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� "'°�"'""'°„ _ CONST��JGTION <br />��T,, �, <br />� ev�erett PERMIT <br />� CITY 11A1L 7S9 SJ45 <br />I Eveee�t.vaa ��eao� COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />0 <br />R <br />� COMBIN ATION <br />❑ [3UILOING � PLUM�ING � MGCHANICAL <br />VALU�ITION OF WORK <br />s SO.00O.Op <br />DESCRIOE WORK <br />G o/�/��TPi / <br />PROPOSED VSE <br />L[GAL D[SCRIPTION OF PROPEFTv ISHOV. <br />FOUR COPIE51 p� <br />LOT (�-- pLOCK__OF ��l.h`� <br />�.�LII�! u G�/�g—�l � 1 <br />JnR AIJDRE55 <br />��� l�� P� DUF <br />PLUMBING <br />�70. TYPE OF FIXTURE OR ITEM <br />TEIR SERVICE SI <br />>E Yf�qO SETQl�C <br />� �S— <br />[ zONE <br />-%_i <br />TOTAL <br />RE <br />n <br />L <br />ni� ntJDRESS PI/ONE <br />LICENSE N( <br />AIL AUDHE55 PHONE <br />LICENSE Nt <br />CLASS OF WOqK -" - �'�--------- <br />f?�New ❑nooinoN ❑nutian�ioN ❑ri;-�,���a <br />❑cenaoi_is�� , �FeNcc ❑scN ❑s�vin���ur<o rooi_ <br />� � �LDG. SUPPLv SI <br />-REET 5@Tf3ACK RLAft' <br />Zc��T � <br />i � <br />� 1'IH[ZONE HASEMENt � <br />� Mo <br />I ;PECIAL CONDITIONS: <br />I - _-_- <br />I <br />� - <br />� <br />���IILPIIONALf,k19f11LIY �I'1.:1:'�.plir.lUliV <br />ATT�CII <br />e'VE� ❑NO <br />7.UF DWELLING <br />JITS .� <br />everett <br />� <br />m <br />� <br />MECHANICAL <br />� TVPE OF ENEPGV <br />��'��� ❑ELEC. <br />NO. TVPE OF EQUIPMENT FEE <br />AIR CON�. UNItS- H.V, EA. 5 � <br />REFRIGEHAI IOY UNI15 �{.p, En. �i— <br />_ NOILERS- H.P. EA. � - - - � <br />FORCED AIR SYSTBMS-6.T.U. MEA. <br />.�____"_-'_ . <br />I - <br />I <br />� � SPACF & WqLL 41flATEPS - O.T.U. <br />� UNIT HEM ERS- H.T.U. �— <br />__�VAPpqqTNE COOLERS i- <br />� I CLOTIIES DRVEIiS -- �—' <br />4q �V[NTILATIONPqry -T--� <br />, `I ���NGE HOO� � <br />. I nIH HANDLING UNIT- CF.M. <br />� __ � <br />IVATEI9 HEATER T-- <br />�AC. (tUILT FIREP�ACE R CHIMNEV � <br /><1A::. tiYSTEM: NO OP OUTLETS —T— <br />_. _. _ ._ . _ . __. _ SU6 LOTAL 5 � <br />--___ _. ___- ---__-_PERMIT 5 � <br />___ ToTnLFEE S �) �� <br />THIS PLfvA11i 13[COM[5 NULL 11ND VOID IF WpRK Oq CONSTRUC <br />TION �1UTIIOHI7[p IS NOT COMh1ENCGD WITHIN 120 pAYS, OR IP <br />CONSTRUC��ION Olv bVOfiK IS SUSPENDGD OR AI3ANDONED FOfi A <br />PEftIOD Of 170 DAVS AT /1NV iIME N'TER WOflK IS COMMENC[�. <br />� HE(iENV CERTIFV TH.�T I HAVE READ AND [%AMWE� THIS AP� <br />❑LICl�T10N qND KNON' THE i�1M[ 7p �@ TqU@ l�ND CORR[CT. AL1. <br />PRpVISIONi OF LAWS AND ORUINANCFS GOVEHNING THIS TVPE <br />v�` WOHK NJILL [3E COM� �JED WI1H WHEIH[R SP[CIfILD HEREIN <br />ON NOT, THL GRANTIN �)F A PEHp11T pp[5 NOT PN[SUMc TD <br />GIVF l�UT110liITY i0 VIt.��1TG p!1 CANCGI. TII[ FROViSIONS OF <br />l�NY t�-i��;q STATE (�li LOCM. L�IN H6GUL4TING CONSTfiUCTION <br />UH 1���� ��LH�OIt 1ANCG U6 CfIN;TqUGTION. <br />x /J � � <br />SIGNl�iURGOfCONTfiA l]ROIinUill.n<1LNT U,1TC <br />'LANCHECKNUMI3Efl PL/�N(;HCCKFE[ <br />��IS �EC qGC[IPTNO. <br />--_ - 9 z -P.�r,s� c � <br />FEES VALUATION FEE <br />l�X.00C. LOnO IIUILOING 5�O �� � Z I <br />PLUM[31NG �� <br />RbSPqINKLGRS %J-J M <br />=OUIRED — _ f I��LJ <br />❑VBS BNp MLCl/l1NICAL � <br />— �7� <br />OTI1Eli � <br />- I <br />— PENALTY �- <br />5[C.1031n1 � <br />_ _--_ _ - ... _ I-- <br />TOTAL - _ _ _ _- ...-. ._ _—_- I <br />— 2 SI o <br />PERMIT VALIDATION <br />- - WHl.PJI'110PFfiIVVM.11lN[Il1�NlIII55PnCIliHISi$YIIVHP[HAtll <br />_ ' ` <br />V 1 <br />niN1 O I ul� I': J Int:� 1 IIY � <br />