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tne Fr��i9ranr� <br /> ( �� , �� CONSTRUCTI01� everett <br /> everel:t l�ERMlT j <br /> �,�,,.,�� � <br /> �,��,,,<< ,.,.,;,::�.;��, <br /> Itllll <br /> °E°, °°°°^,°°�^�r gUILDIf�IG MECHANICAL PLUMBING <br /> oevEiovm[x� <br /> OV�NEft.• t*. yrl��„� M�AIL �I;D�1155 LI�' ���1'�NI': <br /> . t d L'i'� :�sl ..�. � f�''rTG <br /> ARCH!TFCT O�DESIGN@R MAR l�DDH[55 �'�ION❑ LICLNiE NO. <br /> GEN@RAI.CONTfiACTOR �1lULl�ODPE55 PHONE LICCNSENO. <br /> .i.�F�.. <br /> MECMl1NICAL CONTPACTOIi MAIL 4DDRE55 PHONE LICE115E NO. � <br /> PLUMBINGCONTRACTOR �1NlADDPESS PIIONE LICE�5LN0. � � <br /> W <br /> m <br /> '- � <br /> PERNIT CLA55OF WORK � <br /> z <br /> �pUILDWG �PLUMOING ❑MECHANIC1: -- — - - F I <br /> ❑nEw Unonirioa ❑nueian�roN dsiFraua <br /> C <br /> V:�LV4TION OF WOFK W <br /> S �Q�� - - I ❑OEM( LKII ❑�f NCL O=iGN ❑':WIldA�ING 1'i�OL "-- a <br /> DESCflI(i[WORK � �„7.?� �� { <br /> . .:i:.��. r._ q <br /> PROPOSED USE MECHANICAL <br /> Id:GALDESC•iIPTIONOF PROPE{1TV ISHOW�ELOW OF ATTP.CH TYPL uf FUEL �OiL �N^T. �LPG. �EL[C. <br /> POUR COPiE51 -- <br /> �oT oLOCK_oF NO. TV'PE OF E�UIPMENT FEE <br /> nlR COND. UNI-I S-H.P. EF. 5 I <br /> 1q[GFIr qATiOY UNITS.JI.P. EA. <br /> __ . ---IPOILEl. .aP. [F. 1 <br /> �GAS FIRE[) A.C. UNiTS.-TON��AGE EA. <br /> -'FO(iCED Alfl SYSTEMS-[f.LU. M LA. I <br /> J06 ADDRKS (y�.qA 7�,p ;�. 1Vt1L1.HEATEliS� E3.T.U. M <br /> ��1� ��y UNIT HEATEHS-6.T.U. M � <br /> E V APO RAT I V E COO LE RS � <br /> PLUMBING CLCiMES DRY[RS I <br /> - V[NTILATION FAN <br /> I - - — - <br /> iRANu[ HOOD _; <br /> I NO. _ TYPE OF FIXTURE OR ITEM FEE _ ��R ��NOLiNG UNIT- C.F_M. —� _ <br /> WniE�CLOSEi1TOILET) 5 T INCINERATO(i I <br /> iItATHTUII - 1 ' <br /> I _ ( wnTOHY1W:b.16ASINl -__ _ T <br /> - I�',_ _ --- <br /> �� ov.�EH �__ <br /> _ UTC�IENSWKA.DISP. SU9TOTAL 5 I I <br /> � ��I.aHWASNGR PERMIT 5 <br /> L4UNDRV TfiiW � TOTALFEE 5 I I� <br /> � _ 1�LOTHESlVASHE�i _,__ � THIS PERMIT 6ECOMES NULL AND VOID IF WpRK ON CONETRUG <br /> Wl�IER H[ATER TION AUTNO(i12ED IS NOT COMMENCFD V:ITIIIN 120 OAVS, OR :f- <br /> � UPINAL � �nNSTRVCTION Ofl WOFY, IS SUSP@NDEC OR AUANDON[O Fpq A <br /> UNINKING f-OUNTAIN CERIOD OF 120 DAVS AT ANV TIME M"TEli WO�K IS CUMMENCED. <br /> f LOOF-SINK JR DRAIN �- I FIEPE6V CERTIFY THAT I M;1VE (iEAD .1N� E%AM111N[D Tl115 AP� � <br /> bACUU\1[3REAYLIiS � �'�IC4TIOfJ I1ND KNUW THE SA�dE ip pE TRUE ANO COFR[CT. A�L I <br /> fOOF pRl�WS�-RAINLEAOERO —� P�OVISIONS OF LAN'S AND ORDIIaqNCE^� GOVEFNING THI'i iYPE <br /> OI' WORA LVILL 13f LOAIPUED WIT�� WHf3THF.ii `P[CiF�LD NCREIN <br /> SINK ISLRVICE-pAR, ETC.) OH NOl'. TFIE G��RTING OF A P@FAfli DO6; NOT PRE;V1dE TO <br /> GIVE AUTHOfi�TY TO VIOLATE OP Cl�NC[l �H[ PRUVISIONv OF <br /> �- ANV OiV1ER SIATF. OP. LOGV LnW R_GVL�1iING CON:ITHUCI'ION <br /> I �._ OR TIiE :'EfiFORMANCE OF (pfJSTRUCTInP:. I <br /> I liUBTOTAL <br /> �'- - PERMIT 4 --- <br /> ____ TOTALFF:E $ J �v/!/qr <br /> X [i1 <br /> I SIGNATUREOFCONTfiACTORORl�UTN.AG[NT DP,T@ <br /> � SIDE 1'AIiD 5[TfiACK STR[61 SETIIACK flEAR YAIiDSET[3ACK PLAN CFI�CK NVMI3ER PLAN CHECK Fi.E I <br /> - p' IRECEIPT NO. <br /> - I <br /> USEZONE LOTAREA VACANTSITE <br /> � ❑vEs ❑No FEES _ tUATION FEE <br /> I TYPE OF CONST. OCCUPANCV GPOUP NO.OF OWELLING - - � <br /> U I11 T5 <br /> qr� M- _�-j1y� <br /> I ` ' <br /> SIZE OF pLDG. NO.OF STORIES MA%.UCC. LOAD �UILOING 5 J��6W � }ti/ <br /> PLUh101NG � <br /> II FIFE DONE flASEMENI FIfiE5PHINKlERS - <br /> RfaUIRED <br /> ❑VE$ ❑NU ���CMANICAL I <br /> I <br /> SPECIALCONOITIONS' OT4ER � <br /> i -_ __" - <br /> I <br /> I — ' __' --- PEN6LTV - 3EC. 30�1-i1-- -'_- --� <br /> II� <br /> � TOTAL f W <br /> J <br /> j � PERMIT VALIDATION <br /> WIIEPI �'ROPERLA'V�I_IDM[O UIJ t�iiL Sv.1GE1�HIS IS �OUH PLRA111' <br /> I I <br /> I <br /> I �;irr,',�n...C�.iri�iileY PlnNSCNCLKEOe" M1�PPD DFC��i"U.+•4�Auv . <br /> I: . � � �� �i� i <br /> . I. � .�.�� . i <br />