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a <br />� ''"'�"�,",""„ CONSTRUCTION <br />� �� „� �� <br />; e`�erett PERMIT <br />. CITV H �LL 2v98]4G <br />�vEc�rr,wn �azo, COMBINATION • BUILD{NG • MECHANICAL • PLUMBING <br />OIVNER <br />%%....T Y` - I n1n�� nno�i655 tu� <br />PHON[ <br />GENGRAI <br />il /.n0' <br />M1iML l�DDRG55 <br />MAIL ,1UDfiLSS <br />naec�anrvicn�coNri�acroa —T`�-- """""`w �'7�-41YC,' <br />MNL AODRE55 PHONE <br />LICENSE NI <br />� LUMUING CONTRACTOq MAR ADDRESS <br />PHON[ LICENSE NI <br />PEaMIT <br />CLI155OF WOtit. <br />&]COMBINATION <br />❑OVIL�ING �PLUMBING ���[CHANICAL <br />RJNEW ❑AOOITION ❑ALTEqATION ❑R[PAIR <br />JALVATQION OF WORK - <br />S vD�O`�/. C7C� ❑��EMOI.I;H ❑FENCE ❑SIGN ❑SWIMMING PpO�. <br />)[SCRI�E WORK ___— '__- '__—_".._._-__—_ <br />G <br />lIOW F3 <br />LOT <br />❑LOCK __ <br />J06 ADDRE55 <br />� <br />PLUMBING <br />everett <br />MECHANICAL <br />ATTl�CII TYPF OF f.NLRGV <br />��AS ❑Ef.EC. <br />I S N0� TYPE OF EQUIPMENT FEE <br />_ . � . _ — _._—__ <br />i A�R COND. VNITS--H.P. EA. 5 � <br />r� �li[FRIGEFlAI'IONUNITS H,P.EA. —�— <br />- t601LER5 4P.En. � <br />� 1_-___—__" <br />� FORCED A�R SVSTEMS-�.T.U. MEA. <br />_' __ - _ I <br />� S�ACE & WALL IIEAiERS �- B.T.U. <br />�VE . _ ��uu�T r�[nTE�s- ❑.r.u. L— <br />1 <br />�FV�VORATIVECOO�ERS <br />_ 3 ��CLOTH[SDRVERS � <br />(�j �, VENTILATION FAN T <br />,3 t —_ <br />i<nrvcE r��oo i <br />FEE �, nlli �InNDIING UNIT QF,M. <br />—T �-. ._. .___ <br />_L I -__--___-- I _ <br />I 1 <br />—1-- WATEP ryEATER � <br />— � I FAC. RUILT 1°INEPLACE R CHIMNEV � <br />� fI Gl�$, yy5TEA1:�N0 OP�OUTLETS T- <br />T - L__- . _ _. . __._.__-_-SURTOTAI $ � �� <br />1 __ _ '__ _ _ _ _.___ P[HMIT $ .T..�- <br />— � TOTAL FEE 5 -}'�l <br />—_I TIII,^, {'ENM111T [3ECOMFS NULL AND VOIO IF WORK OR CONSTRUC <br />� TION AUTHOfi12[D IS NOT COMMENCED W�THIN 120 DAVS, OR IF <br />—F— CONSTRUCTION OR WORK IS SUSP[NOFD OR A13ANUONED FOR A <br />� NERIOD OF 120 DAVS AT ANV iIM@ AFT[P WORK IS COMMENCEO. <br />—j I IIEREIlV CCRTIFv TH4T 1 IIAVE fiBAD ANp [SI�MIN[D TNIS AP <br />� PLICA110N ANU KNOW TH[ SA�1E TO IIG TRU[ nNfl CORRECT. ALL <br />PqOVISIpNi UP I.l�WS t\ND Of1pINl�NCr:i GOVERNING THIS TVPE <br />I OF WOqK WIU_ �E COMPLII`.p WITH N'H[TMER SPECIFIED HEqEIN <br />OR NOT, THL C;fiANT�ING OI' n PERAbT UOGS NOT Pq@SVAfE TO <br />GIVE AUTIIORITY TO VIOLnT[ OFi Cl�NCEL TI1E PflOVItiIONS Of <br />—1 nNv pTH[R STATB pfl LOCAL LI�W Il@GUL4TiiJG CONtiTRUCTION <br />� 011 THE PERFOfaM/�NCE Of CONSTRUCTION. <br />TER SERVICE SIZE I�� QLDG. SUPPLY SIZE I� " <br />)EVARDSET0l1CK STREETSHil3ACK REARvr1HO5LT11 <br />S r- ; Zor- Zo►- <br />E ZONE LOT AR[/� VACANT SIiE <br />�u ✓ BCES ❑NO <br />PE OF CONST. OCCUPANCY GROUP NO.UF DWLLLING <br />— �NiT� � <br />F��EZo 48'__ <br />�� <br />� 3 — <br />i SPEdAL CONOITIONS' <br />I.111 l K 1 <br />x � J �.� <br />SIGNATUfiEO�CONTR (TOf�OR.1UTIli1G6Ni OATE <br />'LAN CHECK NUMftEN ' CC PLI�N C�� �ECG PT NO. <br />� ��59/ �'��.s� G <br />_ _ � FEES_ _ VALUATION � FEE <br />.. ucc. �UnO 13UILDING gQ� O�� p0 � lO� <br />CJ" i <br />ri. un�o�Nc -t <br />�"l'HINKLERti _ S��Q <br />��a��� -- _ <br />YCS �✓(fJp M[CHANICAL � 1�� <br />U <br />UTHER � <br />1 <br />— PGNALTV SGC.7071a1 � -- <br />__- __ I <br />---- TOTAL � � O <br />PEIiMIT VALIDATION � <br />-- WIILi�PHOP[fiIVVM.If)niLO(INTIIISSPACLIl111S15vOUNP[IiAtli <br />- '_` <br />/M�/ <br />V I <br />�1111(1111`.\II/�Iil�l IIM � <br />� <br />� <br />