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btr� r��.•r�P,�en <br /> ���v �� CI�NSl"RUCTI01�! everett <br /> everett P�RMIT ' <br /> illY IIq4 )5968F5 <br /> Il'fflCli.lt'GS�11'lL�U�1 <br /> I iJl <br /> ""' °` �°.'°°°" BUILDING MECHANICAL PLUMBING <br /> �<<.<<„�.,�„ <br /> 01YNEF MAIL nU�HE55 ZIP PIiONL <br /> A.F. b3s��xlea' CT02 3� � 3J.t� 1T'rr?G <br /> ARCHII ECT OR OES�GNC-H MAIL ADDRESS PHONF. LIC[NSE NO. <br /> GENERAL CO�1tRACTOH MAIL�1�ORE55 PHONE LICENSE NO. <br /> f'4AOOee 3�ovoa�aira L�''�9� 7l5tia W. �pett2O 3t�►�2Q92 223�+�ti1 <br /> MF.CHl�NICAL CONTRACTOR MAIL ADDR[SS PNONE LICENSE NO. <br /> PLUMOING CCNTPACTOR MAIL AO�RE55 PNONE LICENSE NO. � <br /> W <br /> I m <br /> IPEIIMIT CLASSJF'NOqK � <br /> 7c Z <br /> r]6UIL�RJG ❑�LUMDING �MECHANICAL F- <br /> — �NEW ❑ADOITIpN ❑ALTERATION ❑tiEPAIR � <br /> VA�UATION Of-WORK � <br /> � �Q�'►'h I ❑OEMOLISN ❑FENGE ❑SIGN ❑SWIMMING POOL a <br /> +•��•� <br /> 'DWESCfiIHf`NOIiK � ���� <br /> YG:�i; �Q <br /> eaoaoseo us� MECHANICAI_ <br /> rvaEorFUE� noi� �NAT. �LPG. �LL[C. <br /> IFI�AL p'_SCPIPTION OF i'ROV[liiv ISHOW f16LOlV OR ATTnCII G/�5 <br /> FOUR COPIES) <br /> LOT BLocrc—.oF _NO. _ 7VPEOFE�UIPMEN7 FEE <br /> AIR CONO. UNITS-H.P. EA. S I <br /> R[G RIG[PATION UNITS-H.P. EA. � <br /> - - (30iLEliS -II.P. [A. � <br /> GAS FIHED A.C. VNITS-TONNl�GE EA. <br /> FORCED AIR SVSTEMS-O.T.V. M EA. I <br /> J06 4�CD/R�E55 a C� WALL HEl1TERS--�.T.V. M <br /> 6!� �i �W UNIT HEATEFS-B.T.U. M I <br /> [VAPORATIVE COOLENS <br /> PLU�181NG c�orHEsonveHs i <br /> , VE:�TILATION FAN <br /> RANG[ HOOU I _I <br /> AIR HANDLING UNIT- C.F.M. <br /> NO. TVPE OF FIXTURE OR ITEM FEE � <br /> WATFq CLOS[T ITORETI g �NCINERATOR I <br /> 1311THTUp <br /> _ LAVMORY(WASHBASINI — —� I _ <br /> SHOW[R ' <br /> KITCH[N SINK &OISP. -i— SUO TOTAL 5 <br /> OiSHWASHFH I � <br /> PER��IT 5 <br /> LAUNDIiV TFiAY TpTAL fEE 5 � I <br /> CLOTH��S WASHER TIIIS PEfiM111T pECOMES IJU�L AND VOIO IF WORK OF CONSTFUC <br /> WATER HEATER TION AUTHOFi12LD I> IJOT COMMENCED WITHIN 12U OAVS, OR IF I <br /> � URINl�L CONSTRVCTION OR WORK I$ SUSPLNDED OR ADANDONED FOR A <br /> DRINKING FOUNTAIN PFRIOD OF t20 OAVS AT ANV TIME /1FTER WOFiK IS COh1MENCEO. <br /> FLOOF-SINK OP DRAIN I HEFEF3V CEFTIFV THAT I H4VE AEAO AND EXAM1IINED T'HIS AP- <br /> VACUUM FIREAKERS °LICATIDN l�ND I:NOW TME S�±AE TO �L TRVE AND CORRECT. ALI. <br /> ROUF f]RAINS-iIAWLEADERS P�OVISIONS Of- LAWS AND ORDINI�;�.ICES GOVERNING THIS TYP[ <br /> OF WORK NILL f3E C049PLIEO WITH WHETH[R SPECIf1ED MEFEIN <br /> !:IVK ISERVICE-pAR,ETC.) OR NOT, THE GRANTING OP � PEqMIT OGES NOT PHE:iUME TO <br /> GIVE AV�HORITV TO VIOL�TE OR CANCEL TH[ PqpVI51pN$ OF <br /> ANY OTH@H ST4TE q9 LOG�L L�IV iiEGVLATtNGCON;TRUCTION <br /> O(1 THL PfR�ORN,nNC@ Of CON;TFVCt10N. <br /> SUHTOTAL <br /> PERMIT q <br /> TOTALFEG __5 �_ ,�� V,/hf <br /> x ����v <br /> SIGNAlUli60fCONiH��C1pPORlWTk.AG@NT �ATE <br /> SIDEVAROS[TpACK STR[ETSET6ACK qEARYAqDSETflACKPLANCH@CY. �UCII3LR PLAHCHECKFEE <br /> FEE RECEIPT NO. <br /> USEZONE LOTAfiEA VACANTSITE <br /> []vES ❑rvo FEES VALUATIUN FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF OY'ELLING <br /> UNIT.^a I <br /> 512E OF OLDG. NO.OF StOfilES AAA%.OCC. LOAO BUIlO1NG 5� � <br /> __� <br /> FIRE ZONE [3ASV.�LNT FIRESPRINKI.[HS vWM01NG i <br /> REOUIRED I <br /> ❑VES ❑NO b1ECNANICAL � <br /> SP[CIALCONDITIONS: OTHER � <br /> —�—_ <br /> --- — --- PENELTY SGC.3071a1 I <br /> -- TOTAL � <br /> I ._ _ PERMITVALIDATION <br /> — �VN[N PfiOPERLY VALiDATLO (�N THISSPACLI THIS IS YOUH P[RA11T <br /> nl'P�IC.IT�ONACC1�9i111A �GL�NSCIICL*NEDpYa MPPOVFDFOAISSV�NCI U� � <br /> Tt�G'r L�d tlw�• <br /> I __.__ � <br />