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r------ T • .. <br /> I <br />,j <br />` �ONSTPUC�['IO�V evcrctt <br /> CI I� U� <br /> r everett PERI�niT <br />� QTY HLU_ 151�6)45 <br />'Iti eveaeTr, wn �azni COMBINATION • BUILDING + • <br /> MECHANICAL PLUMBING <br /> OWNEF p141LAUf)H6S5 ZII' PHUN[ <br /> C. �Ji1�Cflfii; m <br /> AFCHITECT OR OESIGNER MAIL A��RE55 PI�ON[ LIC[NSE NO. � <br /> � <br /> � <br /> OENLFA'. CONTRACTON MAIL ADDiiESS PHONE LICENSE NO. z <br /> __: -�T�r s�:�s. 353�i6i � <br /> AILCMANICAL CONTRACTOq MAIL AODRE55 PHUNE LICENSE NO. � <br /> W <br /> m <br /> ���iLh1BINGCO'1tRACTOR M�1ILADDFEFS PHONL LICEN9[ q0. � <br /> PERMIT C1A550FWOR4; � - <br /> ❑COMBINATION <br /> ❑6V:LDING [�PLUMBING ❑MECHANICAL <br /> ❑new ❑r.noninw Oni_iEnr,�i,�ni (]Ho•niu <br /> VALUATIDN OF WOfiK <br /> s ❑oenao.��u� ❑r r Nci ❑si,rv ❑�;�vir.�r.nr,., i�a�,i_ <br /> DESCRIF3E WORK <br /> - - — � — - - -- -- —--------- <br /> araovoseo use MECHANICAL <br /> - IVPF. OF @N[(iGV -- <br /> L[r_,qL CLSCliIPTION JP PHOPLRTY i.^,HpIV GElO1V OR MTACH ❑t;q5 ❑ELEC. <br /> FDUP.COPIE51 _ <br /> NO.I- TVPE OF E�UIPMENT FEE <br /> LUT -- 6LOCK_OF — _ - - _ _ <br /> NR CON�. UMTS-H.P. EA. $ I <br /> �f1L�fiIGFFATION U1JITti HA'. EA_ ����- <br /> . .__ __ _ _ _1--_ -_ <br /> - -- �I:UILERS II.F. En. � <br /> I FOFCED AIR SVSTEMS-p.T.U. MEA. T- � <br /> _ _ I -- <br /> 1011 AUI��RL:' -- p -�---"-�-"� I SpqCE & WALL 4EATERS - B.T.U. L__ <br /> �r�iV IJ'Ji�T UNIT HLATEP$ li.T.U. I <br /> [VAPOAATIV[ CUOLERS <br /> PLUMBING �-c�or�iesoavens i - <br /> V E NTI Ll.T ION P AN --��� <br /> H.WGE HOOD I <br /> NO. TVPE OF FIRTURE OR ITEM FEE niH ��nNDUNr,�iN�i- aF.n�t. �— <br /> 13l��H TU[35 — $ -' - -' --- � - <br /> ( I <br /> l GLOTHESWASHER � _ WnTFR�HEATER <br /> OISH WASHEFS i � - -- ---- <br /> I7NINKING FOUNTFJNS � - FnC HUILT FIREPLACE R CHIMNEV � __ <br /> IFLOOR DRAINS � _ GAS. SVStFn1�_ No OP OVTLETS _ <br /> KITCHGN SINKS & UISP. � __ _ _ _ _ SUi3 TOTAL 5 � <br /> l3l�R SWKS � PLfiMIT 5 <br /> __._ _ _- _ _— � <br /> HGOF URAINS - RAIN LEAOERS � TOTnL FEE 5 I <br /> $HOWER �ATHS 11�1!; PLHAiII ❑[f_pp1[S NULL AND VOIO IF lh'pRK UR CUNSTRUC <br /> S@flVICE $INK$ TI(�N l�UTIIOHIZEfI IS NOi COMMLNCED WITHIN 120 pAVS, OF IF <br /> $UMPS - $EWAGE PUMP CON51 RUCTION OF WOfiK IS SVSPENnED OR AiIANpONEO FOR A <br /> - � -- FEfiIOD OF 120 �AYS AT ANV TIME I�FTEFi WURK iS COMMENC[D. <br /> UHINALS � <br /> WAiER CLOSETS t � ���REEiY CERTIf'Y TryAI I HnVE REi1fJ nND ExnMINED THIS l�P <br />' WATEH HEATER$_- EIECI RIC � PUCATIOH l�N� KNOW THE iAME t0 !SE TRUE AND COft(iECT. ALL <br /> II PflOVI510N; OF LAW; ANn ORDINl1NCE5 GOVEPNiNG THIS TVPF <br /> WASH BASIN$ i pF WORK WILL UE COM1IPLIEp WIiH WH[1H[R SP[CIFIED HEHLIN <br />� LAUNDR'/ TRAYS �� NUT. 1HG GRI�NTING OF A PERAtIT CDES NOT PNESUME i0 <br /> � GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OP <br /> —_ __. ANY pTHER StATE Oq LOCqL LAW R[GULATING CONSTPUCitOP: <br /> � OR iH@ P6RFOfiMANCE OP CONSTRUCTION. <br /> _ I <br /> SUl3 TO1'AL i /J � <br /> P[ftM1T S //�)� � � / <br /> TOTAL FEE X .��"�� �.���— _�J��lI_I. -- <br /> WPTERSEfiVICE517E 11LOG. SUPPLVSIZE slr.tJnTui'.[c�r-CUNInnCTonORnUni.nc@NT DnT[ <br /> SIUF YARG SETOACK ;i HLLi tiL' lil�CK RGAR VAflOSGTf:ACK �'L!•N CH['CK NUf.1f1F.R PLnN CHECK FE[ <br /> f-EE FECFIPT Nn. <br /> USEd'ONl LOTAPEA VACANTSITE <br /> ❑v[S ❑NO FEES VALUATION fEE <br /> TYPL (%� CONST. OCCUPANCY GROVP NO.Of- DWLLLIN(i <br />'� UN1T5 I <br />� -- _ _-__- - <br /> i SILE OF IILDG. k.�.Of- STORI[5 M.1%.00G LOAO ❑UILUING § � <br /> I <br /> PI.UMf31NG <br /> i FIRE20ME 11�iLM4N1 FIqE$PFiINKLEl15 ���� <br /> flEOUIPED � I <br /> ❑YF.S ❑NO MLClI:�.VICAL � <br /> . ---- �. - 1 - <br /> 3i'[CIAL CONDITIONS UTHEft � <br /> _ _ _-" _ ____. '-___ -__- - I <br /> _�T <br /> - - P[NALiY SEC.30�1a1 I <br /> __ _ ____-___ --_--. I _ <br /> .__ '_ _- TO?AL I <br /> 7 ��n <br /> PGFMIT VALIDATION 9 �• <br /> -- WIII :JPHUPlHI.YVlU �I)AiFUIIN�I ll$$YACN .IISI_.�' I. { PI�ItA�il� <br />� Y,Qti ? r'Fr�1CY <br /> . � . <br />' rriuo.�.,.-i�u�ii:n;v r�nn�.��ureiui�, nrrnueru��uir:ir:.:�i,.- ' <br /> i � <br /> ill'J <br />� n 1 1 <br />,` <br /> • <br /> � _ � .r � _ <br />