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1,Sc Evr,rgrecn <br /> ���� �F CONS�'RUCTI�DN everett <br /> ; everett PERMIT <br /> � cnvr�nu >sienes <br /> [veacn ,rnsunr,mn <br /> seJm <br /> °"`°`E°E�o';„°„r BUILDING MECHANICAL PLUMBING <br /> OWNEfl MAIL ADDRE55 ZIY PHpryL <br /> i . .. . . _ . .. � �..t <br /> I ARCFIITECT Oii DESIGNER MAIL ADDRESS PHONE LICENSE NO. . �._� <br /> � _,rL ' <br /> i <br /> I GENERALCONTRAGTOR MAILADDFESS PHONE LICFNSEKO. <br /> ... . ..,.. .. ' <br /> MECHANICAL CONTRAC70R MAIL A�ORESS PHONE IICENSE NO. <br /> PLVM�ING CONTRACT'�R Mq11.A�DqE55 PHONE LICENSE NO. � <br /> W <br /> m <br /> P�A�"��T CLA55OF WORK ? <br /> g z <br /> [yf3UILDING � PLUMBING �MECHANICAL �q F <br /> ❑NEW ❑ADOITION ❑A�TERA7iON uREPi.IR � <br /> VAWATION OF WOFK <br /> ,�{ �yy � <br /> 5 J'�/R:JIJ I ❑DEMOLIiH ❑FENCE ❑SIGN ❑SWIMMING POOL W <br /> OESCRIAF WORK " — <br /> a <br /> �- . _ 2�96 <br /> PflOPOSEOI�SE � <br /> MF.CHANICAL <br /> rveeoFr-ue� �OIL �Nl�T. �LPG. �ELEC. <br /> LEGAL DESCRIVTION OF PROPERTY ISHOW 6ELOW OR AT7ACH GAS <br /> FpUfl COPIE51 <br /> LOT__ pLOCK_Of N�• TVPEOFE�UIPMEN7 FEE <br /> AIR WND. UNITS-H.P. EA. 5 I <br /> REFRIGERATION UNITS��H,P, El�. � <br /> --- COILERS-H.F. EA. � <br /> _ GAS FIREO A.C. UNITS-TONNAGE EA. i <br /> . FOfiCED AIR SYSTEMS-Fi.T.U. M Eq. I <br /> I JO8 AD�RES: `y�,� ��2 , � WALL HEATERS-O.T.U. M �r- <br /> k1Gd. <br /> UNIT IILATERS-B.T.L'. M � <br /> EVAPORqTIVECOOL@RS —�— <br /> PLUMBING CLOTH�SDPVERS � <br /> I VENTILATIONFAN <br /> RANGEHOOO � <br /> NO• NPE OF FIX7URE OR ITEM FEE �11R HANOLING UNIT- C.F.M. <br /> WATER CLOSET(TOILET) g �— �NCINERA(Ori � <br /> 6ATHT�10 <br /> LAVl1iORV (WASH BASIN) � <br /> i �1�9WEli — -----�- <br /> _ I._TCHE V SINK R DISP. SU�TOTAL S � <br /> _,ISHWASHER <br /> -- - PERMIT 5 +_ <br /> LAUVDFY TRAY <br /> CLOI'HLi WASHER TOTAL FEE S � <br /> WATEH HEATeR THIS P�fiMIT �ECOMES NULL AND VOIO IF WONK OR CONSTRUC- <br /> -- TION t\VTHORIZED IS NOT COMMENCEO WRIiIN 120 DAVS, OR IF <br /> _ URI4Al CONSTRUCTION OR WOpK IS SUSVENGED OR AI;AN�ONED FOft A <br /> OHINKING FpUMTAIN �— ��EfiIOD OF 120 OHVS �1T ANV TIME AF fER WORK IS COMMENCED. <br /> f-LOOR-SINK OR OflA1N I HERE�Y CERTIFY THAT I HAVE READ AN� EXAMWED T{iIS l�P� <br /> VACUUM �FlEAKERS PLICATION AND KNOW T'HE SAME 'f0 fiE TRUE AND WRqECT. �11.L <br /> ROOF DRAINS-FAWLEADEflS —I- �'�70VISIpNS OF LANJS AND ORDINANCES GOVERNING THIS TVPE <br /> Of- WORK WILL �E COMPLIEO WITH WHETHER SPECIFIED HEHEIN <br /> SINK (SERVICE-OAF, ETC.1 OF NOT, THE GRANTING OP !� PEHM1AIT DOES NOT PfiESUMG TO <br /> - - GIVL AUTHORITY TO VIOLAT@ OH CANCEL THE PPOVISIONS OF <br /> , ANV OTHER STATE Oft LOCAL LAW flEGUTATING CONSTRUCTION <br /> OR THE PERFOftM11ANC[OP CONSTRUCTION. <br /> _ SV� TOTAL <br /> __ __PEFMIT 5__{ <br /> TOTAL �EE S n /. <br /> IxiGNA7VREOFCONTRACTORORAUTH.AGENT DATE�� <br /> SIDE YARO SETOqCK STREET SETUACK REAR VARO S[TFIACK PLAN CHFCK NU�dOER PLAN CHECK FEE <br /> I <br /> FEE RECEIPT NO. <br /> USEZONE LOTAFEA VACANTLITE <br /> ❑YES ❑NO FEES VAI.UATION FEE <br /> I TYPE OF CONST. OCCUPANCV GROUP NO.OF DWEI LING <br /> UNITS � <br /> SIZE OF BLOG. NO. OF STORIES MAX. OCC. .OAO �IIILDING 5 1M�� ` ,� � <br /> i�- <br /> PLUMBING I <br /> i FIREZONE F7ASEMF_NT PIRESPF�I(vKLEflS <br /> HfOUIqED � <br /> II ❑YES ❑NO MECHAkICAL � <br /> I SPECLIL CON�ITIONS: <br /> I _ OTHER I <br /> I <br /> '— -" -- PENE�Tv SEC. 903 U7 I <br /> I <br /> TOTAL �� r� <br /> � PERMIT VALIDATION <br /> tYHEN PqOP[PLY�'ALIDAI EO (IN iHIS SPqCB) THI51$VOUR PERb11T <br /> 1 <br /> i <br /> naaiicnno�+ncceareo[r. rv.r;�,i.nrccirinr ,;rrnovcoropis;unuc[m <br /> j Z• C• <br />� 3 <br /> - � <br />