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fhr (-t�vprrrn <br />��r,� ��� <br />everett <br />�,r..,., , >., �o::, <br />,,.�,,,,, ,,,�.,���,o� <br />serm <br />II(Pl Ilf Cill.'�AtIr11tY <br />o!�.[.nn:.�xr <br />BUILDING <br />,'. . . r <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />PLUMBING <br />�� �+o r <br />3'?� �i'�'�9 <br />everett <br />` ;f^,",..! �r <br />�OUILOING �LUMBING �MECNANICt1L �NEN ❑AOOITION QALTERATION ❑REPnlll <br />VALUATION Of WOfiK r� <br />� r,�s/y� M — ❑DEM(JLISN LJF@NC[ ❑SIGN ❑SWIMMING POOL— <br />SfJ V.No11! <br />C'SCRI�[ WOHK <br />,r xL�`."'."..• ti ,..,,..,. ,..�. <br />Naornseo usE MECHANICAL <br />.:rTor i ut� pai� ❑GA5 ❑LPG. � <br />ICGAL OESGRIPTION OF PROPEPTV ISHOW �I.LPCJ [�H ATTFCH <br />FOUR �OPIE51 i- <br />�:.����� ;�r,^� NO. TVPEOFE�UIPMEN7 <br />LOT � ULOCK—OF � qIF COND. UNITS-M.P. EF. 5 <br />fiEFRIG[PATIOtJ UNITS HP. f.A. <br />__ _ 601LER5� H.R EA. <br />GAS FIRED /l.C. UNITS-TONNAGE EA. <br />fORCED AiR SVSTEMS-O.T.U. M EA. <br />JOU ADO�iF' �-- �y�y�/ WALL MEATERS-O.T.U. M <br />J,TJJ r�:'S���^ � UNIT 1�EATERS-O.T.U. M <br />@VAPO{±ATIVIiCOOlEPS <br />PLUMDING CLOTH[5 DRYEfiS <br />VENTILATIO�: FAN <br />PANCEHO00 <br />_ AIR NANDLING UNIT- C.F.M. <br />n <br />N SINK <br />AINS-FAINIt <br />9VIf.P-�AI.R. E <br />_ TOTfL <br />5?R[ET SL <br />7�!') <br />SP[CIAL CONDIl10NS: <br />��i1111V �3'.A aY �� � <br />—_ . � �!4'�. W ��.� Nf•. <br />.....,'rsw�e �11� <br />0 <br />SUB tOTAI 5 �I `�'a <br />� PERMIi 5 <br />TOTAL FEE 5 �}1 <br />THIS P[RhUT UECOM[5 NUIL 11Np'/OI� IF WORK OH CONST(iUC� <br />TION AUTHOHIZED IS NOT COAIMENC[D WITNIN 120 DAVS, OR IF <br />CONSTRUCTION OF N10ftK IS SUSPENDED OR l�UANf�ONED f-OR A <br />PEPIOD OF 120 OAYS AT AhY TIM1AE AFTEA WORK IS COMM[NCED. <br />1 HEREDY C[RTIFV THAT I Ii�1VE FEAO ANO EXl�MINED THIti %�P i <br />� PLICATION ANO KNOW THE SAME TO 3E TPVE ANO COPtiECT. AlL <br />� PROVISIONS Of LAWS ANO ORDINANCES GOVERNING TH�S l VPE <br />Of WOPK WILL �E COWPLIE� WITH WHETHER SP[GFIED HEfi[IN <br />i OR NOT, THE GRANTING OF A PEf:N.IT �O[5 NOT PNESUME TO <br />--} GIVE AUTHOfi1TV TO VIOLAT[ OF CANC[L THE PROVI`IONS UF <br />{ ANV OTHER STATE OR LOCAL LI�IV HEGUL�TING CON9TNUCTICN ' <br />OR THF PERFORM�NCE O� CONSTRUCTION. <br />� <br />S <br />5 �� 3%3/`±t <br />SIGNATUR[OFCGNTR�ICTORORAVTH.AGENT DATL I <br />REAR AqU SET[tACK PLAN CHECK NUMAER PLl1N CHECK FEE I <br />��1 y,� FEE t�� FECEIPT NO. I <br />M1 <br />VACANT SITE <br />[�rEs ❑No FEES VALUATIOIJ FEE <br />NO. OF DW E I1L1 NG � <br />UNITS {j <br />I iM1tA%.000.L0f+0 �UILO�NG g � I� <br />PLUM9ING <br />�fINESPRINKLERS � <br />P[(]UIRE� ,�[ MECHANICAL I i <br />❑VES l�J�� — i <br />i <br />OTIIER 1 <br />PENELTY 5[C.30JIe1 � �� <br />'.1l.'ir �7t� � �, <br />TOTAL �I%� '� <br />�'`�� PERMIT VALIDATION � <br />'""'� �`� � WH�N PqOP[IiLV VAIID�TED 11N THi55P.�Cf_1 T111515 V'OUR F[HMII � <br />, I �{:• I ii� r� I �.y� � <br />�.. <br />r <br />i:� <br />