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� drr !-�r�i,;rrrri <br /> ���� <�� CONSTRUCTION everett <br /> eVC x�t� PERMIT I <br /> � ,. ,,,�� .� <br /> ivtnnt rv�vuv�aiv� <br /> ae;:u <br /> °"' °„�`��;�o�,'.;, BUILDING MECHANICAL PLUMBING <br /> UWNER �� �y�h�I�1,�,�UDtiE� LII' f'IIUNE I <br /> �� II ��e� <br /> �� <br /> AHCIIIiECT OR DESIGNER AtAIL AO�RE55 PHONE LICENSE NO, <br /> � GENERAL CONTRACTOR MAIL A��RESS PMONE LICENSE NO. <br /> MECHANICAL sCONTHACTOR MAIL ADORE55 PHONE IICENSE NO. <br /> � � P <br /> PLUMEIING CONTPACTOH �MAIL ADDRESS PHONE LICENSE NO. � <br /> W <br /> m <br /> PHHMIT CLASS OF WORK � <br /> Z <br /> ❑OUILOING ❑PLUMUING �M[CHANICAL � <br /> ❑NEW ❑ADDITION ❑ALTERATION �REPAIR � <br /> VALUATION OF WORK � <br /> 5 ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> OESCFIOC WOR1: <br /> . nT-�,- -• �>�,..� .I..,.:..�. 1923 <br /> PROPOSEO VSE <br /> MECHANICAL <br /> LEGALOESCFIi'TIONOFPRONGRTv �5HOW8ELOWORATTACH_ TVPEOFfUEL �OiL ❑Gn5 ❑IPG. �ELEC. <br /> FOUR COPIE51 <br /> Lo7 nLOCK_--OF NO. TYPE OF EUUIPMEN7 FEE <br /> AIR CON�. UNITS-H.P. EA. S I <br /> {iEFRIGEiiATION VNITS -1/.P. EA. <br /> I OOILEfiS -H.R EA. � <br /> iGAS fIRE�A.C. UNITS -TONNAGE EA. <br /> FORCED AIR SYSTEAIS-O.T.U. M EA. 1 <br /> JOA �10DRLSS _Y_ p� ,� {� WALL HEATERS-B.T.U. M <br /> �'�' UNIT MEATERS-B.T.U. M 1 <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTNES OAVERS i <br /> VENTILATION FAN <br /> RANGEHOOD I <br /> AIR 1!ANOLING UNIT- C.F.M, <br /> NO. TVPE OF FIXTURE OR ITEM FEE - <br /> WATERCLOSETITOILET) 5 �NC ER TOF � <br /> OATIiTUB d � W <br /> LAVATORV�WASHBASIN) � I <br /> SNOWER �— <br /> KITCHEY;INK R DISP. SUBTOTAI S <br /> [�IS1�11'ASHGfi PERMIT 5 <br /> I.nUNof9v TRAY _ TOTAL FEE 5 I <br /> _ CLOTHES WASHER __�_. TMIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUC <br /> 1Y/1T[fi NEATER TION AUTHORIZED IS NOT COh1A1ENCED WITHIN 120 DAVS, OR IF <br /> URINAL ~— CONSTRUCTION OR WORK IS SUSPENDEO OFi AOANDONED fOR n <br /> DR�NKING FOUNTAIN PERIOD OF 140 DAVS AT ANY TIME AFTEq WORK IS COMIIENCEO. <br /> FLOOF-SINK OF DRAIN � MERE�V CERTIFV THAT I MAVE RFAD AND EXAMINEO THIS AP� <br /> VACUUM OFEAKEFS PLICATION AND KNOW TIIE SAA1E TO�E TRUE AND CORflECT. A�L <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> ROOF DRAINS-RAINLEADEPS OF YJORK WILL BE COMPL�EO WITH WHETLIER SPECIFIED HEFFIN � <br /> SIIJK (SERVICE-OAR, ETC.1 OR NOT, TME GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITV TO VIOLATF. OR CANCEL TIIE PROVISIONS OF <br /> ANY OTHEF STATE OR LOCAI LAL'! F[GULATING COYSTRUCTION <br /> OR THE PEfifOiiM1tAhC[ Of COkSTHUCTION. <br /> SUB TOTAL <br /> PERMIi $ <br /> TOTAL FEE _ S �� <br /> x <br /> SIGNMUREOFCUNTN4CTOROfinUTM.AGENT D,1TE <br /> SIDE �ARDS[TOACK STREETSETOACK fiEARYAR�5ET�/1CKPLANCMF.CKNUM1tOER PLANCNECKFLE <br /> PEE RECEIPT NO. <br /> USE 20NE LOT nREA VACANT SiiE <br /> ❑vEs ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF�WELLING <br /> UNITS I <br /> 512E OF BLDG. NO.OF$TOR1E5 MA%.OCC. LOA� 9UILDING S � <br /> � <br /> PLUMOING � <br /> FIfiE ZONG OASEMEN( fIRESPRINKLEPS <br /> RE�UIRED <br /> ❑VES ❑NO MECHA�lICAL �� <br /> SPECIALCONDITiUNS OTHER � <br /> I <br /> PENELTv SEC.�071�1 � <br /> TOTAL �W <br /> PERh11T VALIDATION <br /> ___. - WHEN PROPERL� VALIDATE�(IN THISSPACEI TNI515 VOUfi P@RMIT i <br /> _ __ I <br /> I <br /> r.nv.�rc�•.__ ,a.r..— ��i<4;�nlrnne. nronovto�o �ssV.rz�nr <br /> � � � � <br /> � � <br />