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� (h„ Ercrgre,�n I <br /> _��� �� CONSTRUCTIOIV everett i <br /> �verett P�RI�IT <br /> �,�r�,.,« ._._. <br /> E�t�E,r ::����;;��:;�� <br /> BUILDING MECHF�NICAL PLUMBING �, <br /> a,vt oc cor:.��i���r,v <br /> ocv[iovi.�txr <br /> OVJNEP �dAIL f.pOHE55 LIP PHON❑ I <br /> . .:e^ 2;` - ":"'. , �3.�'iA:2 t�t2-ii � <br /> I /�RCFIITECT OR OESIGNER MAIL ADOP�E55 PHONE LICENSE NO. i <br /> GENERALCONTRACTOR fAAILADDflESS PHONE LICENSENO. <br /> ._.._. .._iT fi�'u^e <br /> IMECHANICAL CONTFACTOfi MAIL ADDRE55 PHONE LICENSE NO. � <br /> � <br /> IPLUM�ING CONTRACTOP MAIL AODHESS PHONE LICENSE NO. � <br /> I W <br /> � <br /> PEHMIT CLASS OF WOFK •� <br /> , <br /> ��3UILNNr �a��•.�BIN� �h1F�HC.41C4. ,--y F <br /> LyNEW ❑ADDITION ❑ALTERATION ❑F[PAIf9 � <br /> VAWATION OF WORK <br /> 5 �' � ❑ntn�o�isr+ ❑FeNCE ❑si,rv ❑s�vin�nnin;c ro�� w <br /> a <br /> DESCFIBE WORK ---- <br /> ,-;:�� �:-,� ,,� ,.:. 747 <br /> . �. :,: <br /> PFOPOSED VSE <br /> MECHANICAL <br /> TYPEOFFUEL �OiL G'NI�T �LPG. �ELflC. <br /> LEGAL OESCRIPTION OP PROPERTV (SHOW BELOW OH Ai TACII GAS <br /> FOUR COPIE5) <br /> �or BLOCK—oF NO. TFPE OF E4UIPMENT FEE <br /> AIR CON�. UNITS-H.R EA. $ � <br /> REFRIGERATION UNIT�-H.P. EA <br /> - OGILERS-H.P. EA. � <br /> GAS FIqE� A.Q UNITS-T(�NNAGE EA. � <br /> __ � FORCED aIR SVSTEMS-9.T.U. M EA. � <br /> JOF3 apORESS � y� WALL HEATEqS-B.T.U. M <br /> '�,�v}�j�� fi'��'a�� UNIT HEATEqS-B.T.U. M I <br /> EVAPOfiATIVE COOLERS <br /> PLUMBING CLOTHES DRVERS � <br /> VENTILATIONFAN <br /> FANGEHOOD � <br /> NO. TYPE OF FIX7URE OR ITEM FEE AIN HANDLING UNIT- C.F.M, <br /> WATER CLOSETITOILETI 5 INCINERATOR � <br /> BATHTVB � <br /> LAVATOflY1WA5HBA51N1 � <br /> SIi04YER <br /> KITCHENSINK& DISP. SUBTOTAL $ I <br /> DISHWASHER � <br /> PERMIT 5 <br /> LAUNORY TRAY TOTAL FEE 5 j <br /> _ CLOTHEi WASHER _ � THIS PEFlM�T 6ECOMES NULL AND VOID IF WORK OF CONSTRUC- <br /> WATE/I NEATER �— TION AUTHOR12E0 IS NOT COMM1IENCED WITMIN 120 DAVS, OR IF <br /> URINAL �-- CONSTRUCfION Ofl WORK IS SVSPENDEO OFi ABAN�ONED f-Ofi A <br /> DRINKING FOUNTAIN �ERIOD OF 120 DAVS AT ANY TIME FFT[R WORK IS COM1IMENCEO. <br /> _ FLOOR-SINK OR OflAIN I HEREBV CEflTIFY THAT I HAVE READ AND EXAMINEO THIS ��F <br /> VACUUM pFEAKERS I— PLICATION ANO KNOW TNE SAME TO�E TRUE AND CORHECT. ALL <br /> - PROVISIONS Of- LAWS AND OR�INANCES GOVERNING THIS iYPE <br /> ROOF DFAINS-RAWLEADERS OF WOflK WILL �E COMPLIED WITH WHETH[R SPECIFIED HEREIN <br /> SINK ISERVICE-6AR,ETC.) OR NOT, THE GRI�NTING OF A PERMIT DOES NOT PNESUME TO <br /> GIVE AUTHORITY TO VIOLAT[ OR CANCEL THE PftOV1510N,5 OF <br /> ANV OTHER STATE OR LOCAL LAW RC:GULATING CONSTRVCTIDN <br /> OHTHEPERFORMANCEOFCONSTqUC1lON. <br /> SUp TOTAL <br /> PEflM1T ¢ <br /> TOTALFEE $ ��� /� <br /> X `+N�✓1�i <br /> SIGNATVflEOFCONTRACTORORAUTH.AGENT DATE <br /> I SIUL VARD SET�ACK STREET SETOACK REAfl YqRDSET�ACK PL�N CHECK NUM6ER PLAN CHECK FEE <br /> FEE RECEIPTNO. I <br /> U;@ �ONE LO7AREA VACANTSITE <br /> ❑vEs ❑nto FEES VALUATION FEE <br /> TVPG OF CONST. OCCUPANCV GFOUP NO.OF DWLLLING <br /> UNITS � <br /> SIZE OF pLOG. NO.OF STORIES �AAX. OCC. LOAD BUIL�ING $ M'l'Vf fVl N.� <br /> .i1NA��W � <br /> PLUMBING I <br /> I-IkiEZONE 6�15FM1tEN1 RRESPRINKLEiiS I <br /> RE�UIRED � <br /> ❑vE5 ❑NO MECHAIJICAL � <br /> 9PLCIAL CONDITIONS: OTHEF � <br /> __ __ � <br /> -- — PFNELTV SEC. 3031a1 I <br /> __'.� <br /> TOTAL � <br /> � <br /> PERMIT VALIDATION <br /> — - WHEN PqOPEFlLY VALIDATED IIN THl$SPACE�THIS IS VOUF P[RStii <br /> +ia•UCniiOq�CCCCTfDOY� VLqNSCHECKEDBY: AFPPOVC�FOFISSO�NCFIrv <br /> 1 <br /> Ii l�4 <br /> �� , <br />