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II <br />rpc E�,•ro;.rcn <br />C�TV OF' <br />everet� <br />UIV �fALL 1598i45 <br />cvext�r. eanunr,rm: <br />�3>�,� <br />ocrr �� coouurun <br />uive�ovur�n <br />NEF <br />t : a ^u"�:..... .� <br />J <br />BUILDING <br />❑ 6UILOIIJG ❑ PLUM�ING � MECHANICAL <br />VAL'JATION OF WORK <br />� _ <br />DES(;RIBE WORK <br />Jf.Ya <br />LFGAL DESCRIPTION OF P <br />Foua cuvies� <br />LOT 6LOGK _ <br />J06 ADDFE55 <br />0�'��r <br />PLUMBING� <br />R <br />i <br />I <br />il <br />I$IDE Y <br />� <br />I USE Z( <br />� TVPEI <br />1 SIZE C <br />SP[Cl/�L CONDITIONS� <br />or-. <br />5 <br />CONSTRUCTIC�N <br />PERMlT <br />MECHANICAL <br />E <br />PLUMBING <br />OF WORK <br />❑NEW ❑ADGITION ❑ALTERATION ❑REPAIF <br />❑DEMOLISH ❑FENCE ❑��GN ❑��"IM1IM1LP:c POOI. <br />MECHANICAL <br />TYPL OP FUEL nOIL ❑CnS [ <br />UW f3[LOW OF ATTACH <br />NO. _ TVPE OF E�UIPMENT <br />l�IR COND. UNITS-H.P. EA. <br />FiEFRIGEiiATION UN�TS-�H.P. EA. <br />BOILER& �H.P. EA. <br />GAS FIRED A.C. UNITS-TONNAG <br />FOftCEDAIRSVSTEWS-6.T.U. M <br />INAL� HEATERS--B.T.V. M <br />UP9�HEATERS-9.T.U. M <br />E+yqPOPATI V E COOLERS <br />CLOTNESDRYERS <br />VENTILATIONFAN <br />RANGE HOOO <br />AIP H�N�LING UNIT- C <br />:M FEE INCINERATOF <br />iAR VAliDSET[3� <br />4CANT SITE <br />everett <br />[♦ . I �(E:1J <br />r�1i�� ` <br />�_� �m ` <br />� <br />W II <br />m 1 <br />� I <br />� <br />z ; <br />� ' <br />� i <br />� i <br />W I <br />a i <br />2575 �i <br />� SUBTOTAL 5 6;I�h+ <br />PERMIT 5 <br />TOTAL FEE 5 I � <br />TNIS PERMIt RECOMES NULL AND VOID IP WORK OF CONSTRUG I <br />TION AUTY.OR�ZEO IS NOT COMMENCED WITHIN 120 DAVS, OR Ir <br />FE�R C1D OFT140 AVS OT ANVSTIME Af-TDR WORK SO OMMEN� ED. � <br />I <br />I MEREBY CERTIFV TH�IT 1 HAVE RE/1D AfvD E%AMINED THIS /1Y i <br />PLICATION AYO KNOK' THE SAME TO �[ TIiUE AND CORRKT. hLL I, <br />PROVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TVPE , <br />OF WORK WILL F3E COMPLIED WITH WMETHER SPECIFIED HEREIN <br />OF NOT, THE GRANTING OF �1 PERMIT DOES NOT PPESUME TO <br />GNE lWTHORITY TO VIOLr1TE OR GANCEL TNE PFOVISInNS OF <br />ANV OTHEfl STATE OR LOCAI LAW REGVLATING CONSTFiUCTION <br />pR TIIE PERFORMnNCE OF CONSTRUCTION. <br />x 7"��i.7•i� <br />SIGNI�TUREDFCONTRACTOPORAUIH.nGENT UATE <br />PLAN CHECK NUMBLR PLl�N CHECK FEE <br />❑vcs ❑No FEES VALUH���irv � � <br />J.OF OWELUNG `I I <br />JITS <br />I <br />qX.00Q LOA� ❑UILDING 5 � <br />� I <br />PLUM�ING � ', <br />RESPflINKLERS I �, <br />EDVIFiED 71r�;1 ' <br />GYES ❑NO MECHANICAL •I <br />I � <br />OTHER I I <br />_ PENELTY SEC.9031a1 � I <br />I <br />TOTAL �I �� <br />PERMIT VALIDA710N �' <br />WHLN �ROP[RLV V ALIDI�YEO IIN �HIS SPACEI T���S IS YOUF PERMIT <br />� II <br />CPPOVEO fOP I:SUPIiCE Ov <br />I <br />r� <br />i <br /># <br />