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7 <br /> •��,. � ,.., ,. ,, � <br /> ��TY�� �CQNSTRUCTION everett i � <br /> ! ev�rett F'ERMIT <br /> ICITY N4lt 15988F5 <br /> N[q[i l,M15HIMLiON <br /> ' °«; °� �°^°^°'�^° gUIL�JING MECHANICAL PLUMBING <br /> I 9B)01 <br /> U(YR 0>N[Nl <br /> OWNER MAI�ADDRE55 ZIP PMONE <br /> �� .:.� '�t� ^ . <br /> I AqCHITECT OR OESIGNEF MAIL ADD 5$ PHONE LICEN;L NO. � �N� <br /> �:.;._�I <br /> � <br /> GENERAI CONTqACTOR MqIL ADOFESi PHONE LICENSE NO. <br /> MECNANICALCONTPACTOR MAIL ADOHESS VMONE LICENSE NO. <br /> PLUMBINGCONTflAC70R MAILADDRESS PHONE LICENSENO. � <br /> W <br /> � � <br /> PERMIT • LASSOFWORK � <br /> z <br /> ❑BUILDING [;PWMBING ❑MECHaNICAL F <br /> � �EW ❑AODITION ❑ALTEHATION ❑REPAIR � <br /> VAWATION OF WOHK W I <br /> s ❑DEMOLISN ❑FENC' ❑SIGN ❑SW�MMING POOL a <br /> DESCRIBE WORK ��/�I� <br /> ��V � <br /> VROPOSED USE MEG'HANICAL <br /> TVPEOFFUEL �OIL �GAns. �LPG. �ELEC. <br /> LEGAL�ESCRIPTIDNOF PROPERTV (SHOW fiELOW Oti ATTACN <br /> FOUR COPIESI � <br /> NiJ. TVPEOFEQUIPMENT fEE � <br /> LOT BLOCK—OF — qlR COND.UNIT5-H.P. EA. S � ' <br /> REFRIGERATION UNIiS-H.P.EA. <br /> I301I.EfiS-H F. EA. � <br /> _ GAS FIRED A.C. VNITS-TONNAGE EA. I <br /> i FOHCED AIR SVSTEMS-B.T.U. M EA. I , � <br /> JOU AODRESS \VI+LL HEATERS-B.T.U. M <br /> VIJIT HEATERS-�.T.U. M I <br /> EVAPOflATIVECOOLERS <br /> PLUMBING c�oTHesoaveas i <br /> V@NTILATION FAN <br /> RAIJGE NOOD � <br /> NO. 7VPE OF FIXTURE OR ITEM FEE AIF HANOLING UNIT- C.F.M. <br /> WATERCLOSETITOILET) y _ �NCINEiiAtCR I <br /> BATHTUA <br /> LAVATOf�i IWASN 43ASIN) � <br /> I SHOWEfi__ ___ <br /> KITCH@N SIbK W DISP. � SUB TOTAL S � <br /> I DISHWASFEN PERMIT E <br /> LAUNDflY TRAV TOTALFEE 4 I <br /> CLOTHES WA�MER THIS PERMIT BECOMES NULL AND VOID IF WOFK OR CONSTRUC� <br /> WATER NEATER TION AUTHON12ED IS NOT COMMENCED WITHIN 720 DAYS, OR IF <br /> URINAL CCNSTRUCTION OR WORK IS SUSPEN�ED OR ABANDONEO FOR A <br /> DiiINK11:G fOUNTAIPI PERIOD OF 120 OAVS AT ANY TIME AFTER WORK ISGOMMENCED. <br /> FLOOR-SINK OR OriAIN I HEREAV CERTIFY Tf1AT 1 NAVE fiEAD AND E%AMWED TNI$ AP� <br /> VACUUM AFEAKERS PLICATION AND KRqW THE SAME TO OE TRUE ANb CORFECT. ALL <br /> _ PROVISIONS OF IAWS AND ORUINANCES GOVERhING THIS TVPE <br /> ROOF OR�11N5-RAINLEPDEHS OF WORY. WILL EE COMPLIED WITH WHETHER SPECIFIEn HEREW . <br /> SINK ISERVICE-flAR, ETC.) OR NOT, THE GRANTING OF A PEflMIT DOES tJOT PFIFSUME TO I <br /> GIVE AUTHOla�TY TO 'JIOLNTE Oii CANCEL Te[ PROVISIONS OF <br /> ANY OTHFR S1ATE Oli LOLAL LA�Y RE,VLATIfJG CnN5iRL1CTIOfJ <br /> OH THE P[RFORMANCE OF CONSTFUriION. ' <br /> I SUBTOTAI — i <br /> PERMIT S <br /> TOTq�FEE S <br /> X 1'�� i <br /> SIGNATUREOFCONTRACTOFORAUTN.AGENT OME ' <br /> SIDBVAR�SETBACK STREETSETBACK REAAYARDSETdAC PLANCHECKNUMBEF 7LANCHECKFEE <br /> FEE RECEIPT NO. <br /> ! USE 20NE LOT AREA VACANT SITE . <br /> � ❑vE5 ❑NO FEES VALUATION fEE <br /> � <br /> TVPE OF CONST. OCCUVANCV GROUP UNIT�S 4WELLING � <br /> SILEOFBLOG. NO.OFSTOFIES MA%.000. LOAD �UIL�ING S � <br /> I <br /> PLUMBING a� �! <br /> FIREZONE BASEMENT REQUI E�OKLEFS <br /> ❑YES ❑NO MECNANICAL I . <br /> SPECIAL CONDITIONS: 07'HEP � <br /> I <br /> PENELTV SFC.3031n1 � �. <br /> — TOTAL �j 1(� <br /> � PERMIT VALIOATION li <br /> _ Wi:tu PHOPf RLV VALI�ATED IIN THIS SPACEI THIS IS VOUR P[PLtIT . <br /> � <br /> qPPIICAiIONPLCEVTEOBY' VLANSCIIECKEDBY�. /VPPOVE�O(1155UFNCEBV ' <br /> f <br /> � I <br /> � <br />