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�- .�J.::-_. _ _ � <br />� <br /> � ; <br /> � u,�� F�-crc�,•�„ � <br />� � ���� �� CONSThUCTION everett ' <br /> everett PERMIT I <br /> tnr qau �svsa;s � <br /> [veuetT,naYuncior � <br /> satui <br /> °�°' °` `°''"°"" BUILDING MECHANICAL PLUMBING <br /> neveiurv[ni <br /> OWNER MNI. nDDRE55 ZIP PHONE I <br /> y��� . `�..�i4� I� .� 'G,�M� I <br /> ARCHITECT OR DESIGNEF/ � MAIL AODfiESS PHONE LICENSE NO. <br /> GENERALCONTRACTOR MAILADDRESS PHONE LICLYSENU. <br /> F:.1 <br /> MECHANICALCONTFACTOR MAILAODRESS PHONE LICENSENO. <br /> PLUb1BING CONTflACTOR MAIL ADDRESS PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMI"f CLASSOP WOpK � <br /> � <br /> }.., z <br /> ❑�UIIDING u PLUM8ING ❑MECHANICAL .g F- <br /> �yNEW ❑A�DITION ❑ALTERATION ❑REPAIR — <br /> _- L <br /> VALUATION OF WORK [[ <br /> S ❑DEMOLISH ❑'ENCE ❑SIGN ❑SwIMMIN� PCOL � <br /> DESCFIDE WOftK <br /> 2734 <br /> PROPOSEO VSE M[CHANICAL <br /> rvH� orruei_ �oii. �n,nt p�rc. pe�ec. <br /> LLGAL DESCRIPTION OF PFOPERTY (SHOW BELOW OR ATTACH C.l�S <br /> FOUf�COPIE5) <br />� �or eLOCK—oF NO. h'PE OF EQUIFMENT FEE <br /> AIF CONO. UNITS-H.R EA. 5 I I <br /> — _ —r_ <br /> r � REFRIGERATION UNITS--H.P. EA. <br /> �BORERS-H.P. [A. I <br /> GAS FIRED A.C. UNI'fS-TONNAGE EA. � <br /> FORCED AIR SVSTEMS--6.T.U. M EA. I <br /> J06 A�DFESS p _�WALL HEATEHS-�.T.V. M <br /> (,r���r ai rS f�. . . _ UNITREATGRS-�.Lll. M _ I <br /> — EVAPORATIVECOOLEHS <br /> PLUMBING CLOTHESDRVERS � <br /> VEPITILATIONFAN — � I <br /> RnNGEli00� 1 <br /> NO. T'PE OF FIXTURE OR ITEM FEE _ nIH FIANDLING VNIT- QF.M. <br /> WATER CI.OSETITOILETI ; INCINHRATOR � <br /> BATHTVP. —� <br /> LAVATO�iV (WASH BASIN) I <br /> cHOWEN I <br />� KITCHEASINKILDISP. �— SUBTOTAL 5 � <br /> DISHK'ASHER PERMIT 5 <br /> _ LAUNDRY TFAV TOTALFEE 5 I <br /> CLOTNES WASHER THIS PERMIT �ECOMES NULL AN� VOID IF WORK OF CONSTRUC- <br /> �Y�TER HEATER TION AUTIiOftIZEO IS NOT COMM[NCED WITIiIN 1?0 OAVS, OR IF <br /> VRIIJAL CONSTRUCTION OFi WORK �S SVSP[NO[D Oi l�OnNDONED FOR !� <br /> I DPINKING FOUNTAIIJ PERIOD OF 120 DAVS AT l�fJY iIML AfTER WOFR IS COhiMENCED. <br /> FLOOR-SINK OR�FAIN I HFgEBY CEftTIPY THAT 1 HAVE 9EAD AND EXAMINED THIS AP- <br /> VNGUUM BREAKERS � — P���nT�ON AN� KWOW THE SAME TO BE TRUE /1ND CORRECT. ALL I <br /> ROOF DRAINS-RAINLEADEFS �`NOVISIONS OF LAWS AND ORDINANCES GOVERNING TFIIS TVPE <br /> OF WpRK WILL OE COMPLIED VJITH V'HF.THEFi SPECIPIEO HLFEIN � <br /> SINK (SERVICE-BAFl, ETC.1 --�— OR NOT, THE GRl�NTING OF A PGRMIT DOES NOT PRESUME TO <br /> - GNE AUTHOqITV TO VIOLATE OFi CANCEL THE FROVISIONS OF <br /> ANV OTHER STA?E OP LOCl�L LnVJ fiEGULATING CONSTRUCTION <br /> OR THE PERFORMANCC OF CONSTHI'CTION. <br /> SUB TOTAL <br /> PERMIT 5 <br /> TOTAL FEE 5 ����� r� ).}ry <br /> x uJ�'�0 i 1 <br /> SIGNATUREOFCONTf1ACTOROFAUTN.AGENT DME <br /> SIDE YARO SETBACK STftEET SETf3AC1: Rf.1H VARDSET�ACK VLAN CHECK NUh1�ER PLAN CHECK FEE <br /> FEE RECEIPT NG. <br /> USE ZONE LOT AREA VACl�NT SITE <br /> ❑YES ❑No FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANGV GROUP ND.OF DWELIING <br />� UNITS I <br /> I I _ _ <br /> � SI2E OF 3L�G. NO. OF Sl'ORIES M11AX.00C. LOAD OUILDING 5 � <br /> 1 <br /> I PLUMBING � � <br /> FIREZONE 6n5EM1tENT RR[SPFINKLERS _ <br /> RCQUIfiF.D I <br /> ❑YES ❑NO h�ECHAHiCAL � <br /> i SPECIl�LCONfJIiWNS: OTHER � <br /> i <br /> I <br /> PCNELT� SEC. 30JIa) I <br /> I I <br /> � TOTAL �� �� <br /> PERMIT VALIDATION <br /> WIi[N Pf10PEfiL� VALIDATED (IN TIIISSP.ICE) TM515 VOUR PFRM1IIT <br /> I <br /> I _ <br /> PPPLICn110':ACf,[1'IC�I'.v �L�.SCOqt[IUIlv - �-:•P.pVfOlU116SUANCEBY <br /> i� �� <br /> I � n <br />