��-�V4 <br />� k1T(:h:ENSINK& DISP. SUBTOTAL S �" I <br /> I -- DIShIWASHEfl + PERMIT 5� _ <br />� I LAUNDRVTftAV TOTALFEE 5 t <br /> i <br /> CLOI'HES WASHER __� THIS PERMIT BECOMES NVLL r1ND VOID IF WOFi� OR CONSTRUC- <br /> I� WqTER HEATEft TION AUTHOFIZED IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br /> URINAL � CONSTRUCTION OR WORK IS SUSPENDED OR A[3AN�ONED POR A <br /> �— PERIOD OF 120 DAYS nT nNV TIME AFTEFl WORK IS COMMENCED. <br /> DRINKING FOUNTAIN <br /> FLUOR-SINK OR ORAW � I HLREHY CERTIFV TIIAT I HAVE FCAO ANO E%AMWEO THIS AP� <br /> PIICnT10N AND KNObV THE SAh1E TO BE TRUL l�ND CORRECT. ALl <br />� VI�CUUM CFEAKEflS PIIOVI;lONS OF LAW; AND OFDINANCES GOVERNING l"HIS TYPE <br />� ROOF DRAINS-RAWLEADERS i_ OF WORK WILL [7F_ COMPLIED VJITH WHETHEFl SPECIFILU HEFEIN <br />' S!NK ISERVICE-UAH,ETC.) _ _ OR NCT, THE GRI�NTING OF A PERMIT �O[S NOT PR[SU��E TO <br /> --{ GNE AUTHORITY TO VIOI.ATE Ofl CANCEL THE PftOVISIONS OF <br /> ANV OTNER ST:.TE OR LOCAL LAW REGULl�TING CONSTNUCTION <br />� _ 1�y� OF TNE PEfiFORMf.NCE OF CONSTFUCTION. <br /> � SU3TOTAL " M <br /> -T <br /> PF.RMIT 5 <br /> TJTALFEE _ _ � � L t <br /> x - <br />, SIGNATUREOFCONTRACTORORl�UTH.AGENT DATE <br /> SI�F \'A�"�ET[3ACK STREET SE�iCK '�E,1R VAR�SET�ACK PLAN CHECK NUA96ER PLAN CHECK FEE <br /> �T �h� FEE 1/��'{','1t HECEI�PTyN}O� <br /> b�� �J�.�V i .]�+ �1T i � <br /> USEZONE. ? LOTAFEA VACANTSITE — � <br /> � �� [�HES ❑rd0 FEES VALUAT�ON FEE <br />�'� TYPE OF CON3T. CCCUPANC`�GROUP UI•.'ITS �W�LING � <br /> I �'^ � �lytf99 I�)1�} <br /> GAJ �/JW'sI L�-'( �/" <br /> 47E OF 0 DG. NO. OF STOR!ES MN::. OCC. LOnD BUILDING S .? I <br /> 7�+:'�'y;Y � --- ?.l,i�Y1 <br />�` — PLUM6ING � <br /> FIREZONE HASEMENI FIftESPflINKLEHS `��ryy <br /> � flC(lU1RED y ' -- ��'a <br /> _�- LeC� ❑YES ❑NO MECHl�PJICAL <br /> I <br />' SPEC�AL CONDITIONS: ._ CTHEF I <br />� - PEfvELTV SEQJ031a1 � <br /> I <br /> - TOTAL `�`''�r'p <br /> -- PERMIT VALIDATION <br /> — WHEfJ PHO�'ERLY VALIUATEO UN iH15 SPACE) THIS IS�OUR PERMIT' <br /> I <br /> I - <br />� � f.l'I=LICn�i09�CCf14CD0Y. NLfitlSC�ICC��CODM�. AP�'�WEDFUNISSt14NCC9Y <br /> I �� ('.� � G� 'I ?'.i a.• <br /> I I.; I <br />� <br /> I <br /> f - <br />