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(he Ermgreen <br />CITY OF <br />ederett <br />� „ .,,�, . <br />�,«�r, .:,..,�;�;�`: <br />,:,: ,, <br />aee�. cr r�aaru�:nv <br />O[VEIOCxENi <br />WNEF <br />. ...,""'t'"TTi Clt"C�1' <br />��' <br />CONSTRUCTION <br />PERMIT <br />BUILDING MECHANICAL <br />p1AIL A�DFESS Z�N <br />,..�.� ;.� .� � <br />w, . _ .. `. <br />R <br />PLUMBING <br />�{ PHON <br />a7,_� <br />NSE NO. <br />�BVILDING ❑PLUMBING ❑MECHANICAL <br />❑NEW �AODITION ❑ALTGR�11-IJN ❑ItLPNFi <br />VALUATION OF WORK <br />5 C�_� ❑DEMOLISH ❑FbNCE ❑SIGN ❑SWIMMINti POOL <br />r+�� <br />JESCRI(iC WORK ♦!M� w��y�� e� !�+ Ts���y.�� <br />i�li4"• :H*Si:.i :� WW !3'i+�V�r) <br />LEGAL OESCFIPTION OF PROPEflTY �SNOW OELOW OR ATTACH <br />FOUR COPyIESI <br />LOT.—j_-BLOCK_OF � �� <br />IJOB ADDRESS <br />� <br />PLUMBING <br />� <br />� <br />R <br />FE <br />MECHANICAL <br />TVPL UF FUEL <br />AIR COND. UNITS–N.P. EA. <br />REFRIGERATION UNITS–M.P. EA. <br />DOIIERS–H.P. EA. <br />GAS FI{iED A.C. UNITS–TONNAGE EP <br />f-OFCEDl�IR SVSTEMS–�.T.U. M EA. <br />WALL HEATERS–B.T.U. M <br />UNIT HEATERS–O.T.U. M <br />EVAPORATIVECOOLEFS _ <br />CLOTHES DfiYERS <br />Alq HANDLING UNIT– C.F.M. <br />everett <br />._J <br />�w� <br />¢ <br />W <br />m <br />� <br />� <br />z <br />F' <br />� <br />� <br />W <br />a <br />514 <br />I SUB TOTAI S 1 <br />PERMIT 5 � <br />TOTAL FEE S I <br />THIS PERMIT �ECOMES NULL AND VOID IF WORK OR CONSTRUC� <br />TION AUTHOPIZED IS NOT COMMENCED 1VITHIN 120 OAVS, OR If <br />CONSfRUCTION OR VJpRK IS SUSPENDED OR ABANDONEO FOIi A <br />PERIOD OF 120 DAVS AT ANV TIME AFTER WORK IS COMMENC[D. <br />1 HERE6Y CERTIFV TNAT i HAVE REA� AND EXAMWED THIS 4"� <br />PLICqTION AND KNOW TML SAh1E TO �E TqUC ANU CORRECT. �1LL <br />PROVISI'vN5 OF LAWS AND ORGNANCES GOVEFNING THIS TYPE <br />OF WORK YJILL PE C0�IPUED WITN WHGTHER SPECIFIED I1EHG�N <br />OR NOT, TM: GRANTING OF A PEflMIT DOES NOT PREGUME TO <br />GIVE AU7NOftITV TO VIOLATE OR CANCEL THE PFOVISIONS O� <br />ANV OTNER STATE OR IOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFOHMANG[ OF CONSTRVCTION. <br />X `Y +7 � � <br />SIGNATUFEOFCONTRACTOfiORAUTN.AGtNT UAit <br />VARDSETOACK STREETSET6ACK FEARVAROSET�ACKPLANCHECKNUM�ER PLANCHECKFEE <br />x FEE i^ ..� RfCEIPT NO. <br />:ONE LOT AflEA VACANT SITE •'v� �^'– "'��'�� <br />❑YES ❑NO FEES VALUATION FEE <br />SPECIAL CONDITIONS: <br />�t� <br />'w� C� <br />DCC. LOAD [iUILDING <br />PLVMBINC <br />'�PRINKLEHS <br />IR[D <br />ES ❑NO MECIIANICAL <br />OTHER <br />PENELTV <br />TOTAL <br />PERMIT VALIi <br />WHEN PRO�EI <br />1 fOP 65Unt¢[ 0v <br />�� G� <br />7 <br />:� <br />SEC.3071a1 <br />I I �' ;'�► I <br />LIDATEO (IN THIS SPACEI THIS IS VOUR PERNIi <br />