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tlrc fveryreen <br />��T� o� <br />everett <br />LIIY IIALL l59C055 <br />FVFFEii, KASIIINGIOX <br />eetm <br />°E°, °f °°^,^�°�°r BUILDING <br />pEVEIOCMCNi <br />NF_ R IdAI I <br />it��.N� ' l :��'.w:if. /i yi�� ..�Ii.�'. <br />F <br />:3!!L <br />M <br />❑BUILD�NG ❑PLUM6IVG ❑M[CHANICAL <br />VALUATION OF WOFK <br />52����' <br />DESCRIBE WORI( <br />;'t1E ixt aximio�a �• oCai�t Y'` 2',+ <br />PFOPOSED USE <br />,�� os� <br />LEGAL DESCRIPTION OF PROPERTV ISIIOW �E <br />FOUR COPIE5) <br />LO� BLOCK — OF_ <br />' �T3'i.a .:-.ri:T �..7�+� ,�t <br />j7'�'�`�'y " ... ����i. '+a,`% <br />PLUMBING <br />Fi <br />i�] <br />SPECIAL CONDITIONS: <br />EET <br />l�IL <br />GONSTRUCTION <br />PERMIT <br />MECHANICAL <br />PLUMBING <br />L• <br />❑NEW ❑ADDITION IJAI.TERATION ❑FEPAIR <br />�]DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />.(.'d2J at.j� �.'-'1'�+� <br />I MECHANICAL <br />TTACH <br />AIR COND. UNITS—H.�. EA. <br />REFRIGEflATION UNITS—H.P. <br />BOILEFS—HP.EA. <br />GAS FIRED A.C. UNITS—TONN <br />FORCEO AIR SVSTSAIS-6.T.U. <br />WALL HLATERS—B.T.U. <br />UNIT HEATEftS—�.T.U. <br />EVAPORATIVECOO�ERS <br />CLOTHESDPYERS <br />VENTI�ATION FAN <br />9NGE HOOD <br />AIR HANDIING VNIT— <br />INCINERATOR <br />everett <br />2355 <br />2 <br />W <br />m <br />� <br />� <br />z <br />f" <br />- I � SUB TOTAL SI I <br />PERMIT c�--T— <br />I <br />TOTAL FEE 5 I <br />THIS 1'Ei1MIT BECOAIES NULL AND VOID IF WOPK OR CONSTRUC- <br />TION AUTHORIZED IS NOT COMMENCEO WITHIM 720 DAVS, OF IF <br />CONS7RUCTION OR N'ORK IS SUSPEN�EO OR ABANDONEO FOR A <br />PERIOD OF 12D �AVS !�T ANV TIMC AFTLF WORK IS COMMENCED. <br />1 HEREBV CEFTIFY TFIAT I NAVE READ AND E%AMIN[D THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TftUE AND C7flflECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TVPE <br />OF WORK WILL BE COM11PLIED WITN WHETFIER SPECIFIED HEREIN <br />OR NOT, THE GftANTING OF A PERMIT DOES NCi PRESUME TO <br />GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE Oft IOCAL Ll�W REGULATING CONSTNUCTION <br />OR TI1E PEflFORMANCE OF CONSTRVCTION. <br />" 1-:_1 <br />SIGNATUHEOF <br />3AR VARDSETBACK PLP.N CHFCK NU <br />4CANT SITE <br />❑YES ❑NO FEES <br />:;i✓\ U�Y'i�", <br />✓ i_ - _ <br />fRACTORnqF.tl'f.i.AGENI DATE <br />q PLAN CHECF FEE <br />FEE RECEIPT NO. <br />VALUATION FEE <br />_ I <br />MA%.000. L0/1D eui�oiNr, s 2�(%�i�0"� 'w"J � <br />PLVMBING � <br />FIRESPRINKLERS � <br />FEQUIRE� � <br />❑VES ❑NO MECHAPJICAL � <br />OTHER I <br />I <br />PENFLTV SEC.3031a1 � <br />TOTAL � !',�: <br />PERMIT �'ALIDATION <br />VdYEN FftCPFflL� VALIUATED IIN THI$ SPACE) THIS IS � OUR PEIiMIT <br />/Fn Cnp ISSi1nNf.E tlY. <br />�'.�: � <br />0 <br />