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tlre Evcrqreen <br />��T� �� CONSTRUCTION <br />everett P�ft��Y <br />��,�,..,�, �,,P�r, <br />�v[Ftrr.c,a:mrvc;nr� <br />sarni <br />°`°, °=,`°",'�,°.°;, BUILDING MECHANICAL <br />IWNEH Ml.IL AODRESS <br />LIP <br />. ..*-.r i'.�.; .,..a� ';+�r t'w �• `�w c(!ij r%(� <br />�FCHITECT OR DESIGNER MAI'. AC'�.RE55 ouni <br />R <br /><2Y � rt+ <br />AIL <br />AO <br />G! UMBI(VG <br />337- 3��7 <br />��� <br />Q6UILDING (�PLUM6ING �MECHANICAL ,y� <br />�JNEW ❑ADOITION ❑ALTERATION ❑REPAIR <br />VALUATION F WOAK <br />����J � <br />5 ❑DEMOLISH ❑FENCE ❑SIGN ❑;e:'I`d�UING POOL <br />DESCRIBE WORK <br />t,��-,.-._w ..���- °-� *�r.. -... <br />PROPOSED USE <br />MECHANICAL <br />TVPEOPFUEL �OIL �NliT. �LPG. <br />�EGAL UESCRIPTION OF PqOPERTV �SHOW pELOW Ofl ATTACN GAS <br />FOUR �PIESI T•^. <br />�oT 6LOCK_OF �'�" �`'��� E.t�Fi NO. _ TVPE OF EQUIPMENT <br />J06ADDRESS ��/� w� <br />�Jiv 1�! sU�.i`. . .... • <br />PLUMBING <br />B/1THTUB <br />LAVATOF <br />CLOTHES 4'Jl�: <br />WATERHEAT <br />SPECIAL CONOITIONS: <br />❑YES ❑NO <br />AIRCOND. VNITS-H.P. EA. <br />RF�RIGEqf�T.O�' UNITS-H.P. EA. <br />ElOILERS-H.P. EA. <br />GAS FIRED A.C. UNITS-TONNAGE El <br />FORCED Alq Sv5TEM5-B.r,1:. M PA. <br />Wi1LLHEATFFS-9.T.U. M <br />UNIT HEAT[FS-B.T.U. M <br />EVAPORATIV[COOLEHS <br />CLOTNESORYEqS <br />VENTILATION FAN <br />RANGEHOO� <br />AIR HANDLING UNIT- C.F.M. <br />INCINERATOR <br />��vereft <br />� <br />� <br />�. <br />�r � <br />� <br />W <br />m <br />� <br />� <br />Z <br />�"' <br />� <br />� <br />W <br />a <br />7iJ7 <br />SUB TOTAL $ � - - <br />PERMIT > T <br />TOTA� FEE S � <br />I <br />THIS PERMIT pECOMES NULL AN� VOID If VJORK Ofi CONSTRUG <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 O! "5, OF IP <br />CONSTqUCTION OR WOflK IS SUSPENDED OR AOANDOP,cD FOfi A <br />PEFIOD OF 120 DAVS AT ANV TIME �:PTER WORK IS COhAP.t�NCED. <br />I HERE9Y CERTIFV THAT I HAVE READ AND E%AMINE� �'1�S 11P- <br />PLICATION ANO KNOW THE Sl�ME TO 6E TRUE AND CORRE ^T. ALL <br />PROVISIONS OF LAWS qNp ORpINANCES GOVEF.NING THIS T"PL <br />OF WORY. WILL pE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRnNTING OF A PEHMIT DOES NOT PHESUME TO <br />GIV[ qUTHOqITY TO V�JI.ATE Oft Cf�NC[L TH[ PftUVIS10hS Of- <br />ANY OTHER STATE OR �_OCC.L LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF C(1NSTRUCTION. <br />x -N ��! �'.3 <br />SIGNATVFEOFCONTRnCTORORAUTH.AGENT OATE <br />PLAN CHECK NUA9BER PLAN CHECK FEE <br />hJ._�M�C FEE �- ky FEC[IFL.NO. <br />�l�a:l7 it�1.v 7�ydi <br />FEES VALUATION FEE <br />DAD �UILDING 5 +N�i�,�� j.i�QQ <br />I <br />PLUMBING �� <br />LERS � <br />'�Np MECHAPoICAL � <br />� � <br />OTHER I <br />I <br />PENELTV SEC.3031a1 � <br />TOTAL �,'� �(xj <br />PEFMIT VALIDATION <br />b'JH[N PRpPERLY VALIUATED IIN THIS SPACE) THIS IS YOUH P[RM111T <br />L <br />