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',�a Er��rn���un <br />��1Y_�F CONSTRJCTION <br />everett PERMlT <br />��,�„��� ;��e;, <br />[vtm n. nas�n���anv <br />9PAll <br />°���°��°�:��°•�°� gUILDING ME(,F�ANICAL <br />ntvtioruuu <br />NER MAIL ADDRE55 ��P <br />�ichcr�7 �c::::i.�t ii?1 Socncl A••,,, qq��;3 <br />PLUMBING <br />I'HONE <br />'.5� -� �ry� <br />RAL CON� RFCTOR MNL ADOfiESS �NONE LICENSE NO. <br />i'vsrett Jlclars inc. 56C6 LVeZrpcGII i:n,r 1:.'S�71F1 223-:J1-3;['-:.:.--> 3'�i::: <br />L <br />❑ pUII.DING � PLUMDING � MECNANICAL <br />❑NGW ❑ADDRION ❑AITERnTION .Qfi[Palli <br />JALUATIONOFWOHY. <br />5 ��J�J�Dl� ❑O[MOLISN ❑�ENC6 ❑SIGN ❑"WIMMINGPOOL — <br />JESCRIB[ WORK <br />roroo� - r�pLr.cc o2c: roc�: ait'�. ?;.lj :ot -o, <br />'FOPOSED USE MECHANICAL <br />LOT <br />PLUMBING <br />iIPTiJN OF FPOPERTV ISHC'=Y pE�OW OR ATTACH <br />' 4 9hora Acsiaa ,1d,litioc: <br />o�ocr:—oF <br />1 w>Oit12:� ::VCi�11U <br />KITCHEN SINY. !L �IS�'. <br />DISIIWASHER <br />LAUNO(iV TRAY _ <br />CLOTHES WA511[R <br />WATER HEATER <br />UqINAL <br />DIiINKING FOUNTAIN <br />F�OOfi�-$INK OR DPAI�J <br />VACUUM �REAKERS <br />FOOf C1pAIN5-RAINLEADER', <br />SINK ISEPVICE-0AR, ETC.) <br />SUB TC <br />PEFMI' <br />TOTA1. <br />VAliD5ETr3ACK STREETSE <br />SPECIAI CONUITIONSr <br />FY <br />4CANT SIT[ <br />❑YES ❑NO <br />Alfl COND. UNITS-H.P. EA. <br />REFRIGERAiION UNITS�-H.P. EA. <br />ooi�ens- �a.e En. <br />GAS FIPED AA. UNITS-TONNAGE EA. <br />FOHC[D AIR SVSTEM1IS-�.T.U. M EA. <br />W�IL MEATERS-0.T.LL M <br />UN�T HEAT[RS-(3.T.U. M <br />[VAPOqATIVE COOLERS <br />c�oTr�es onvens <br />vcwn�nnoNrnrv <br />RANGEHO00 <br />PIR HANDLING UNIT- C.F,M. <br />INCINERATUN <br />F <br />� <br />� <br />W <br />_ a <br />2828 <br />_l_ SUU TOT�1L S � <br />PEliMIT S � <br />TOTAL FEE S I <br />THIS PGR�IR 9ECOMES NULL /+NO VOI� IF WORK OR CONSTRUC <br />TION AUTHOHIZ[D 19 NOT COMM[NCED WITNIN L^D OAVS, OF IF <br />CONSTPUCTION Ofl WORK IS SUSPENDED OR A[3ANDONED FO(i !. <br />PEHIOD OF 120 De�'/5 AT ANV TIME AFTER WORK IS COMNENCE�. <br />I HE�E13V CEflTIFV THAT I HAVE REAO AND EXAMW[D T1115 AP� <br />PLICATION AND KNOW TNE SAME TO !3E TRUE 11NU CORRKT. ALL <br />PROVI;IONS OF Ll�W9 AND OPDINANCES GOVERNING THIS TVPE <br />OF WO(iK WILL DE COAIPLIED WITH tYHETHER SPECII'IEO HEtiE1N <br />Oq NOT, THE GRANI'ING OP A PERMIT n0[5 NOT PRESUME TO <br />GIVE l�UTHOfiITV TO VIOLATE OP CANCEL THE PROVISIONS OF <br />ANV OTH[R STATE OR LOCl�L LMN FEGULI�TING CON;TRUCTION <br />OR iHE PLRFORIdANC@ OF CONSTRUCTION. <br />�'LAN CHECK NUM�Efi <br />FEES <br />PLAN CHECK FEE <br />FEE �ECEIPT NO. <br />VALUATION FEE <br />iC0.LOA❑ BVILDING s �.57�'Lry �kl,`�� <br />�__ <br />PLUM�ING � <br />'RINKLfflS <br />IiED � <br />S ❑NO M[CNANICAL I <br />OTHER � <br />_ � <br />— PENELTY SEC.90� Inl � <br />r `� � J �� <br />TOTAL I <br />PERMIT VALIDP.TION <br />WH[N i'RO�'CRl V VALIDAI F.D IIN THIS SPAC[� TNI515 V OUp PG Hldl � <br />