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I � <br /> (,la E:i'ru:,�nn <br /> ��r� �F CONSTRUCTION everett ( <br /> everett PERI�IT <br /> crtr naii sseery I <br /> NfPFiI.W43NM6iO4 <br /> 96fi1 <br /> "`°, °"°""'""" gU�LDING MECHANiCAL PLUMBING <br /> OCVEIOMEMI <br /> I OWNEq MAILA�DRE55 21P VMON[ <br /> tL"!x?Q.' �:�L 2�lj GOL II�,. }53+6991 � <br /> Aq�;HITECTORDE5IGNER M41�l�DJREcS t'ViOpE LiCbNS[ N�. <br /> �� <br /> GENERALCOMNTRACTOR /y� MAILADORESS VHONE LICENSENO. <br /> � � WA �� �yf �� <br /> MECHANICAL CONTRACTOR MAIL ADDRE55 PHONE �ICENSE ND. <br /> PLVMBINGCONTRACTOR MAILADORE55 PHONE LICENSENO. � <br /> W <br /> m <br /> PERMIT CLA55OF NrOHK � <br /> � <br /> Z <br /> �BUILOING nP�UM8ING �MECNANICAL F <br /> ❑NEW ❑AODITION ❑ALIERATION ❑REPAIq <br /> VALUATION OF WORK � <br /> 5 �'� ❑DEMOLISII �FI!NCE ❑SIGN ❑SWIMMING POOL W <br /> DESCRIBE WOPK a <br /> �0' � � � � � � 1734 <br /> PROPOSED VSE <br /> MECHANICAL <br /> IF(iAL�ESCRIPTIONO� PqOPCqTyI511UW8ELOWORATTACl/ TVPEOFFUFL QOIL �ryqL �LPG. �"'�ELEC. <br /> FOUq COPIES) GAS <br /> � nT -- eLCCr._of � N�� n'PE OF EOUIPMENT FEE <br /> AIR COND. UNITS-H.P. EA. f � <br /> FEFqIGERF�TIOtJ UNITS�-H.P. EA. <br /> flOILERS-H.P, EA. � <br /> GAS FIqED A.C. UNITS-TONNAGE EA. <br /> FORCEO AIR SVSTEMS-B.T.U. M EA. � <br /> JO8 ADDRE55 \NALL HEATERS-B.T.V. M <br /> �ri�'.J fY"•�ll:):hI <br /> UNIT HEATCRS-p.T.U. M � <br /> PLUMBING EVAPORATIVECOOLERS <br /> CLOTHESOR�ERS � <br /> VENTILATION FAN <br /> RANGENUOD � <br /> NO. TYPE OF FIXTURE Oq ITEM FEE NN NPNDLING UNIT- C.F.M. <br /> WATER CLOSET(TOILETI s IMCII.LfiATOR � <br /> pAT1iTU8 <br /> �AVATORY (WASHBASIN) f <br /> SHOWER — -- <br /> KIiCHENS�NK &DISV. — -- <br /> UISHWASNER _ SUBTOTAL $ � <br /> LAUNDRYTRAY PERMIT S <br /> CLGTIIESWASHER — TOTAIPEE 5 � <br /> WATER IiEATER T1115 PEFMIT EIECOMES NULL AND VOI� IF WORK Oq CONSTRUC� <br /> URINAL -}---. T�ON AVTHORIZED IS NOT COMMENCED WITHIN 720 DAYS,pq IF <br /> CONSTRUCTION OR WORK IS SUSPENDED OF ABANDONED FOfi A <br /> DCINKING FOUNTAIN —� PFRI00 OF 120 DAVS AT ANY TIME AFTER WpqK ISCOMM[NCED. <br /> FLOOR-�SINY, OF OqAIN � I HEIIEf3V f.EqTIFv THAT I HAVE fiEAD AND EXAMINEO THIS AP- <br /> VACUUM 9REAKERS P��Cl.l10N AND KNOW TNE SAME TO �E TRUE AN�CORRECT. ALL <br /> ROOF OFt11N5-iiAINLEA0ER5 I PROVISIONS OF LAWS AND ORDINANCES GOVEFiNING THIS TVPE <br /> - OF WOPK WI�L EIE COMPLIEO WITH WHETHEfl SPECIFIED HEREIN <br /> SINK ISERVICE-BAP, ETC.) OR NDT, THE GRANTING OF A PEPASIT DOES NOT PR[;UME TO <br /> � �-- GIVE AUTHORITV TO VIOLATE OR CANCE� TME PF'OVISIONS OF <br /> ANV OTNER STAT[ OR LOCAL LAW REGULATING WNSTRUCTION <br /> OR THE PERFORMIINCE OF CpNSTFUCTIUN. <br /> 5 VB TOTAL <br /> PERMIT $ }-- <br /> TOTALFEE $ � ��� <br /> X L"! t'?!�'C$ <br /> SIGNAiUFEOFCON7RACiORORAUTH./aGENT DATE <br /> SIDE VARDSET�ACK STREET SETOACK REAR VARDSETBACY. PLAN CNECK NUMBER P�AN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE � <br /> ❑vEs ❑No FEES VALUATION fEE <br /> TVPE OF CONST. OCCUPANCY GROVP NO.OF DWEL�ING <br /> UNITS <br /> 1 <br /> SREAF BLDG. NO.OF STOA�ES MA%.000. LOAD BVILDING g �� �1 � <br /> �FIRE20NE �A7EMENT FIqESPqINKLERS PLUMBING � <br /> FfOUIRED <br /> ❑YES ❑NO MECHANICAL � <br /> SPEGMAL CONDITIONS: OTHER I <br /> I <br /> PENELTY � SEC.90JIe) I <br /> TOTAL r � <br /> PERMIT VALIDATION <br /> WHEN PRUPERLY VALI�ATEO (IN THIS SPACE)THIS IS YOUR PEfih11T <br /> PP�LICniIONP¢(Pi(!)�Y. PInNSCNFCKEOBY: APPqW[Uf0 ISSUPNCCPY. <br /> I. C• <br /> � � � <br />