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�h„ Fi,,,, .: .,n . .�. <br /> I <br /> =�TYOF CONSTRl1CTI0N everett � <br /> �verett PERMIT <br /> LIIT I�ALL 1598085 <br /> CVEP[iI,1':ASIIIIIfrIOq <br /> 9At01 <br /> °`°`""°'°"°""" BUILDING MECHANICAL PLUPJ!BING <br /> OEVEIOPM[NL <br /> OWNEfi MAIL AUDRESS ZIP P40NE <br /> . »ry� ..�..e.,, • .,..n' .J <br /> ' rF�.:���-4?_f Ci... . ..,.- ,:"M1 ::5�.� :_: , � .:i:Uv4�C; . <br /> ARCHITECT CR DESIGNER MAIL ADOFE55 PHONE LICENSE NO. <br /> C�ENERAL CONTRACTOR MAIL ADDflESS PHONE LICENSE NO. <br /> ,s r;n ;�hr,"'T"• <br /> MECHANICALCONTRACTOR MAILAOORESS PHONE LICENSENO. <br /> PLUM8ING CONTRACTOR MAIL ADDflE55 PHONE LICENSE NO. � � <br /> W <br /> m <br /> PEFMIT CLASS OF WORK — j <br /> z <br /> �6UILDING � PLUMOING �MECHANICAL F <br /> ❑NEW ❑ADDITION ❑ALTERATION �REPAIR � <br /> VALUATION OF WOFK <br /> 5 �` ,�(� ❑DEMOLISII ❑P@NCG ❑SIGN ❑SWIMMING POOL W <br /> a <br /> DESCRIBE W011K -- — <br /> ..,n � :..�"'.` ""„ ""' �.�.�'J 7 <br /> �.. ,.¢A�.�. <br /> PPOF'OSED USE <br /> MECHANICAL <br /> TYPGOFFUEL �OIL �NAT. �LPG. �ELEC. <br /> LEGAL DESCRIPTION OF PROPERTV ISHOW BELOW OF ATTACH Gl1a <br /> FOUR COPIES) <br /> �or DLOCK_oF N�� TYPE OF EQUIPMENT FEE <br /> AIR COND. VNITS—H.P. EA. j <br /> RF.FRIGERATION UNITS-H.P. EA. '--� <br /> BOILERS-H.P, EA � <br /> �GnS FIRED A.C. UNITS-TONNAGE EA. <br /> FOflCED AIR SYSTEMS-B.T.U. M EA. � <br /> JOB AUDRESS WALL HEATERS-O.T.U. M <br /> M� r�.�,:...r <br /> UNIT HEATERS-O.T.U. M � <br /> EVAPOFATIVECOOLEFS <br /> PLUMBING CLOTHES DRVEfiS � <br /> VENTILATION FAN <br /> FANGEHOOD � <br /> NO. 7YPE OF FIXTURE OR ITEM FEE AIR HANDLING UNIT- C.F.M. � <br /> WATER CLOSET ITOILETI g INCINERATOq � I <br /> �ATIITUO <br /> LAVATORV(WASH BASINI � I <br /> SHOWEq <br /> KITCHEN SINK& DISP. SUB TOTAL S ' <br /> DISHWASHEF � <br /> LAUNORV TRAV PERMIT <br /> CLOTHES WASHEfi � TOTAL FEE 5 � <br /> WATER HEAI'ER THIS PERMIT BECOMES NULL AfJD VOID IF WORK OR CONSTRVC� <br /> TION AVTHOFIZED IS NOT COMMENCED WITHIN 120 OAYS, OR IF <br /> URINAL CONSTRUCTION OR WORK IS SUSPENOED OR ADANOONED FOR A <br /> DRINKING FfJUNTAIN �ERIOD OF 120 DAYS A'1' ANY TIME AFTER WORK IS COMMENCE�. <br /> FLOOR-$INK OH OFAIN � I HEREBV CERTIFV THA'1' I HAVE READ AND EXAMINED THIS AP� <br /> VACUUM UREAKEHS ' PLICATION AND KNOW THE SAME TO BE TRUE AND COFFECT. ALL � <br /> ROOF �RAINS-R/UNLEADERS PAOVISIONS OF LAWS AND OFDINANCES GOVERNING THIS TVPE I <br /> OF WOflK WILL BE COMPLIED INITN WHETHER SPECIFIED HEREIN <br /> SINK (SERVICE--BpR, ETC.) OR NOT, THE GRANTING OF A PERMIT OOES NOT PRLSUME TO <br /> — GIVE AUTNORITY TO VIOLATE OF CANCEL THE PROVISIONS OF <br /> - ANV OTHER STATE OR LOCAL LAW REGUIl�TING CONSiRUCTION <br /> ORTHEPERFORMANCEOFCONSTRU -ION. <br /> SVBTOTAL <br /> PERMIT 5 <br /> TOTAL FEE 5 �/�^// i� <br /> —_ x �/!� ,�' ^.-Ct.r. V'f�,(;! <br /> / <br /> SIGNATUREO CONT� CTORORAUTH. GENT DATE <br /> SIDE YAR�SET�ACK STREET SET�ACK flEAR YApDSETAl1CK FLAN CHECK NUMBER FLA CHECK FEE <br /> FEE � RECEIPT N('i. I <br /> VSE 20NE LOT AREA VACANT SITE I <br /> I ❑VES ❑No FEES VALUATION FEE <br /> TVP[ OF CONST. OCCUPANCV GROVP NO.OP DWELLING <br /> IUNITS � <br /> I512E OF BL�G. NO.OF STORIES MA%.000. LOAD DUILDING 5 ?yQ}�J� �il�/' ! <br /> PWMBING i <br /> FIRE20NE pASEMENT FIRESPRINKLERS <br /> ( REOUIREO ' <br /> I ❑YES ❑NO MECHAfLCA� j i <br /> I � <br /> 5°BCIALCONDITIDNS: OTHER � I <br /> I <br /> — PENELTY SEC. 3031a1 I �I <br /> TOTAL �j� I <br /> PERMIT VALIDATION <br /> WHEN PROPERLv VALIDATED IIN THIS SPl�CEI THIS IS VOUR PERA.tIT <br /> ___ I <br /> I <br /> � nVPtIC•�*�O'.ACCIPi(p��Y PLa115C11E1.NC00Y_ APi110VCOFOF65UANCLIIY � <br /> .ir L• I <br /> � I <br />