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( � <br /> aTv oF t�RErr <br /> CONSTRUCTION <br /> (425J 257-8810 PERM IT <br /> P�rwit Numb�it R58958 ADDRESS lILS copy <br /> S�PA Nusb�ri <br /> I��u� Dat�: 06 OB 9B <br /> Job Addr���� 57 3 R0110NA7 <br /> Own�r T�nant 1lrchitect/D��iqn�r <br /> 7119C OONSTRUCTION <br /> PO BOX 14027 <br /> =VLR6TT MA 9B2U6 <br /> XX <br /> G�n�r�l Contractor Plumbinq Contrector N�chanical Contractor <br /> ROHINSON PLUMBING <br /> 607 SS 6W'RETT NALL W11Y <br /> SVERBTT MA 98208 <br /> 355-6171---- <br /> ROBINP272C2 <br /> Typ� of P�rmits SPRINKLER Cont�ct Pe[�on <br /> N�atinq Sy�t�ms NONB <br /> NSBC Cod�t <br /> D��cription of F1ork: SPRINIU.SR/12 HE71DS <br /> Iwqal D��crlption/ <br /> Prop�rty IDi <br /> Con�ErueEion L�ndurs <br /> Propo�W Ue� of Buildf.ng. SINGLE FAMILY RESIDENC& <br /> t���S��ti��i�ftLllYT6ifti�ifi�f�SiIIiRtifE�sL��tiii6<zii6i�tEi!liii6Zl�ZEiiii6iiisiiiEC <br /> PLUISBING MECHANICAL <br /> Qty Typ� of Fir.ture Fnr. Qty Type o: Equipmant Fee <br /> Sub Toteil Sab Totel <br /> i��ttiis�iQfiiiiii�lCCR��I'tiittftSS�LLG�Cs66i1EilCC¢QtitS<sCli�tiiiLsffttfifzs�fiitiC� <br /> SBTBACK FOOT7ICB C�CCUPIINCY Vacant Sito? TYPB OF CONSTRUCTION <br /> Frant 0.0 Load No. Dwelling unit�s Alloweblo: <br /> Re�r 0.0 Oroup R-3 Sis� of Bldq: Actual� <br /> Sidel 0.0 ! Storie� Size of Gars U�� Zona� <br /> Sldo2 0.0 Ba��ntt H�ight Limit: Fir� Sprinkl�r Raq'd? <br /> Lot Sc R�e�on For Fir� Sprinkl�r�s <br /> R�modal Szs Fire Alarm Req'd7 R�a�on For Fir� Alarms <br /> --------------'---'-----'------------------------------------------------------------ <br /> Plan■ Approved By: TL Plan Ch�ck Receipt No� Fee: 20.00 FEE <br /> Ffi& TYPES PERMIT VALUATION <br /> Buildinq <br /> Plumbinq <br /> Mechanical <br /> Sprinkler 40.00 <br /> Other <br /> City of Bverett Local St. Bldg. surcherqe <br /> 3alee Tax Code ie 3105 Public Worke <br /> Additional Plan Check Fee <br /> TOT71L 500.00 <br /> FE6S PAID AT SUBMITTAL <br /> Parmits expira if work not commenced within 180 de:ye or cesees more than 180 daye. <br /> _ ,;, �v <br /> _� u: " ��ga <br /> � �U�a� , , <br /> �.; . <br /> :,C, t ` 1'r r, <br /> � '.�� <br /> ���' � R 58958 <br /> � f�f(�. <br />