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�(Jre�verxreen . ��. � � , <br />, �,-.::.,��;Yo�, �-.�-- '��ONSTRIJCTlOI � � <br />everett P�RMIT PeR��ir No. 16448 <br />V CITY H�L�2F���4�5 :,�. <br />EVERE �,� JA 0�3� 9� �ryf'gSNATION ❑ BUILDING ❑ MECHANICAL ❑ PLUM. 1G <br />OWNEfl MAILADDflESS CITY ZIP PMONE <br />AFCMIiE 0 OESI N R MAIL AOORE53 I 21P PHONE <br />Same <br />GENERAL CONTRACTOR MAIL AODRESS CITY 21P PMONE LICENSE N <br />Same <br />SITT T TT (17 p"1�`C <br />MECMANICAL CONTflACTOfl MAIL AOOFiE55 CITY 21P PHONE LICENSE Ir <br />PLUMBING CONTAACTOF MAiL AODflESS CITY ZIP PHONE LICEN�E N <br />K� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />VALUATION OF WORK <br />a 50�0 <br />OESCRIBE WORN <br />LOT <br />JOB <br />PLUMBING <br />N0. TYPE OF FIXTURE OR ITEM <br />Z WATERCLOSET�TOILET� <br />BATHTUB <br />z LAVA70RY�WASH BASIN) <br />SHOWER <br />OISHWASHER <br />LAUNDRYTFAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS - HAIN�EA�ERS <br />SINK�SERVICE - BAR,ETC.) <br />1970 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE UF WORK WILL 8E COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETQ GIVEAUTHORITYTO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOR NCE OF CONSTRUCTION. <br />IGNATUR F CONTflACTOR OR T/y0�RIZEO AGENT �ATE /f� <br />/...nn��///0/%.�% ���GJ�'1S� <br />MECHANICAL � � <br />FEE NO. TYPE OF E�UIPMENT <br />AIR COND. UNITS - H.P. EA. <br />REFRIGERATION UNI7S - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - 70NNAGE EA. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT - C.F.M. <br />srove - w000 <br />METAL FIREPLACE & CHIMNEY <br />fIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL � <br />PEHMIT S <br />TOTALFEE S <br />�.EET SE7BAGK REAR YARD S <br />NA <br />� AREA VACANT SITE <br />CYF:S GC10 <br />B-i <br />APPHOVAL"u <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS 4' <br />3. FIRE HYDHANT -" <br />4. FIRE PROTECTION SYSFbM <br />5. GRADING <br />—6. DRAINAGE <br />`-��y, ENVIRONMENTALIMPqGTy^TAT <br />: � 8. HEALTH DISTFICT — <br />c "' _ . , <br />o� � � ' <br />�, r.. <br />1 65 <br />ENT FIRE SFRINN <br />REDUIRI=D <br />1VE5 �� <br />BY <br />' "PLANS CHECKED BY APPR. FOR <br />.� <br />JEF LC <br />i <br />� <br />SUB TOTAL S <br />PERMIT S <br />TOTALFEE S <br />�N CHECK NUMBER PLAN CHECK FEE <br />86/16448 FEE g2, 83 I RECEIPT NO. <br />79126 <br />FEES VALUATION FEE <br />BUILDING S 5000.00 ` <br />PLUMBING � <br />MECHANICAL - <br />OTHER <br />PENALTY U.B.C. <br />SEC. 3031aV <br />TOTAL I � 8n �� <br />PEHMIT VALIDATION <br />WHEN PROPERLY VALIDATE� (IN THI j�P ICj THIS � xOyq,PF�it�lT^_ C] <br />u5u 5u + <br />{` <br />: <br />BY <br />���.�� CII;'' � <br />�.. ��'.�I.� <br />' ADDRESS FILE <br />� '� ,.���j tiu <br />Z <br />O <br />-� <br />c <br />m <br />�. .. <br />-� � <br />.. -� <br />�n x <br />r• i <br />c c� <br />mo <br />-� C <br />O 3 <br />m <br />_ -�I <br />m <br />� <br />C Z <br />a -t <br />rx <br />H .r <br />-i N <br />< <br />� <br />�n <br />-i m <br />x <br />m �-+ <br />N <br />O <br />or <br />c� m <br />C N <br />3 N <br />m <br />Z C� <br />.i m <br />a <br />A <br />--1 <br />2 <br />D <br />Z <br />� <br />2 <br />i--i <br />N <br />Z <br />O <br />� <br />n <br />m <br />