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�fl <br />:h.e Ever9rcrrn <br />���� o� <br />ey�rett <br />ertrn>i�, �soaae�, <br />FVCxEr�.r:nsnucrun <br />9i]JI <br />o:�t. nv coi.vausnv <br />o[vuavrntrn <br />NER <br />.� ^..i.r .,�.. <br />' p` <br />BUILDING <br />1� <br />i <br />COIVSTRUCTION <br />PERh�IT <br />MECHANICAL <br />everett <br />F'LUMBING <br />PHO".E <br />a�"�Z <br />❑ OVILDINi ❑ PLUM61NG u.�dEC1iANICAL � <br />�,yNEW ❑ADOITION ❑ALTERATION ❑REPAIR <br />/AIUATION OF WORK <br />❑UEM110Li511 ❑1'ENCE ❑SIGN ❑SWIMMING VOOL <br />s <br />)ESCRIBE 1NORK <br />��Y� . . .. . <br />'AOPOSEU USE MECHANICAL <br />_EGAL DESCRIPTION OF PROPERTV ISHOW [tELOW O(i AITPCII TVPE OF FUEL �OIL ❑Gn5 ❑LPG. <br />FOI�R COPIE51 <br />LOT OLOCK — OF_ <br />JO� ADOR[SS <br />'� . -... <br />PLUMBING <br />LlaVATO <br />NO. TVPE OF E�UIPMEN7 <br />" AIR COM1O. UNITS-H.P. EA. <br />RFFR�GERATION UNlla-H.P. @A. <br />— BOILEPS-H.P.EF. <br />GAS PIflED A.C. UNITS-TONNAGE EA. <br />_� FORCED AIR SYSTEMS-�.T.U. �N EA. <br />WnLL HEATERS-B.T.U. M <br />UNIT IiEl�TER$-Ii.T.U. M <br />E Vl�Pp RAT I V E GOOLE RS <br />CLOTHES OFYEfiS <br />VENiILATION FAN <br />RANGEHOOD <br />FEE AIF HqNJLING UNIT- _QF__M. <br />INCINERATOR <br />�. <br />LLI <br />�I <br />� <br />� <br />z <br />� <br />� <br />� <br />W <br />a <br />235� <br />KI"(CNEN SiNK & DISP. _L SUe TOTAL $ � �[J�} <br />DISITYIASHER _� PERMIT 5 <br />LAUNDP\' TIiAY <br />TOTAL FEE 5 �t � <br />CI.OTHES WASNER ?HIS �ERMIT BBCOMES NULL ANO VOID IF WORK Ofl CONSTRUC� <br />WATER MEATER TiON AUTFIORIZEp IS NOT COMAtENCEI: INITHIN 120 DAVS, OR IF <br />URINAL CONSTflUCT10N OR WORK IS SUSPEN�EU OR A�ANpOKED FOfl A <br />DRINKING FOUNTAIN PERIOD OP 120 �AVS AT ANV TiM[ AFTER WORK IS COMMENCED. <br />FLC01i-SIIJK OR �RAIN � HERE�Y CCRTIFY THAT I HAVE READ AND EXAAIINED THIS AP� <br />VACUUM �REAKER' PLICATION AND KNOW THE SAME TO DE TRUE AND COR�ECI. ALL <br />— PROVISIONS OF LAWS AND OiiDINANCES GOVEPN�NG THIS TVPE <br />ROOF ORAINS-RAINLEADEIi$ OF WORK WILL 9E COAIPLIED WITH WNETHER SPECIFILD HEREIN <br />SINK ISERV ICE-�AR, ETC.) OR NOT, THE GRANTING OF A P[NMIT DOES NOT PRESVIdE TO <br />GIVE AUTHOpITV TO VIOLATE OR CANCEL THE PqOVISIONS OP <br />—�—� ANY OTHL9 STATE Ofi LOCAL LAW REG�/L.ITING CONSTFlUCTION <br />_ OR THE �ERFOFitdANCE OF CONSTPi!CTIOD:. <br />SUB TOTAL <br />PtRMIT S —� <br />TOTALFEE � <br />— �. i�l l�f'. ! � � <br />x �+T'#o7 <br />SIGNATUREOFCONTRACTOf10RAUTH.AGENT DATE <br />�/�CK STREET $ETAACK REAR VAqDSET3ACK PLAN CHECK NUM�EIi PLAN f�HECK FEE <br />FEE RECEIPT NO. <br />LOT Afl[A —� VACANTSITE <br />I ❑vEs t]No FEES VALUATION FEE <br />5°ECIAL CUN�tTIONS: <br />[IY' <br />ND.OF DWELLING T <br />UNITS I <br />MA%.00C. LOAD � BUILUING 5 ' I <br />1 _ <br />PLUMeING � <br />FIqESPRINKI.ERS _ ^ � <br />RCOUIflED p t� <br />❑VES ❑IJO MECHA�)ICAL � <br />OTHER � <br />I <br />.— PENELTY SEQ 90310) � <br />I <br />TOTAL � ��� <br />PGRM7IT vq�IDATION � <br />IVHEN PROPERLV VALIDATED UN THISSPi10El THI51;� VOUR PERAIIT <br />l• � <br />il <br />