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tHe fr<�r9i��nn <br />��T� o� <br />everett <br />�., .�.« z:�F,o, <br />[V6.Eli. l:_cuJ�LiO': <br />scrm <br />;:�o� �<<o��,.���,�r. <br />OtVEIOCNE'I1 <br />WNER <br />� � ��# �+i�.t'.�� <br />ACHITECT OR DESIGNEfi <br />mCMqNICAL CONTRACTO <br />j'::�? r. �+9C�& <br />BUILDING <br />, q t <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />PLU�Ii31NG <br />❑ 6UILDING ❑ PLUMBING�[] MECHANICAL I p5 <br />❑NEW ❑ADDITION ❑AI.TERATION ryRcPAIH <br />JALUATION OF WORK <br />5 ❑DEM1IOLISH ❑FENCE ❑SIGk ❑SWI�/hiING PGJL <br />JESCRIB[ WOPK — ----- <br />�:.:1 .....�.� 2-. l.i . ..,.r`.. <br />V <br />PTV 1$�104V teFLOW OH ,�1lAC�� <br />JO(3 i:pGPE55 <br />33 5 '?� <br />PLUMBING <br />UF pitA1N <br />AKCRS <br />SPECIAL CONDITIONS: <br />MECHANICAL <br />iYVE-. O� FUtL �OII_ �IJAI � <br />(vl'; <br />NO. TVPEOFE�UIPMENT <br />AIR COND. UNITS–H.P. EA. <br />REFRIGERATION UNIT'S--H.P. EA. <br />DOILERS–M.P. EA. <br />GAS FIRED A.C. UNITS-�TONNAGE <br />FOflCEO AIR SVSTEMS–B.T.U. M <br />WALL NEATERS–B.T.U. M <br />UNIT HEATERS-9.T.U. M <br />EVAPOFl�TIVECOOLERS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT– C.I <br />INCINEFATOR <br />SU�TOTAL 5 !, � <br />PERMIT 5 J�� <br />3 <br />TOTAL FEE 5 j <br />THIS PERMIT BECOMFS NULL ANO VOID IF WOFK Oii CJNSTRUC <br />TION AUTHORI2ED IS NOT COMMENCEO WITHIIJ 120 DAYS, D(i IP <br />COYSTRUCTION OR WORK IS SUSPENOED OR ADANDOKE� FOF A <br />PERIDD OF 170 DAYS AT ANV TI�1E AFTER WORK IS COMI.t[NCFO. <br />I HEPEOV CEFTIFY THAT 1 IIAVE READ ANO E%AMIIJED THI.^. P.P� <br />PLICATION AND KNOW THE SAME TO t1E TRUE ANO COPRECT. ALL <br />PROVISIOkS Of LAWS ANU ORDINANCES .30VERNING TNIS TVPE <br />OF WORK WILL 9E COMPLIED WITH WNETHEP SP[CiFIEC1 HER[IN <br />Oli NOT, THE GRANTING Of A PER�dIi UOES NOl' PF[SUA1[ TO <br />GIVE AUTHORITV TO VIOIATE OF C.�NCLL THE PR0��13ipU; OF <br />ANV OTHER STATE OR LOCAL LAW R[Glll I�TING CO'd3i'f;UCiiON <br />OF�TNEPERFOFlMANCE OFCONSTRUCTION. <br />x j �. <br />SIGNATUREO�CON�IiACTORORAUTH.l1GENi Ul�TE <br />'LAN CNKK NUh1PEfi PLAN CHECK FEE <br />IfEE IRECEIPTNO. <br />❑vEs ❑NO FEES VALUA710N FEE <br />�.OF DWELLING <br />JIT$ � <br />4%.00F LOAO 6UIL�ING 5 � <br />I <br />PLUMDING I <br />RESPRINKLERS I <br />�UIREO <br />❑1'ES ❑NO MECHANICAL 7 '� <br />OTHER � <br />_ � <br />PENELTY SEC.30:11a1 I <br />___ —L <br />TOTAL � � <br />PERMIT VALIDATION <br />VJHEN I'fiOPERLV VALIf]l�TEO IIN THIS S�ACGI THIS IS VOUFi PLR6111 <br />