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■ <br />1J!e Ev�trg�er.n <br />��TYo� CONST'RUCTION <br />everett PERMIT <br />CIiY IIAII )i'1tlB05 <br />EVENCtL 1'IaSNINLION <br />9<101 <br />°E°� °�°°��^�°'°'� gUILDING MECHANICAL <br />o[vc�ori.icm <br />WNEfl MAILAODRE55 �Z�P <br />�r+ r m/� �' r,+.+: , i r��y) _...� p.- bt <br />.li:?J �.4.4�:�13�.� �.r . J'.�. ... L/j�7 . .. . .r.c . a 4W. <br />GENERALCONTRACTOR <br />......��.� L�G�.%�s'� �: �. _ � <br />AUDR <br />PHONE <br />PLUMBING <br />�' I'HONE <br />Gt�Q� <br />'ERMIT CLASS OF WORK <br />�OVILDING ❑PLUMDING �MECHANICAL <br />❑ � ❑FiEP R <br />LOT <br />❑ NEW AD�ITION ALTEHATION AI <br />)F WORK <br />���' ❑l]EMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />RK <br />J"c`a:1{{� i':? ~��4:i�1 r.n�,: „r.. <br />! M .IJ'_'• � . i�'. L ��R �..i.MJ.4 Jl -n_ 6... �. <br />�'E MECHANICAL <br />cS� �:FCTr <br />iIPTION OF PROPERTY (SHOW DELOW OR ATTACH TYPE OF FUEL �OI� �G45. �LPG. <br />� ��''?-T"`f'� j;j�'��'[j�:�, j NO. TVPEOFEQUIPMENT <br />BLOCK—OF U H P A <br />JOB ADURESS �ry� r;., �„r Q�r <br />4`?Gl.j �r �,�:.�I: !.. .. t � <br />PLUMBING <br />� <br />i <br />H <br />SIN <br />ETSETBACK <br />SPECIA� CONDITIONS: <br />VARD SETD <br />❑VES ❑NO <br />AIR COND. NITS- . E . <br />REFRIGERATION UNITS-H.P. EA. <br />601LER5-H.P. EA. <br />Gl�S FIRE� A.C. UNITS-TONNAGE EL <br />FORCEO AIR SVSTEMS-6.T.U. M EA. <br />WALL HEATEFS-A.T.U. M <br />UNIT HEATERS-R.T.U. M <br />EVAPORATIVECOOIERS <br />CLOTHESDRYERS <br />AIR HAND <br />INCINERA <br />T- <br />everetf <br />��1� <br />n <br />SUB TOTAL 5 I <br />PERM1IIT 5 � <br />TOTAL FEE �I <br />THIS PERMIT dECOMES NULL AND VOID IF WOFK OP CONSTRVC- <br />TION AVTHOFIZEO IS NOT COMMENCED WITHIN 120 OAVS, OP IF <br />CONSTflUCTION OR WORK IS SUSPENOED OF ABAN�ONE� FOR A <br />PEft10D OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENC[O. <br />I HERE�V CERTIFY THAT I HAVE READ AND EXl�MINED THIS AP� <br />PLICATION ANO KNOW THE SAh1E TO f3E TRUr AND CORRECT. /1LL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL DE C0�9PLIED WITH WHETHEP SPECIFIEft HEFEIN <br />OR NOT, THE GRANTING OF A PEftM111T �OES NOT PRESUME TO <br />GIVE AUTHOFITY TO VIOLATE OR CANCEL THG PftOVI510NS OF <br />ANY GTHER STATE OR LOCAL L�11N REGULATING CONSTRUCTION <br />OH THE PERFORMANCE OF CONSi HVCTION. <br />NUMAER <br />FEES <br />LING <br />I <br />_ y� M { I <br />JAD �UIL�ING 5 �r.�r..V 7 � <br />PLUMOINC � <br />LEflS � <br />I <br />❑NO MECHANICAL I <br />OTHER � <br />I <br />— PENELTV SEC.3031a) � <br />TOTAL � 1'1� <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS VOUR PEHMIT <br />)RORAUTH.AGENT DATE <br />PIAN CHECK FEE <br />FEE RECEIPT NO. <br />VALUATION FEE <br />nw C.� I �%r C• I +�J C• <br />0 <br />