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thv Er,��urr��n <br />���� �� <br />everett <br />��,�,,.,�; :.�,�,�E, <br />,; ��,r ,;Az„��:,,,��� <br />,<:., <br />OL'I ;1f COI,IUO:'IIiV <br />n[veiunr,;rr;r <br />VER <br />__� <br />.:.F�_ ..<+.� .. <br />MECHANICAL CONTF� <br />PWMe1NG CONTFl1Cl <br />BUILDING <br />CONSTRUCTION <br />PERMIi <br />MECHANICAL <br />IdH�lil <br />PHONE <br />PLUMBING <br />LI <br />�cn�.n� CLASSOf JJORK <br />QBUILDING �PLUMRING �MECHANICAL <br />�NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WOFK <br />g F.�rvn xV� ❑OEMOLISH ❑fENCF ❑SIGN ❑SWIAAMING POOL <br />l7.DM1FJifh! <br />DESCRIBE WORK �-- <br />C'Tt ^'tk � -•' f �: . . . , t:T :.;"xi2�°'i. Q <br />PROPOSED USE <br />MECHANICAL <br />TVPEOFPUE� �OIL QNAT. �LPG. <br />IEGAL �ESCFIPTION OF PROPERTV (SHOW pELOW OR ATTACfI GAS <br />FOUR��C�[OPIE51 <br />LOT j1iL— BLOCK—oF_:� � "?" �� �y '. NO. 7YPE OF EQUIPMENT <br />f._ <br />J09 AODRE; <br />PLUMBING <br />I IJ <br />ATO R Y (1 <br />WER <br />NEN SIN <br />IWASNEF <br />N�RY TR <br />TIiES Wl�' <br />ER HEAT <br />AIR CONO. UNITS-H.P. EA. <br />REFRIGERATION UNITS H.P. l:A. <br />(30LLER5- H P. EA. <br />GAS FIftED A.C. UNITS-TONNAGE EA. <br />_ _ ___ _ fORCED Alfl SYSTEMS--B.T.U. M EA. <br />� „z'_, WALL H[l�TERS-9.T.U. fd <br />_ UNIT NEATERS-B.T.U. PA <br />EVAPORATIVECOOLERS <br />CLOTHESDFVERS <br />_ VENTILATIONFAN <br />RANGEHOOD <br />nF F�vniaF no �rvnn �co AIR IIANGLING UNIT- C.F.M. <br />everet� <br />�:3 ;wf 1 <br />TOTAL FEE 5 � <br />— THIS PERMIT �ECOMES NULL ANO VOID IF WOqK OR CONGTRUC- <br />1lON AUTHORIZEO IS NOT COMMENCE� WITHIN 170 OAYS, OR IF <br />CONSTFUCiION OR tVORK IS SUSPENDEU OR ApANDONED FOR A <br />PERIOD OF 120 Dl.YS AT ANY TIME AFTGR WORK !S COA9MENCED. <br />I HEqERV CERTIFY THAT I HAVE REAU AND E%AMINED THIS AP <br />PLICATION AND KNOW THE SAME TO OE TRUE l�Nn CORRECL FlLL <br />� P�Ob'ISIONS OF LAWS AN� ORDWANCES GOVEPNING THIS TYPF <br />�_ OF WORK WRL �E COMPLIED VJITH WNE'I'HER SPECIFIED HEflEIN <br />OR NOT, THE GRANTING OF q PER�.91T GOES NOT PRESUME TO <br />GNL AUTHORITV TO VIOLITE OR CANCGL THE PROVISIONS OF <br />l�NY OTHER STATE OR LOCAL LAW REGULMING CONSTftUCiION <br />�_ OR THE PERFOR C[ OP CONSTflUCTION. <br />SUdTOTAL <br />PE9M1T 5 --{ � <br />TOTAL FEE 5 <br />---- --- - x . t;,��./''� <br />SIGN FE 'CONTRACTORORAUTH.AGEVT DATE <br />D SETOACK STREET SETf3l1CK qEAR Vl1RO SCTBnCY, PLnN CHECK NUM�ER PLAN CHECK FEE <br />FEE ftECEIPTccO. <br />LOT AREA VACANT SITL <br />❑VES ❑NO FFFS \m�tlaTinni <br />i <br />i <br />I SPcCI1L CONOITIONS: <br />OP <br />.00C. LOAU �UILOING j�'l� � '.�j;/y; <br />,���r i �u.i. <br />� <br />PLUM�ING I � � <br />�.SPRINKLEflS � <br />UIRE� � <br />YBS ❑NO ��ECHANICAL � <br />— 1 <br />OTHER � <br />I <br />PENELTY SEC.3031a1 I <br />__'— I <br />70TA L � � �!M1 <br />i <br />PERMIT VALIOATION <br />— WHEN PqpP[RLY V/iLIOATLD IIN THISSPp.CEI TPh; IS Vp�1R PERMIT <br />APPI1pVFU I06 <br />�.r <br />N <br />