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fhe Evergrerrr <br />CITY OI° <br />evere�t <br />[IiV IInIL 1bYFB5 <br />[V[f111t. R>SMIYfiJ4 <br />99:01 <br />o[or or cnaamunr <br />ocv[wvuurt <br />� <br />CONSTRUCTlON <br />PERMIT <br />BUIL�ING MECHANICAL <br />� MAII ADDIiE55 ZIP <br />3�.i2 '�:-'- �'G :�.s--;. <br />�UILDING �PLUM�ING �MECHANICnL <br />/AWATIgNOF �K <br />5 Z�x�1vM <br />�:,,,.. �� �: a:�ra <br />I.OT v� OLOCK_OF ��!_ <br />JO� ADDRESS � <br />'�.�.��/� ii?��� <br />PLUMBING <br />SI <br />h ISTRE <br />SP6Gl�L CONDITIONS: <br />AIL <br />Ir`,1,',1�i1,`� <br />LICENSE NO. <br />I� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR <br />❑OEMOLISII ❑FENCE ❑SIGN ❑SWIRtMING POOI <br />REARYARDSET�. <br />VACANTSITE <br />❑VES ❑NO <br />MECHANICAL <br />TVPE Of FUEL �OIL <br />NO. TVPEOf <br />AIR CONO. UNITS— <br />ITS-TONNAGE EA. <br />iM5-U.T.U. M EA. <br />T.l�. M <br />LU. M <br />R <br />RANGENOOD <br />AIR HANOLING UNIT- C.F.M. <br />INCINERATOR <br />everett <br />�trJ-7� <br />� <br />w <br />m <br />� <br />� <br />z <br />H' <br />� <br />� <br />W <br />a <br />7a0 <br />SUB TOTAL 5 � <br />PEf1M1T 5 <br />TOTAL F[E 5 � <br />TIi15 PERMIT BECOMES NVLL ANO VOID IF WORK OF CONSTRVC� <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 OAVS, OR If <br />CONSTRUCTION OR WORK IS SUSPENDED 011 ABANf10NE� FOR A <br />PERIOD OP 120 �AVS AT ANV TIM11E AFTER WORK IS COM1IMENCED. <br />I HERE6V CERTIFV THAT I IL1VE PEAD ANO E%AMiNED THIS l�P� <br />PL�CATION I�ND KNOIV THE SAME TO IiE TPUE f�N� COIifiLCT. ALL <br />PROVISIONS Of- LAWS AND ORDINANCES GOVERNING TH�S TVPE <br />OF IVORK IVILL BE COMPLIED WITH WHGTHEF SPECIFIED HER[IN <br />OR NOT, THE fRI�NTING OF !� PERM1IIT DOES NUT PRESUME TO <br />GIVL AUTHORITY TO VIOLATE OR CANCEL THF PROVIOIONS OF <br />ANV OTHER STATE OP LOCAL LAW fiEGU�ATING CJNSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />x i/'�a✓ (� <br />SIGNANREOPCONTfiACTORORAVTH.AGENT DATE <br />PLAN CHECK NVM�ER PLAN CHECK FEE <br />FEE REC@IPT NO. <br />FEES VALUATION FEE <br />]a� - BUIL�ING S �".� I �rt� <br />ilJ <br />PLUM�ING � <br />LEflS � <br />❑NO MECHANICAL I <br />OTNER � <br />I _ <br />PENEU V SEC. J031e1 I <br />TOTAL ��� � <br />PERMIT VALIDATION <br />WIILN PROP[�iLV VALIDATED 1 W THI^ SPACE) 1'HIS IS YOUH PEHMIT <br />0 FOR ISSUFNCC OY. <br />in Cs <br />3 <br />