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���,� E���,�,�����„ CONSTR UCTION <br />�„Y�� �ERn�iT <br />everett <br />CITY IiALL 259�H1AG <br />ever��rT,wn �ezo� CONiBINATION • BUILDING • MECHANICAL • PLUN�BING <br />OWNER MAIL AODHE55 ZIP PII(�Nli <br />I,tiiicc 0 isun G':�2 ; Bvetgrcen '.la, J:;"'D". =��-�,'��� <br />i'c_-�'u� :c�.icc Cu. "'�31 13P�th <br />HANICALCONTRACTOR <br />�COMBINATION <br />❑ DUILDING ❑ PLUM�ING ❑MECIIANICAL <br />5 1,200.00 <br />DESCftIdE WORK <br />CL'CCC LO� 'CIlCO <br />PROPOSED USE <br />Co:�r.nercial <br />LEGAL DESCRIPTION Of PROPERT <br />FOUR COPIE51 <br />LOT �LOCK—OF— <br />J06 AODFESS <br />.J� LV'C1�;1CC1: :i3�' <br />PLUMBING <br />Li <br />.i;. <br />RESS <br />.fary�ville <br />LI <br />❑NEW ❑ADOITION ❑ALTERl1TION ❑R[Pl��R <br />❑OflMOLISH ��ENCE ❑SIGN ❑SWIMMING POOL <br />everett <br />MECHANICAL <br />TVPE OF ENGRGV <br />6ELOW OR ATTl�QI � �qs ❑ELEC. <br />NO. TVPE OF EQUIPMENT FEE <br />AIR CONO. UNITS-H.R EA. 5 1 <br />q[FRIGEPl�TION UNITS -H.R EA. —� <br />❑OILEf15-H.P. EA. I <br />FOHCE� AIR SVSTEMS-Fi.l.U. MEA. , <br />TER SEflVICE SIZE OLDG. SUPPLY Sli <br />]EVAROSET6ACK �STRGETSETdACK REAftY <br />saecin� conioin�nis� <br />:J'I'IICNIfIflALClP1CUIIY_ Yl/�fl$Il11LKfDtlV <br />SPl�CE & WALL HEATERS - B.T.U. <br />UNIT HEATERS�-[3.T.V. � <br />EVAPORATNE CDOLEflS �— <br />CLOTH[SDRYEqS I <br />VENTILI�TION I�AN —�— <br />RANGEHO00 I <br />AIFi HANDLING UNIT- C.F.M. <br />__--- <br />� WATER HEATER �— <br />FAC.6UILLFIqEPLACE & CHIMNEY I <br />GAS. SVSTEM: NO OP OUTLETS �— <br />_ _ _"--'" � <br />SUI7 TOTAL 5 I <br />P[RMIT 5 <br />TOinL FEE 5 I <br />THIS PFI3MIT II[COtdES NULL AND VO10 IF WOf:K OR CONSTRUC <br />TION AUTHORI2LO IS NOT COMMENCED WITHIN 120 DAYS, O(7 IF <br />CONSTfiUCTION Ofl WORK IS SUSPEN�ED Oli ARANDONED f-OR A <br />P[RIOD O� 120 DAY$ /1T ANv TIME I�FTEH WORK IS COMMENCED. <br />I HEHE6Y CERTIf V TIi�1T I IIl�V E REAO AND E%AMINED THIS AP� <br />PLICATION AND KNOW THE 5l�M[ TO U[ TRVE ANO CORRECT. ALL <br />PPOVISIONS OF LAWS AND OftDINnNCLS GOVERNING THIS TVPE <br />OP WORK WILI. UL COh1PLIED WITH WHETHER SPECIFI[O NEREIN <br />Ofi NOT, THE GFlANTING UF A PLRMIT OOES NOT PRESUME TO <br />GIVE AUTHOHITV TO VIOLATE OFi CANCEL TFIE PNOVISIONS OF <br />I�NV OTIiER STATE Ofi LOC/�L Ll�W HEGULATING CONSTRUCTION <br />Ofi THE PERFOf:MANCE OF CONSTRUCTION. <br />S�// . f ��l�1r/ 2 �/73 <br />TU EO�GO-N lin-G�-OTtAUTH.� DATE <br />'-NP CHECK NUMAF.R PLAN GHFCK FEE <br />FE[ �f��=CEIPTNO. <br />❑vEs ❑No � FEES I VALUATION � FEE <br />nnnx.occ.i.ono nui�oiNc s t,^_00.^0 1^ jJ0 <br />—t— <br />PWMDING � <br />FIHESPRINKLEf35 � <br />REOUIf�ED � <br />�Y�� �NQ M[CHANICA� I <br />orn�n � <br />I <br />P[NALTY SEC.3031ai � <br />I <br />TOTAL 1^ Ii;IU <br />PERMIT VALIOATION I ] j� <br />WIIkN f'fi0i'EfiLY VALIpATED (lp ��r��'nCa �(��!� �f�y����� � <br />♦ <br />t j t f <br />l <br />; �a�u� �Fc�EiPT�; <br />nl�rnpvfUrU11Pt41nY.CIOv . �1-1i�,\1� �O{/ �( 1 <br />L.C. _.. • � <br />� , <br />. n. . . . .� �j �� / U I <br />J <br />1 <br />�� <br />� <br />