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./��i Gi.�. .�.rr� I <br /> l . <br /> ; ��,� �� CONSTRUGTIQN everett ' <br /> I eVeTett PERMIT <br /> � Oiv q411 ::9flP.At <br /> fYlq[11.W4.�1'iHLIOM <br /> 9P2"I <br /> °�°' °`�°"�°�"r gUILDING MECHANICAL PLUMBING <br /> :E,«o��„ <br /> OWN�yEF,.�y� MAILA�O�FE�55 21P PMONE <br /> I AFCMI��TEs'O OESIGNEF � � �MAILADD`RESS r�� �E LIGENSE NO. ��" <br /> �Sr�0�0�l5�'� 8 �J�i t�.'ds 1�r� .��' '�3 <br /> GENEPALCONTRACTOR MAILADORESS n�P�HONE LICENSENO. <br /> � � � � � ��W <br /> � MECNANI�,..LCONTRIICTOR MAIL ADDRES$ PMDNE LiCENSE NO. <br /> PLVMBIN6CONiRACTON MAILADDRESS AHONE LICENSENO. � <br /> W <br /> m <br /> � PEflM1T CLASSOFWOAK � <br /> � Z <br /> �OUILDING �PLUMBING �MECHANICAL F <br /> ❑NEW ❑ADDITION �Y�LTEpAtiON ❑AEPPIR � <br /> VALUATION OP WORK � <br /> ' S?�j �yy� M ❑DEMOldSH ❑FENCE ❑SIGN ❑SWtMMING POOL a <br /> ����ir�w <br /> OESCRi9F WORK �^^� <br /> ' +.�� ^�s V L <br /> Pr�oPoseo use MECHANICAI. <br /> TYFEOFFVEL �OI� �Nl+T. ��PG. �ELEC. <br /> LCGnL UE:CR�PTIDN OF PROPERTY ISHOW 9ELOW Ofl AT7ACN GAS <br /> FOU1R C�'tP CSI �A� <br /> �oi+-�^�' n�oCK"��_OF � NO. _ T�PEOFEOUIPMENT fEE <br /> — AIP COND.UN'TS-H.P.EA. � 1 <br /> I FEf RIGERATION UNITS-M.P. EA. <br /> i POILEiiS-IIA EA. I <br /> � GAS FIPED A.C. VNITS--TONNAGE EA. <br /> FORCEO AIR SVSTEMS-B.T.V. M EA. I <br /> JOf3 AOOFF55 WALL HEAiERS-B.T.U. M <br /> �'t','� UNIT HEAiERS-B.T.U. M I <br /> EVAPORAiIVECOOLEHS <br /> PLUMBING CLOTMESDFVEPS I <br /> VENTILATION FAN <br /> HANGEHOOD 1 <br /> AIq HqNOLING UNIT- 0.F.M. <br /> NO. TVPE OF FIXTURE OR ITEM FEE �NCtNEHATOa I <br /> WATERCLOSETITOILET) f <br /> AATHTUO <br /> l,1VATOHY(WASF1 9ASIN� I <br /> $IiOWER <br /> KITCMEN SINK P.DISP. SU8 TOTAL $ � <br /> DISHWASNEF PERMIT B <br /> LnUNDRv T(inv 10TA1 fEE S I <br /> CIOlHES WASHER THIS PGRMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC <br /> WATER NEATEN TION AUTNORIZED IS NOT COMMENCEU WITHIN 12D CAVS, OR IF <br /> URINAL CUNSTRUCT�ON UP WORK IS £USPENDED OR APANDONED FOR A <br /> �tiINKIIJG FOVNTAIN PEiilO� OF 1:0 DAVS AT ANV TIME AFTER WORK IS COMMENCED. <br /> fLOUR-SINK OR DRAW � HERERV CERTIFV THAT I HAVE PEAD AND EX/aN.INED THIS AP <br /> VACUUM BREAKERS � PLICATION AND KNOW TME SAME TD AE iFU[AN�fOf-.RECT. ALL <br /> ROOF�ORAINS-NAINLEADEPS PROVISIONS OF L�WS AND OR[IINAM10ES GOVERIv111G TH�S TVPE <br /> OF WpRK WIL1. fiE COMP{,IED WITH WHF.THER SPECIFIED HEREIN <br /> SINK (SERVICE-B(�R,ETC.) OF NOT, TNE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> — GIVE AUTHOPITV TO VIOIATE OR CANCF_L THE PROVISIONS OF <br /> laNV OTHER STaiE �R LOCAL LAW REGULATIIJG CONSTRUCTiON <br /> Ofl 1 HE PEfiFORM4Nl'E OF CONSTRUCTION. <br /> SVB TOTAL <br /> iENMiT t <br /> TOTALfEE S ��� <br /> X <br /> SIGNATURFOFCONTRACTORORAUTH.AGENT OAT[ <br /> SI�EYAADSETBACK STREETSEiBACK REARVARDSET6nC PLANCHECKNUMBER PLANCHECKF[E <br /> �� FEFy� � RE4�It��do. <br /> USE ZONE LOT AREA VACANT SITE Z���Q�� �`� "'�` <br /> :I►� OVE9 C]NO fEE6 YALUATION FEE <br /> TVPE OF CONST. OCCUiANCY GROUP VNITS OWELLING ' <br /> SIZF OF BLOO. NO.OF STORIES MAX.00C. LOAD BUILDIN6 � � � �yy <br /> PLUMBING � <br /> �I�IPtl20NE 9ASEMENT FIRESPRINKLERS <br /> i REOUIRED <br /> ❑YES ❑NO MELHANICAL � <br /> � SPECIALCONDITIONS: OTHEfl � <br /> PENELTY SEC.3031�) � <br /> TOTAL � j(Xy` <br /> PERMIT VALIDATION <br /> WHEN PROPEFlLY VALIDATED (IN THIS SPACEI THIS 6 YOUR PEf1M1111 <br /> nW1.IfrlilUflPCCWTEOBY oLAN501 08Y FPF110VE�f� Ifi$UANCF�Y. <br /> 1 <br /> 0 � <br />