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0 <br />� <br />1 <br />fhe Era��rren <br />���, ��� CONSTRUCTION <br />everett PERMlT <br />Ci1Vrm�� }59B?�35 <br />tvtaFn. �vasrunmo�� <br />Y9:01 <br />°`"' °` `°"„°"'" BUILDING MECHANICAL <br />uevtinrwtxi <br />NER MAILADDREIIS ZIP <br />Artnur 3ran�ivo23 2412 Park :�zivc. 492::3 <br />�HITECT OR DESIGNER MAIL ADDftE55 PHO <br />srectr� !;rng:tics <br />VEFALCONTRACTOF MAILAOORESS PHO <br />:tzthur :,ranc?vo13 <br />CHANICALCONTRACTOR MAILAODFESS YHO <br />Actioa Eleactric <br />IMBING CONTRACTOR MAILAODRESS PHO <br />itay' s Flur.."�ing <br />IMIT CLA55OF WOfiK <br />Pl_UMBING <br />F'HONG <br />asa-a�sz <br />�UUII�ING �PLUMOING QMECHANICAL <br />�NEW ❑ADDITION ❑ALTEfiATION ❑HEPAIR <br />VALUATION OF WORK <br />g .L��t4�S.VD ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />OESCRIBE WOqK <br />Constzu�t SL�gle l�amily �ZC°�S:eace <br />PFOPOSED ySE <br />S1Aqia Fat�ily R'U13�dC1C0 MECHANICAL <br />LEGAL �ESCRIPTION OF PROPERTV ISHOW eELOW OR ATTACH TVPh OF FUEL �OIL ❑GAS ❑LPG. <br />FOUR G E51 <br />LSt }i�u t0 Aoverly Pal'� +.�0. TVPE OF EDUIPMENT <br />LOT BLOCK_Of—_ n�n CONO. UNITS-H.P. EA. <br />4 7V'� �A � OV� Short Flat 1202-33 I REfRIG[RI�TIONUNITS-H.P.EA. <br />JOB ADDRES <br />7518 tz c��►lan�: nrive <br />PLUMBING <br />BA <br />CLOTHES WASHEri <br />WATER HEATER <br />UfiINAL <br />)HINKING FOUNTAIN <br />'1.00R-SINK OR DRAIN <br />✓ACUUM OPEAKERS <br />ROOF-PRAINS-RA�NLEAOFRS <br />P.-1 <br />TVPE OF CONST. <br />SIZE OF BLDG. <br />25'x94' <br />FIRE ZON� <br />SPECIA� CONDITIONS: <br />.�. <br />BOILERS-H.P.L: <br />GAS FIRED A.C. �'� <br />FORCED AIR 51't�"fE <br />WALLHEATERS-�. <br />R$ <br />A� <br />AIR 11ANDLI <br />everett <br />97^-77 <br />2767 <br />� <br />SUBTOTAL 5 '� - <br />PERMIT 5 �� <br />TOl'FLFEE 5 ,� �'`� <br />THIS PERMIT OECOMES' NVLI ANO VOID IF WOHK OR CONSTRUG <br />TION /1UTNORI2ED IS NOT COMMENCED WITHII�' 120 DAVS, OR IF <br />CONSTRUCTION OR WORK IS SUSPEN�ED OR A�ANDONED FOR !1 <br />PERIOD OF 120 DAYS !�T ANV TIME AFTER �VORK IS COMMENCED. <br />I HERE[3Y CERTIFV iMAT 1 HAVE FEAD AND EkAMWED THIS AP� <br />PLIC/�TION 11ND KNOW TH[ SAM11E TO [iE TRUE AND CORRECT. ALL <br />PfiOVI510NS OF LAWS AIJD OROINANCES GOVERNING THIS TYPE <br />OF WOIiK WILL p[ WMPLIED WITN WMFTIIEfi SPFCIfI[D HEREIN <br />OP NOT, TME GfiANTING OF A PERMIT DOES NOT P(i[SUME TO <br />GIVE AUTHORITV TO VIOLATE OFi CANCEL TNE PROVISIONS OF <br />ANY OTH[P STATE OR LOCAI LAW REGULATING CONSTRUCTION <br />OR TNE PtRFORMANCE OF CONSTRUCTION. <br />5/2,'/77 <br />x <br />REARYl�i��SETOACKPLANCHECKNUMAEF PLANCHECKFEE <br />1 %7�]�7 FEE A�1.'�SO REC P <br />vncnNT sire <br />� ���J <br />C]1'ES ❑No FEES VALUATION FEE <br />ES <br />_<J�MJJ�V�/ f/i, Vv <br />OUI�DING 5 —�y �--���� <br />PLUMBING "' <br />� <br />MECHANICAL � <br />I <br />OTHER � <br />1 <br />PEN[LTV SEC.9071n1 I <br />TOTAL � � <br />:, <br />PERMIT VALIDATION <br />WHEN PROP�:ILY VALIDATED (IN THISSPACE) THIS IS VOUR PERMIT <br />� <br />� <br />