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��,<' r,,.,,,r,.r,r CONS ff�UCTION <br /> -�,� �„ _� everett <br /> eve rett PERMIT <br /> atv iia�� 2t>>2�as <br /> EVEarrT. wn •���oi COMBINATION • BUILDING • MECHANICAL • Pl_UMBING <br /> UWNEH 6aAILl.Df]HL•;:; ZiV PHUNE <br /> '9 <br /> � • - m <br /> _L�,i14':l t�0i�'C�. - . "_._—._i:�21 Db_i��.—,. :1"'OC�(i21`�_ 77 <br /> '�+������[CTORDESIGNEIi � MAILAUDHE`:S ��I�,hryl. LICENS[ NO. <br /> � <br /> GENEPALCONTqACTOR MAILADOPE55 � <br /> PMONE LICENSE NO. z <br /> i � <br /> MEC I AL CONTRACTO MAI�AODRE55 PNONE LICENSE NC. � <br /> W <br /> m <br /> PLUMBING CONTqACTOR MAIL ADDRESS PHONE LICENSE 1i�� -� � <br /> PERMIT CLASS OF WOAK <br /> ❑,]�COMBINATION <br /> �J OUILOING �PLUMBING �MECNANICAL <br /> ❑NEW ❑ADDITION ❑ALTERf+TION ❑RCVAIR <br /> VALVATION OF WONK <br /> S � 1 rD•� ❑OEMOLISN ❑FENCE J[]SIGN ❑SWIMMWc; Ppo� <br /> i�LL7 <br /> OESCRIBE WORK "- ' --- -- --- - <br /> PROPOSED USE <br /> AdvrP'•i^' MECHANICAL <br /> __�_4`aln� — TVPF. 01 fN[Rf.V �—�_- --- — <br /> LEGALDESCRIPTIONOF PqpPEi;TY 15HOW gf1.OW��R AITqC�1 �]�;p� ❑ELEC. <br /> fOVA COPIE5) <br /> �oT BLOCK—OF N�• TVPE OF EQUIPMENT FEE <br /> _ _ AIRCOND UNITS H.P. EA. S I <br /> fiFFRIGEqAT iON UNiT; H P. EI1. ��— <br /> - iI:UII.ER$ ILP. EA. � <br /> ��)RCED AIR $v;1CM5� f3.l.U. MEA. <br /> . . .___ _-.___ ' <br /> JOR ADDRESS -- � <br /> ':PnCE tY WALL HEATEPS - B.T.U. <br /> 2201 f3roa:;'::Zy nr.n r�en.ens a.T.u. � <br /> - PLUM8ING , � �'�"oanrivecooieas — <br /> ---- — .---- -- ci�iTl�Es onveas i <br /> �VENTILA710NFAN <br /> RANGEHUDD � <br /> NO. TVPE OF FIX7URE Oq ITEM FEE nin nnraoi.iNr, urart C.F.M. <br /> BA7H TU85 § -- - - -- - � <br /> CI..O7HF5 WASHER i � . � <br /> DISN WASHERS W/�TF'F HLAI[R <br /> I <br /> � !/�C. t1U1Li f InFP�ACE d CHIMNEY <br /> DRWYING F'OUNTAINS � 1 <br /> FLOOR UPl�INS l ��'n� 5��1�.M �d0 OP OUTLETS � <br /> 1 <br /> KITCHLN SINK; W DI�R —T- ' - <br /> � I SU�TOTAL S � <br /> BAH SINKi �----' � -- PERMIT $ <br /> ROOI� DR�INS IIAIN LEADERS —� TOTnL �EE 5 � <br /> SHOWER BA7HS Inl'; PI Hfsli g[COMES NULL AND VOID IF WORK OR CONSTRUC <br /> 5[NVICE iINK$ tIOIJ nUTHORIZEO IS NOT COMMENCED WITNIN 720 �nVS, Ofi IF <br /> SUMPS SF.Wl�(iF PUMP CONSTfiUCTION OR WO(iK IS SUSPENOED OR AAANOONED fOR A <br /> URINALS PERIOD OF tt0 �AVS AT ANV TIME AFTEIi WO�K IS COMMENCEO. <br /> WATER rLO5L15 I HEREfIV CERTIFV iHAT I H/�VE PEAD 4ND EXqMINED THIS AP <br /> WATEH HEA7�EHS - ELECTRIC � �����`T���N AND KNOW THf. SAME TO f1E TRUE nN0 CORR[CT. ALL <br /> PqpVI;IONS Of LI�W^. ANb ORpINANC[5 GOVERNING TMIS TYPE <br /> WASH BASIN$ � OI' WORY. WILL [iE COMPLIEU WITH WH[TH[R SF[CIf1ED HERFIN <br /> LAUNDRV TRAYS Jfi NOT, THE ,RANTING O� A P[1iMIT DOES NOT PPESVMC Tll <br /> GIV! AUTHORITV TO VIOLATE OR CANCFL 7HE PliOV151pN5 (�f <br /> — ANV OTHF.fi :TML Oq I.00AL LAW qEGULATINGCONSTfiUCTION <br /> � Oq THG PEfiFORMANC[ OF CONSTRUC110N. <br /> 1 <br /> SU 8 70 TA L <br /> PERMIT $ —{ <br /> TOTAL FEE �j�1��77 <br /> Wn7EH SEFVICE 51ZE BLOG. SUPPLV SIZE -9 c Tua��� -coNTn . � )noRnVTN.nGEnlr onTe – <br /> 'IUL VAROSET�ACK STtiFET5ET8ACK qE/�R VAROSETfSACY. PLANCHFCK NUMf1ER PL.ANCHECK FEE <br /> (EL RECEIPT NO. <br /> U:LlONE LOTAREA VACANi51TE <br /> ❑vES ❑No FEES VALUATION FEE <br /> �I vh�; OF CONST. OCCUPANCY GROUP NO.OF DWELLING <br /> VNITS � <br /> SIZE OF BLOG. NO. OF S70HIE5 MA%.00C. LOAU 9UIlOING 51��5��� 9 I� <br /> PLUMBING I <br /> FIRt (ONE 9ASEMf�M FIRF£:PqINKLC115 <br /> REQUIREU <br /> ❑YES ❑NO MEC1iANICAL � <br /> ;PECIALCONO1710NS._ oT��ER � � <br /> .____-_- —_ I <br /> ---� "----- -- --"' -' PENALTV SEC..l071n1 I <br /> _"-_- _. 1 <br /> TOTAL � <br /> � O <br /> PERMIT VALIDATION 9 1 �� � <br /> � - WHEN PRpPERI Y VAl if]ATL[) IiN T1O:�:�ACF-1 .� .� PERMIT <br /> — _ __ __ <br /> �OU;�i RECEIPT <br /> - - - - TNANK Y;OU <br /> I��I'�� �.I. •I�.��ili�� I'I/.MFI:IIII�YlIIHV /�1'I'lllIVIIII11111';ilf.11tl �.'.V ' <br /> . ..� n . I 7 � �� <br />