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nc� frrr:nrrn <br />���,,<,� <br />everett <br />I',IVn]IL �nfE^. <br />) <br />iveeui v.as�ua�a�nr <br />4P)I11 <br />,,,�, �, �,,,•,,,�•,�,. gUILDING <br />rnenw�r.�xt <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL PLUMBING <br />rvpe.n�/x /��jy�� f�� �M}��IL A}yU}�DF/ESS �p (� (y ZyIP� <br />iR.lf.'.tl.� i%�.�a4:. li • �yi7 1h��JiYL� .S►�"U/i 7�GML <br />CMITECT OR OESIGNkR A1AIL AOORF55 PHOf <br />GENEI:4LCONTHACTOR MAII /aOOR[55 PHONE UCLNSENo. <br />:9.�. T�" ;A,Tx ry5t,�t" iL`i.?: 1 r_Ei'�L}`-�. i�D. .,�i,t-,_'i',Ti ��!�'i1�i �"�'.� � <br />MECIIANICdL CONTRACTGR MNL ADDqESS PHONE LIC[NSE NO. <br />�6UILDING ❑P�UMAING �MGCHANICAL <br />❑NEW ❑AO�ITION �ALT[FATION ❑{iEPAIR <br />/ALUP.TION OF WOqK <br />5 �� ❑oEnno�isr+ ❑FeNCE OsicN ❑swinn�,niNc roo� <br />1ESCRIf3[ WORK �� �`� `�L� � �� � <br />.c�e �t� r <br />�noeosEo USE <br />MECHAI IICAL <br />L[GAL DFSCRiP110N Of- PfiC <br />FOU '�Of�1�51 <br />LOTsy�� 11LOCK�OF <br />�oo nuon�ss Z� �� <br />PLUMBING <br />F3I+THTUB <br />LAVATORV <br />si�owcn <br />KITCHEN 51� <br />DISNWf�SH[ <br />FlD <br />VAC <br />ROO <br />USL ].,QtJ� <br />l,�j <br />ivP[ OF CONST. <br />;iZE OF BLDG. <br />flfit 20NE <br />SP[CIAL CONDITIONS: <br />I <br />I <br />Uves <br />V[3 ❑NO <br />everett <br />NAI. ULP(,. �EL[C. <br />GAS <br />_ AIR CONO. UNITS-H.P. EA. �S <br />REI'RiGERATION VNITS-H.P. EA� <br />ROILERS-H.P EA. <br />GAS FIRED A.C. UNITS-TONNAG[ EA. <br />PoIiCLD nlR SvSTEMS-B.T.V. M EA. <br />UNITHEATEfiS-B.T'.0 M <br />EVAPOVATIVECOOLF.RS <br />c�orHes onveAs <br />VENi1LATION FAN <br />RANGEMOOD <br />AI{i NANDLING UNIT- C.F.M. <br />TOTAI FEE 5� � <br />THIS PERMII' 6[COMES NVLL ANO VOID IF WORK Oft CONSTRUC- <br />-i lON A�JTHORI2E� IS NOT COMMENC[D WITIi1N 120 DAYS, OR IF <br />COIJSTPUCTION OR \NORK IS SUSPENOEO Oli A6ANDONED FOR A <br />P[fil'1D OF 120 D�VS AT ANV TIME AfTEfi WOFK ISCOMMENCEU. <br />I HEREBV CEPTIFY THAT I IIAbE REI�D AND EXAMIHED TH�S AP� <br />PLICNTipN AN� KNOW THE 5l+ME TO �E TRUE AND CUliRECT. ALL <br />PliOVISIUNS OF LAW'S AND OIiDINI�NC[5 GOVERNIKG THIS TYPE <br />OF WOIiK WILL f3E COMPLIED WITM WMEIHER SPECiPiLIJ HEREIN <br />Ofi NOT, THE GRANTING O�' A PERMIT DO[S NOT PqLSUME TO <br />GNC AVTIIORRV TO VIOLATE Ofi CANCf.L THL. PPOVISIONS OF <br />ANY OTH[F STAT[ Ofi LOCAL LAW FEGULnTiNG CC^�STfiU(,tION <br />ON TNE PERFORMANCE OF CONSTIiUCTIJN. <br />X <br />AN CHECK NUMOER I - PL/1N CMECK FEE <br />FEE IRLCEIPT NO. <br />FEES I VALUATION I FEE <br />eui�oiNc s �t�� �ri � {Xi <br />_— --1 <br />PLUME3ING � <br />I <br />A9ECHANICAL I <br />OTIIER � <br />I <br />T— <br />rer�ci_�v ec. �oa w� i <br />�— <br />i <br />TOTAL "__ _ -- --�I � <br />i <br />PEHMIT VALIDATION <br />WH[y pqOP[H�v VAl_iDATEO UN THl`, SPACFI THIS IS VOU�� v[liA11� <br />il <br />