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rirc Erc�q,�..:r <br />�„ � ��F <br />evereii <br />[i�il Ildll )SIP.PdS <br />iAL1E11.11A911'�510'! <br />9�:'JI <br />Pl�� 0� LU'd^,II'LtY <br />ncve inr�cvu <br />BUILDING <br />CONSTRUCTIOiV <br />PERMIY <br />MECHANICAL PLUMBING <br />�everett <br />OWNEfi pnl�ILADDftL55 ZIP PHONE <br />1dB � �.�! �' fY '�j'�i2 '.�.� �iT• �:�.�'a•''f: <br />ARCHITECT Ofi DESIGNER M11nIL ADDPESS vHONE UCENS[ fv0. j <br />GgEyN�E�fl"yA,�L CONTRACTOR MAIL AI]r�OyR�ES}�S���y �XI s�PyHyON,�E/y� �y �_Jr}��� L+IC�ENSv�E NO. <br />9ti{,�r[•.aCb � �� 4�".1 �+�R"3•v +,N�� Ja�f VE4f G4�T�R1li/.1V <br />A1ECHl1NICAL CONTRACTOfl MAIL FODFESS WHONE LICENSE NO <br />PlUM81NG CONTflACTOR MlUL ADDRESS PHON[ LICENSE tVO. � <br />W <br />m <br />PERMIT CLASS OF WORI: � <br />z <br />� GUIL�ING � FLUMBING � MECHANICAL F- <br />�New ❑nooinor� ❑n�rE�annoN Cr,rNnii+ � <br />VALUATION OF WORK � <br />� ����, �� ❑ DBMOLISH ❑PLNCE ❑SIGN ❑SNIM�bLNG POOL � <br />DES�flIP,C �WO.�fijK � �� ��� <br />���i�L` �:Ff <br />PROPOSED USE <br />MGCHANICAL <br />T�r�oFFue� �oi� pr�nr—�i_v� pe�ec —I <br />LEGAL DESCRIPTION OF PROPERTY �SHOI'J �ELOW OR ATTACH C��15 <br />FOUR QDPIESI �yy <br />« `L^'+�+•oM��'4 NO. TYPE OF EQUIPMENT FEE <br />L.OT Ut,OCK_OF — i/��Ft COND. UNI IS-H.P. EA. � 5 I <br />REFRIGERl1TION UNITS--Ii.P. EA. <br />�OILEflS--H.P. EA. � <br />GAS FIftED AC. UNITS-TONNAGE EA. <br />�UliCED Alq SVSTEMS-B.T.U. M EA. I ' <br />J06 AD (y� � �{ ��' WqLt HEATEHS-R.T.U. �1 <br />� Vi4i F"L� JR�• — -- <br />UNIT HEATERS--B.T.U. M I <br />EVNPtiRATiVLCOOLERS <br />PLUMBING c�urHesoaveas <br />I <br />VENTILATIOM1 FAN <br />RANGEHOOO I <br />AIR HANDUNG UNIT— C.F.M. <br />NO. TYPE OF FIXTURE OFi ITEM FEE <br />WATER CLOSETITOILET) 5 —T �NCINERATOR � <br />BATHTU9 <br />— I <br />LAVATORYIWASHBASINI 1 <br />SHCWER —.__ . ___ "�_' <br />KITCIiEN SINK Ai DISP. SU� TOTAL 5 <br />I <br />DISHWASHER �— PERMIT �� <br />LAVNDRY TRAY TOTAL FEE 5 �� <br />CLOTH'c5 WASHER THIS PERMIT RECOI'AES NVLL AND VOID 1F CJOfiK OP. CGP:^1 RUG <br />WATER HEATER TION AUTHORIZ[O IS NOT COMMENCED N'ITHIN 120 OAVS, OR IF <br />URINA� CONSTPUCTION OR WORK IS SUSPCtJOGO OR ABC.N�ONEU FOR A <br />DRINKING FOUNTAIN �'ERIOD OF i'.0 DAVS AT ANV TIM11G AF-TER WOHK IS COMh1ENCED. <br />FLOOR-SINK OR DRAIN I HERE�Y CEfiTIFV THAT 1 NAVE FEAD AN� E%AMWED THIS AP- <br />VAGUUM BREAKEHS PLICATION AND KNOW THE SAI.1[ TO 6E TfiUE AND CORftECT. ALL <br />FOOF DRAIhS- PAIhLEAOERS PROVt$IONS OF LAWS iIND ORDIPIANCES GOVERNING TFIIS TYPE <br />OF WORK WILL 8E COMPLIED VJITH WN@THER SPECIFIED HEFEIN <br />SINK BEFVICE-�AR, ETC.I OH NOT, THE GRANTIfvG OF A PEHMIT DOES NOT PRESUME TO <br />GIVE AUTHOflITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br />�— ANV OtHEq STATE OR LOCAL LAYJ REGULNTING CONSTRUCTION <br />_ __�_ OR THE PEFFOP,M1I�NCE OF CONSTRUCTION. <br />_ SU[S TOTAL � <br />PERMIT 5 <br />10TALFEE 5 —� � <br />X <br />SIGNATUFIEUFCONTRACtOHOfl.AUTH.AGENT DATE <br />SIDEVAftJSETBACK STREETSET6ACK REARYARDSETCr1CKPLANCHEGKDJUNF,ER PLANCHECKFEE <br />��� FEEy�_ n,� IRECFe�O. <br />USEZONE LOTAREn VACnNTSITE ��w a����f <br />I <br />❑vEs ❑No FEES VALUATtON FEE <br />TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING <br />UNITS I <br />SIZ[ OF �LDG. NO.OP STOFIES MAX.00C. LOAD 7UILOIN:� s 5 I� <br />�— <br />PWMbING � <br />FIRE20NE HASEAIENT FIHESPRIfJKLERS �_ <br />RfQUIRED ll� <br />❑VES ❑NO �1ECHAP.IICAL � i <br />SVECIAL CONDI'i IONS�. OTHER � <br />I <br />_ Finaled Mdy 7, 1976 F.W. _ pENELTY SEC.3081a� i <br />---- ----- -J i�S'1 <br />TOTAL <br />PERMIT VALIUATION <br />— — WHF.N PftOPERLY l'ALIDPTFD IiN ll-J^, SPACE) THIS IS YOUR PE19t�11T <br />APi+IIGiIONl�CLEPTCO�Y- YI.NNSCIIELNCD�N�. qPPqOVE�fOR6C:.U^.q[I1�. <br />...i. :i..^,. .T;.i�. <br />_ I . :l <br />