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EItYDI - CONSTRUCTION <br />PERMIT <br />CIIr14AN Alms <br />I vl At 11. nk$Y."I(IN <br />fl)01 <br />"L nr '`°'"l`I <br />Lf❑1'✓vYl <br />BUILDING MECHANICAL <br />PLUMBING <br />everett <br />MAIL AOURLS5 ZII I'RUNL <br />_ �a1 7yi0 r� r<T 7,5201 2x2-SSb� <br />S°�177 <br />RCIIIIL OCI LSIGNLI I MAIL AUORFSS PHUNG LICLNSE NO. <br />a33� <br />GE 'l1ALCUNTOIA-C7IOII / MAIL AUDRLSS PHONE LICENSE NO. <br />� ///. <br />IZIANI L` <br />f 'CIIAIJI L CUNT MCT MAIL ADDRESS I'IIUNL LICGNSL NO. <br />A I <br />' <br />PLUMBING CONTRACTOR MAIL AUDHLSS PHONE LICENSE NO. <br />li <br />w <br />m <br />FERMI r <br />_( <br />I[]�BUILDING ❑PLUMBING ❑MECIIANICAL <br />CLASS Or WORK <br />❑NE\Y ❑ADDITION ❑ALTO RATIONHEPAIR <br />2 <br />F— <br />E <br />VALUATION OF WORK <br />S ['I 00 <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />[r <br />LU <br />DLSCRIBE WORK <br />PH 'OSLD USE <br />MECIIANICAL <br />TYPG Or FUEL ❑OIL ❑. ❑LPG. ❑ELEC. <br />I EGA[. DESCFI IPTION OF PROPERTY (SHOW BELOW OR ATT ACT/ <br />FOUR COPILSI <br />LOT BLOCK_OF <br />NO. <br />TYPE OF EOUIPME'NT <br />FEE <br />AIR COND. UNITS—R.P. EA. <br />S I <br />REFRIGERATION UNITS—H.P. EA. <br />~ <br />1 <br />_ <br />BOILCIiS—H.P. EA. <br />I <br />_ <br />GAS FIRED A.C. UNITS —TONNAGE EA. <br />FORCED AIR SYSTEMS—B.T.U, MCA. <br />1 <br />J01I ADDRESS <br />WALL HEATERS—O.T.U. M <br />1 <br />UNIT HEATE RS—B.1'.U, h1 <br />1 <br />— <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I <br />VENTILATIO14 FAN <br />--�-- <br />I <br />RANGE HOOD <br />I <br />AIR HANDLING UNIT— C.F.M. <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />_ <br />WATER CLOSE T(TOILET) <br />SI <br />INCINERATOR <br />_ I <br />11ATIJ'rV6 <br />1 <br />---I <br />LAVATORY IWAaH BASIN) <br />SHOWER <br />1 <br />— <br />KITCHEN SINK A DISP. <br />�— <br />SUB TOTAL S <br />I <br />— <br />L`ISMWASHER <br />I <br />('[KNITS <br />_ <br />LAUNDRY TRAY <br />TOTAL FEG $ <br />I <br />CLOTHES YfA$IICR <br />— <br />WATL'H HEATER <br />1 <br />—T_ <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUG <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEHEBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP <br />PI_ CATION AND KNOW THE SAfdE TO HE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL RE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING Or A PERMIT DOES NOlPRESUME TO <br />GIVE AUTHORITY TO VIOLATE- OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OH THE PERFORMANCE OF CONSTRUCTION. <br />x <br />URINAL <br />--� <br />DRINKING FOUNTAIN <br />_FLOOR —SINK OR DRAIN <br />_ <br />VACUUM BREAKERS <br />ROOF DRAINS—RAINLEADERS <br />SINK (SERVICE —BAR, ETC.) <br />I I <br />--� <br />—� <br />— <br />SUBTOTAL <br />PEIR.d IT <br />S <br />TOTAL FEE <br />' <br />5 <br />CITY <br />USE BELOW THIS LINE <br />s ATURL CONrflACTOIIORAUTII.AGCIJT DATE — <br />SIDE YARD SLTSACK <br />SI FILLT SETBACK <br />HEAR YARDSETBACK <br />O<AN CHECK. NUMBER <br />PLAN CHECK FEE <br />PEG RECEIPT NO. <br />USEZONE <br />- <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE 01: CONST. <br />OCCUPANCY GROUP <br />NO.OP DWELLING <br />UNITS <br />I <br />1 <br />BUILDING <br />$ <br />I <br />SIZE OF ULDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />I <br />1 <br />i'IRFZZONE <br />_ <br />OASEM[NT 19HE <br />SPRINKLERS <br />RLOUIRED <br />OYES ONO <br />MCCIIANICAL <br />I <br />SPECIAL CONDITIONS: <br />OTHLR <br />PENLLTY <br />SEC. 103 (a) <br />I <br />l—_ <br />TOTAL <br />t <br />PEIIMIT VAI.IDATION <br />WI11.01.ROPLIILY VALIDATCO (IN THIS SPACE) T HIS IS YOUR PERMIT <br />r <br />a <br />-- -- --- -- <br />AI1'I ILAIIIIN �LLI I'llll al' <br />1'I NIS LIlll 61BIIY: a1Y11iIVlbll�112.II�IMa <br />_ <br />NY <br />i,i RLR:At11'a <br />