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Ihc Evcr,qreP/r <br />��,� o� <br />everett <br />Ci1V H111 159fti5 <br />{V1HNi W.15mNG10Y <br />eA:lll <br />„��, o� �o�•�,�v�,. <br />mviior�ern� <br />vrvEA <br />?,.'S+'�':K's'- CXl": 1i <br />3ENE�RAL�CON <br />�.' .:iL 1 1� <br />CONSTRIYCTION <br />PERMIT <br />BUILDING MECHANICAL <br />n�nii. noorves; zir <br />�� ..'s't,9 <br />I�OVILDING ❑PLVME3ING �MEC��ANICAI. <br />I VAWMIONOFWOFK <br />s iU tir`�U <br />DESCRIB[ WORK <br />�"C,zr�' {^�3 <br />PLUMBING <br />OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ��E�AIR <br />❑o�nnoi i;n ❑r�r�ce ❑sicrv ❑s�vinv.��rvr, voo� <br />i_CGAI. OESLHIPTION OF PR!1PERiY ISHOW 9ELOW OH l�TTACH <br />�OUH COP1251 <br />LOT IILOCK_OF <br />!OB ADDRt:iS � 1��y,t.y.� <br />�J <br />p��IMBING <br />S�iow[n <br />KITCIIEN $IfIK & C115P. <br />DI5104l�SHFft —'�"— <br />LAUNUFV T11AY <br />c�.onies wn,��+en <br />WATEH HEATL'fi <br />URRJAI. <br />ORINKING 1'OUNTl�IN <br />FLOOF� SINK OR OFF <br />VACUl1M IiREAKEfiS <br />O!�llf llll(�IN:—FIIINI <br />pACK <br />SP[CIALCONDITIONS <br />P.r <br />REAH VAIiUStlu. <br />VFCANT SITE <br />❑YES ❑NO <br />MECHANICAL <br />l�IR CON�. UNITS-M.Y. LA. <br />REFliIGEPATION UNITS--HP, EA. <br />HO�LERS-HP.[A. <br />G�S FIREO A.C. UNITS-TONNAGG EP <br />fURCEOA195VSTEMS-�.T.V. MEA. <br />\YALI. HEATERS-6.T.U. M <br />� UNIT HGATEFS-6.LU. M <br />I [VAPDRATIVE COOLERS <br />CLOTMES ORVEIiS <br />VENTIIMION FAN <br />RANGEHOOD <br />AIR MANDLING UWIT- QF.M <br />INCINERATOR <br />everett <br />� <br />GisS-% <br />�� <br />� <br />� <br />� <br />a <br />547 <br />SUB TOTAL 5 I <br />PERMIT S —T- <br />1 <br />IOTAI FEE 5 I <br />TMIS PEFMIT BECOM[S NVLL /+ND VOID IF WORK OR CpNSTfiVC� <br />TION AUTHOPIZED IS NOT ,;OAIAIENCED \YITHIN 120 OAYS. OR IF <br />CONSTHI�CT�ON OH WORK IS SUSPE�.NOED OR ACf.NDUNED FOR A <br />P[RIOD O1� 1�0 OAV ; AT ANV TIME Af-iER1NORK IS COIdM[NCED. <br />I HEREISV CEPTIFV TH:.T I IIAVE R[AD ANU E%IUAWEO THIS AP- <br />PUCATION Ata� Y.NOW THE SAh1E TO UE TRUI �>Nb CCRFiECT. AL� <br />PROVISION$ OF LAWS AND ORDINANCFS GOVGNNiNG iHiS TYP[ <br />OF WORK WILL OE COMPUED Nfi1H WM[THGq SPECIFIE� HEREIN <br />Ofi NOT, THE GRANTING Of- A PER�UT DO[5 NOT PPESl1ME TO <br />GIVE AUTHOPIlV TO VIOLATE UR CIINCEL THE PROVISIONS OF <br />ANY OTHER STATE OR IOCAL L4lY REGULATING COHSTRUCTION <br />Oli THE PERFORhtANG[ OP CONSTHUCTIDN. <br />x " " — <br />SIGNATUPG06CONTPACTORORAUTH.IIG[NT DM-E <br />PLANCHECYGUMI3F{i PLANCHECKFEE <br />pE� HEGEIPT NO. <br />FEES VALUATION FEE <br />—_— I <br />.00C IOAD �UILDING 5 /w��W � µ! <br />_t-'-- <br />PLUMBING � <br />;PRWKLERS - � — <br />UiREO <br />Yf5 ❑WO MLCHAHIcqL � <br />I <br />OTHER I <br />— �T— <br />- — �'6NLLlY S6C.30d1.i1 � <br />__ - __ � <br />- Tora� ry .O <br />PERMiT VALIDATION -- <br />wHFN rHOrFR�V vnun4TEU IIPI tHI55P,�cr1 THIs Is vOUR°CPI4iC <br />■ <br />i.� <br />