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_._.... � <br /> rvc c:,-,,;.orn I , <br /> ��T� �F CON5T6iUC�i'IOIV Ea��erett i i <br /> � everett PERMIT ; � <br /> ❑iYN4�� 7!SE6P5 I <br /> [VEflE1T,NASNM410N <br /> 9d}pl I 1 <br /> °'°' °, �°""°�^� BUILDING MECHANICAL F!UME3ING <br /> o[ri�ovM[nr * � <br /> 1 <br /> OWNEfl MAIL ADDRE35 2:V PHONE �� <br /> i States i.:,nasi._rnt Corn. 2309 1?t. Jic:u �z. i;nise. Idaba II370A i�"J�3-77 I <br /> ARCHITECT UP DESIGNER MAIL ADOFE55 PHONE LICENSE NO. <br /> � ?:Lrtii► �ay 7onnq 5050 So. i��all 'Wsa Avs. 6�2-9;�-6332 ; <br /> � GENERAL WNTRACTOfl MAIL ADDRE55 PNONE UCENSE NO. � <br /> I .�ajette Ial�istries 535 Poatius :torth Sesttla 48189 !Ma 3-122� <br /> � <br /> MEGHANICALCONTqAGTOR MAILAODFE55 PMONE LICENSENO. i <br /> � <br /> PWMBINCCONTRACTOR MAILADORE55 PHONE LICENSENO. �yJ <br /> I PERMIT CLASSOFWORK � I �I <br /> z I ��61/1LDING QPLUMBING [�MECHANICAL F <br /> IINEW ❑ADDITInN ❑ALTERATION ❑REPAIR � <br /> VAWATION OF WORK � � <br /> '�13)�!�4(��1a ❑DEMOL�SH ❑FENCE ❑SIGN ❑SWIMMINGPOOL W <br /> s °- i <br /> DESCRIBE WOHK I <br /> '3uii3� '.alffat Rmstaurunt-itoyal Fos'�. �uf_^ct `,Z$Q3 <br /> PROI'OSED VSE MECHANICAL <br /> :'�6tBi�:3^.t <br /> rvaeoFFue� p"oii pranl. p�ac. pe�ec. <br /> L[GAL�ESCRIPTION OF PROPERTV ISHOW BELOW OR ATTACH Gn� <br /> FOUR COPIE51 <br /> NO TYP[OF EDUIPMEN7 � E <br /> LOT BLOCK_OF AIRCOND. UNITS-H.F. [A. S �`� � ' � <br /> 5��.' 29 Twp 29 �H 5 REFFIGERATION UNITS-N.R EA. <br /> l301LEfi5-H.P. [A. I <br /> GAS FIRED A.C. UhITS-iONNAGE EA. I <br /> _ FORCED Alii SVSTEMS-�.T.U. M EA. I I <br /> J013 ADDRE55 W�+LL HEATERS-B.T.U. M � <br /> �S�Z ISSOaCINJ� �.IJIt HEATLRS-l3.T.U. M � � <br /> EVAPORAtIVECOOLERS { <br /> PLUMBING CLOTNES DRYERS � I <br /> VENTILATIUN FAN <br /> RANGE MOOD J� �"� <br /> N . TVPE OF FIXTUHE OR ITEM F A�� Hnrvoi iN,UNIT- C.F.M. <br /> � 'NATEACLOSETITOILETI S - INCINERATOfl � I <br /> 13ATHTUB i <br /> I.AVAIORY !Wl+SH BASIN) � I <br /> SHOWER _ __ '- � <br /> ✓,ITCHEN SINK& DISP. SUB TOTAL S � I � � <br /> DISHWASHER �- �� PERMIT 5 <br /> LAUNpRVTRAV � <br /> TOTAL FE[ 5 � I <br /> GIOTHES WASNf:P TNIS PERMIT BECOMES NUIL AND VOiD IF WORK OR CONSTRUG <br /> WAT[F HEATE9 T+� TION AUTHORIZED IS NOT COMM1IENCE:D WITNIN 1Y0 OAVS,OR IF I <br /> > URINAL CONSi(iUCTION Ofi WOiiK IS SUSPENDED OIi AOANOONED FOfi A I <br /> DFINKING �OUNTAIN PERIOD OF 120 D11V5 AT ANV TIME AFTEP WOFK ISCOMMENCEO. <br /> •� PI OOR-SWk OR OFAIN I HEFE�V CERTIFY TMAT I NAVf READ AND E%AMINEO THIS AP- i <br /> VACUUM 13R[AKEFS PLICATION AND KNOVJ THE SAME TO BE TPUE AN�CORRECT. ALL I <br /> ��. PPOVISIONS OF LAWS AN� ORDINANCES GOVERNING THIS TVPE <br /> . ROOP ORAINS-itAINLEAI�EFS_ ' {�^._/i OF 1NOFK WILL BE COMPLIEO WITH WHETHER SPECIFIEO HEREIN <br /> SINK (SERVICE-BAR,ETC.) OF N�T, THE GFANTING OF A PEflMIi UOES NOT PRGSUME TO <br /> '— GIVE AUTHORITV TO VIOLATE OR CANCEI TH[ PROVISIONS OF <br /> — �1NY OTHER STATE OR LOCAL LAW HEGULATING CONSTRUCTION <br /> C(iTHEPERFORMANCEOFCONSTPUCTION. <br />' SUOTOTAL __�� � <br />� PERMIT E <br /> TOTALFEE S "� /' 7/�/77 � <br /> �/,�,� ,/� ��r__ <br /> IGNATUREOFCO T ACTO ORAUTH.AGENT DATE <br /> SIDE VARO SETDACK STflE;S;FT�ACK REAR VAfl�SEI'DAC PLAN CHECK NUMBER PLAN CHECK FEE I <br /> � 77/233 FEE ���• �a RECC:PT NO. <br /> I USEZONE LOTAREA VACyANTSITE aa92� <br />� �"'1 ❑TES ❑NO FEES VALUATION FEE <br /> I TVPE OI' CONST. OCCUPANCV GROUP uN'OS O�lELIING � <br /> I V'�t II�� Z;g10����Q ' �. � <br /> I� 512E OF BLOG. NO.OF STORIES MA%.OCG L040 BUILUING S <br /> iGS�X7U� 1 PLUMBINO J�� � <br /> FIREZONE OASEMENT FIFESPRINKLEflS � <br /> REt)UIRED � .�'' I <br /> 'r) ❑VES CdNO MECHANICAL I <br /> SPFC�AL CONOITIONS: OTHER � <br /> I <br /> PENELTY SEC.3031a) � <br /> TOTAL . 1• :. .� i <br /> PERMIT VALIDATION � <br />� WHENPROPERIYVALIDATEDIINTHISSPACEITNI5ISVOURPERMIT . <br /> qPPLICATIONACCCPTE�9Y: PL�NSCNCCN[DBY. /�AOV[OPopI:SUANCEBY�. i <br /> V �� '�.i�. <br /> I I <br /> I n 1 <br /> I <br /> � <br />