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tlre Evorgrern <br />���Y�� C�NSTRUCTION <br />everett PERMIT <br />Ui1 IInIL ]1'liFrS <br />C:Ei1flt. ttd9liryLlOy <br />9A1J1 <br />°"' °oE�E�aPM�'x, E3UILDING MECHANICAL <br />OWNER p1lUL ApOfiESS Z�p <br />'! 4 <br />IdE :2 ., , t ., :_ ;,; � <br />AflCHITECr na nccir.mc <br />t:atural can �',-,uina�2nt <br />� ao <br />PLUMBING <br />❑ pUILDING � PLUMBING �JdECNANICAL <br />❑NEW ❑ADDITION ❑ALT2RATION ❑REPnIR <br />VALUl1TION nF WOfiK <br />5 ❑ocn�ous�� ❑Fervice ❑sicN ❑swimm�rar roo�_ <br />DESCRIBC WORK — ----- _ <br />PpOPOSED USE <br />MECHANICAL <br />LEGALDESCPIPTIONOF PROPERTY ISHOW BELOW OR ATTACH t1'PE OF FUEL �pIL �NAI. QLPG. <br />�OUR COPIESI GAS <br />Lor BLOCK_OF NO. TYPEOFEDUIPMENT <br />AIR CCND. UNITS-H.P. EA. <br />REFRIGEFl�TION UNITS-H.P. EA. <br />601LER5-�H.P. EA. <br />GAS FIqED A.C. VNITS-TONNAGE EA. <br />FOqCEDAIRSYSTEMS-�.T.V. MEA. <br />JOal�pp�C�L _---�---- --- �VALL HEATERS-B.T.U. M <br />3 l.0 �I <br />UNIT HEATEHS-B.T.U. M <br />PLUMBING __yEVAPOflATIVE COOLEFS <br />CI.OTH[S DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />NC�, n'pE OF FIXTURE OR ITFM vcv �+�R HANDLING UNIT- r v n� <br />U9 <br />OF <br />R <br />IEHHE <br />INAL <br />f SIUE YARD <br />I +UFE ZONE <br />�SPECIAL CONOITIONS: <br />8P <br />iTA <br />T.^� <br />everett <br />T �.�.. <br />lll..,"�� <br />¢ <br />w <br />m <br />� <br />� <br />Z <br />F <br />� <br />� <br />w <br />a <br />292S <br />_L SUB TOTAL 5 � � ` <br />� PERMIT g <br />TOTA�FEE 5 �- <br />THIS PERMIT 6ECOMES NULL AND VOID IF WORN OR COfJSTBUC- <br />� TION AUTHOqIZf.D IS NOT COMMENCED WITHIN 120 DAVS, OF IF <br />CONSTRUCTION pR WORK IS SUSPENDE� OR FRANDONED FOR n <br />PEFl100 OF 120 DAYS AT t�NY TIME AFTER WOqK IS CC�MMENCED. <br />� FIER[�� CERTIFV THAT I I�IAVE READ AND E%AMINED THIS AP- <br />PLICl�TlO� AND KNOW THE SAME TO 6E TRUE ANO CORRECT. A�L <br />�— PROVISION,� OF LAWS AryO OFUWANCES GOVEqNING THIS TYPE <br />1-.— OP WORK W'LL BE COMPLIED WITH WHETHER SPECIFIED NEREIN <br />OF NOT, TME GqANTING OF A PERMIT DOES NOT PqESUME TO <br />GIVE AUTHORITV TO VIOLATE OR CANCEL THE PqpVISIONS OF <br />ANV OTI1Eli STATE O!i LOCAL LAW REGULATING CONSTRUCTION <br />Oq THE PERFORMANCE O� CpNSTRUCTION. <br />S <br />$ <br />x 7��-'/'i ; <br />SIGNl1TUREOFCONTRACTORORAUTH.AGENT DATE <br />FEARYAqDSET�nCKPLANCHECKNUMBER PLANCHECKFEE <br />FEE (iECEiPT MU. <br />VACANT SITE <br />❑YES ❑No FEES VALUATION FEE <br />VO.OFDWELLING �—� <br />JNITS <br />I <br />dAX.00C.LOA� BUILDING 5 I <br />I <br />PLUMBING �— <br />'IPESPqINKLERS � <br />iEOUIRED � <br />❑YES ❑NO MECMAqICAL --� �� � <br />OTMER � <br />1 <br />PENELTV r—_ <br />SEC.3091a1 � <br />TOTAL )I t <br />I <br />PERMIT VALI�ATION <br />WMEN VROPERI.V V4LIOATED IIN THISSPACE) THI515 �OUR PERMIT <br />Y <br />s <br />