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� rl;c Ecdi��rrs�,r : <br /> � ���� �F CONSTRUG'TI01�! everett <br /> ' everett P�RMIT <br /> � [iE�F1I�::45N14fIN <br /> � �e>o� <br /> °`�"'oE�E`�a;,;�'„', BUILD�NG MECHANICAL ?LEJ��BING <br /> �_�� <br /> I OWNEp M41L ADDRE55 ZIP PHONE I <br /> �L•'•.— 2t�"j 3�otson I <br /> �,.� �. n� ��C3 353 �. �,;�y.:,,Yr <br /> 4RCHITECTOR OESIGNER MAIL AOGRESS PHpNE LiCENSE M1'p. 1 <br /> I <br /> iaENERALCONTNACTOR MAILADDRESS PHONE I <br /> y� LICENSE NO. I <br /> +� IM[CNANICAL CONTRACTOR MAIL AUDRE55 PHONE LICENSE NO. <br /> I PLUM[iING CONT�ACI'OR MAIL F,DDRCSS PHONE I.ICENSE NO. � <br /> � W I � <br /> _'__— m � <br /> PEFMIT - CLASSOf WONK C <br /> � I <br /> z <br /> �6JIL)ING �PLUM9ING �]RAECHANICAL � <br /> ❑NEW �(�DDITION ❑ALTERATION ❑REPAIP I <br /> VALUATION OF WORK - � <br /> � ��� ❑�EMGLI511 ❑GENC[ �9GN �C6N�Lih1WG PqOL W <br /> DESCRIfI[WORK ----' - � — -- a <br /> m�tr:t.�! t��aoa ae�.it�.m I G fl 9 <br /> P�O�'CSED USE — <br /> MECHANICAL i <br /> LEGAL UESCftIPTIONOF PROPERTV �SHOW�ELU'N OR AT7ACH T�PE ��� FUEL QpIL �GnS ❑LPG. �ELtC. <br /> Fp�q COPIESI <br /> LOT__ BLOCK—_OF NO. 7Y'PE OF E�UIPMENT FEE <br /> AIF COND. UNITS-H.P. EA. 5 � <br /> REFRIGERl.TION UNITS--H.P. EA. 7— <br /> BDILERS-iiP. EA. � — <br /> GAS FIqED n.C. UNITS-TONNAGE EA. <br /> __ ___..__ _ FORCEO AIR SYSTEMS-B.T.U. M EA. � <br /> JO� AD�RCSS — <br /> '�{�'"f WALL HEATEqS-p.T.U. M <br /> --`• �'�V�"4� UYIT HEATEPS-�.T.U. M � � <br /> PLUPABIMG . EVAPORATIVECOOLERS —�� i <br /> i ____ _ CLO"fH[S �RYLRS � <br /> VENTILATION FAN _ 1— � <br /> RANGF. HOOD � I <br /> N . h'PE OF FIXTURE OP ITEM F AIR HnNOUNG UNIT- C.F.M, _ _� <br /> _ WP.iEliCLOJETITOILET) 5 �NGNERATOR � <br /> BR.iHTUB T— <br /> LAVATOHY�WASH BASIM �� I <br /> SHOWER � — <br /> KITCHEtd SINK & DISR � <br /> DISHWASIIER — _ SU6 TOTAL S � I <br /> PERMIT 5 <br /> LAUNORYTRAV � . I <br /> __ CLOTNES WASHER TOTAL FEE 5 � <br /> WAT[R HEATER THIS PERMIT BECGMES NVLL AND VOID IP WpqK OR CONSTRUC� <br /> URWAL �— CO ST UCTOION OR IWORKT SD USPENDE� OIIiHA6ANDON D OIIIA I <br /> �PINKING FOUNTAIN —�-- PERIOD OP 120 OAVS AT PNY TIME APTER WORK IS COMtdENCEO. <br /> __ FLOOR-SINK OR DRAIN I HEFE9V CERTIFV THAT I HAVE READ AND E%AMW[D THIS AP- <br /> __ b'ACUUM AqEAKEFS PLICATION ANO KNOW TNE SnIdE TO�iE TRUE AND COFlRECT. ALL � <br /> _ 1100F ORAINS-liAIN�El1DER5 ��OVISIONS OF LAWS AN� ORDINAIJCES GOVLRNING THIS TYPE I <br /> OF WORK WILL �E COMPLIEO WITH WHETHER SPECIFIED HEREIN <br /> SINK ISEFVICE-BAq, ETC.) OR NOT, THE GFANTING OF A PEHMIT L�OES NOT PPESUME TO <br /> GNE AUTHO(ill'Y TO VIOLATE OR G1NC[L TH[ PfiOVISIONS Oi <br /> f.NV piHER STl1TE pR LOCAL l.AW PEGULl�TING COPISTRUCiION <br /> � Ofi THL P[�if-Oq61�NCE O�COfJSTRUC?ION. <br /> SUB TOTAL <br /> PERMIT y T <br /> i <br /> TOTA�FEE � <br /> - x 7f2j';l� I <br /> SIGNATUREOFCifaTRnCIUHORI�UTH.AGENT pATE <br /> SIDE YAqD 5ET6ACK STREET SET�ACK NEAq VARDSETl3ACK PLAN CH[CK fVUM9E4 PLAN CHECY, PEE <br /> �yy�! FEE RECEIPT NO. <br /> USE20NE LOTAREA VACANTSIiE � (�^r�T� �� <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GFOUP NO.OF DWELLING - I <br /> � 1' UNITS „ � <br /> I SIZEOFBLOG. NO. OFSTOy�:IES MA%.00CLOAO RUILDING 5 �{,� � i <br /> 4 '_'1 <br /> � I <br /> ' FIqE20NE bASEMENT FIRESPRINKLERS PLVMF.ING � � <br /> i. A w REOUIREO —�-�-"— <br /> , �� ❑VES ❑NO MECHANICAL I <br /> I <br /> _" __�_ <br /> SFECIALCONpITICNS: OTHER � I <br /> I _-- ___-- "._._ _""_ � <br /> PENELTY SEC.3031a1 I � <br /> i TOTAL � � i <br /> _ PERMIT VALIDATION I <br /> WHEN PROFERLV VALIOATE� (IiV iHIS3PACE TYI: �5 VOUH P[PVIT <br /> I <br /> I — __ _ I <br /> FPPIICATIOHnCf,[PTCDOP PLANSCN[CaREUpY�. APPFOV[OFC(il$SIIANiEB� I <br /> IT!r'K' iS�t:� I lS��f I <br /> I__".__ __ _._. � <br /> ,s-��/ � .-i , _ <br />