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ihe Ever�ir.en . . <br /> =�T� oF CON�TRUCTIGiV everett <br /> evere�t PERMIT <br /> LIiY HAIt t59P085 <br /> NEflC11,4Y45NINGIOH <br /> 99i11� <br /> °"' °"°""'°^"� gUILDING MECHANICAL PLUMBING <br /> �Evcinrn�EHr <br /> O:NNER MAIL ADORE55 ZIP PHONF <br /> .�.. '- ?"i^,. Jty�� a:�.?,..a g`", 5:6.7",� <br /> x..�r,•i•. <br /> I.RCHITECT OR DESIGNER MAIL ADORESS PHONE LICENSE NO. <br /> GENERA�CONTftACTOR MAIL AODRE55 PHONE LICENSE NO. <br /> �..;.^ '?-� %::»:;ca:li 3a:;.:�qt; <br /> MECHANICALCONTRACTON MAILADORESS PHONE LICENSENO. <br /> PLUM�ING CONTRACTOP MAIL AD�RESS P�iONE LICENSE NO. � <br /> W <br /> m <br /> PEI7MIT CLASS OF WORK ? <br /> ^� BUILDING z <br /> jJ ❑PLUM�ING �MECNANICAL F <br /> ❑NEW �AODITION L��+LTERATION ❑REPAIR � <br /> VALUATION OF WOFK -- <br /> 5 �,j��,j{��� ❑D[MOLISH ❑FENCE ❑SIGN �SWIMMIv.': rOOL W <br /> a <br /> DESCRIBE WORK -- <br /> n�r�.ts-� �� �::�;;� 2327 <br /> PROPOSEO USE <br /> n�� MECHANICAL <br /> TYPEOf- FUEL �OIL f]NAT. �LPG. �ELEC. <br /> LEGAL DESCRIPTION OF PqOPERTY ISHOW PELOW OR ATTACH GAS <br /> FOU R t�Pl ES) <br /> cao �OI�Ct3w �'Ct,.'"�C t�fl:` r•$Y� F. <br /> LO7 6LOCK—oF _ NO. TYPE OI� EQUIPMENT FEE <br /> AIR CONO. UNITS—H.P. Eq. 5 I <br /> REPRIGERATION UVITS-H.P. EA. <br /> BOILEfiS-H.P. EA. � <br /> (GAS FIRED A.C. UNITS-�TONNAGE EA. <br /> _ FORCE� AIR SYS7EM5-B.T.U. M EA. I <br /> J08R AiDD���RE55 WALL NEATENS-6.T.U. M <br /> �J (ivi.4�: �: UNIT HEATEFS-B.T.U. M I <br /> E V APOHATI V E COO Lfi FS <br /> P4UMBING CLOTHESDftYERS i <br /> VENTILATION PAN <br /> a <br /> RANGEHOO� � <br /> TVPE OF FIXTURE OR ITEM EE _ <br /> AIF HANDLING UNIT- C.F,M. T <br /> WATERCLOSETITOILETI g INCINERATOR � <br /> BATHTU� <br /> LAVATORY (WASHBl�SIN) _� _ � <br /> SHOWER <br /> KITCHEN SINK E �ISP. SUC TOTAL 5 <br /> DISHWASHER PERMIT 5 <br /> LAUNDRY TRAV <br /> CLOTHESWASHEft TOTALF[E 5 <br /> THIS PERMIT �ECOMES �ULL AND VOID If WORK OR CONSTRUC� <br /> WATER HEATER TION AUTHORIZED IS NOT COMMENCED WITHIIJ 120 UAVS, OP IF <br /> URINAL CONSTRUCTION OR WORI< IS SUSPENDED OR ABANDONE� FOR A <br /> DRINKING FOUNTAIN <br /> PERIUD OF 120 DAYS AT AN1' TIME AFTER WORK IS COMMENCED. � <br /> FLOOfl-SINK OR DRAIN I HEREOY CLRTIFV THAT I HAVE REAO ANO EXAMINE� THIS AP� <br /> VACUUM BREAKERS � PLICATION AND KNOW TFF SAME TO OE TRUE t1ND COHflECT. ALI_ <br /> PROVISIONS OF LAWS A�D ORDINANCES GOVEPNING THIS TYPc <br /> ROOF DIiAIN$-qAINLEADERS Of- WOFK WILL BE COMPIJED WITN lNH[THER SPECIFI@D NEREIN <br /> SINK (SERVICE-ESAR, ETC.1 -I OR NOT, Tf1E GRANTING Of A PEFMIT DOES NOT PqESUME TO <br /> --� GIVE AUTHORITY TO VIOLATE OR CANCEI. TME PROVISIONS OF <br /> ANY OTHER STATE OR LJCAL LAW REGUTATING CONSTRUCTION <br /> OF THE PERFORMAM10E OF CONSTRUCTION. <br /> S118 TOTAL <br /> PEFMIT S <br /> _ __ TOTALFEE 5 � . / ,�) / <br /> XCi/• '�!t'.a��, �i V�c.,�:'... . ` �Z'�'R <br /> SIGNATUREOFCONTRACTORORAUTH.AGENT DATE <br /> SIDE VARD SETDACK STREET SETBACK REAR VARDSET6ACK PLAN CHECK NVMBER PLAN CHECK FEE <br /> ��y� FEE � REC„�g,7�s <br /> USE ZONE LOT AREA VACANT SITE �l ��Z�� <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY G(iOUP NO.OF DWELLING <br /> UNIT$ � <br /> SIZEJFOLOG. hO. OFSTORIES MAX. 00C. 1_OAD BUILDING 5 �,Nj���y;1 �I�r <br /> PIUM�ING �ii� <br /> FIflEZONE 6ASEMENT FIqESPRINKLGRS <br /> I HEQUIftEO <br /> ❑VES ❑NO M[CH.1fJICAL ��� <br /> SPECIAL CONDITIONS: OTHER � <br /> I <br /> PEMELTV SEC. 3031a1 I <br /> I <br /> TOTAL II.f��, <br /> PERMIT VALIDATION <br /> WHEN PROPERLV VALIDATED (IN THIS SPnCE) TFIIS IS VOUF PER�917 <br /> APPLIC�iIONPCLEPTFD�Y: PL�t15CH[CNEIlb9: AVPqOVEOFOPI55UANCEBV�. � <br /> � <br /> � <br /> ( <br /> "I".-____. _._ . . <br />