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"'" E� °",�'�'„ CONSTRUCTION
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<br /> everett PERMIT
<br /> CiiV' Ib111. �S9N14S
<br /> i � �-�� >> �en ��:+:�o� COMBINATION • BUILDING • MECHANICAL �� PLUMBING
<br /> i�1'iNtH Afnll 11UUH655 :IP I'l1UNL
<br /> John A. FicDowell 139 [dagnolia 355-6205 m
<br /> I�;CI11��1�.C1 clH UESIGNEIi----- p1n11 ADOHL55 I'il(�N1.-- - - '- �
<br /> IJCENS[ NO. 3
<br /> ��6NERALCONTRACTOR M4ILADDRESS 1'HONE LIpEN5EN0 z
<br /> AtECHANICAL CONTRACTOfl MPIL AODRESS PHONE I.ICENSC. NO. S
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<br /> m
<br /> PLVMpING CONTRACTOR MAIL ADURE55 PHONE LICENSL NO. �
<br /> _"-1
<br /> PERMiT CLt�S50F WOqK �fl
<br /> ❑COMDINATION
<br /> ❑DUIL�ING �]. PLUM6iNG �. M[CIIANICAL
<br /> ❑NEW ❑Af)OITION ❑ALTFq(�710N ❑q[p/��q
<br /> V�WATIONOF WORK —
<br /> S ❑OEMOLISH ❑FENC[ ❑:IGN ❑SWIMMING 1'OOL
<br /> DESCRIUE WOF.1: —'---�'----- --' - ""---
<br /> PNOPOSED USE
<br /> MECHANICAL
<br /> i !GALDESCRIPTIONOFPIiOP[RTVISI/OWO[LOWONATInfI� — 1�'VI�. Of i�Nl'liGY --
<br /> iUURCOP1E51 ❑GAS ❑ELEC.
<br /> � �>T oLocrc_oF _ NO.� TVPE OF E�UIPMENT FEE
<br /> y-'.�/ AIR COND. UNIT$-II.P. EA. S I
<br /> - ��I --- � �ItLfHlf,[Nl�TION UNITS H.P. EA. T-
<br /> � 1BOILLHS H.P. [(�. �
<br /> G I fOliC[D AIR SVSTEMS-I3 T.V. MEA.
<br /> __.1_—=__ _ —'
<br /> _ � �
<br /> JOD ADDHE$S I.,pq�E & WqIL NEqTER^v - B.T.U.
<br /> 111 hfadi.son Street -I uNir nenrtr�s �a.r.�. i
<br /> PLUMBING _ �vn�or�n�ivEcoo�eRs
<br /> Cl07NE5DRYERS �
<br /> 2 VGNTILl�TIONFqN
<br /> HANG� HOOO �
<br /> NO. TVPE OF FI%TUFE OR ITEM FEE nne nnNnLWG UNn- C.F.M.
<br /> EiA1H TlIBS g - - - - -- ---- - �
<br /> CLOiHES WASHEH i - - .--. �
<br /> DISH WASHERS � WAT�n �+�aTLH
<br /> PAC. BUIIT I IHf1'Lr1CC R CHIMNEV
<br /> DHINKING FOUNTAINS � _ I
<br /> RAOH DHl�INS � �:n5. SYST[h1 NU OP OUTLC.TS �
<br /> KITCH6N $INKti Ar DISP. --i _ _ SUfI TUTAL 5 Q I OO
<br /> 9AR $INKS � Pf.RMIT S 0.
<br /> ROOF DHnIN:; RAIN LFADERS _ - � Totn� F[E 5 �
<br /> $HOWGH flAIH:: llll!i PERM1IIT fl[COMFS NULL AND VOID IF WOlil: OR CONSTPUC
<br /> SEFiVICE $INkS � 1�ON AUt110HIZ[D IS NOT COM11M[NCED WITHIN 1:0 DI1Y5, Ofi �P
<br /> SUMP$ S[WA(�E PUhiP CON;iHUCT10N OR WORK li SUSPENUEU OR AI3ANOONEO FOli A
<br /> UFiWl1L5 � — �Lq10U OF 1:0 fJAVS AT ANY TIM1t[ !�f TER WORK IS COMMENCEO.
<br /> WATER Cl.0ifT5 —I I HEP[IIV C![RTIFV 111AT 1 HAVG READ AND l`(l1MINED T1115 AP.
<br /> WATER HEATFR$ [LECTRIC � ' �LICAIION AND KNOW TR! S�1ME �O IIC 1RVE AND CURRF:Ci. ALL
<br /> - —_�. PROVISION; UI LAW; r1NfJ OROIN4NC[S GOV[NNING 11115 TYPL
<br /> � WASH (3l151N5 Z����Q� OF WONK WILL UF COMV�iLp W�111 WH[1HE11 ':PECII-IL'U HEREIN
<br /> ll�UNORY TfiAYS ` OR NOT, lI1L GN(1NTWG OI q PF.HM1tiT ❑065 NOT Vfi[;UME TO
<br /> � GNL �lUIIIOHITV l0 VIOLN'L UH CANCLL TH[ PRUVi3iONS OF
<br /> - --'-- --� -- l�NV O111CR .^,In16 pR LOCAL I.nt'J ItL�IUI.n11NG CON!:l'liUCiIOW
<br /> _— ---- . _ -� on nne rEwFui�n�nnr.e or coNe:nw�-noN
<br /> -- - - - '
<br /> suti rorn� qT-p
<br /> rEFiMir S 3+00 \ I \,
<br /> TOTAL FEE — ---� -I-- X/ —'"'�.� �,��+-C�'� 12�4�'JE3
<br /> WAIEH SERVICESIZE 13LDG SUPPLV SIZE SIGNn �[oFCONTRnciolioiinun�.nci.Nr DnrE
<br /> SID[ YNiOS@TBqCK STRf.GT5ET13ACK !i[/�RY/�qp;GIItACKPIANCHBCKNUMPCIi YLANCHECKFEE
<br /> fE[ 1iECEIPT NO.
<br /> UtiE ZON[ LOT Afi@A VACANT::IiE
<br /> ❑v[s ❑No � FEES VALUATION FEE
<br /> TVPE UF CONST. OCCUPANCV GROUP NO.Of DWELLWG
<br /> UNITS �
<br /> -. — _ _—!_
<br /> iIZE OF OLOG ry0.OF STONIES Ml�%.OCC LOAO 1{UILOING § �
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<br /> - _ PI UMIIING � I �p
<br /> fINE2UNL - 1{ASLMENT �-----� I�IIiLSPRINKI-fH$ I
<br /> � . REUUIHLD - - - —�—
<br /> ❑Vk.S ❑NO MIC11/�NICAL 7 � OO
<br /> :iPLGIAL CONDIl10Nti O1 HLR I
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<br /> �- --- -_ � -. . . . �-"--- PPNALIY $GGJO�IaI I
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<br /> _ .:�.-� --- -�___— rorn� 19 i 00
<br /> � �✓ � � PERMIT VALIDATION
<br /> � � • � �� . . ��. -- -- 1V11LN YNUPI 111 Y VAI IIIAI I.0 IIN 1111!151'ACP. I 1 S :� 1 �N PLHR!
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