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rhn rrri,�.,,,•,� <br />_����� CONSTRUCTION <br />everett PERIVIIT <br />uiv neii �svverr <br />Ia1ryL11.1VALMIM1f.i011 <br />9fl1f11 <br />�`"` "��°„'';��;„", BUILDING MECHANICAL <br />��� �fr Mt11'. HODRESS �yW� ZIP <br />��'_. � �;+� �C, �t— �'M ���.. . .. , � :~� .�' i {jy <br />X <br />n�� <br />PLUMBING <br />LIC <br />�2 <br />[�pUILDING �PWMBING �MECHANICAL <br />❑NEW ❑ADDITION ❑ALTERATION �RLPAIR <br />VAW/�TIONIyO�f yW�O/RyK� <br />5 �.-,hy�Jy ❑DEMOLISH ❑fENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIpA WORK <br />-��.. -. .�...�..� 7�. � ..�p. <br />- . � �,'��'� ., .,_. u !d' 1;T!t2.�� <br />PROPOSEU USE <br />MECHANICAL <br />_ ivPf OF PUr.L �OIL �NAT. ��PG. <br />LEGAL DESCRIPTION OP PqO�'ERTY ISHpW ¢E�OV. Ofi Al1Ap1 �,�5 <br />FOUR �,O�pJ� G"1 <br />Loi ZOLOCrc� OF M�� ��fi riS� ,�,,,�'� NQ ____TYPEOF E�UIPMENT <br />JOR l�D�RC55 <br />PIUMBING <br />BAT <br />R <br />K (Jli <br />SUBTOTAL <br />_ PERMIT <br />TOTA(.FEE <br />FYi:ly�i <br />3PECIAL CONU�TIONS: <br />l�IR COND. UNITS—M.P. EA. <br />f1LFRIG[HATiDry UNiTS—HP.EA. <br />f301LER5 -H.P. EA <br />GAS qRGU (1.C. UNITS—TONNAGE El <br />FORCED 4IR SVSTEMS—�.LU. M EA. <br />WALL N[MERS—B.T.U. M <br />UNIT HEM[FS—H.T.V. M <br />LVAPOfiATIVECOOLERS <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGf:HCOD <br />Alft HANULING UNIT— 0.F.M <br />INCINERATOH <br />everett <br />�Ny <br />� <br />W <br />m <br />� <br />� <br />Z <br />� <br />� <br />SV�TOTAL 5 � <br />PERMIT 5 <br />I <br />TOTALFLE $ � <br />THIS PERMIT RECOMES NULL AND VOIp IF WORC OR CO�JSTPUG <br />TION AUTHOHI2ED IS NOT COMMENCED tY1TMIN 12� DAVS, OR IF <br />CONSTRUCTION OR WOfiK IS SUSPENU[O OR ABANDONED FOR A <br />P[R100 Of 170 DAV$ AT ANV TIME AFTFR WOIiK IS COMMENCED. <br />1 HEFE(3V CEIiTI�V THAT 1 IIAVE READ 4ND EXAMINED TNI.^. AP <br />PLICGTION ANp KNOW THE SAME TO P.L T IlUE ANp CURRECl. /�LL <br />FIiO\'ISIONS OF Lt1W5 11ND OfiD11JANCLS GOVEfiNING TMI; TYPE <br />Of WORK WILL pE COMPLIED WITH WHET�iER SPLCIFIED HEPHN <br />OP NOT, iHE GRANTING Of A PERMIT DOES NDT vqESUME Tp <br />GIVE AUTHORITV 10 VIOLATE UR CANCG� THC PftOVI51CP15 OF <br />ANV OTHEq STATE OR LOCt1L LAW fiEGULATING COI.STiiUCTION <br />OR TI1E PEFFOfiMANCE OF CONSTRUCTION. <br />91GNATURE OF CONT <br />AqO5ET0ACY.PL4NCHECKNUM�ER <br />❑VES ❑NO F[ES <br />PLAN CHECK FEE <br />FEE FECEIPT NU. <br />VALUATION FEE <br />�AD BUILOING 5 �� � �]j <br />t-- <br />PLVMBING I <br />L[fiS � <br />M[CHAHICAL � <br />❑NO � <br />� <br />OTNER i <br />-- PENELTV SEC.]031e) I <br />TOTAL � � <br />PERMIT VALIDATION <br />\VHEN PROPfiiLV V/�LIUATEf: iIN THISSPACE) THIS IS YOUR PEqMIt <br />C• <br />