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: <br /> � �n� E���r����e�� <br /> ��TYa� COIVSTRUCTlO�V everett <br /> everett PERi�IT <br /> ��,, �,.,�� r,��,��, <br /> E�EAE,, ,.;A=„��:,;,��: <br /> ,s�,,, <br /> °`°` °oE�E;op„E�; BUILDING MECHANICAL PLUMBING <br /> OWNER MAIL AO�RESS <br /> Z�P PHONE <br /> '.�t_'1 7�x ,'�'' '^........ '� rq <br /> AflCHITECTOFOESIGNER ' •j �Y'�'J�'? `^i!�r" ����� <br /> MAILADDRE55 PHONE LICENSEfdO. " <br /> �ENERALCONTRACI'OR MAILADDRE55 PHONF LICENSE NO <br /> .-,,-�.'"•-T .._ _- 273.� ,.1�,�, ,,.Y �9�5� <br /> MErHANICAL CONTRACTOR MAI�ADDRE55 PHONE LICENSE NO. <br /> PLUMBINGCONIRA�TOR MAILADDRESS PHONE LICENSENO. � <br /> W <br /> m <br /> PERMIT CLASSOF WORK rG <br /> � <br /> �GUILOING � PWM�ING ❑MECHANICAL z <br /> ❑NEW �ADDITION ❑qLTERATION ❑REPAIR ~ <br /> VALUATION OF WORnK�� � <br /> 5 �y�,r ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING PpOL W <br /> DESCRIBf WORK 0- <br /> �,....�i,•� ,�. .. �'..�� �',Lf i: �Y�jRp �`�� <br /> PROPOSEO US[ � <br /> MECIIANICAL <br /> LEGALDESCRIPTIONOFPROPERTv15110N' IiEL061'OHATTnCH TVPEOFFUEL �OIL ❑Gn5 ��pG. �ELEC. <br /> FOUfi COPIE51 e.�e <br /> LO�� �� BLocKr7}3oF ��� �'��� . '��♦ ii NO. TVPE OP E�UIPMEN7 FEE <br /> nIFl CON�. VNITS-H.P. EA. 5 I <br /> REFRIGERATION UNITS-H.P. EA. <br /> f30LLER5-H.P. EA. � <br /> Gl�S FIfiED A.C. UNITS-TONNAGE EA. <br /> FORCED AIR SVSTEMS-6.T.U. M EA. ,— <br /> JO� ADDRESS �� WALL HEATERS-�.T.U. M �1 <br /> �t.4J �..:�::it'�' <br /> UNIT NEATEfiS-6.T.U. N7 � - <br /> �LUMBING _ =VAPORATIVECOOLERS <br /> CLOTHESDRVERS � <br /> VENTILATION FqN <br /> RANGEHOOD � <br /> NO. 7YPL OF FIXTURE OR ITEM FEE ti�R HANpLING UNIT- C.F.M. <br /> WATER CLOSET �TOILETI 5 INCINERATOR — � <br /> BATHI'UB <br /> LAVATORV (WASH BASINI —I <br /> SHOWER ._T_ <br /> KITCHEN SINK& DISP. <br /> ClISHWASHER SUB TOTAL 5 � <br /> LAUNDFVTRAY P[RMIT 5 <br /> CLOTHESWASHER TOTALFEE 5 � <br /> I WATER HEATER THIS PEftM1T �ECOMES NULL ANO VOID IF NJOFK OF CONSTFiUC- <br /> TION AUTHOHIZED IS NOT COA1MENCED WITHIN 120 �AVS, OR IF <br /> UFINAL CONSTfiUCTIDN OR WOHK IS SUSPENDEO OR ADANDONED FOR A <br /> �RINKING FOUNTAIN PEftIOD OF 120 DAYS AT AYV TIME AFTEP WORK IS COMMENCED. <br /> fLOOR�-$INK OR DRAIN I HERE�V CERTIFV THAT I HqVE REAO AND E%AMINED THIS AP� <br /> VACUUM 6REAKERS NLICATION AND KNOW THE SAME TO !3E TflUF 4ND CORRECT. ALL <br /> FOOF DRAINS-RAINLEADERS '—{— PRCVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> SINK (SERVICE-BAR, ETC.I �— OF WORK WILL BE COMPLIEO WITH WHETHER SPECIFIED HLREIN <br /> OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESJME TO <br /> _ GNE AUTHORITV TO VIOLATE Oq CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGUTATING CONSTRUCTION <br /> SUB TOTAL OF THE PEflFOFiMANCE OF CONSTRUCTION. <br /> PEflM1T 5 <br /> TOTAL FEE 5 <br /> — x 5�/� <br /> SIGNATUREOFCONTRACTORORAUTH.AGENT OATE <br /> SIDE YAflD SETOACK STREET SETBACK REAR YARDSETEACK PLAN CHECK NUMBER PL11N CHECK FEE <br /> �� FEE �.� RECEIPT NO. <br /> IUSEZONE LOTAREA VACANTSITE �"-`�� icl�� <br /> ❑VES ❑No FEES VALUATION FEE <br /> T'/PE OF CONST. OCCUPANCY GROUP NO.OF OW[LLING <br /> UNITS <br /> I <br /> 512E OF 6LDG. NO. OF STORIES MAX.00G LOAD BUILDING 5 �t�/y.� �I� <br /> J vJ <br /> FIflEZONE 6AS�MENT FIliESPRINKLERS PLUMBING � <br /> RE�UIRED — � <br /> I ❑VES ❑NO MECHANICAL � <br /> I <br /> i SPECIAL CONDITIONS: '�-- <br /> OTHER I <br /> I <br /> — PENELTY SEC.3031a) � <br /> TOTAL � <br /> G�' i rl�' <br /> � <br /> PERMIT VALIDATION <br /> :VHLN PqOPERIV VALIOATED(IN THIS SPACE)THIS IS YOUq PERM1IIT <br /> I <br /> Af`GIIf.4T10lIACCEPTLflOY'. PL4NSCIICCKC�OY. qfPfiOVC�PoR6SUPNCCOY <br /> , • `.,�� �'� ''A ", �'. I <br /> I , I <br />