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rlr_ Ei ar9imn � � <br /> ��T�o� �ONSTftUi.TION everett I � <br /> ' �Yerett PEFiMIT <br /> PiV HFII ;59E8¢5 <br /> [V[NRI.RASnINLtON <br /> 9B}01 <br /> ��°� �o��«o;�,F4, BUILDING MECHANICAL PLUMBING <br /> OWNEF MAILADDHE55 ZIP PMONE <br /> sr^r:�:� c�,�g ::�a�: i"LF;-Tb <br /> ARCHITECTOflOE51GNEF MAILADDRESS PHONE LICENSENO. <br /> GENERAL CONTflACTOP MAIL ADDRE55 PMONE LICENSE NO. � <br /> MECHANICALCONTHACTOP MAIL ADDHE55 PHONE UCENSE NO. i <br /> �,��e,piw�a CL <br /> PLUM8ING CONTflACTOH MAIL ADDRESS PHONE LICENSE NO. m ' <br /> � + <br /> PERMIT ClASS OF WONK � <br /> Z I <br /> ❑BUILDING ❑PLUMBING�MECHANICAL •�R.EW �qDDITION ❑ALTEflATION ❑REPA�R � <br /> L� � <br /> 2 <br /> VALUATION Oi WOHK W <br /> ❑DEMOLISI/ ❑fENCE ❑SIGN ❑SWIMMING POOL a , <br /> S <br /> DESCRIBG WORK 1644 <br /> PFOPOSED USE MECHANICAL � <br /> TYPE OF FUEL �OIL �GAS. �LPG. �ELEC. I <br /> L[GAL DESCii1PTION OF PROPERTV ISHCW JELOW OR ATTACN <br /> FOUF WPIE5) <br /> NO. TVPE OF EUUIPMF.NT FEE <br /> L0- BLOCK__OF AIP COND. UNITS-H.R EA. 5 � <br /> REFRIGERATION VNITS-M.P. EA. <br /> BO�LERS-H.P. EA. � <br /> GAS FIRED A.C.UNITS-TONNAGE EA. <br /> FOFCEDAIFSv5TEM5-�.T.V MEA. � <br /> J0t3 AO�RE55 �I� T �e}��� WALL HEATEPS-B.T.U. M <br /> Jiii If LAi/1Ai VNIT HEATERS-9.T.U. M � <br /> EVAPORATIVE COOLERS <br /> PIUMBINC; CLOTHES DiiVERS � <br /> VENTILATION FAN <br /> RANGEHOOD � <br /> AIR HANDLING UNIT- C.F.M. <br /> NO. T'PEOFFIXTUREORITEM FEE iNCiNEnATOR � <br /> WATER CLOSET ITOILETI S <br /> BATHTUO <br /> I <br /> LAVATORY(WASM BASIM —j' <br /> SHOWER -- -�/� <br /> KITCHEN SINK& DISP. SUB TOTAL 5 1 `� <br /> DISI/WASHER PERMIT $ _�� <br /> i_AVNOPVT(iAY TOTALFEE 5 VI <br />� CLOTHES WASNEN THIS PERMIT BECOMES NULL ANU VOID IF WORK OR CONSTRUG <br /> WATER HEATER TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br /> URINAL CONSTflUCTION OF WORK IS SUSVF.NDED Ofi A�ANDONED FOR A <br /> DiiINKING FOVNTAIN PERIOD OF 120 DAVS AT ANY TIME AFTEP WORK IS COMMENCEU. <br /> FLOOR-SINK OR ORAIN I MEREf3V CERTIFV THAT I HAVE REA� ANn E%AMINE� THIS AP- <br /> PLICATION AND KNOW TNE SAME TO BE TRUE AND COFRECT. ALl <br /> VnCVVMliREAK[RS pROVI510N5 OF LAWS AND OtiDINANGES GOVERNING TNIS TVPE <br /> RDOF ORAINS-RAINLEADEHS OF WOfiK WIIL BE COMPLIEO WITN \NHFTHER SPECIFIED HEREIN <br /> SINK ISEFVICE-ftAR,EiC./ Ofi NOT, THE GRANTING OF A PEPM191i DOES NOT PFiESUME TO <br /> GNE AUTMOAITV TO VIOLATE CR CANCEI THE PROV610N5 OF <br />' ANV OTH[R STATE OR LOCAL LAW RCGULATING CONSTRUCTION <br /> ORTHEPEflFURMANCEOFCONSTRVCTION. <br /> SUB TOTAL <br /> PERMIT � <br /> TOTAL FEE 5 ti/�I�f[]� <br /> X ii,'�,� <br /> SIGNATVREOFCONTfiACTOROflAUTH.AGENT DATE <br /> SIDE �'ARD SETBACK STREET SETOACK FEAR YAR�SETBAC PLAN CHECK NUMBEP PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USELONE LOTAREA VACANTSITE <br /> ❑vE5 ❑NO FEES VALUATION FEE <br /> TVPE OF CUNST. OCCUPANCV GPOUP UNIOS OWELIING � <br /> ' I <br /> SIZE bF BLDG. �dO.OF S?Ofl1E5 ��A%.00C. LOAO BUILDING S � <br /> PLUMBING � <br /> FIRE ONE BASEMENT RC�UIREDKLEFS yy� <br /> ❑VES ❑NO MECHANIGAL ��yyr <br /> I <br /> SPECIAL CONDITIONS: OTHER � <br /> PENtLTV SEC.3031a) � <br /> TOTAL v�� <br /> PERMIi VALIDATION <br /> WHEN PfiDPEfiLY VALIOATED IIN TfilS SPAC[)THIS IS YOUR PERMIT <br /> ��PLICI.TIONACLCI'T[OBY' PIANSCMECRC09V�, RFPMOVCOFOPISSUA�dCEOY. <br /> 1. e. <br /> 0 <br />