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the fvrr9rcen I <br /> ��.� oF . CONS�RUCTION everett ' <br /> evere�tt PERMIT <br /> ❑lr eaLL 1s96sa5 <br /> EVFNEIi.C:>A�LYLiON <br /> 93IJ1 <br /> n[rtovcouuuurtr BUILDING MECHANICAL PLUMBING <br /> pEVflOVUENt <br /> OWNER MAII AODRESS ZIP PHONE <br /> N1 . . �n �i;'�'.y'.a'�j <br /> ARCHITECT Ofl DESIGNEq MAIL AODRESS PHONE IICENSE NO. <br /> GENERAL CONTRACTOR MAIL A�ORE55 PHONE IICENSE NO. <br /> � � r. <br /> MECHANICAL CONTRACTOR MAIL ADDRESS PMONE LICENSE NO. <br /> � <br /> � PLUMBINGGONTRACTOR MAILADDRESS PHONE LICENSENO. W <br /> m <br /> � <br /> PEFMIT C1A550P WORK � <br /> z <br /> �UILOING ❑PLUMBING ❑MECHANICAI � <br /> ❑NEW ❑AO�ITION ❑ALTERATION ❑REPAIR � <br /> VALUATION OF WORK � <br /> �{� ❑DEMOLISli ❑FENCE Q$IGN ❑SWIMMING POOL W <br /> s a <br /> OESCRI9E WOFK vy.� �� }Ip <br /> t^i��• �r ^.�J•.:�a;� CAtAR <br /> PFOPOSED VSE MECHANICAL <br /> TVPEOFFVEL �DIL �GAns. �LPG. �ELEC. <br /> LEGA�DESCRIPTION OF PROPERTY (SHOW BFLOW OR ATTAGH <br /> FOV R COPIESI <br /> NO.r TYPE OF E�UIPMENT FEE <br /> LOT 6LOCK_OF AIR CONO.VNITS-N.P.EA. 5 � <br /> REFFIGERATION UNITS-N.P. EA. <br /> �OILERS-H.P. EA. � <br /> GAS FIFED A.C.UNITS-TONNAGE EA. <br /> FDRCED Alfi SVSTEMS-6.T.U. �d EA. I <br /> JOD ADDRESS WALL HEATERS-B.T.U. M <br /> �+�� Q�[�y� UNITHEATLRS-e.T.U. M � <br /> EVAPORATIVECOOLER$ <br /> PLUMBING CLOTHESDRVERS � <br /> VENTILATION Fl�N <br /> flANGEHODD � <br /> Alii HANDLING UNIT- C.F.A1. <br /> NO. TYPE OFFIXTUREORITEM FEE iNCiNEan7oR � <br /> WATERClOSETITOILETI S <br /> BATHTU� � <br /> LAVATORV IWASN BASIN) � <br /> SNOWEii <br /> Y.ITCIiEN SINK& DISP. SUB TOTAL $ 1 <br /> DISIaWASl1ER PERMIT 5 <br /> LAUNDRY TfiAV TOTAL FEE S I <br /> CIATHESWASHfF THIS PERMIT DECOMES NULL AND VOID IF WOFK OR CONSTRUC� <br /> WATEfl HEATEN TION AUTHORIZED IS NOT CDMMENCED WITHIN 170 DAVS,OR IF <br /> UIiINAL CONSTRUCTION OR WORK IS SUSPENOEO OH ADANDONED FOR A <br /> — - PERIO� OF 120 DAYS AT ANV TIME AFTER WO�iK IS COM1dENCED. <br /> nRINKING FOUNTAIN <br /> FLOOfi�-tiINK OR DRAIN I HEREBV CERTIFV THAT 1 HAVE F1EAD ANO E%AMINEO THIS AP� <br /> PLICATION AND KNOW THE SAM17E TO 8E TAUE AND CURRECT. ALl <br /> VACWM1III�LAKEPS PROVISIONS OF LAWS AND OFiDINANCES GOVLflNING TNIS TYPE <br /> fi00F DIiAINS-RNNLEAOERS —� OF WOFK WILL BE COMPLIEO WITH WHETHEft SPECIFIEO NEREIN <br /> SINKISERVICE-OAR,ETC.) OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTNORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTMER STATE OR LOCAL LAW REGULATING CONSTFiUCTION <br /> __� _- OR THE PERFOFMANCE Of- CONSTRUCTION. <br /> SUB TOTAL <br /> PEflM1T 5 <br /> TOTAL FEE S 1nh I�f1. <br /> X .4�..� (V <br /> SIGNATVF[OFCONTRACTORORAUTM.AGENT DI�T[ <br /> SIOFVAPOSCTOACK STREETSETOACK flEARVARDSETBAC PLANCHECKNVM9ER PLANCHECKFEE <br /> FEE RECEIPT NO. <br /> VSEZONE LOTAflEA VACANTSITE <br /> ❑VES ❑No FEES VALUATION FEE <br /> TVP[ OF CONST. OCCUPANCV GROUP UNIOS OWELLING � <br /> ,L7d1/�W IMY <br /> 512E OF BLOG. NO.OF STORIES MA%.00C. IOAD BUILDING S I <br /> PlUM01NG � <br /> FIRE20NE BASEMENT FIRESPqINKLERS � <br /> RCaUTAED <br /> ❑VES ❑NO MECHANICAL � <br /> SPECIAL CONOITIONS: OTHER I <br /> I <br /> PENELTY SEC.�0�la) � <br /> 1 <br /> TOTAL 91(� <br /> PERMIT VALIDATION <br /> WHEN PROPERLV VALIDATEO IIN THIS SPACE)TNI515 VOUR PERMIT <br /> nPPIICAT10NALC[VTEOBV: PLANStl1ECKEDDY: APPnpV[n�I5SU4NCEPY�. <br /> c. <br /> 0 <br />