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� Nrr Er.,r,urrn <br /> �����>, CONSTRUCTION everett <br /> everett PERMIT � <br /> CrtV M4ll ]590PZ5 <br /> fV[PI11.K4iMIH111pN <br /> 9Y.)JI <br /> "°"° `°",''°""` gUILDING MECHANICAL PLUMBING <br /> nrvtinruixr <br /> OWi�cq MML ADDHL55 ZIV PIIUNE <br /> �. c. >"r*"'' 7�Y1 ::�,:" '.Y �.°7"r7G <br /> ARf.MITECT OP�OESIGN[R MAIL A�DRE55 PMOIJE LICCNSE NO. <br /> GEN�EF�.A�ryI.CONTflFCTOR MAIL ADDFESS PHONE LICENS[ NO. <br /> .ufl+�-.�. ?� �iP, <br /> MECHANICAL CONTPl�CTOR MAIL AODRE55 PMONE LICENS[ NO. <br /> PIUMdR:J CONiRACTOR Ml�IL AO�PESS PMONE LICENSE NO. � <br /> W <br /> m <br /> PERM�T CLASSOFWORK � <br /> Z <br /> �BUILOING ❑PLUMOING �MECHAkICAL �... <br /> ❑NlW ❑ADOITION �ALTERATION ❑REPAIF � <br /> VAIVATIO�N�OF/�WO,IR�K � <br /> $ y�AA� L ❑D[MO�ISH ❑FE";C@ ❑SIGN ❑SWINMINGPOOL a <br /> DESCRIBC WORK / ♦ 15 d4 <br /> r:�Z4�� 1'Y.iT tl.�aM <br /> PqOPOSED USE <br /> MECHANICAL <br /> TVP[ O� FUEL �OIL �hAT. �LPG. �ELEC. <br /> L[GAL OESCRIPTION OF PROPERTV ISHOW 6ELOW OR ATTACM GAS <br /> FOUR�SI _ <br /> LOT eLocK—or ��� ��� NO. _ _ TVPE OF E�UIPMENT FEE <br /> AIR COND.VNITS-Ii.P. E/�. S I <br /> REFRIGER�TIpN UNITS-/1.0. EA. <br /> 601LFfi5 HP. E0. � <br /> GAS F IRE�A.C. UNITS-TONNAGE EA. <br /> FORCEO Alq SVSTEMS-9.T.U. M EA. I <br /> JOB AUONESS Wl�L� MEATERS-B.T.U. M <br /> ?C}� h�1vF°tiY <br /> UNIT HEhTERS-O.T.U. M I <br /> EVAPpqntiVECOOlERS <br /> PLUMBING CLOTIi[5�RYEFS � <br /> VENTILATiON FAN <br /> RANGEHO00 I <br /> NO. TVPE OF FI%TURE OR ITEM FEE AIR HANDIIWG UNIL— 0.F.M. � <br /> WATER CLOSET �TOILET) $ �NCINEIiATOR � � <br /> BATHTV[i --T— <br /> 1_AVl�TUR� IWASH BASIN) � � <br /> s��owEn <br /> KITCIIENSINK R DISP. SUB TOTAL 5 1 <br /> OISNWASHF.R � <br /> PERM11IT S <br /> LAUNDRV ifiAY --- -- <br /> CLOTHES WASHER <br /> TOTAI_ FE[ 5 I <br /> WATER NEATER Th15 PERMIT pECOMES NVLL ANp \'OID IF WpRK Oli CONSTRVC� <br /> TION AUTIIORI2ED IS NOT COMMCNCED WIiHIN 120 OAYS, OR IF <br /> URINAL �— CUNSTRVCTION OR WORK IS SUSPENOED OR MtAhDONED �OR A <br /> DRINKING FOUNTAIN — PERIOD OF 120 DAVS M ANV TIM[ nFTENYJORK IS COMMENCEO. <br /> fLOOR-SINK Oq DRAIN � 1 HFREdV C[fiTIPV THAT I HAVE READ AND EXAMINEO TNIS AP- <br /> VACUUM BREAKERS �LICATiON ANU KNOW THE SAM[TO�E TRUE AND CORfiECT. ALL <br /> RODF pqAINS-RIIINLEAOERS —�- �RUVISIpNS GF LAWS ANO OHDINANCES GOVEFNING THIS TVPF. <br /> OF WpFK WI�L B[ CUMPU[D WITH WHGTHER 5?LCIFIE� HEFEIN <br /> SINK (SERVICE-OAR,ETC.� —i Oti NOT, TME GRqNtING Of A PEIiM1T UOES NOT PR[SUME TO <br /> GIVE AVTMOfiITv TO VIOI.qTF. OR CANCEL TH[ PPOVISIONS OF <br /> ANV OTI�FR STAI[ OR LOCAL 1_AW R[GVL/1TING CONSTqUGTION <br /> SVA TOTAL --�— Ofi t1�E P!i�FORMANC[ UF CONSTfiUCt10N. <br /> PEfi1r11T S <br /> _ TOTAL FEE__ $ � <br /> x <br /> SIGNATUFiFOf CONTRACIp�ORqUTM.AGENT DATE <br /> 51�[ V�RDSETOACK STRE[TSET6ACY. REARYqROSET(iACKPL�NCMECVNUNP.LR PLANCHECKFEE <br /> �FEE RECEIPTNO. <br /> VSE20NE LOTAFEA VACANTSiTE <br /> ❑vEs ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GflOUP NO.OF OWELLING <br /> UNITS � <br /> L—_ <br /> SIZE OF �LDG. NO.OF STOqIES MAX.00Q LOAO BUILDING 5 r .� ��� <br /> PWM�ING I <br /> FIRE20N6 F3A5[MLNT FIRESPRINKLERS <br /> RfpUIRED <br /> G�'ES ❑NO MECHANICAL � <br /> SPLf.IAI.COYDITIONS� OTHER � <br /> _ � <br /> l <br /> PENEII V SEC.3031e1 I <br /> TOTAL �r'j�� <br /> V <br /> PEAMIT VALIDATION <br /> WHEN PROPERLV VAl IUATED IiN 1HIG S�ACE) THI415 VOU(i 1'CR1,41T <br /> i <br /> � '.^I'I�� ��. [t�l[119Y 1`LA'ISCHf[Y.f�PY. PPPPOVIDfOR15NONCFPY <br /> � C� <br /> I I :3 <br />