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'hr. Evcrvi��en <br />��T�a� CONSTRUCTION <br />ev�rett PERMIY <br />CIIY NPU 159 6Bfi5 <br />CVF nf t t. 1YAl.�IINGifIN <br />9A101 <br />"`°' "`°"'",°°"" BUILDING MECHANICAL PLUMBING <br />OEVELOPM1'[Hf <br />NER �/� MAIL AODRESS ZIP �{� PHO <br />1!i?,�;�� �lL'���.'!����iJ 7�%.W ��i.'.�S .�%ii� �'.► y-..u��7F �G4 <br />�UILDINC ❑PLUMBING �MECHANICAL <br />l0T OLOCK <br />J06 AUDRESS <br />PLUMBING <br />R <br />SPECIAL CONDITIONS: <br />MAIL <br />'aah;3LD �z:L'or��D <br />.';•fr•'(t�-a:"'�e tliki <br />STRE <br />mNEW ❑ADO�TION ❑AL.TERATION ❑r7EPAIR <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />MECHANICAL <br />LOW OR A <br />AIR COND. VNITS-H.P. EA. <br />REFRIGERATION U":I f5-H.P. EA. <br />DOILERS-H.P.EA. <br />GAS FIRLD A.C. UNITS-TONNAGE EG <br />FORCED Alq SVSTEMS-�.T.U. M EA. <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-D.T.U. M <br />EVAPORATIVECOOLEPS <br />CLOTNESORVERS <br />VENTILATION FAN <br />RANGFNOOD <br />AIN HANbLING VNIT- C.F.M, <br />INCINERATOF <br />S <br />everett <br />Ar53-7G <br />� <br />W <br />m <br />� <br />� <br />Z <br />H <br />� <br />� <br />W <br />a <br />1785 <br />1 <br />1 <br />I <br />_L _ SUB TOTAL 5 � <br />PERMIT 5 <br />TOTALFEE 5 I <br />TIi15 PER�11T BECOMES NULL nND VOIo IF WORY, OR CONSTRUC- <br />TION AUTIiORIZED IS NOT COMh1ENCED IVITHIf� 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENOED OFi AUANDONED fOP A <br />PEFI00 OF 120 DAVS AT ANY TIME AFTER WOqK IS COMMENCED. <br />I HEFEBV CERTIFV THAT I HAVE READ AND EXAM1IINED THIS AP� <br />PLICATION AND KNOW THE SAME TO OE TFUE AND CORRECL ALL <br />PROVISIONS OF LAWS AND OfiDINANCES GOVERNING THIS iVPE <br />CF WORK WILL �E COMPLIEO WITH WHETNER SPEGFIEO HENEIN <br />OR NOT, THE GRANTING OF A PERAIIT DOE$ NOT PHESUME TU <br />GIVE AUTHORITV i0 VIOLATE OR Cl�NCEL THE P30VISIONS OF <br />ANV OTHER STATE OR IOCAL LAW FEGULATING CONSTRUCTION <br />OR THE P[I:FORMANCE OF ('ONSTRUCTIO�J. <br />� <br />ACAf �T SITE <br />❑VES ❑NO <br />NCHECK NUMDER <br />FE[ <br />AG <br />pATE <br />:CK FEE <br />RECEIPT NO. <br />FEE <br />OCC.LOAD BUIL�ING 5 �i��� ��� <br />PLUMBING ' � <br />iPRINKLGRS <br />IREO <br />ES ❑NO MECHAflICAL I <br />OTHER � <br />I <br />PEN�'LTY SEC.30310) I <br />l <br />TOTAL �I. j (� <br />PERMIT VALIDATION <br />WNEN PROP[RLY VALIOATED (IN THIS SPACE) THIS IS VOUR PERh11T <br />