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i ;;,,- �,�,�,.;,,�:�„ <br />I arv vF <br />everett <br />,.,�: <br />;� ,,, :.,,,:'�,r��, <br />lfl�tl <br />•••�• IJE�PflOiMEMi <br />VWNGH <br />I � HITE��ESI( <br />GENERAICONTRACI <br />i <br />MECHANICALCONTF <br />� �aS�ro1. � �a <br />�OPVSTRUCTIOIV <br />PERMIT <br />BUILDlNG MECHANICAL. <br />LM1't�AIL PODRE55 ur <br />�f � � <br />❑6UILDING �PLUMpINGi�]htECHl�NICAL <br />JALUATION OF WORK <br />s <br />LOT <br />PLUivioiNG <br />❑NEW ❑ADDRION ❑ALTERATION ❑REPAIR <br />❑DEMOLISH ❑FLNCE ❑SIGN ❑SWIMMING f'001. <br />IPTION OF PqOPUi1 Y iS�iJt: CC LOIV 019 .',l 1 nCH <br />JOD ADDRESS <br />� <br />PLUMBING <br />lv <br />Bi�THTUf3 <br />L4Vl�TOflV IWA! <br />:HOWEF <br />KITCHEN SINK & <br />DISHWASHEfl <br />LAUNDHY TRAY <br />HO <br />JIAI <br />SPECIAI CONOITIONS: <br />IYlfl <br />SU�TOTAL <br />❑VES ❑NO <br />everett <br />MECHANICAL <br />ir��toi ruE�-�w� ��NnT.—��vc. [] <br />r.ns <br />NO. TYPE OF EQUIPMENT <br />NR COND. UNITS-N.P. EA. $ <br />flEFRIGERATION UNITS-H.P. EA. <br />BOILERS-h1.P.EA. <br />GAS PIREO A.C. UNITS-TONNAGE EA. <br />FORCED AIR SVSTEMS-�.T.U. M EA. <br />INALL HEA'(EFo�-B.T.U. M <br />UNIT HEATERS-�.T.U. M <br />EVAPORATIVECOOLEFS <br />CLOTHESDRYEflS <br />VENTILATION FAN <br />�fiANGE NOOD <br />AIR IIANf]LING UNIT- C.F.M. <br />INCWEHAIOF <br />/1�-y- 7�. <br />� <br />W <br />m <br />� <br />� <br />z <br />� <br />� <br />� <br />W <br />a <br />U70 <br />SUB TOTAL 5 <br />PERMIT 5 <br />TOTnL FEE 5 <br />TIilS PERMIT BECOMES NVLL ANp VOID IF WORK OR CONSTFUC <br />TION AUTHOR12E0 IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WOPK IS SUSPENDED Ofl ApANDONED FOR n <br />PERIOD OF 120 OAVS AT ANV TIME AFTER WORK IS COMMENCED. <br />I HEREOV CERTIFV TFIAT I HAVE READ AND EXAMWED THIS AP- <br />PLICATION AND KNOW TME Sl1ME TO DE TRUE �1fvD CORHECT. ALI. <br />PROVISIONS OF LAWS AND OROINANCES GOVEliNING THIS TVPL <br />OF WORK WILL �E CDAIPLIED WITh� WHETH[P SPECIPI[� HEREIN <br />OR NOT, TIIE GR�NIING OF !� P[HM1tIT UO[5 NOT VHE`UM19F TO <br />GIV[ .1UTHOHITY T^ VIOLATE OR C�INCEL T�I[ I'ROVISIONS OF <br />ANV pTHCR S1�11E OR I.OGIL L.1W fiEGU1.AiING.:ONSTitUCTiON <br />Uti THE �'EHPO��r,t�NC[ UI- Ci)NSTRUCTIOP:. <br />x � <br />SIGhATUH[UI'CONi11�1CT011UCnUl11.AGENT DATL <br />'L/�N CNECK NUM�ER NLAN CHECK FEE <br />FEE RECEIPT NO. <br />FEES VALUATION FEE <br />000. LOAD dUILDING 5 � <br />PLV��BING � <br />iPRINKLEFS � <br />IPED I <br />ES ❑NO �4ECHAPLCAL <br />OTIiER � <br />I <br />— P[NF�T'I 5[C.3091a1 � <br />TOTAL tj � <br />('ERMIT VALIDATION <br />\t9�EN ✓f10P[RLV VAt iOqT[D Ilh THi;SPl�CEI TH61; VUUR P[RNIT <br />