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i , <br />, �:�, . ,., <br />� everett <br />� CIiYNFLL J59FAB5 <br />� tVFfl(II, WqSNINC�OL <br />qav:i <br />�III'1 Uf [pR'A'llyliY <br />� �,�,,f���„�,. <br />O�WyN,E�F, /� /��� <br />l�f �i.L �+f� <br />ARCHITECT OR OESIGI <br />GENEflALCGNTRAGTG <br />IMECHANIGALCONTRA <br />I � � <br />BUILDING <br />❑ BUILUING � PLUMBING �MECf1ANILAI <br />VALU/�iIOIJ OF KOqK <br />[:F.`-CP.iH� NiORK <br />aslntt 3} 'boor � �qt; <br />PFOPO'.fU VSE <br />LEGAL DESCRIFTION OF PR[if'ERTv ISHGW 6E <br />FOUq CCPIES) <br />LOT BLOCK_nF <br />JOB AOD(iE55 <br />PLUMBING <br />V TRAV <br />19x�J'. <br />• SUf <br />PEF <br />TOl <br />REET <br />SPECIAL CONDITIONS: <br />;�� <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />PtUMBING <br />NSE NO. <br />OF WOqK <br />❑NEW ❑ADDITION ❑ALtEqAT10N ❑REPAIR <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SW�MMIN[', POOI <br />LOW OH A <br />MECHANICAL <br />AIRCONO. VNIiS-M.P. EA. <br />REfRIGERAT:GN UfJ115� H.P. EA. <br />ROILEAS- HA EA. <br />GA$ FIRED A.C. UNITS-TONNAGE E! <br />�ORCED AIR SvSTEM&-A.T.U. M EA. <br />`NALL N6ATEflS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />EVAPORATIVECOOLERS <br />CLOTNESDRVERS <br />VENTILATION FAN <br />ill+NGE HO00 <br />Alq HANOLING UNIT- C.F.M <br />INCINEFATOR <br />everett <br />fYi/ • <br />� <br />W <br />� _ SV9TOTpL S � <br />PERMIT S <br />TOTAL FEE £ � <br />TNIS PERMIT BECOMES NUIL AND VO10 IF WDFK OA CONSTRUG <br />TION AUTHOFIZEO IS NOT COMMENCED WITHIN 120 OAVS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO fOR !� <br />PEPI00 OF 1.'0 DAVS AT ANV TIME AFTEfl WORK IS COMMEHCED. <br />I HEitEBV CEFTIFV THAT 1 HAVE R[AD AND EXAMINED THIS AP <br />PLICATIOiJ AkD KNOW THE SAME TO BE TRUE AN� CORRECi. ALL <br />PADVIblO�'S Of LAWS ANO ORDINANCES GOVERNING THIS TYPE <br />OF WORK WIIL BE COMPLIED WIT{i WHETHEF SPFCIFIED HEREIN <br />OF NOT, TNE GRANTING OF A PERMIT OOES f.OT PRESUIdE TO <br />GNE AUiHORITV TO VIOLATE OR C/�NCEL 7NE PfiOVI5tON5 GF <br />ANY OTHER STATE OR LOCAL LAW FEGVLATING CONSTPUCTION <br />Ofl TMEP[F60RMANCEOFCONSTRUCTION. <br />x � <br />SIGNATUREOFCONT�IACTORORAVTH.AGENT DA E <br />?ARYARDSETBAC PLANCHECK NVMBER PLANCMECKFEE <br />FEE RECEIPT NG. ' <br />OCANT SITE . <br />❑YES ❑NO FEES VALUATiON FEE <br />).OF DWELLING <br />JITS � <br />I <br />�%.000. LOAD BUILDING s � <br />1 <br />RESPRINKLEFS PLUMBING ; <br />�VIRED bIM <br />❑YES ❑NO MECHANICAL � r�� <br />OTHER � <br />I <br />T <br />PENELTY 5'.-C.3031e1 I <br />TOTAL = �� <br />PERMIT VALIDATION � <br />WHEN PROPERLY'.'pLIDATED IIN TIiIS SPqCE17Hl$ I> VOUIi PCH�; 11 <br />!� <br />s <br />