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!hr Ercryrren <br />CITY UP <br />ev�r�tt <br />❑iV �IiLL 159oFv,5 <br />P'[PFIt P:ASIIINGif1Y <br />9°2111 <br />�,E�, �,� �o,����•��r. <br />etvtinau.rw <br />NER <br />.. �;... � �; �. <br />P <br />R <br />GOIV5TRUCT101V <br />PERM9'F <br />BUILDING MECHANICAL <br />n+ni� noor�ess ziP <br />��..... �.' <br />PLUMBING <br />�6UILDING ❑PLUM6ING ❑MECHANICAL �NEW ❑ADDITION �]ALTEFATION ❑FEPAIH <br />VALUATION O�F �'_OFK <br />�(���,� ❑DEMOLLH ❑FENCE ❑SIGN ❑SWIh1tdWG POOL <br />5 --- <br />OESCFIBE WORK p�y� <br />�� �...:fi�'�=�. .:.'M. � . � r• `"�~ii ::_L_ <br />FGVR C/OPSE51'PTION <br />LOT Si�- �LOCK. <br />JOB AODRE55 x.� i�.��.,:..�.' �-.• <br />PLUMBING <br />�IN <br />EP[CI�L CONDITIONS' <br />oH a�r <br />REAyR�YAflD 5ET6� <br />CV� <br />VACANT SITE <br />❑VES �NO <br />N0.CiF DWELLING <br />UNII'S <br />MECHANICAL <br />i_Nc. <br />everett <br />?1:;:�1� <br />7VPEOFE�UIPMEN7 ret <br />AIR COND. UNITS-H.P. EA. S � <br />FEFRIG[FinTION UNITS-H.P. EA. <br />BOILERS--H.P.EA. � <br />GAS FIflED q.C. UNITS-TONNAGE EA. <br />FORCED Alft SYSTEMS-B.T.U. M EA. I <br />WALLHEATEFlS-D.T.V. M <br />UNIT HEATEftS-B.T.U. �� � <br />EVAPORATIVECOOLERS <br />CLOTHESORVERS � <br />VENTILATION FAN <br />RANGEHOOD � <br />�1Iq HANDLING UNIT- GF.M. � <br />INCINERATOR � <br />� SU9TOTAL 5 I <br />PERMIT 5 � <br />TOTALFEE S I <br />THIS PERMIT AECOMES NULL FNO VOID IF WORK OR CONSTRUC- <br />TION AUTHOR12E0 �5 NOT COMMENCEO WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK �5 SUSPEND[D OR A6ANDONEO FOR A <br />PEP100 OF 120 DA�S AT ANV TIME /1FTLR WORK IS COMME�..CED. <br />I HEREE7Y CERTIFV THAT I HAVE REl�D 4N0 EXAMINED THIS 11P� <br />PLIC4TION AND KNOW THE SAL1E TO �E Tf1UE AND CORRECT. ALL <br />PfiOVISIONS OF LAWS AND OHDINANCES GOVERNING THIS TVPE <br />OF WORK WILL BE COAIPLIED WITN WHETHER SPECIFIED HEH[IN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TG <br />GNE AUTHORITY TO VIOIATE OP CANCEL THE PPOVISIDNS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />X '�7+�f~l� <br />SIGNATUPGOf-CONTRACTORORAUTH.AGENT DATE <br />PLAN CHECK NUM�EFl YLAN CHECK FEE <br />FEE RECEIPT NO. <br />FEES VALUATION FEE <br />MAX. pCC. LOAp �UIIDING 5 �{/V {�IVJ <br />i-- <br />PLUMBING � <br />FIRESPFINKLERS _ � <br />REQUIRED � <br />❑vE5 ❑NO MECHANICAL i <br />I <br />OTHER � <br />_ PENELTV SEC.30JIol � <br />— 1 <br />TOTAL 1C1(� <br />PERMIT VALIDATION <br />WHEN PROPERLV VALIDATED (IN THU';PAGL) T�US iS 1'OUR PLR�iIf <br />VEOfOP:55URNCE[iY. <br />� C� <br />n <br />