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thc Eror,9rcen <br /> ��ryoF CONSTRUCTION everett <br /> everett PERMIT <br /> mr�iaii >•.neess <br /> !\(PII:.OASHIhf10Y <br /> � qE �� BUILDING MECHANICAL PLI.MBING <br /> ��or o< <o,,,a��„� � <br /> �[YftOvvtNi <br /> OWl:ER MAII ADDRE55 ZIP PHONE <br /> �7�I{� �.'aat 'A�3ct3e �l�,taR 2'�I5 �al`� -9"�I <br /> ARCHITf CT OR DE'..,GNER MAII AO�RES3 PHONE LICENS@ NO. ��L'� <br /> rl'- <br /> GENE �AL,:JNT`R_ACTON MAIL ADDflESS PNONE LICENSE NO. <br /> MECHA�D�RA� � � �p�L ADD� � �ONE LICENSE NO. <br /> Q <br /> PLVM6INGCONTRACTOR MAILA�DRE55 PHONE LICENSENO. {yJ <br /> � � <br /> PERMIT CLASS OF WORK -� <br /> Z <br /> I ��UIIDING ❑PWM81N6 ❑MECHANICAL � <br /> ❑NEW ❑ADDIT�ON ❑ALTERATION ❑REPAIR � <br /> VAWATI�IN OF WOHK ¢ � <br /> �y� � ❑DEMOLISN ❑FENCE �151GN ❑SWIMMINGPOO� W <br /> S •�ws'i1 � <br /> �ESCFi�f WORK �ry T�q 1 ��� <br /> � $1r� W �W �J.� •~ � <br /> PROPOSEO USE MECHANICAL i <br /> TYPEOFFVEL �OIL �G^s. �LPG. �ELEC. <br /> L[GAL OESCRIPTION OF 1'ROPERTY ISHOW BELOW OR ATTACH � <br /> roUR CoriE51 NO. 7YPE OF E�UIPMENT FEE <br /> LOT BIOCK—OF qIRCOND. VfJITS-H.P. EA. S � <br /> REf'�IGEPATION UNITS-H.P.EA. t I <br /> �O�LEFS-N.P. EA. � <br /> GAS FIfiED A.C.UNITS-TONNAGE EA. � <br /> L <br /> I _ FOPCE�l+Ifl S�STEMS-0.T.U. M EA. � <br /> JOA ADORESS WALL H[ATEFS-B.T.U. M <br /> M�1� r�IWw UNIT HEATEfiS-6.T.U. �'1 � <br /> LJf.7 W <br /> [VnPORATIVECOOI.ERS _�_ <br /> PLUMBING CLOTHES DRVEfiS � <br /> VE!JTILATION FAN <br /> RANGEHOOD � <br /> AIF HANDUNU' UNIT- QF.M. <br /> NO. 7YPECJFFIXTUREORITEM FEE iNCiNERntOR � <br /> WATER CLOi@T ITOILET) S <br /> BATNTU6 - � <br /> LAVnT0�1'���4'ASH BASIN) <br /> SHOWER <br /> KITCHENSINKbOIEP. SUBTOTAL 3 I <br /> DISNWASNER PERMIT 9 <br /> LAUNDtiY TRAY TOTAL FEE $ I <br /> CLOTNES W/>SNEF THIS PEPM�T BECOMES NULL AND VOID IF WORK OR CONSTRU�� <br /> WATEF HEATER T�ON AUTHORI2ED IS NOT COMMENCEU\Y�TMIN 120 DAVS, 0Ii �F <br /> URINAL CONSTRUCTION OR WORK iS SVSP[NDED OR AOANOONED FOfi A <br /> '-�— PERIOD OP 170 OAY$ AT ANY TIME AFTER WOFK IS GOMMENCEO. <br /> DPINKING FOUNTAIN <br /> FLOO(i--SINK OR DRAIN I HEREBV CERTIFv TNAT 1 HAVE FEAD AND EXPMINE� THIS PP- <br /> PLICATIOIJ AND KNOW T4E SAME TO LiE TRUE AND COARECT. ALL <br /> VACVUM BREAKEflS � PROVISIONS OF LAWS AND OROINANCES GOV[RNING THIS TYP[ <br /> POOF OFiAINS-RAINLEADERS OF WORK WILL �E COMPLIED WITN WHETHER SPEC�FlED HE�[IN <br /> SINK fSERVICE-DAfl, ETC.1 OF NOT, THE GRANTING OF F PERMIT OOF.S NOT PRESVME l'O <br /> GIV[ f.UTHOPITY TO VIOLAT� OF CANCEI TNE PROVISIONS OF <br /> —{ ANV OTHER STATE OR IOCAI lAW REGULATING CONSTRUCTION <br /> OF THE P[RFOFIdANCE OF CONSTRUCTION. <br /> SU6TOTAL <br /> PERMIT S �j_ <br /> TOTAL FEE _ S ��j��l� <br /> x <br /> S�GNATUREOFCONTfiACTOROiiAUTN.AGENT DME <br /> SIDE Vl�i�U SE7RACK STREET SETDACK REAP VAPOSETBAGK PIAN CHECK NUMBEfl FLAN CHECK FEE <br /> FEE FECEIPT NO. <br /> USEZONE LOTAREA VACANTSITE <br /> ❑VES ❑No FEES VALUATION FEE <br /> TVPEOf CONST. CCCUPANCV GROUP UNITS �WELlIN6 � <br /> yyy Iyy� <br /> 512E OF 6LD(3. NO.UF STORIE6 MAX.00C. LOAO OUILDING S ��M ��v�1 <br /> PLUMDING � <br /> FIREiOfVE BASEMENT FlRESPRINKLERS <br /> RfOUTAE� MECl/ANICAL � <br /> ❑VES ❑NO <br /> 1 <br /> SPECIAL CONDITIONS: OTHEfi � <br />' nENELTV SEC.H031n1 � <br /> — I <br /> TOTAL � �•',� <br /> — PERMIT VALIDATION <br /> WH[N PfiOVEfi�Y VALIDATEU (IN i1115 SPACEI THIS IS VOUFi PCNMIT <br />� — <br /> c�4'IV��liu'l��t.�tl'lif�i'.� �LnHSLNEf.KE�9Y' ��110VFOfOAiGSUANCfOV <br /> � ry.r <br />� Q <br />