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i <br /> � <br /> i <br /> i t1�2 L rCrqr;lC�l I , <br /> =,T,. oF CONSTRUCTICIN ev�rett � <br /> everett PE�MIT � <br /> C�iYN4LL }:9E6P5 I . <br /> fVFaETi,W45Ni4f,iC!I <br /> 96}pi I <br /> "" °"`""°""" gUILD1NG MECHANICAL PLUfJlBING <br /> J[VElO�'NLYi <br /> ON'NER MA�L ADORE55 ZIP PMONE <br /> I C�eralci n. x�}D 5669 IIroaS�aay �vozvti 93203 3�5-3? �1 ?'11-7; <br /> AFCHRECTOHDESIGNER MAILADDHE55 PHONE LICENS[ fc0. I <br /> GERALD B. KOLB <br /> GENERALf.ONTqACTOR MAILADORE55 PHONE LICENSENO. � <br /> MECMANICALCONTRACTOfl MAIL ADDRESS PHONE LICENSE NO. I � <br /> 1 <br /> PLUMBING CONTRACTOR MAIL ADORESS PHONE LICENSE NO. � ' <br /> W <br /> m <br /> PEHMIT CLASS OF WORK � <br /> Z <br /> ❑BUILDING �PLUMBING �MECHANICAL � <br /> ❑NEW ❑ADDITION ❑ALTEflATION �REPAIR � <br /> VALUATIONn OF WORK <br /> 5 S'JO�yO ❑DEMOLISH ❑LEHCE ❑SIGN ❑SWIMMING POOL V �i <br /> a <br /> OESCRI9E WOqK � <br /> rca-roo! c�ry�ositior� 2$�S <br /> PPOPOSED USE <br /> MECHANICAL <br /> LEGAL OESCRIPTICt:vF PROPERTV ISHOW 6ELOW DR ATTAGH TYPE OF FUEL �DIL �G^S. QLPG. �ELEC. <br /> POUR COPIESI <br /> I LOT ULocK_OF _NO. TVPEOFE�UIPMEN7 FEE <br /> �e�!t q �w� Alq CONO. UNITS-H.P. EA. S I <br /> �ieC• OS aqr f� AV4 S �EFqIGERATION UN�TS-H.P. Eq <br /> 901LEF5-N.P. @A. � <br /> 2,�A1� GAS !1 RED A.C.UNITS-TONNAGE EA. � <br /> FOf10ED AIR SVSTEMS-O.T.V. M EA. � � <br /> JOA ADfI{iE55 —" W 4lL HEFTLRS-B.T.U. Id ' <br /> :;50� �zUs3vay uNiT ��EnrEas-e.r.�. M i ' <br /> � EvnvoAnrivEcoo�eas __ , <br /> PLUMBING c�or�ies onveas i <br /> VENTILATION FAN �— <br /> RANGENOGO I I <br /> NO. TVPE OF FIXTURE OR I7EM FEE �+�n MANULING VNIT- QF.M. I <br /> WATER CLOSET(TORETI s WCINERATOR � <br /> �ATNTUB <br /> IAVATORV (WAS/i OASiNI � <br /> SHOW[R <br /> KITf.HEN SINK R DISP. SUB TOTAL 5 � <br /> DIiHW�SHER <br /> PEflMIT 5 <br /> LAUIJDRY �qqV <br /> CI.OTHf;WASHER TOTALFEE 5 � <br /> — ----� THIS PERMIT BECOMES NUL� AND VOID IF WORK OR CONSTRUG <br /> __ WnTFR HfATER TION AUTHORI2ED IS NOT COfdMENCED WITHIiJ 127 OAVS, OR IF <br /> VRINPL CONSTRUCTION OR WORK IS SVSPEN�ED OR A�AI:OONED FOR A <br /> OqINKIWO ppUNTAIN PERIOD OF 170 DAVS AT ANV TIME AFiERLYOflK ISCJMMENCED. <br /> F�pOF-SINK OR �qqlN I HEFEBY CERTIFV THAT I HAVE READ AND ExlMINE� 1H15 AP� <br /> VqCVUYI BR[/.KERS PLICATION ANO KNOW TNE SAME TO�E TIiUE l�NU CORRECT. ALL <br /> ROOF !JpqliVS--RAINLEAOERS PROVISIpNS OF LAWS ANO ORDINANCES GOVEfiNING THIS TVP[ <br /> OF \NOFK WILL BE COMP�IED WITH IYHETHEfl SPECIFIED HEfiE1N <br /> SINK ISEP4ICE-BAR,ETC.) Ofi NOT, THE GRANTING OF H VERMiT DOES NOT PRESUME TO <br /> �- GIVE AVTHOFITV TO VIOLATC OR CPNCEL TNE PROVISIONS OF <br /> AN'! OTH@R STATE OR LOCAL LAW REGVLATING CONSTRUCTION <br /> — OR THE PERfORMANCE OF CONSTPUCTION. <br /> SUBTOTAL <br /> TOTAL FE[ $ U���J�7�J <br /> x <br /> SIGNATUR[OFCONTRACTORORAUTH.AGENT DM[ <br /> SIDE VANDSET6ACK STNEET SETBACK FEAR VAROSETBACK PLANCHECK NUMAER PLANCNECK FEE <br /> FEt qECE1PT NO. <br /> USL ZONE LOT AREA VACANT SITE . <br /> ❑vE5 ❑NO FEES VALUATION FEE <br /> TVPE OF CONET. OCCUPANCV GROUP NO.OF OWELLING <br /> UNITS � <br /> SIZE OF BLOG. NO.OF STORIF.S MA%.00C. LOAD BUILDInG $ SOO�OA S� QQ <br /> F'�UMBING � <br /> �IFE ZONE BASEMENT FIiiESPAINKlERS <br /> RE4UIRED <br /> ' ❑VES ❑NO MECHANICAL � <br /> SPECIAL CON�IIIONS: OTHER � <br /> — I <br /> FEN[LTY SEG.J031e1 I I <br /> TOTAL ' �� <br /> � I <br /> PERMIT VALIDATION <br /> W HF.fv PROPEiiLV VALI�JATED (IN THIS SPACE)iH15 IS YOUIi PEHMIT <br /> I411+��/�TIO;1hCC[Pi[ppY' PIqN$CN[CREOOYt pPPpOVC��OBL'-0/�NCL�V. <br /> • � <br /> I a � <br />