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1(ri� l irrw..,.y <br />�:��,� �,, <br />everett <br />CI LY IIALL �S9 t194b <br />F.VfREfi, Wn 9N211I <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL � PLUMBING <br />� nini� noo��� �� - ru• i�i�o ai_ <br />.� <br />:C'"`--�:_J __ 1.'�7J� �L`�✓. '_—_ <br />n�n�� nooiv�ss — i�iinnr----- - <br />LIC6N56 N(�. <br />❑ COM9INATION <br />❑pUILDING {J�VWMBING �h1ECHANICAL <br />ic <br />/ALUATION OF WOfiK <br />$ <br />LJT 6LOCK_OF <br />JOO �DORBSS -- <br />3Coos �Aic <br />PLUMBING — <br />NO. TVPE OF FIXTURE OR ITEM17 � <br />;v <br />❑NEW ❑/�DDITION ❑nLTEfiATION ❑q[p/��q <br />❑DLNOI IFN ❑PCNCE ❑SIGN ❑SWIM1IMING POOL <br />everett <br />MECHANICAL <br />OR nTiAClI TVP[ pF [N@RGV <br />_ _ ❑ �AS ❑ ELEC. <br />_NO. TVpE OF E�UIPMENT FEE <br />Alii COND. UNITS-H.P. EA. --- S I <br />_ RGFRIGER/�TION VNITS H.P, c/�. �—�— <br />- � UDILBR3: LI.P. EA '�— <br />--- I <br />FORCEO AIl� SVST[MS-S.T.U. MEA. �—�— <br />_ _ -_ � - -'_— I <br />� SPACE & WqLL MEATERS - B.T.U. <br />___ 'UN�T�,�„TERS fi.T.U. , - <br />IrvnroitnnvE COO�Eas <br />rCLOTHC., DRVLRS � <br />__ !. __. _� <br />I �'[NTILATION FAN T <br />_ "4NG[ HOOD �-- <br />FEE 'nnxunNot_iNc UNii <br />_' D _ _-- ____ _. __--0.F.M. <br />i_. _ - _ _ _ _ _ _ _ I <br />Wl1TER IIFATLIi <br />� _ <br />FAC. BVIL1 FIFFPLACL F4 CIIIMNEY � <br />I <br />�— _ ,�15. SVSTEAI NO OP OUTLGTS —�— <br />— � _ __ ____. __. _ ;Uf3 TOTAL S I <br />i _ __. -- PEfiMIT 5 <br />� �-��������'_--TOTAIF[[ 5 � <br />—I_ 1HI> PGRMIT I3ECOMGS NVLL AND VOIp IF WOfiK OR CONSiRUC <br />_ � 1IUN 4UTIIOf11LLp IS NOT COMMENCFU WITNIN 120 Ol�YS, OR IF <br />CONSTHUCTIpN OR WOqK IS SUSPGNDEU OR Af;ANDONED FOR A <br />--� -- PGRIOD OF �20 Ol�Vti �1T ANY 1'IMC AI'tER WORK IS COMMENfED. <br />, Q-j"rC� I IIEf;H{V CEHTI�Y TIIAt 1 HqVE PEl�D I�ND E%nMWLU THIS AP� <br />---rf�-�`- �LICATION ANU KNOW TIIC SM1[ TO I1L 1'NUL AND CORRGCT. ALL. <br />Pf90VItilONS O� LAWS 11NO Oq1�INANCES GOVEqNIWG t11�S TYPL <br />_ i Ob WOqK WILL L3[ l'OMPLILU WITH WM[THLR SP@CIFI[D HBR[IN <br />__1 OR NOt, THE GIiANTING O6 A P[pMIT DOE; NOT PH[yUME TO <br />i GIVE nUTIIURITY t0 VIOI-ME pq CANCLL TIIE PqOVISIONS Of <br />--- ANY OTHLR St/�Tl 0Ii LpC�L LAW fiEGULI�iING CJNtiTHUCTIpN <br />_ � OR TII[ PLftFpHM/1NCL Of CONSTRUCTION- <br />�`� ° ' i <br />,_�, �- - <br />..,.... �� —�,� x a�� -,zz �jcc � / - <br />T�ERSERVICESIZE BLOG.SUPPLVSIZE siGNnlu [orcU ��r�pnoq�UTll.aaENt ❑nTe <br />1E YAFp SETOACK STREET SCiRACK qEAp yARDS[T13ACK P�/�N CIIECK NUMRER � <br />P�l�NCHECK FG[ <br />���...- �`F= � RCCFIPT' NO. <br />SPCCIAL CONUITIONS: <br />9Cl1NT SIT'B <br />❑YES ❑NO --�--� FEES —�'_ <br />i�veo <br />CS ❑N <br />������. p���,,.��,�����r,,. — �.,,"—:��,-,,,,.— <br />VALUA710N� FEE <br />_._-_ _ __. ____�. —.-_- <br />IiVILDING 5 I <br />� <br />_ _— �— "-_- <br />PL UMOING <br />' — i d �� <br />h1LC11l1NICAL I <br />O � <br />_"—__ I <br />OTHIR I <br />_ _ —_ I <br />__�_ <br />— PLNALI Y SLQ 80J Ia) I <br />_' _ __ _ __ _ __-'_". _ __ . --__ _ - _ -_ _l_"__ _- <br />-� TOTAL �- � ��. _ � I OO <br />PERMIT VALIDATION � 1,.,�`e �{�:n'} (��. <br />- winNriac.rii�ivvn�iunti_niira i,� _oncii 1l115Mti7i vennvr <br />. � <br />' ,.. <br />You`R dEdErFr <br />�,,, TFiAN� YU� <br />• ; <br />r <br />o ' <br />'A;wi7`I <br />-_ __.s - ' <br />� <br />f <br />a <br />