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u <br />r���� F�-�•,v.,��,:, <br />an ur <br />everett <br />crtrenu xsnaas <br />tv[etn. wavun��mv <br />9fl:01 <br />III�I ll{ COIIMIINIIY <br />r.[v[iavnryi <br />lNER <br />e��.�-... ,2 frii.. <br />�uC' <br />BUILDING <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />E <br />everett <br />PLUMBING <br />VMONE <br />�� � <br />I I)�VILDING mPWM�ING Q�MECHskICAL <br />�NEYJ ❑AODITION ❑ALT[RATION ❑RLPAIH <br />VALVATIJN OF WOPK <br />5 �-��� ❑OEMOLISM ❑r[NCE ❑SIGN ❑SWIMMING PpOL <br />OESCPI6t" WORK :".�y-,�XNwi J,t,rw,�f ���0 w�.a.stl���n � <br />4Y: a.fVi µ .:N w <br />PROPOSE� USE <br />MECHANICAL <br />LEGAL DESCRIPTION OF PPOPEPTV ISNOW �LLOW OR ATTACH TVP[ OF FUEL �OIL ❑GAS ❑`�G. <br />FOUR O�I[51 <br />�or � uLocK�oF ��� � NO. TVPE OF EDUIPMENT <br />AIR CONO. UNITS-H.o. [F. <br />f:EFRIGERATION UNi:.� :i.P. EA. <br />IIOILEliS-M.P. EA. <br />GAS FIRED A.C. UNITS-TONNAGE E: <br />fO1iCLD Alq SVSTEMS-�.T.U. M EA. <br />J013 AD�RE55 �} N'ALL HLAT[RS-p.T.U. M <br />� 1�� o UNIT HEATER$-B.T.U. M <br />EVAPORATIVECOOLERS <br />PLUMBING CLOTHES DfiVERS <br />VENTILATION 1'AN <br />RqNGF 1100� <br />Alfi MAN�LING UNIT- QF.M. <br />N TYPE OF FI%TURE OR ITEM FEE <br />..,,.reo ��..eer ir..�. er� . INCINERATOR <br />CIOTHFS\NASHEfi <br />WATEfi HEnTER <br />URINAL <br />DRINKING FOVNT, <br />FLOOR-SINK UR C <br />VACVUM OREnKEi <br />ROOF DRAINS--PA <br />SINK ISERVICE-Ft. <br />SUNTOTAL <br />P[RMIT <br />Tl]Tl�� FEE <br />�ACK STRE[TSETpqCK <br />� <br />4A <br />� SPECIA� CONOITIONS: <br />%�. <br />I <br />� �� <br />� <br />E <br />K <br />W <br />m <br />� <br />7 <br />Z <br />TOTqL FEE SI -�� �" <br />THIS PERM1IIT pECOMES NULL ANO VOID IF \NORK OR CONSTRUC- <br />TIDN /1UTI10R12E0 IS NOT COM1IMENCGD WITMIN 1�0 DAYS, OR IF <br />CONSTHUCTION OR WORK IS $USPENpED OR ApAN�ONED FOR A <br />PEq10D OF 120 DAVS AT ANV TIME AFTER WORK IS COMMENCE[]. <br />I NEREOV CERTIF"V THAT I HAVE READ AND E%AMINED THIS AP- <br />PLIG�TION ANp KNOW THE SAM[ TO �E TRUE AND CORFECT. ALl <br />PROVISIONS OF LAN'S AN� OfiDINANCES GOVERNING THIS TYPE <br />OF WOPK WILL BE COMPLIED WITM IYHETM[R SPECIFIED HEREIN <br />OR NDi. THE GRANTING OF A PEfiMIT UOES NOT PR[Sl/A1C TO <br />GNE AVTHO�:I'V TO VIOLATE Ufl CANCEL THE PROVISIONS OF <br />ANY OTHLR ST�TE OH �OCA� LAW REGULAtING CONSTRUCTION <br />OR THE PE(iFORMANCE OF CONSTRVCiION. <br />x N�.• <br />USETIiI�CK PLlIN CHECK NUM[i <br />r 77/W�, <br />ITE <br />❑NO FEES <br />'LLING <br />1 <br />LOI1D 9UILOING <br />PLUMAING <br />IKL[RS <br />�rya MECHApICA� <br />OTH[R <br />PENELTV <br />TOTAL <br />PERMIT VALIDATI( <br />WHEN PpOP[RLV � <br />�^ <br />a <br />PLAN CNECK FEE <br />P[E �� FECEIPT NO. <br />� <br />VALUATION FEE <br />s <br />SEC. �03 (al <br />IOMED IIN tHISSPACEI THI515 YOUR P[RMIT <br />� <br />