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���,. E ��,������,� COIVSTR UCTI0�1 <br /> everett <br /> "'" °' PERMIT <br /> everet� <br /> cirv Nn�� zs�s�ns � i � . PLUMBING <br /> eveHerT, wn �azo, COMBINATION Bl ILDING MECHANICAL <br /> OWNER �1AIL nDOHGSS ZII' PHUNL � <br /> DOn Mcyillian ^' <br /> � <br /> ARCMITECT OF DESIGNER h1AIL AODRESS PHONE �ICENSC NU. � <br /> � <br /> GENEFAL CONTRACTOR MAIL AODFESS �HONE LICENSE NO. z <br /> C <br /> MECH, NICALCONTqA1TOR MAILADDRESS PHONE LIC[NSENO. W <br /> Judd & Black m <br /> PLUM131NG CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. .._. � <br /> PERMIT CLA55 OF WOFiK `- - <br /> ❑COMBINATION <br /> ❑ �UILOING ❑ PIVMBING �M@CHANICAL <br /> ❑NEW ❑��UDITIUN ❑ALTEftl�TION ❑REPAIR <br /> `/ALUATION OF WORK <br /> ❑!][M110LISH ❑PENCE ❑;IGN ❑SWIMMING POOL <br /> S <br /> JESCFIBE WORK <br /> PROPOSED USE MECHANICAL <br /> TVPG UF ENBRGv <br /> LEGALOESCRIPtIONOFPROPEATVISNOWBELOWORATTACH ❑GAS ❑ELEC. <br /> FOU R COPI E5) - <br /> NO. TYPE OF E�UIPMENT FEE <br /> LOT OLOCK—OF AIR COND.UNITS-H.P. EA. 5 I <br /> REFR�GE(iMION UNITS-N.P. EA. <br /> -- �OILERS N.P. GA. I <br /> Z FORC@D AIR SVETEMS-6.T.U. MEA. <br /> I <br /> JOf3 ADOfiE55 SPACE & WALL HEATERS - 9.T.U. <br /> 4815 C011ege Avenue _ �wr rrenrens i3.r.u. i <br /> E'JAI'OHATI`/G :.00LERS _l. <br /> PLUMBING c�oniis unrens i <br /> VENTILATION f-AN � <br /> NANGE 11000 � <br /> NO. 7YPE OF FIXTURE OR ITEM FEE niH ��nNDLiNG UNi7- C.F.M. <br /> BATH TU�S 5 I <br /> CLOTHES Wl�SHER � Wl1TER NEATER <br /> DISH WASHERS � �AC. �UIIT FlREPLACE & CHIMNEY � <br /> URINKING FOUNTAINS � �nS. SVSTEM: MO OP OUTlETS__�— <br /> FLOOR DfiA1NS � -- — ——-- .O <br /> KITCHEN SINKS & DISP. i SUII TOTnL 5 I <br /> I3AR SINK$ � _ PERMIT 5 �_Q_Q_ <br /> ROOF OAAINS - RnIN LEADERS � 7oinL FEE 5 I <br /> SH06YLH �ATH$ THIS PERMIT fiECOMES NULL AND VOID IF WOHK OR CONSTfiUC <br /> SEI,VICE SINKS TION AUTIIOIil2[U IS NOT COMMENCED WITIIIN 120 DAVS, OR If <br /> SUMPS - SEWAGE PUMP CONSTRVCTION Ofi WORI: IS SUSPLNDED Of� AfIANDONED FO(i 11 <br /> PERIOD OF RO DAvS AT ANV TIME AFTER WORK I$COMMENCED. <br /> URINl�LS � <br /> WATER CLOSETS � I HEPEIIV CERTIfV THAT 1 Hl�VE REA[J AND L%l1MIN[D TIIIS AP� <br /> PLICATION AND KNOW THE SAMG TO l7[ TRV[ ANO CORRECT. ALL <br /> WATER HEATERS - ELECTRIC � PROVISIONS Of- �nw; nNo oRDwnNCEs covervNiNG THis Tvt�[ <br /> WASH �ASINS � OF- WORK WILL [3E COMPLIED WITII WHETHF.H tiPCCIFIED HEflE1N <br /> LAUNDRV TfiA\'S Ofi NOT, iH@ GRANTING OF A P[RMIT DO[S NUT PRESUME TU <br /> � GIV@ AUTIIORITV TO VIOL/1TE OR CANC[L 111E PIiOVI510N5 OF <br /> /1NY OTH -R STME OR LOCAL LAW RCGULATING CONSTRUCTION <br /> � OR THE P � iPORMANCG OP.CONSTfiUCTION. <br /> sue rorn� � 1 � � 10/20/77 <br /> PEFMIT 5 �12, / �VJ . ��,,, <br /> 70TAL FEE X V ��L �- <br /> WATERSEHVICESIZE BLOG. SUPPLVSI2E SIGNATUFEOFCONTRACTORGRAUTH.AGENT DAiE <br /> SIDEVARDSETOACK STRE[TSET�ACK RE/1RVAfaD5ETI3ACNPLANCH@CKNUMIIGR PLANCHECKFEb <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AFEA VACANT SITE <br /> ❑rE5 ❑No � FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROU� ND.Of OWELLING <br /> UNITS � <br /> 1 <br /> I <br /> 512E OF OLDG. NO.OF STORIES MA%. 000. LOAO ❑UILOING 5 � <br /> �— <br /> PI UMRING � <br /> FIRE 20�1E BASEMENT FIfl[SPFiINKLLRS � <br /> REOUI�iED M[CHANICAL 7� OO <br /> ❑V[S ❑NO <br /> I <br /> SPECIl�L CON�ITIONS: OTH[h � <br /> PGNALTV SEC.9031a) � <br /> -- I <br /> _-__ I <br /> - TOTAL � � OO <br /> PERMIT VAIIDATION '� �' <br /> __._ WHLN PROPERLv VALIOAT6D IIN TIIIS SPACEI TIIIS IS YOUIi P[IINI I <br /> ---- — YoTu� RE�Etf� <br /> - - — f�-��r!K You <br /> ni�ruv.uumncarnunr rinr�tiuu•.ni.uin. nrnnoviniunc:.nnui.i nr <br /> n ( 11 �j t � <br />