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llry� /�vPrq�CP�r <br />�,,, .,� <br />everett <br />1 v� �1411 .�'�Y:9• <br />l NI �� '�i<.��i4��.tiiN <br />p`;al <br />�.t,: �„,�,�,a,�v,�. <br />IIIv1�LVA4x1 <br />JNE 1i <br />�'f��.i� T�2 :t� .. . , ' � <br />BUILDING <br />n.tr. .z,,. T�.,..�, . ,.,,,:,r.Y <br />IANIGALCONTRACTOR <br />�� <br />i01NG CONTRACTOR <br />���M <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />c .-•^�- . ., , n <br />r�6 �mo x�.n �. s.��. <br />AIL AODRESS <br />AIL ADORESS <br />PLUMBING <br />L NU. <br />1�.[U <br />� <br />❑�UILDING �VLUMOINf �MEd1ANICAL �NEW ❑l�OOITION ❑ALTEfiATION ❑RCPAIR <br />VAWATION OF WORK <br />s y�L�.M ❑DEMO11511 ❑IENCE ❑SIGN ❑SWIMMIN(iP001. <br />JJ '7�M <br />OESCRI9f WORK <br />r�'i^.ti'��i �i�iti;' Rltmx :T' �j�7K'T� <br />PFOPOSEO USE MECHANICAL <br />^i�fZL*'!K'F' _ __ _ — <br />TvvtofruFi �o�i �NnF. �]i.rc. <br />LEGn CRIPTION OF PROPE TV ISHOW OELOW OP I�TTACM GAS <br />FOUR�E51 �t� (!]'j!'�! — - <br />N0. TVPE OF EOUIPMENT <br />lOT OLOCK_OF. --- AIpCOND UNITS HP E11 <br />JOB AODiiEuS <br />IJ7 9�'3 �� ^. PLnCI' <br />PLUMBING <br />KITCH <br />DISI�W <br />LAUNI <br />�� <br />� �r. <br />SPECIhL CONUITIONS'� <br />/.1'�'Iun�wyn��11�1lf1PY PLl�NSCIIfCFII <br />�' T� � <br />RFf RIGERMION UNITS NP. E11. <br />❑OILEfiS HP. EA. � <br />_� Gl�SfIqEOAC.UNITS-TONNAGI <br />fORCED Alfi SVSTEMS O.T.U. M <br />WALL NEATERS � Ef.T.U. M <br />VNITHEATERS-A.T.U. M <br />— EVAPORATNECOOLERS <br />CLOTHESOfiVEPS <br />VENTILATION FAN <br />RANGE NOOO <br />AIR IIANDLINC UNIT- C. <br />INCINEiiMOR <br />everett <br />_ l�l��i <br />f <br />0950 <br />a <br />TOTAL FEE 5� � <br />iN15 PFRMIT �ECOMES NULL AN� VOIO IP WOfiK OF CONSiRUC <br />TiON �UTHORI2ED IS NOT COMMENCEO WIiHIN 170 �AYS, OR IF <br />CUNSTRUCiION OR WORN IS SUSPENDED OR ABANODNED FON A <br />PERIO� Of 120 OAVS M ANV TIME AFTER WOfiK IS COMMENCEO. <br />1 HE(IEBY CERTIF�� THAT 1 NAVE REAO ANO EXIIMWEO THIS AP- <br />PLIC�110N ANO KNOW TH[ $AME TO 0[ TRUE AND CORf1ECT. 4LL <br />PRpViSInNS OF LAl4'S AND OfiOIN�NCES GOVEP.NING THIS TVPE <br />OF WORK WILL OE COMPLIF.� WITM WFI[TIIER SPECIFIED MEPEIN <br />Ofi NOT. 1.IE GRANTING OF A PEPMIT JOES NOT PR[SUME TO <br />GIVE AUTMpFITV TO VIDLATE OF CANCFL THC Pf10VI510NS Of <br />ANV O1HER STATE OR LOCAL LAW REGU�ATIN4 CONSTHUCTION <br />OR TIIF PCnFORMANCE OF CONSTf1UCTION. <br />/ <br />X �� - '' .�; io <br />sicNnruneorcoNTnncror+onnui��.nctrvr unr� <br />REARv��5ET0ACKPL�NCHECKNUMOER PLANCHECKFEE <br />FEE RECEIinT} yN�O. <br />V NT':�TF. ��) ��� �L'w7 <br />�ES ❑NU � � FEGS VALUATION FEE <br />_— _"'__ __.- _. _—_— _ .__—r_ <br />Es <br />II Iflll 1'.�II/�111 1 IIY <br />♦ •� <br />AUILDING S ��iqil�I �� � <br />—_ �' � <br />PWM9ING � <br />M[CHAfJICAL � <br />-- — � <br />OTMER � <br />1 <br />— _ _—�__ <br />PENLLT' `EC. JOl Inl I <br />—�__ <br />TOTAL 1'� I � <br />PERMIT VALIDATION <br />WIII.N 1'ROPF RLY VA1 IOMk f) IiN 1111 : SPnCI'1 T111; IS vOV li P[fiMlT <br />0 <br />