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tAe Errr�rr,r,n <br />��Tv o� <br />everett <br />PtV 11411 }59B0B5 <br />EVEflER. YIASNINLiON <br />9iT01 <br />n[vr. av co•.a.�ururr <br />o[vciorrn[xr <br />NEH <br />it[�. . ...�'i..l.� <br />� <br />CONSTRUCTION <br />PERMIT <br />BUILDING MEChANICAL <br />.�`MAIL ApDHESS 21P <br />.U�..N� .... ' et. <br />PLUMBING <br />I�UII <br />AECHANICALCONTRACTOR MAILADDRESS PHONE LICENSENC <br />. i '- il• � ir�i�� <br />'LUMBINGCONTFACTOR MAILApORE55 PMONE LICENSENC <br />'EPMIT CLASS OF NlORK <br />❑BUILOING �PLUM�ING [�MECHANICAL <br />�NEW ❑ADDITION ❑ALTERATION ❑ftEPAIR <br />/ALUATION OF WPFK <br />5 ❑DEMpLISH ❑FENCE ❑SIGN ❑nWIM11MING POOL <br />LOT <br />JOI3 ADDREt <br />PLUMBING <br />2�.1.*,:. -f-�:I"'.., <br />;IPTION OF <br />6LOCK_ <br />KITCHENSINK & <br />DISHWASHER <br />LAUNDRVTRAV <br />ORINK <br />FLOOR <br />vncuu <br />SPECIAL CONDITIONS: <br />Yl �7 �� �Y %.ih. <br />v <br />�]:C\IPI <br />IRUSL�L'I_\ileLNi <br />❑VES ❑NO <br />MECHANICAL <br />TVPEOFFIJEL �OIL ❑Gn5 ❑LP <br />NO. TVPE OF E�UIPMENT <br />AIR COND. UNITS—H.P. EA. <br />REFqIGERMION 11NITS-N.R EA. <br />UOILF.FS-H.�. EA. <br />Gl�S FIRED A.C. UNITS-TONNAGE EA <br />FOFCL� AIR SYSTEfdS-B.T.V. M EA. <br />WALL FtEATERS-6.T.U. M <br />UNIT HEATERS-B.T.U. M <br />EVAPORATIVECOOLERS <br />CLOTH[SDRVERS <br />VENTILATIONFAN <br />RANGEHOOD <br />AIR HAND�ING UNIT- C.F.M. <br />INCINERATOR <br />� <br />W <br />m <br />� <br />� <br />z <br />� <br />� <br />� <br />W <br />a <br />,. �QJr <br />� SUft TOTAL 5 �+y �/ <br />PERM1IIT S —���p{-- <br />TOTALFEE $ {� w <br />THIS NERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />"; ION AUTHORIZEp IS NOT COMMENCEO WITHIN 120 DAVS, OR IF <br />CONSTRUGTION OR WORK IS SUSPENDED Oq ABANOONED FOR A <br />PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. <br />1 HERE9V LERTIFV THA7 I HAVE READ AND E%AMINED THIS AP <br />PLICATION AND KNOW THE SAME TO 6E TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS t1N� ORDINANCES GOVEFNING TH:S TYPE <br />Of WORK INILL BC COMPLIED WITN WHETH[R SPECIPIED HEREIN <br />OR NOT, THE GRANTING OF A PEflMIT DOES NOT PFESVME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL !HE PROVISIONS OF <br />ANV OTHER STATE OR LOCAL LAW fiEGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTIO��. <br />x 'n'4� �% � V <br />SIGNATVREOFCONTRACTOPORAUTH.AGENT DATE <br />'I.AN CHECK NUAIBGH PLFN CHECK FEE <br />FEE RECEIPT NO. <br />FEES VALUATION FEE <br />DA�-� BUILOING <br />PLUMBING <br />LEftS <br />�NQ MECHI�NICAL <br />OTHER <br />PENELTY <br />TOTAL <br />PERMIT VALII <br />WHEN PROPEf <br />S <br />� <br />SEC. 30a Inl <br />LV VALIDATED IIN TfiIS SPACE) THIS IS YOUR PERh11T <br />