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� <br /> everett PERMIT � <br /> LIIY IIAII }yo.gupy � <br /> EVEfIETT,IYAS�uNGiON <br /> 9A101 <br /> OEPi.apE�ElO�MENi BUILDING MECHANICAL PLUMBING <br /> OW* NEyiyi� �}��y•y,� y MAIL A�/D, DflESS ef� �+.� ZIP PHO}���NE yI�._ r� <br /> ti,�::LNJ .:.v.'i:�fi � i� �Ii S.r, �V:>�'.'.nby �4�: 3{ :�i'+ <br /> ARCHITECTOROESIGNER MAILADDRESS PNONE LICLIJSF. NO. <br /> ce�e'��'Tla�-.h�.5 2�, f*+'..L'I��t�'r��. �'A4a�F�' di��t�+�jQq �'�t^i" <br /> MECMANICALCONTRACTOFl MAILADDRESS PHONE LICENSEN(l. <br /> I t����� <br /> PLUMBINGCONTRACTOR MAILADDRESS PHONE LICENSENO. � <br /> W <br /> m <br /> PEqM1T CLASS OF WOFK = <br /> z <br /> �DUILDING � PLUMBING �MECHANICAL F <br /> �NEW ❑AD�ITION ❑ALTERATION ❑REPAIR � <br /> VALUATI O•��yy�Op(y�� <br /> 5 �!�""�w'^' ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL W <br /> a <br /> DESCRIBE WORK C`�����+�a ab-��emla��� ��� � �� <br /> a na <br /> PROPnSED USE <br /> MECHANICAL <br /> LEGAL DESCRIPTION OF PROPERTV (SHOW BELOW OR ATTACH TYo�OF FUCL �OIL �GAS. �LPG. �ELEC. <br /> FOUP COPIE5) <br /> Lo7 BLOCK_OF NU. TVPE OF E�UIPMENT FEE <br /> ;� p�./, �w �} AIR COND. UNITS-H.P. EA. 5 I <br /> �v'��i,Y iFitY � �� '��..:: CiA��lhi'�� .�f�i�� �+V1� .]� AEFRIGERATION UNITS-H.P. EA. <br /> 8011_EFS-H.P. EP. � <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> FORCED AIR SVSTEMS-B.T.U. M EA. � <br /> JCB ADOqE55 +'E�sM ���.r�+^�t�nT+n�j ;._yy WALL HEATERS-I1.T.U. M <br /> �"ML LiC�S .5pr <br /> UNIT HEATERS-B.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTHESDRVEflS � <br /> VENTILATIONFAN <br /> RANGEHOOD � <br /> NO. TVPE OF FIXTURE OR ITEM FEE A�H HAkDLING UNIT- C.F.M. <br /> WATER CLOSET(TOILETI 5 INCINERATOR � <br /> BA'fHTUA <br /> LAVATORVIWASHBASIN) � <br /> SHOWER <br /> KITCHEN SINK & OISP. SUB TOTAL 5 � <br /> DISHWASHER <br /> LAUNOflI' TflAY PERMIT 5 <br /> CLOTHESWASHEfl TOTALFEE 5 � <br /> WATER HEATER THIS PERMIT BECOMES NULL AND VUID IF WORK OR CONSTRUC- <br /> TION AUTHORIZ[O IS NOT COMMENCEO R'ITHIN 120 DAVS, OR IF <br /> Ui11NAL CONSTRUCTION Oq VJORK IS SUSNENOED OR ABANDONED FOP. A <br /> DRINKING FOUNTAIN PERIOD OF 120 DAVS AT ANV TIME AFTEfl WORK IS COVIMFNCtO. <br /> FLOOR-SINK OR DRAIN I HEREBV CERTIFV THAT I HAVE REA� AND EkAMINED THIS AP� <br /> VACUUAI �REAKEHS PLICATION AN� KNOW THE SAME TO BF TRUE AND CORRECT. ALL <br /> flOOF DRAINS-flAWLEADERS PROVISIONS OF �qWS ANO ORDINANCES GOVEP.NING THIS TVPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> SINK (SEflVICE-BAR, ETC.) �— OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO ��IOLATE OR CANCEL THE PROVISIONS OF <br /> V OTIIER 5 ATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> R HE PE FO MANCE OF CONSTRUCTION. <br /> SUBTJTAL � <br /> PERMIT 5 . ' <br /> TOTAL PEE 5 r�f <br /> (� �u(_/ '�f�76 <br /> SI A UR ONTRACTORORAUT . ENT DATE <br /> SIOE VARD SETBACK STREET SETBACK REAR VARDSET[3ACK PLAN C ECK N MBEP P}sL.4N CHECK FE[ <br /> �L} T�� L��L � ],�j� FEE £.ij��[�} RECEI��. <br /> USEZONE LOTAREA VACANTSITE <br /> ��' ��ES ❑NO FEES VALUATION FEE <br /> TVPE OF ONST. OCCUPA GFOUP NO.OF DWELLING <br /> �J � � UNITS � � <br /> SIZ'EbO; ��D;. NO.OF S�OflIES MAX.00C. LOAD , BUILDING 5 «• I <br /> V �r�� I <br /> PLUMOING I <br /> FIREZONE BASEMEN�n FIRESPRINY.�RS <br /> ; i�y REQUIRED <br /> ❑VF.S NO MECIIANICAL � <br /> SPECIALCONDITIONS: OTHER � <br /> I <br /> PE�IELTY SEC.3031a) I <br /> TOTAL �UY} <br /> PERMIT VALIDATION <br /> WHEN PROPERLV VALIOATED(IN THIS SPACEI THIS IS YOUR PERMIT <br /> avv�iCATIONACCEPTED�V: PLM'SCNFCKEDBY: A4PflOVEqFONIfSUANCEBY: <br /> r • l f �� 4• <br /> I �_ R I <br />