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nc� Eve{qreen <br /> ��T� �F CONSTRUCTION everett <br /> evc rett PERMIT <br /> cur Haii �s�cses <br /> C�EN`.11.'AA59�pG10N <br /> 9B)�1 <br /> ���� �� «^�M����� BUILDING MECHANICAL P�UMBIN <br /> ocv[iovutwr <br /> OW�NEfi y MAIL AD�RE55 ZIP PHONE <br /> ARCIin I�C1rOH�NE� MA�ODR� �NE IICENSE NO. <br /> �� <br /> GENERALCONTRACTOF MAILA�DRE55 PHONE LICENSENO. <br /> ME��CALCON�FACTOR MAILADORESS PHONE LIGENSENO. <br /> � <br /> PLUMBING CONTRACTOR MAII ADDPE55 PNONE LICENSE NO. �yJ <br /> m <br /> � <br /> PERMIT CLASSOF WOFK � <br /> Z <br /> �BUILOING ❑PLUMBING ❑MECHANICAL ~ <br /> ❑tJEW ❑�+DOITION �ALTERATION ❑FEPAIR � <br /> � <br /> VAIUATION OF 1YOFK W <br /> ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> 5 21��1 <br /> oes^C`8=�NOR����1� �? <br /> HY�� <br /> PROPOSED USE MECHANICAL <br /> TVPEOFFUEL �OIL ❑GAS ❑LPG. �ELEC. <br /> LEGAL DESCRIPTION OF PROPERTV ISMOW DELOW OR ATTAGH <br /> �oUR CoaiE51 NO. TVPE OF EDUIPMENT FEE <br /> LOT OLOGK__OF AIR CONO.UNITS—H.P. EA. 5 � <br /> FiEFFIGEft/�TIOM1 UNITS-li.P. EA. <br /> �OILEfiS-N.P.EA. � <br /> GAS F�RED A.C. UNITS-TONNAGE EA. <br /> F01iCEDlURSYSTEMS-�.T.U. MEA. � <br /> JOBADORESS ___ WAIINEATEPS-B.T.U. M <br /> �Q, �Db UNIT MEATERS-9.T.V. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTNES DRVERS � <br /> VENiILATION FAN <br /> RANGEIi00D � <br /> AIH HANDLING VNIT- C.F.M. <br /> NO. TVPEOFFIXTUREORITEM FEE INCINERATOR � <br /> WATER CLOSET(TOILETI 5 <br /> BATHTUO - -- � <br /> �FVATORY IWASH BASINI <br /> SHOWER <br /> KITCIiEN SINK& OISP. SUP TOTAL S I <br /> �ISHWASHER PERMIT 5 <br /> LAUNORY TPAY TOTAL FEE S I <br /> CLOTHES WASHER TNIS PERMIT �ECOMES NULL AND VO10 IF WORK OR CONSTRUC- <br /> WATEP HEATER TION AUTHOPIZEO IS NOT COMMENCE� WITHIN 110 DAYS. OR IF <br /> CONSTfiUCTION Ofl 1VORK IS SVSPEN�FD OR A�ANOON[O FOR A <br /> URINAL PERIOD OF 720 �AVS AT ANY TIME AFLER WONK IS COMMENCED. <br /> OPINKING FOUNTAIN <br /> FLOOR-SINK OR OPAIN I HEREDV CERTIFY TFIAT I HAVE AEAD AND FXAMINE� THIS AP- <br /> PLICATION AND KNO\V THE SAM[TO�E TilUE AND CORRECT. ALL <br /> VACUUM �flEAKERS PROVISIONS OF LAWS ANO OROINANCES GOVERNING THIS TVPE <br /> ROOF DRAINS-tiAINLFFOERS OF WORK WILL �E COMPLIED WITH WHETIIER SPLCIRE� MEREIN <br /> SINK ISERVICE-UAR,ETC.1 OR NOT. TNE GRANTING OF A PERMIT DOES NOT PNESUME TO <br /> GIVE AUTHORITV TO VIOInTE OR CANCEL ?HE PROVISIONS OF <br /> ANV OTHER STAT[ OR �OCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERPOf1MANCE OF CONSTRUCTION. <br /> SUB T0T/1L <br /> PERMIT 5 <br /> TOTAI.F[E S �t� <br /> SIGI�FTUREOFGONTRACTORORl�UTH.AGENT DATE <br /> SIDE YARD SETOACK STREET SET�ACK HEAR VAADSETOAC PLAN CHECK NUMO6fi PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> �vES ❑NO FEES VALUATION FEE <br /> TVP[OF CONST. OCCUPANCV GROUP VNIT�S DWELLING • I � <br /> SIZE OF �LOG. NO.OF STORIFS MA%.00C. LOl.O OUILDING 5 � <br /> I <br /> PLUMOING � <br /> FIfiEZONE �ASEMENT RE VIIiEOKLERS <br /> ❑YES ❑NO MECHANICAL � <br /> 1 <br /> SPECIAL CONOITIONS: OTHER � <br /> - PENELTV SEG.30�lal � <br /> TOTAL � � <br /> PERMIT VALIDATION <br /> WHEN PROPERLV VALIOIITEO (IN TNIS SPACEI THIS IS VOUR PERh11T <br /> �PI`LIC/iIONACCFPiC00Y�. PLANSCNEIXED�Y'. /FFPOVEOFO(11SSUfNCCOV <br /> 3�C. fi.C. <br /> � <br />