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r�:� � ��,�;�����, CONSTRUCTIUN _. everett <br /> "" "' PERMIT <br /> everett <br /> CI1\' HALL2598]d5 • PLUMBING <br /> ever�err, wn �azo� COMBINATION • BUILDING • MECHANICAL <br /> o�vNe� nani� noowess zir rnorve � <br /> Roger Sherman 4905 Dela�vare _ m <br /> � <br /> ARCHITECT JR D[SIGNER WAILl�DDRESS � °��ONE LICCNSG NU. � <br /> "'� <br /> GENERAL CONTRACTOR �1AIL AODRE55 FMONE LICENSE NU. z <br /> riel Forrey 7532 Lotaer P.idge 353-4659 233-01-FO RR �M J322L4c <br /> MECHANICAL CONTRAGTOR M111L /�DDRE55 PHONE LICLNSE NO. W <br /> � m <br /> PLUMUING CONTRACTOR MAIL ADDRE55 PHONE IICENS[ NO. - � � � <br /> PL(iM1T CLASS OF WORK " <br /> ❑COMBINATION <br /> ❑ f3UILDING ❑PLVMOING �MECHANICAL <br /> ❑NEW (�n�DITION ❑ALTEFlATION ❑I�[PAIR <br /> VALUATION OF WOFK <br /> 5 31800. 00 — ❑I]EM110LISH ❑F@NCE ❑SIGN ❑SW��1h1WGPOOL <br /> DESCRI�E WORK <br /> Attached garage <br /> PROPOSEO USE MECHANICAL <br /> Single Pamily --- <br /> TVPE OF EN[NGV <br /> L@GAL DESCRIPTION OF PROPERTV ISHOW [3ELOW OR MTACH ❑GAS ❑ELEC. <br /> FOUF COPIESI — - <br /> Llz Clairmont Iieights NO. TYPE OF E�UIPMENT _ FEE <br /> LOT 6��CK__OF AIR CONO. UNITS-H.P. EA. S � <br /> REFRIGERl�TION UWITS� Ii.P. EA. <br /> BOILERS H.P. EA. � <br /> PORCED AIR SVSTEMS-f3.T.V. MEA. <br /> _ _ I _— � <br /> J06 ADDRESS � __, SPACE & WALL MEATERS -- A.T.V. <br /> �8�8 4905 Delaware Avenue uNir ii�n;eas -o.r.u. � <br /> EVA�'ORATIVE COOLEHS <br /> PLUMBING c�oriaEs oaveas i <br /> V[NTILATION F�1N —T <br /> R/1NGE HOOD � <br /> NO. TVPE OF FI%TURE OR ITEM FEE AIH HANDLING UNIT- C.F.M. <br /> BATH T118S S � <br /> CLOTHESWASHEft � WATE'1HEATER � <br /> DISH WASHERS � � FAC. 9UILT FIREPIAGE & CHIMNEV I <br /> DHWKWG FOUNTAINS � � GAS. SVSTEM: NO UP OUTLETS —�— <br /> FLOOR DRAINS �_ - - ----- SUO TOTAL 5 I <br /> KITCHEN SWKS & DISP. � - -- —" pERMIT 5 <br /> f3F1R SINKS � <br /> ROO� DfiAINS -- HAIN LEADERS � __TOTnL FEE 5 I <br /> SHOWEH [3ATH5 THIS PERM�T f3ECOMES NULL nND VOID IP WORK OP CONSTRUC <br /> S[RVICE SINKS 7'ION AUTHOHIZED IS NOi COMMLNCED WITHIN 120 D�1VS, OR IF <br /> SUMPS - SEWAGE PUMP CONSTRUCTION Ofl WOIYK IS SUSPENDED OR A[3PVDONG� FO� A <br /> PCftIOD OF 120 DAYS l�T ANV i1ME AFTLFl WORK IS COMMENCEfJ. <br /> URWALS � <br /> I IIEfiCpV CERTIFV TH/1i I HAVE REAO ANO EXAMWEO l'HIS AP <br /> WATER CLOSETS � p�IC/�TION AND KNOW THE SAM[ TO 0[ TRUE AND COfiN[CT. A�L <br /> WATER HEATERS - ELECTRIC � PROVISIONS OF LAWS AND OfiDINANCES GOVERNING THIS TYPL <br /> W(�SH �ASINS � OP WORK WILL UE COAIPLI@O WITII WHGTHEH SPECIFIE� H[REIN <br /> LAUNDNY TRAVS Ofi NOT, THE GRANTING OF A PLRA1IT DO[S NOl PRESV�IE TO <br /> � GIV@ AUTHOfi1T� TO VIOLATE Oli CI�NCEL THE PftOV1510N5 OI° <br /> I1NY OTNER STATG OR LOCAL lAW R[GVLATING CONSTfiUCTION <br /> � Oli THE PENFORMANCE OF CONSTftVCTIUN. <br /> —__— ' <br /> SUB 70TAL i / <br /> PERMIT 5 ���) /� �}�� <br /> TOTAI FEE _���{"� T (,. /LL_C/' 12�2Z��J�J <br /> WATER SERVICE 512E BLOG. SUPPLY SIZE SicNnTTEOFC �NTRACTORonAV I�.ncENT Dme <br /> SIDE YARO SET[fACK STiI@LT SET6ACK REAR VARDSETRACK PLAN CHECK NUMflCR WL/1N CHECK FE@ <br /> ��/�� J FEE FiECEIPT NO. <br /> USE 20NL LOT ARE/1 VACANT SITE <br /> 0 �Z r'„`-v <br /> ❑YES ❑No � FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GPOVP NO.OP DW[LLING � <br /> UNITS _ _ � <br /> 512[ OF OLDG. NO.OF STOfl1E5 MA%.00C. 1-OAO PUILUING 5 3�HOO. OO ZH I OO <br /> '_ -i— <br /> PLUM�ING � <br /> FIR[ ZONE UASEMENT FIF[SPPINKLERS I - <br /> RE�UIPED � <br /> ❑YES ❑NO M[CHANICAL � <br /> I <br /> SPECIAL CONDITIONSr OTIIER � I <br /> PENI�LiY ;[C. 3031a) � <br /> _ — � <br /> TOTAL ZH IOO <br /> -- PERMIT VAlID4TION ��a� �.O �q.A 11 � . . <br /> WH[N PHUP[RI.V V/�I IDMEU U � � PAC[ � �aYyw�*rR*,�i <br /> -- YOU�R RECEIPT- � <br /> TWAHK YOU ` � <br /> .�I'nlu/.IilitlPlLll'i1011Y YLANSUILCKIIIMY API'110V1U{UIII':'n11PNC111Y " <br /> K.C.eb � <br /> ° ' ? ? (.� 71 <br />