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i <br /> ir��� c�� �y����,� <br /> �,,, �„ CONSTRUCTION everett <br /> everett PERMIT <br /> ,� ,. , ��. <br /> �����: �:. . . <br /> ", �" ; ;' BUILDING MECHANICAL PLUMBING <br /> � ��.,.�,,,��.� <br /> hL\I� ALUFi�.::5 LII• Y��nNF . Hn � <br /> oWN��a 23x-4763 'IV{J� <br /> Lmn�na� t?�e�aa 2406 awre�t� lrw _ <br /> AflCNITE:CT OB DR51(1N[fl <br /> ----- 41AIL ADORLSS PHUNE IJCLNtiI NU. <br /> GENENALCONTf1AClOH <br /> �- MNL AOOR[55 PHONE LICLI�SE NO. <br /> MEGIIANiC.�L CONTt�ACiOR MAIL A�DF7E55 <br /> PNONE L�GENSE NU. <br /> �t� iaf Eqnlpt CO y <br /> PLUMFlING CGNTMCIUH MAIL ADD�E55 . PMONE LICENSE NO. {yJ <br /> m <br /> . � <br /> PERNIT CLASS OF WORK Z <br /> H <br /> ❑OUIIOING ❑ PLUMUING '�]MECHANICAL �NEW �qOOITION ❑ALTEf7AT�ON ❑REPMH � <br /> � <br /> VALUATION OI'WOHK W <br /> ❑DEh10L1511 ❑FENCE , ❑SIGN ❑SW�MMINGPOOL � <br /> � —_--_ <br /> o��������,�,�,,.k-- ----- 382 <br /> n.t.0 v.e.: �.. <br /> vnovos�n usc MECHANICAL <br /> rrNeoFwe� poi� pc"n's:—p�vc pE�r:c. <br /> L'.GAI OESGNIPTiON OF PROPERTV ISMOW f1ELOW OR ATTACII <br /> FOUn COPiE51 NO. TVPE OF EOUIPMENT FEE <br /> LOT__- OLOCK—Of — AIR COND.UNITS-H.P. EA. S I <br /> REFRIGERATION UNITS �N.P. EA. __ <br /> �OILERS H.P. CA. — 1 <br /> — GAS FIREO A.C. UNITS-TONNAGE EA. � <br /> FORCED AIR S�STEMS-B.T.U. M EA. � <br /> JUI; AU�PE^�y.—���_---�---�-- — � _LAIL HEATERS-[3.T.U. M <br /> pAp � AN UNIT HEATERS-D.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTME$OR�ERS � <br /> _ TI V[NTILATION FAA' <br /> I RANGEHOOD � <br /> AIR HANDL�NG UNIT- C.F.M. i _ <br /> NO. 1YPE OF FIXTURE OR ITEM FEE <br /> WATERCLOSETITOILETI 5 �— � I��_ 1� <br /> 011THTVB - � <br /> LnVATOHYIWASHBA51N) - --� - ---"-- <br /> — - _._-_- —1- <br /> SMOWER <br /> ' .- __" <br /> SUB TOTAL 5 _ <br /> _ KITCHEN SINK & O�SP. �— — pERM1T 5 <br /> OISIIWASMER _ <br /> Ll�UNDRV TRAV _ TOTAI FEE 5 I <br /> CLOTHES WASHER _ THIS PERMIT UECOMES NUIL AND VOID IF WOLK OR CONSTRUC <br /> WATER HEATEN TION AUTIiORIZED IS NOT COMMENCED YJITHIN 130 DAYS. OR IF <br /> CONSTRVCTION OR WOPK IS SUSP[NOED OR Al1ANDON[� FOR A <br /> URINAL PER100 OF 170 DAYS AT ANY TIME AFTEfi WORK ISCOMMENGEO. <br /> [JHINKING FOUNTAIN I ryEREB�' CEfiTli'Y THAT I HAV4 READ AND E%AMINED THIS AP <br /> PLUOR-�SINK OR�RAIN PLICATION ANO KNOW?HE SAN: TO ElE TRUE ANO COflRECT. AL� <br /> VACVUhI [IREAKEPS PROVISIONS OP LAWS ANO ORJ�NANCES GUVEHNING THIS TYPE <br /> FOOF DPAINS-l�A�NLEADERS OF \YORK WI�L 3E C0�IPLIED WITH WMETHER SPECIFIED NhR[IN <br /> SINK IS[FVIC@-OnR. ETC.) �R NOT. THE GRANTING OF A PERM1IIT OOES NOT PqESUME i0 <br /> GIV[ /�UTHORIT" TO VIOLATE On CANCEI TNE PROV�S�OhS OF <br /> ANY OTN[R .`,TATE Olt LOCAI LA\Y 11EGULATING CUti.`,THUCTION <br /> OH TH[ PEFi�OR'.�..NCL nF CONSTRUCTIOh. <br /> SUR TOTAL _+__ I� <br /> PERMIT S �— � �I`I •' <br /> TOTALFEE 5 <br /> 9GNATUREOFGONTRnGTU�'OR�UTII.AGENi DAT[ . <br /> �E�11iVAPOSETItACK �LnNCHECKNUbIBER PLANCIIECKFEE <br /> SII][ vARD5ET0ACK STPEET SETOACK FEE RECEIPT NO. <br /> IUbE LONE LOT AflEA VACANT SITE --- <br /> i � ❑YES ❑NO FEES VALUATION FEE <br /> �_— <br /> ivPE OF CONST. OCCUPANCV GROUP uNi05 DWELUNG I <br /> � I <br /> I . NO.OF STOH�ES MA%.UCC. IOAD �UI�DING s � <br /> I :;IlE OF OL�G. <br /> PLUMOING � <br /> I FIRE Tl1NE dASEMENT FIRESPR�NKLERS • — <br /> R OV SEO ❑NO MECNANICAL � <br /> 1 <br /> SFECIALCONDITIONS. OTHER � �___ <br /> � PENELT� SEC.7071e1 � <br /> I __ �� <br /> TOTAL <br /> PERMIT VALI�ATION <br /> cn�eri Nnov�tai.v v:,i ioni r.o�vi nus sPncel rHis is vou����e nnn r <br /> I — <br /> � _ <br /> I.fTI�(Pl'1'•4':I�•tf:ll`v .��..CII[C�(C01W. AMNJV`V�"� i. r�'.'.1 ". I <br /> � � I <br />