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tnc L-v���arcen <br />��r� �F <br />everett <br />LIiT NALI If9BE85 <br />FVEP[R, 4:aSNRIf4Q1 <br />98101 <br />u[vr uv co�•,r,��vmr <br />ocv[iarrmnr <br />BUILDING <br />CONSTRUCTION <br />P.F_RMIT <br />MECHANICAL PLUMBING <br />everett <br />OWNER MAI�AODFESS ZIP PHONE <br />IZ�i.T. f� 'i:� i2�j '�'.l.":".°rr :/l��ajV <br />ARCHITECT OR DESIGNER MAIL ADORESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADOflE55 PHDNE LICEIJSE NO. <br />1 �L`.'� <br />MECHANICAL CONTRACTOR MAIL ADORESS PHONE LICENSE NO. <br />��-�'":��r p's,`a.'.-:il` `.i�`�J �i� �x':x•l!tifM � <br />PLUMDING rONTRACTOR MAIL ADOFE55 PHONE LICENSF `:J. � <br />W <br />m <br />� <br />PERMIT CLASS OF WO(1K � <br />Z <br />❑BUILDING [IPLUMBINf �MECNANICAL �NEW ❑ADOITION ❑ALTERATION ❑REPAIF ~ <br />� <br />VALUATION OF WORK � <br />❑�EMOLISN ❑FENCE ❑SIGN ❑SWIMtAING POOL W <br />5 C. <br />DESCRIBE WORK <br />33 F;,� `�' .�=�.r;r.. 7 7 � <br />PROPOSED USE MECHANICAL <br />TYPE OF FUEI. �OIL �NAT. �LPG. �ELEC. <br />LEGAL DESCFIPTION OF PqOPERTV ISHOW pELOW Ofl ATTACH GAS <br />FOUR COPIE51 <br />LOT �LOCK—OF NO. TYPE OF E4UIPMENT FEE <br />AIH COND. UNIrS—H.P. EA. 5 I <br />qEFRIGEFATION UNITS-H.P.EA. <br />l301LER5-H.P. EA. � <br />GAS FIREO A.C. UNITS-TONNAGE EA. <br />FORCED AIR SVSTEMS-p.T.U. �1 EA. I <br />JO� ADDRESS .��y�p WALL HEATERS-D.T.U. M <br />'Y^�%� �`��� `��� UNIT HEATEFS-B.T.U. M I <br />EVAPOqATIVECOOLERS ~— <br />PLUMBIIVG —� <br />CLOTHESORVERS I <br />VENTILATION FAN <br />FANGEHOOO I <br />AIF HANDLING UNIT- C.F.M. <br />NO. TVPE OF FI)(7URE OR ITEM FEE � <br />WATEA C�OSETITOILET) 5 �NCINERATOR I <br />OATHTVB <br />LAVATORV (WASH �ASIN) I <br />SHO�VEF <br />_ KITCHEN SIYK & OISP. SUU TOTAL 5 �T� <br />DISFWI�SHGR P[RMIT 5 _�_._ <br />_ LAIJNOHV THAV TOTAL FEE 5��_ <br />CLOTHES WASHER THIS PERMIT BECOMES NULL AND VGID I� WORK OR COKSTftUC- <br />WATER HEATEfl TION AVTHOflIZED IS NOT COMMENCED W ITliIN 120 DAYS, OR IF <br />URINA� CONSTRUCTION OR WORK IS SUSPENOED OR AUANDONED FOR A <br />DRINKING FOUNTAIN PEflIOD OF 120 OAVS AT ANY TIME AFTER WORK IS COh1M@NCED. <br />FLOOF-SINK OR ORAIN � HEFiEBV CERTIFY THI�T 1 HAVE FEAD AND ExAMINEO THIS AP� <br />VACUUM OHEl1KERS PLICATION AND KNOW THE SAME TO pE TRUE AND CORRECT. HLL <br />ROOF DFAINS-RAINLEADERS — P�OVISIONS OF LAWS AND OROINANCES GOVERNWG TMIS TYPE <br />. _ OF WORK WILL 6E COMPLIED WITIi WHETHER SPECIFIE� HEREIN <br />SINK (SERVICC--6l�R, ETC.) na NOT, THE GRANTING OF A PEFMIT DOES NOT PRESUME TO <br />GNE AVTHORITV TO VIOLATE OR CAkCEL THE PNOVISIONS OF <br />QNY OTHLR STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />Ofi THE P[RFORMANCE OF CONSTRUCTION. <br />SUDTOTAL <br />PERMIT 5 —� <br />TOTALFEE $ <br />X � � 6 <br />SIGNATUREOFCONTqACTOliORAUTH.AGENT DATE <br />SIDEYARUSETOACK STREETSLT�ACK REARYARDSET�/1CKPLANCHECKNUM6ER PLANCHECKFEE <br />FEE f:ECEIPT NO. <br />USE ZONE LOT AREA VACANT SITE <br />❑YES [�,� � FEES VALUATION FEE <br />TYPE OF CONST. OCCUPANCY GHOUP UNIOS DWELLING � <br />—! <br />SIZE OF BLOG. NO.OF STOFIES MA%.00C. IDAU CUILDING 5 � <br />I <br />P�UM6ING � <br />FIFEZONE BASEME�lT FIqESPRINKLERS _ � <br />RC�UIRE❑ I <br />❑VES ❑NO M[CHAHICAL $' '� <br />SPECIAL CONOITIONS: OTHER � <br />_. I <br />T <br />PENELTY SEC.3071u1 I <br />TOTAL jj� <br />PERMIT VALIDATION <br />WHEi� PROPERLV VALIf�MEO UN THIS $PAC[1 THIS i5 VOUF P@NM111T <br />PPPLILLIOflACGCPiEDtlYt PLANSLNECNEOEV. �1PPPOVEOfOFISSUAGCI�OV <br />� �� <br />n <br />