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'�,�. r���� ,�� �,� COf�ESTRUCTiON
<br /> — E'1i�refi
<br /> ar�- or
<br /> everett �'ERMIT ��
<br /> cirv Hn�� �son�as ��
<br /> Fver;e,,, ��an oe�oi COMBINATION o BUILDING • MECHANICAL • PLUP161NG __ Y�
<br /> ULYNGH A1,UL ApUfi655 :IP I'HUNL '
<br /> E. T. :):PL'?i'P �,0. � IiCC, i1I;�T,G��'G':; D`:L,1:iG��ii 19:°8 �
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<br /> /+FCHITEL'1 OH DESIGNLH A1nIL AUDfiESc PHUNE LICLN`.iL NO. �
<br /> �
<br /> GENERAL CONiRACTOR MAIL ADDRE55 PHONE LILEN,^.E NO z
<br /> i��Y f,UI;D �roc�9 �/�+w�--fi 2.�,1. 353^n2f32 gd?�-o/-LuF.c,_ec- � : C
<br /> MECNA1dICAL CONTRt1CTOR Mf L AODRE55 FHONE LIC[NSE NO. W
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<br /> °LUN.BING CONTRACTOR NAIL A�ORESS P110NE LICENSE NO. � �
<br /> PER6uT CLASS OF WORK ,
<br /> ❑!:OrdBINATION
<br /> [�CJILDING � PLUMBING �MECNANICAI.
<br /> ¢]NFW ❑ADDIiION ❑AITEI:l�?ION ❑RLPAIR
<br /> Vl1LUATION OF WOiiK '—
<br /> 5 3r00�CQ ❑DEh90LI5H ❑FEkCE ❑SIGN ❑SW10.1MINf POOL
<br /> DESCRIBEWORH -'----- �-- - - •
<br /> I" �.T7�.lt "'__1,..
<br /> vNoroser use MECHANICAL
<br /> TVP[ Of ENLHGV "�-_'- _�"- --
<br /> LEGALOCSCHIPTIOIJOGPfiOFLNT� 1;1101Y1iL10WflHA1TACH ❑GAS ❑CL[C.
<br /> FOUR WPIESI _ ----- —. -
<br /> �oT -- �LocK—oF_ NO. _ TYPE OF EDUIPMENT FEE __ _
<br /> AIN COND.VNITS-H,p, EA. 5 I
<br /> n _ ,R61�N1ciERATION UNITS H.P. EA. --�
<br /> A n�l`+� i? T` l /1___T')Q�_'JO�_,� - ,Ilpll-LfiS II.P. EA. 1
<br /> ' (UfiCED AIR SVSTEMS-B.T.U. MEA. —�—
<br /> 1- -"_
<br /> I
<br /> J06 A�DRE55 �� /Q O ff i C � SPAC[ Y. WALI. HEAi[RS - O.T.V.
<br /> -�22&-£f'.?,i�'5E--3f�bI�-??J. .�.urviii�Ent�ns -i;.t.u. _ �
<br /> I 1 l'i�PU RM 1 V E COOLE RS
<br /> PLUMBING ;cim�+Es ur�veNs i
<br /> I VLNIILATIONFI�N �—�
<br /> I --
<br /> � HnNGEHOOD I
<br /> NO. TYPE OF FIXTUFE OR ITEM FEE �I ��i�� i�nNDl.wG UNIT c.F.M. �
<br /> 3ATIf T'JBS 8 T- . � -'__----_. I -
<br /> CL.O7HE5 wn5HF�7 � __ i �vr,T[R HEn7EF
<br /> UISH WAtiHENS � I LC. I)UILT FIiiEPLACE R CHIMNEY I
<br /> DHIPJKING FOUNTAINS � - ,qy, gySTEM: No OP OUTLETS �—
<br /> FLOOR DHNNS i . _—__ __'.-_-_-___'_ �
<br /> --t----- fUf.TOTAL 5 �
<br /> KITCHEN iINKS & DISP. i . _ _____. —_ '
<br /> Af�R SINKS j _ _ _ PERMIT 5
<br /> f200F URAINS RAIN LEAUERS � TGTnL FCE 5 I
<br /> $HOWER fln�HS —�_ THIS PERMIT AECOMES NULL AND VO10 IF WOHK OR CONSTRVC
<br /> 5[RVICE SINK" iION AUTMOR�TED IS NOT COMMENCEU WITHIN 120 DAVS, OR IF
<br /> SUM^5 - SE1Nl�GL PUMP CUNiT11UCTION OR WOFK I$ $USPENDED OP AI3ANDONED POfi A
<br /> � - P6NIOU OF 120 DAVS nT ANV TIME AFT[R WOliY. IS COMMENC[D.
<br /> URINAlS I___
<br /> WATER CL056T5 I H[R[BY CEfiiIFY TIIAT I IIAV[ fiBAD ANO @%l�MWED TIIIS AP-
<br /> PLICAI ION /�ND KNOW T11[SAME 10ISG TRUE AND CORf1[Cl'. ALL
<br /> WATER HEAiERS - ELECTRIC � PfiOVI510N^v Of- LAWS ANU GHDINANCES GOVERNING THIS TYPL
<br /> W(15H RASINS 1 OF WURK WILL I:E COMPLIEO WITH 1NH[THER tiPECIF�E.D HE(iFIN
<br /> LAUNDRY TRAVS Ofl NOI, TH[ (iR/�NTING OP A PEGMIT DO[S NOi Pq[.^,UMk TO
<br /> - GIV[ �UtHORITV TO VIOLATB OR CANCLL iHl PHO`J'..'VI0Y5 OF
<br /> __ __ ANV OTHLRSTMC OH LOLAL LAW li[GUTA1iNGCOM1SIRUCTi(�!J
<br /> � OR1114P6HFORMANCEO� CONSTRUCTiON.
<br /> _ "_ -- t
<br /> SUB TOTAI /
<br /> PERMIT 5
<br /> TOTALFEE �GZ� _�_ . 1�.�,�] __
<br /> lVl�TER Sf:RVICESIZE__ RLUG. SUPPLV SIZE SiGN lU nFC� lHnClonoR n1.n,[Ni� �i3M�
<br /> SIUEVI�RDS[TOI�CK STR[[TSETOACK fi[ARYARnSf.Tfi/�CKfLANCHGCKNUMflER PIANCH[CKfF.@
<br /> -- FEF IR[CEIPi NO.
<br /> USE ZONE lOT AliGA VACANT SIT�
<br /> U�ES ❑N�� FEES VALUATION FEE
<br /> TVPE OF CONST. OCCUPANCV GROUP UN'OS UWELLING 1
<br /> 512C OP �LDG. NO.OF STOflIES MA%.OCG LOAD 6UILDING a 3500�'�� I
<br /> PLUMQ�NG � �
<br /> PIRE ZONE BASEIdLNi HFLSPRINKlEfiS _ ._ — � . . -
<br /> iiEUUIFEU � I
<br /> ❑VES ❑NO MECHANICAL I
<br /> _- �
<br /> iPEC1AL CONDITIONS�. O1 H[R �
<br /> -_-_ _------"--_-- �
<br /> — _ -�_
<br /> - .--_ __— __-_ _ -- YLHALTv SEC. J031a1 �
<br /> - - _"-_' - '-_ ' " _-_- � _
<br /> - � TOTAL 2�� IU�
<br /> PERMIT VALI�ATION
<br /> _ __ �,-��� �� � �����•� ��� � „�� ��,��� �, �R 4'B�''"°.`��'����`icu'M'�
<br /> - — -- YO.!!R ttEC�IPT
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