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i the Ercrgiu�rl I <br /> ��T� o� CONSTRUCTIAf�I everett � <br /> , <br /> everett PERMIT � <br /> CiiV HALL ]590E05 <br /> EVE(1ELi.V�45���NGIOfl <br /> 992111 � <br /> °EP� °°°°MM°�°° BUILDING MECHANICAL PLUMBING <br />� ocvE�nnraeu <br /> OWNER;}����� MyAI�LA�/,�DR�,E/�"S}���� Z�ylp})�y� PHONE <br /> � a+il�Mi�1YY i�7r7 �M VY'�7�dM �'v�1 l�V3 <br /> FFCHITECT OR�ESIGNEfi MAIL AUDRE55 PHONE LICENSE NO. <br /> �� <br /> G�EN.E�RA.�L yCO�NTRyA�C�T�OR MAIL ADDFESS PHONE LICENSE NO. <br /> :%t�iicMY 6RRi'fiRF�7 <br /> MECH:NICALCONTRACTOR MAILAOORESS PHONE LICENSENO. <br /> � <br /> PLUM6ING CONTflACTOR MAIL ADOFESS PHONE LICENSE NO. �yJ <br /> L9 <br /> � � <br /> PERMII' CLASS Of-WORK � <br /> z <br /> �BUILDING � PLUMBING ❑MECHANICAL E ~ <br /> ❑NEW ❑�+D�ITION nALTERATION ❑REPAIR � <br />' VALUATION OF WORK � <br /> r � ❑DEAtOL.ISH ❑FENCE ❑:IGN ❑SWIMMING POOI w <br /> s °' <br /> DESCRIBEWORK � 1��� <br /> �i1Ra iW <br /> I PROP�µ��us� MECHANICAI <br /> TYPEOFFUEL �OIL �NA'f. �LPG. �ELEC. <br /> LEGAI DESCRIPTION OF PftOPERTV ISHOW �ELOW OF ATTACH �'��� <br /> FOVR COPIE51 <br /> NO. TVPEOFEQUIPMENT FEE <br /> LOT BLOCK_OP AIR COND. UNITS-H.P. Eq. 5 � <br /> REFRIGERATION UNITS-H.P. EA. <br /> �OILEFiS-H.P. EA. � <br /> GAS FIR[D A.C.UNITS-TONNAGE EA. <br /> FORCED AIR SV>TEfdS-6.T.U. M EA. � <br /> JOB �F�S�� � �'i WALL HEATERS�-R.T.U. M <br /> ��FCI UNIT �iEATERS-B.T.U. M � <br /> E V APO RIIT I V E COOLE RS <br /> PLUMBING CLOTHES DFYERS I <br /> VENTILATION FAN <br /> RANGEHOOD � � <br /> NO. TVPE OF FIXTURE OR ITEK� FEE /+�� HANDUNG UNI7- 0.F.M. �_ <br /> 'vVATEHCLOSET (TOILET) 5 INCINERATOR __ � <br /> 6ATHTUB —- — �" <br /> LAVATORY (WASHBASIN) � I I <br /> SHOWER <br /> KITCHEN SINK & DISP_ SUB TOTAL S I <br /> OISHWASHEH PERMIT $ <br /> LAUNUFV TRAY TOTAL FEE 5 I I <br /> CLOTH[S WASHER THIS PERMIT 9ECOMES NULL AND VOID IF N'ORK OR CONSTRUC- <br /> WATEH HEATER I 7'ION AUTNORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br /> UFINAI CONSTftVCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br /> PEP100 OF 120 DAVS AT ANY TIML AFTEF WOFK IS COMMENCED. , <br /> DRINKING FOUNTAIN <br /> FLOOR-SINK OR DRAIN __� I HERE��' CERTIFY THAT 1 HAVE REA� AND E%Ah11NED THIS AP� � <br /> VACUU�d OREAKERS PLICATION AN� Y.NOW THE SAM1tE TO BE TRUE AND COPRECT. ALL � <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE <br /> ftOOF DRAINS-RAINLGA�ERS —I OF WORK WILL UE COMPLIED WITN WHETHER SPECIFIED HEREIN <br /> SINK ISERVICE-�AR. ETCJ Oil NOT. TH[ GRANTING OF A PERMIT DOES NGT PRESUME TO '� <br /> GIVE AUTNOfi1TV TO VIOLATE OP CANCEL THF PRCVISIONS OF , <br /> ANY OTHEfl STATE OR LOCA� LAW REGULATING CONSTftUCTION <br /> OR THE PFftFORMANCE OF CONSTRUCTION. <br /> SUBTOTAL { <br /> PERMIT 5 <br /> TOTALFEE S � <br /> SIGNATUREOFCONTRACTOPORAUTH.A3ENT DATE <br /> SIDE YAFD SETBACK STHEET SETOACK REAR YARDSET6A.:K PLAN CHECK NUMBEFi PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USEZONF. LOTAflEA VACANTSI7E <br /> ❑YES ❑No FEES VALUATION FEE <br /> TVPE OF CGNST. OCCUPANCY GflOUP UMTS OWELLING � <br /> SIZE UF BLOG. NO.OF STORIES MAX- OCC. LOAD 9UILDING 5 - <br /> __� <br /> PLUM6ING � <br /> FIqC20NE BASEMENT NE�UIREpKLERS � <br /> ❑VES ❑NO MECF!AHICAL � <br /> I <br /> SPECIAL CONDITIONS: OTHEP � <br /> — VENELT� SEC. 3031a1 � <br /> TOTAL � <br /> PEqM1T VALIDATION <br /> WNEN PROPEFL�'VALIDATE�IIN THISSPACEI THIS IS YOUR PERMIT <br /> �PfLICNI0NA6EPT[DOY: �LqNSCNECKEDBY: NGPqOVE�FORI55UFNCEBY <br /> ,ri�'� S+l.'• <br /> 1 � � <br />