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� <br />tlrr Evcrgrer,�i �+/�nt �j �+Y p� <br />cirv or- 1�1..�:�RSTll�lr 1 ��1�� <br />everett PERMIT <br />❑�. u�LL 159RP.,�. <br />[VEP[iL IvnsIlR�Ll�lq <br />�em <br />o�r�.nrr.nr.mwNnv BUILDING MECHANICAL <br />ucvunrraerrt <br />OWNEfl Ml�IL Af)�RLSS r�P <br />�,�.,.-�. t.��%.�?�'��`i� h'� .. ', t-r'" ��°L <br />5. <br />ARCHITECT OH DESIGNEF MAIL <br />f7FNERALCONTRACTOR MAII <br />:'f!�i���! ���:>A ♦ <br />MECFIANII,ALCUNTRACTOfl MAIL <br />PLUM�ING CONTRACTGR MAIL <br />7ir)�r iJ �i� i�-+~Y] <br />PERMIT C�� <br />� DUIL�ING � PLUMOIN(i ❑ MECIIANICAL <br />Vl1WATIGfG O(- WORK <br />s <br />r-oup cories� <br />LOT �LOCK— <br />J03ADORE55 �y�Nr��•�� -,�-�y'Aµey <br />,4R�. � i <br />PLUMBING <br />L <br />u <br />�i <br />SPECIAL CONDITIONS: <br />E- <br />ev <br />PLUMBING <br />lL•� <br />�NEW ❑�DDITION ❑ALTERATION ❑REPAIii <br />❑�EMOLISIi ❑�ENCE ❑SIGN ❑SWIMMING POOL <br />MECHANICAL <br />TrNcor-ri!E� poi� ❑c"ns. [�t�� <br />nc�i <br />NO. � TYPE OF E�UIPfJIENT <br />qIR COND. UNITS—H.P. GA. <br />fl[FRIGERATiON UNITS—M.P. FA. <br />BOILEflS—N.P. FA. <br />GAS FIFED A.C. UNITS—TONNAGE EA <br />FORCE� Alfl SVSTEMS-6.T.U. M EA. <br />WALL HEATERS-6.T.U. M <br />UNIT HEATEPS-6.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHESDRVEFlS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT— C.F.M. <br />evei•ett <br />'LC c:r7 <br />F. `.'� 'LG <br />?,.c�6ir�dG <br />5 <br />� <br />W <br />m <br />� <br />� <br />z <br />H <br />� <br />� <br />W <br />a <br />U9�5 <br />I <br />I SUB TOTAL 5� I <br />PERMIT 5 � <br />TOTAI FEE 5 I <br />THIS PEFMIT BECOMES NULL AND VOID IF WURK OR CONSTRUC- <br />TION AUTNORI2ED IS NOT COMMENCED WITHIN 120 �AVS, OR I� <br />CONSTRUCTION OR WORK IS SUSPENDEO OF: PBANDONED FOR A <br />PER100 C� 120 DA�S AT ANV TIME AFTEF WOflK �5 COMMENCED. <br />I HERE�Y CERTIFV THAT I HAVE REAO AN� GXAMINEO THIS AP� <br />PLICATION AND KNOW THE SAM11E TO E3E TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE <br />OF WORK WILL BE COMPLIE� WITH WHETHEF SPECIFIEO :�[REIN <br />OR NOT, THE GRANTING OF A PERM1IIT DOES NOT PRESUM[ TO <br />GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS JF <br />ANY OTHER STATE OR LOCAL LAW REGVLATING CONSTRUCTION <br />Ofi THE PERFORMANCE OF CONSTFUCTION. <br />T�ACK�P <br />❑VES ❑NO <br />CK NUMF3ER <br />FEE <br />FEES <br />PLAN CHECK FEF. <br />RECEIPT NO. <br />TION FEE <br />DCC.LOAO 6UIL�ING 5 � <br />PLUMBING � � <br />IPFINKLEFS ' <br />IRED MECHANICAL I <br />ES ❑NO <br />I <br />OTHER � <br />PENELTY SEC.3031a1 I I <br />� � � <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALI�]ATED UN THIS SPACEI'HIS IS VOUR PERMIT <br />C� <br />7 <br />