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_ _ , ,- <br /> ,;, : _, <br /> � � � , �':€1�'sL`�1���}�•TIC9N . everett <br /> , <br /> I Z'�'t��i��$! ffz�k�ei�."9" <br /> I :;,, �,,,� :: � . <br /> iv�wii vm�,,.�.�i.,rv <br /> � •,t�. <br /> °°°� °��°"'� ;,. BUILDII�IG MECHANICAL PLU��QBIN�; <br /> � ✓EUEIm'L'��q <br /> � �)WNF.'i —���� •—_— �+�A!LA��ltES9 ^LIP PHONE <br /> i y ' <br /> q'`� { r n [ A J�:��li::;` <br /> !]IM': L �Si.��:.� .C4'!,) ����4'�i <br /> II AH('HITECIORDESI��FF MAILAD�NE55 P40NE LICENSENO. �-.)�'����' <br /> I GENERALCON'�RACTOR M1�AILADDRE55 PHONE LICENSENO. <br /> .�. <br /> � ���� ✓.wT�y�a� �'. <br /> �•�::s,":� :'ai;c`,.� 'L"31S 3:,. "-,. . <br /> MECHANICA!. �CD�I'RACTOR MAIL ADDflESS FHONE ��CGNSE NO. <br /> x <br /> PLUM0ING CONTRACTOR MAIL ADDFESS PHONE I.IGENSE NO. �� <br /> m � <br /> _ � <br /> PERMIT CLASS OF WORK � <br /> z <br /> � BUILDING � PLUMDING ❑MECfiANI�AL ~ <br /> ❑NEW ❑/1DDITION ❑ALTEFiATICN �REPAIR � <br /> VALU�T�O���OF ORK a <br /> �n(,��7�� ❑DEIdOLISN ❑FENCE ❑SIGN ❑SN/1MMING POOL W <br /> a <br /> 5 -- <br /> DESCRIB[WORK .:.�`. �, �„ +�.'C� .. �:��G :I�.?C�Y"�.,�Pr 4cn.(:t� �w�:"� f�� . ._ .._�:`- ��:t.1129� <br /> 1S1"tl���Ct�l•«u'.`L.. 2'Op 's.�SJ'.,7:a':, <br /> PROPOSED USE MECHANICAL <br /> 'fYPEOFFUEL �OIL �Nl1T. �LPG. �ELEC. <br /> LEGAL DESCRIPTION OF PFOPERTY ISHOW BELOW OR ATTACH C'A� <br /> FOUR C,(�IESI ��,.� � �,p .� <br /> � .�'Q�i�l �r$L NO. TYPE 6F EQUIPMENT FEE <br /> LOT �� BLOCK ~ ' OF q�R CON�. UNITS-H.P. EA. S � <br /> REFRIGEFATIfiN UNITS-H.P. EA. <br /> DOILERS-H.R FA. I <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> FORCED AIP SYSTEMS-�.T.U. M EA. � <br /> JOB AODFE55 WALL IIEl�TERS-B.T.U. M <br /> �7� ;^ y � UNIT HEATEft$-B.T.U. M � <br /> t� HVAPORATIVE COOLEFS <br /> PLUMBING c�orries oavEas _ � <br /> VENTILATION FAN <br /> RANGEHOOD � <br /> NO. TYPE OF FIXTURE OR ITEM FEE AIR HAN�LING UNIT- C.F.M. <br /> WATER CLOSET ITOILETI 5 INCWERATOR I <br /> BATHTUB <br /> LAVATORY (WASHBASIN) � <br /> SHOWEF <br /> KITCHEN SINK& DISP. SU6 TOTAL 5 I <br /> DISHWASHER —� PERMIT 5 <br /> LAUNDRY TfiAY TOTAL FEE 5 I <br /> CLOTHES WASHER THIS PERMIT BECOMES NULL AND VOID IF WCfiY. 0I7 CONSTRUC- <br /> WATEF HEATER �_ TIDN AUTH0�12ED IS NOT COM�AENCED WITHIN 120 DAYS, OR IF <br /> URINAL CONSTRUCTION OR WORK IS SUSPENDED OR ABAN�ONED FOR A <br /> PERIOO OF 120 DAYS 4T ANV TIME AFTEF WORK IS COMMENCED. <br /> DRINKINGFOUNTAIN <br /> FLOOR-$INK OR ORAIN I HEftE�V CEFiTIFY TMAT I HAVE fiEAD ANU EXAMINED T1115 AP� <br /> — PLICATION AND MNO�V THE SAME TO BE TRUE AND CORRECT. ALL <br /> VACUUM [3RLAKERS PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS 'VPL <br /> ROOF DRAINS-RAINLEADERS OF WOFSK WILL eE COMPUED WITH WHETHEF SPECIFIED HEREIN <br /> SINK (SERVICE-BAR, ETC.) OR NOT, THE GRANTING OF A PERMIT UOES NOT PRESUME TO <br /> GIVE AIJ7�iOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTIOfJ <br /> OF TH[ PERFORMANCE OF GONSTRUCTION. <br /> SUB TOTAL <br /> I PERMIT 5 t7_r� +/ <br /> TOTAL FEE 5 :l�r:.�(�-� <br /> x <br /> SIGNATVREOFCONTFIACTORORAUThI.AGENT DATE <br /> SIDE VARD SETBACK STFEET SETBACK HEAR YARDSETBACK PLAN CHECK NUM6ER �LAN CHECK PEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> �I ❑YES ❑No FEES VALUATION FEE _ <br /> I TYPE OF CONST. OCCUPANCY GROUP UNI.OS DWELLING � <br /> I /� ' <br /> SI2E OF BLOG. NO.OF STORIES MAX.00C. l0l�D DUILDING S�a��w �'v I w <br /> �— <br /> PLUMBING � <br /> �I FIfiE20NE PASEMENT fIRESPRINKLERS � <br /> qC�UIRE� � <br /> , ❑YES ❑NO MECHANICAL � <br /> I <br /> � SPECIALCONDITIONS: OTHER � <br /> PENELTY SEC.3031n1 � <br /> I <br /> � TOTAL � �:� I �� <br /> PERMIT VALIUATION <br /> WHEN PROP6RLV VALIDATFD IIN THISSPAC[) THI515 YOUR PERMIT <br /> pPPIICATION�CCEPTE�BV'. YLANSLMECKEDOY� �CfIIOVCOf041;511�NCf0T. <br /> I <br /> � ' n <br /> _ ._'_"__ — � <br />