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CON�TRUCTION <br />�� "� � � PERMIT <br />everett <br />.. i �i,1LL?59P]45 <br />� aE�r. wn �azo� COMBiNATION • BUILDING • MECHANICAL • PLUMBING <br />(�P:NER P.iLILlIUOfiESS ZIP PIP1'.L <br />__hTQmen_s Clinic _�'s_914 H9�t <br />/�RCHITECT OR DESIGNLH � MAIL ADDRt S PHONE LICENSE Np <br />.!i.NERAL CONTqqCTOF M11AIL ADUq[55 PMONE LICENSE NU. <br />'.'�I:CHqN�CALCONTI2ACTpq MqILAODqE55 PNONE LICENSENO. <br />PWh1l;iNG CONTRACTOHy <br />VfHMIT <br />❑ COM9INATION <br />�b�ILDING �PLUMBING [�MECHANICAL <br />VAI.IIATIf1N (1F WnRe <br />L[GALDESCHIPTIONOF PqOPLRTY <br />FOUR COPIESI <br />LOT BLOCK__OF_ <br />�ota nU',;��r;� _—_— . — <br />PLUMBING <br />OF <br />RNi4l�y <br />❑NEW ❑ADDITION ❑ALTERATIpN ❑REV�JH <br />❑r�ennrn_isi� ❑�'evcF ❑si�rv ❑�:�vir.��,nr:-: v�>,:i <br />MECHANICAL <br />------ --- -�—�— <br />LOWOqnTI„CI� .. _. �I';P[Or t.NEHrtv ___�—_- __ � <br />_X.�_ r15 ❑ELEC. <br />_ NO. TVPE OF EQUIPMENT FEE <br />AIR CONO. UNITS M.P. EA, g � <br />RLPRIGERATIr1NUtJ11'; HP_EA ��— <br />'-- - - . . ❑OILERS H.P L4. ---" �--- � <br />I <br />FOPCED AIR SV$TEMS-p.T.U. MEA. <br />-_ -. I I <br />I SPACE & WALL HEATERS - B.L.U. <br />' VNIT IIEAlLRS ❑.T.U. � <br />�LVAPURATIVE COOL@fi5 <br />.- --. - -- � �:i.on�ts onveas � <br />I VFNTILATION FAN T— <br />RnNGENOOD � <br />FEE nIH MANDLING UNIT- C.F.M. <br />$ - _ _-_ <br />� _"' __ I <br />1 WAT[R HEAiLq QQ -. <br />FAC NUILt FIf1FPL�ICL 7Y CHIMNEV � <br />I <br />�AS. SViTfA1 NO OP OUTLETS � <br />I _- 1 <br />�- �� ' " SUp TOtAI $ "__""" 7� OO . <br />' -__ --__ . _'_ _- _ PERMIT 5 .31-�� - <br />-_�_ "�_._.'_ ___ �-.__ _-'-_ TOTA�FEE 5 �.lIO- _ <br />T�IiS PLRMIT li[COM[; NULL AN[J VD10 IF WpRK Oq COId';iRUC <br />TION nUT110H12E0 IS NOT COMMENCED WIIHIN 120 Oi1S;, nq iP <br />COIJSiPUCI IUN Oti WqIiK IS SUS�'ENOEII OH Af3AN0pf<LI� 1 OH ,-, <br />� PFH100 O!' 170 DAVS AT ANY TIML AFTEfi WORK IS COn:tA1ENCEU. <br />� I H[q[f1V CEfi71FY THAT I IIAyL REAO AND EXAMINGD THIS �1P <br />PI.ICAT�ON ANO KNOW TH[ :AM[ TO pE TRUE AND COqfiECL ALL. <br />� PROVISIONS OF LAW; I�ND ORDINANCES GOVEfiNING i11151'VPE <br />� OF WOliK WILL 06 COMVIIEp WITII WH[THER 3PECIf-iED HEPEIN <br />OR NOf, THE GfiANTWG Of (1 PERMIT OOES NOT Pq@SUME TO <br />GIV[ AVTIIUpIIV 10 VIOIATL OP CANCfL ill[. PNpV1510p1,^, pF <br />nNv JIIILR'lt/�t[ 4H I t�; �:I. I ntV IItQUI ni1NGGUN_;1HUCilON <br />� OHiI❑. PIIII�IP.'d:.Nf_I ttl �1[�,"J`,IFUCII(IPo <br />- - pl X <br />�V�TERSERVICESIZE gLDG.SUPPLVSIZE 51cNniunL���i;�irdY�r.i.r7n;ni:.;ui���,i,jr�l i�nlL -� <br />':iI�F YARD SET6ACK STREEI tiETf3ACK PEAq yqRptiLTItA::K i'I AN C�il CV, I;Uf.9:LH � PL/�N CH[CK F[E <br />� I L L qECEIPT NO- <br />U'.L TONE LOi AREA VACl�NT SITE <br />_- __ <br />❑vEti ❑NO FE[S VALUATION FEE <br />i � ��L OF CONST. �ncci�annirv r.wnue n�n nc..u�c.. �...- - - - . . - -.- - - 1----- <br />':Itll OF �LD� <br />1 IHt 20NE <br />5�'LCIAL CONUITION i� <br />,.�„�.<,�,,,,��.���„��,,,. �,�,::,,,�,:.���,... , <br />.00C.LOn[) BUILOING S � <br />-_ � <br />1- - _ <br />PI.UMBING I <br />SPfi I NK LE fi5 � <br />UIRED - -__ -"_-_"' _._ <br />VkS ❑NO MECIIANICAL S. ^�- '" <br />� <br />niH[11 � <br />' _ I <br />-7_-_ <br />- PtNALTY SEC..l091a1 i <br />.--_'-__..- ___-__�-'--' <br />TOTAL � <br />- - - 5/p0 <br />PERMIT VALIDATION Q o <br />-"- - CJIII.P! FIu119 HI Y' V41 IUAll.fl flld�l(!:QVAC <br />�,�,�,��� : - <br />a <br />1'OiIR RECEIP-i <br />' Thl�iNK YO i> <br />, � , � . <br />, , <br />.. <br />'��. .", <br />i'i <br />