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(he fvergrcerr <br />��TV v�. <br />everett <br />Cltl'tl�Ll SnP9Ft <br />tvtntn, �SaL�iNc�n�v <br />98)Oi <br />IIEf� p1 COS�MUNIIV <br />IICJFIOFN[ryl <br />NER <br />U',. � � _. . � i <br />i r <br />NG CO <br />R <br />BUILDING <br />� <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />IL A <br />HONE <br />everett <br />PLUMBING <br />PHONL <br />��M� <br />E NO. <br />❑OVILDING ❑PLU�161NG �]M[CIIANICAL <br />QNEW ❑l1DDITION ❑�1LTERATION ❑REPAIH <br />✓ALVATION Of- WORK <br />5 . ❑UFMOLISH ❑FENCE ❑SIGN ❑SWIMIdING POOL <br />]ESCRIB[ WORK <br />f <br />LOT <br />PLUNBING <br />� MECHANICAL <br />TVPE OF FUEL �OIL �NAi. <br />i1PTION OF PROPERTV (SI�ObV [3ELOW OR ATTAC: G:." <br />1 <br />oLOCK_oF NO. TV'PE OF EOUIPMEN7 <br />AIR COND. VNITS-II.P. EA. <br />REFRIGGRl�TION UNITS-H.P.EP <br />elV�lq[l'��:'� <br />K <br />SPECIAL CON�ITIONS: <br />i�l2,�i `.�t.��t�:�.�� ,�.i�'�• <br />,iS-O.T.U. M EA. <br />U. M <br />F V qP0 qATN E COOLE FS <br />CLOTHESDRVERS <br />VENTIlAT10N FAN <br />RANGEHOOD <br />AIP HANDLING UNIT- C.F.M. <br />� <br />W <br />m <br />� <br />7 <br />Z <br />F <br />C <br />� <br />W <br />a <br />L315 <br />� SUBTOTAL 5 C�W <br />PERMIT 5 <br />TOTALf[E 5 � <br />THIS PGNAIIT U@COMES NVLL AND VOID IF WOPK OR CONSTFUC� <br />TION AVTHOfi17E� IS NOT CUMMENCE� N'ITHIN 1'.0 DAVS, OF IF <br />CONSTRUCT!ON OR WORK IS SUSP[N(JEO OR ABAN]ON[D FOR A <br />PERIOD OF 120 D/�Y5 AT ANY TIME AFTER WORIC IS COMMENCEO. <br />I H[R911v CGRTIFV THAT 1 HAVE REAO AND EXAMINED iH15 /1❑ <br />PIACnTION ANO KNOW TME SAME TO l3[ TRUE AND GOIipECT. ALL <br />PROV1310N5 CF LAWS 11ND OROINANC[S GOVERNING THIS TYPE <br />OF WOHK WILL �E CO'.1PLIEO WITfI WHI3THEP SPECIP�[D HEfiHN <br />OH NOl', THE GRANTING OF A PEHMIT DOES NOT PHESUM1IF TO <br />GIVE AUTHORITY TO VIOLATE OR CANC[L Th1E Pq�VIS10N5 OF <br />ANV OTHER STATE OR LOCAI LAW REGULI�TING CO�vSTRUCTiON <br />OR THE PERFUNMIINCE OF GONSTRUCI'ION. <br />1L � <br />S I <br />:E S j����} <br />x "LL� 1_ <br />SIGN4TUFEOPCJNTIiACTORORAUTN.AGENT OATE <br />ACK REAR VARDSET�ACK PL4N CHECK NUM6ER PIAN CIIECK FEE <br />FEE RECEIPT NO. <br />VACANTSITE <br />❑v[5 ❑No FEES VALUATION FEE <br />3ROUP NO.OFDWE�LING <br />UNITS I <br />i <br />ES MA%.00C. LOAD �UILDING 5 � <br />I <br />FWMBING � <br />FIf�ESPflINKLERS I <br />FEOUIHEO I <br />❑VES ❑NO �AECHAfJICAL aILV� <br />OTHER � <br />I <br />PENELTV SEC.303fn1 I <br />I <br />TOTAL � <br />CI(k: <br />PERMIT VALIDATION <br />I WH[N PFlOPERLV VALIOATED �IN THISSPnCE) THIS IS YOUfI P[Hp1IT <br />�I:nnVo:.CqP�FUBY �'llUItiCI11CAl00A' �1PPIIpVf1]IU�'•'oUANCF <br />7• ��• <br />