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thc Evciyrrrn <br />ci rv or <br />everett <br />(ItY NALL 1595FBA <br />fYIN[i1,1VASNINGIOY <br />semi <br />utv� nr conwurvrtr <br />n[v[iovutrvr <br />NER <br />il�ii.�.. Jji i ..) . � <br />CONSTRUCTION <br />PERMIT <br />BUILDING MECHANICAL <br />MlU� AU�R655 Zip <br />�•4�i �'"' '� !"T,'' �S <br />❑OVILDING �jPWM01NG �MCCHANICAL <br />/ALUATION OF WORK <br />5 �� <br />iescr��or woaK <br />s� �^as.s - ;�•m.c�. :-,-�+�� r. <br />'HOP09ED USE <br />utin� ueSCNirTION OF PqOGERTV ISHOW �EL <br />FOU OPI[5) y <br />LOT OLOCK � OF ��� 4�'��a <br />JOB ADDRESS <br />lV.�1. f� �'�? .. A... <br />7W:1 • � <br />PLUMBING <br />CLOTN[SW! <br />WATG(iHEA <br />URINAL <br />DRINKING F <br />FLOOR-SINI <br />VACIIUM RRI <br />1Yi\i' <br />[ <br />SPECIAL CONDITIONS: <br />mm1 <br />everett <br />PLUMBING <br />PHONE <br />35`'..-3`J�t <br />L <br />� <br />❑NEW ❑(�DOITION ❑AI.TERATION ❑REPAIR <br />❑D[M110LI^M ❑F@ryCE ❑SIGN ❑SWIMMWC. POOL <br />Yf�ROS[i0 <br />❑VES ❑NO <br />MECHANICAL <br />AIR COND. UNITS-M.R EA. <br />REPRIG[RATIOI! UNITS� �H.P. EA. <br />�OILEPS-N.P. EA. <br />GAS FIREf] A.C. UNITS-TONNAGI <br />FORCED AIR SYSTEMS- f3.T.U. M <br />WALL HEATEPS-f1.T.U. M <br />UNIt HEATERS-p.T.U. M <br />EVl�PORAiIVECOOLEPS <br />CLOTHES DRVERS <br />VENTILl�TIOK FAN <br />RANGEMOOD <br />AIR IIANDLING UNIT- C.I <br />1..^i'r75 <br />� <br />W <br />m <br />� <br />� <br />Z <br />r <br />� <br />� <br />W <br />a <br />1164 <br />_ I SUBTOTAL 5 J�-��— <br />_ PERMIT 5 � yy <br />— TOTAL FEE $ � �`� <br />— TI115 PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />_ TION AUTNOFIZE� IS NOT COAIMENC[D WITMIN 120 D�YS, OR IP <br />f10NSTRl TION OR WORK IS SUSYENDED Oq AHANDONG� fOR A <br />— PCR100 O' 170 DAVS AT nNv TIME AFTER WORK IS COMMENC[D. <br />I Hc�E�V �:ERiIfV TNAT I Nl�VE FFAO AND EXAMIN[O THIS AP� <br />— PLICA�:;�N nND KNOW THE SAA1E TO (lE T(iUE AND CORR[CL 11LL <br />— PROVISION$ OF LAWG ANO ORUINANCES GOVEHNING T1115 TYPE <br />—_ OF WORK WILL NE COMPLIED \NITII WH@THER SV[CIFIED HEREIN <br />ON NOT, TNE GRANTIIJG OF A PERMIT OOES NOT PR[SVME TO <br />— GIV[ AUTHORITY TO VIOI ATE OR CANC@L THE PROVISIONS OF <br />ANV OTMEfl STATE ON L('C/�L LAW REGULATWG CON;THUCtION <br />_ OR TIIE PERFOFiMANCE GP CONSTfiUCTION. <br />T+t?�-7G <br />EOI°CONTMCTOROIii1UT11.qGENT DATE <br />K NUh1f3ER PLAN CHECK FEE <br />FEE RECEIPT NO. <br />=EES VALUATION FEE <br />.00C. LOAD 13UILOING 5 � <br />I <br />PIUMBING I <br />.SPFINKlERS <br />UIRED — <br />YES ❑NO MECHANICAL � <br />1 <br />OTMER � <br />I <br />PENELTV SEC. J031a1 I <br />TOTAL C './J <br />I <br />PEHMIT VALIONTION <br />lVH[N PROP[PlV VAI.IUATIIf) IIN lHI ; SVAC[� TIIIS IS VOUR P[ R�11T <br />7 <br />