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�,�, �,�,,,,��,�„ CUI�STRIlCTI�)N <br />"„ ` ` PERMIT <br />Eve rett <br />ci,v �+n��zr,s�u�ao . gUILDING • MECHANICAL • PLUMBING <br />eveae��r, wn oeszo� COMBINATION <br />ow�r�er� mini�nunnu;:: :nr rnoN�. <br />L��'DNI�I l-�ONl�_�,uC- ��'�_"_ �SGZ_ <br />nl;CiiiiEcroianF.si7.j��{i-- - - -- � 61niLnDDficSs-. __ rniiNc-- - - -l.icErv;�. <br />NEfiAL CON <br />L <br />F10NFi ^ LICENSC NU. <br />� ��G� <br />(�nNF LICLNS[ NU. <br />'LUM�ING CONTRnCTOR MAR ADDHE55 � NI10NE LICEPISE NO. <br />'EPMIT CL/�55 OP WORK <br />�COMDINATION <br />❑ f3UI�DING ❑ PLl�M81NG ❑ MECHANICAL �JI <br />gyN[W ❑/�ODITIl1N ❑l�LTLRATION ❑REPnIR <br />JAWl�TION OF WORK <br />5 ���0• OO - ❑�EM1IOLISH ❑FENCE L�SIGN ❑SbYif;IMW�i VOOI.. <br />JESCft16E WORK _ _ <br />LGGAL 9ESCRIPTION OF Pq0'. <br />FOUR (:OPIESI <br />LOT OLOCK_OE <br />S� _5�v'L4_5� ; <br />;��Ez4 — 4 — �a <br />JOf3 AD RE55 <br />515 <br />PLIiMBING <br />NO. TVPE OF FIXTU <br />NATER SER V �CE SIZE_ <br />SIOE YAflD $ET6ACK <br />USE [ON� <br />T Y P� NST. <br />SIZ[ OF [3LUG <br />1 � <br />�:3 Zo�'� — <br />�— <br />SYECl/�l CONDITIJNS. <br />iv ISHOW RELOW OR ATTnCH <br />_��= 22i,l� � 4 <br />- 0002 _--_ <br />�� �ii J/� �-w. <br />� t3L�G. SUPI'LV SIZE_%� <br />-f=— <br />S1fiE[TSETLtACK RGAFVAROS[Tft� <br />ic7,�7S�' <br />OCCUV(1NCV GROV'� <br />NU.OFSTORIES <br />Rl�SE �NT <br />�S <br />AIL <br />�YES ❑NO <br />J.Of OW[ILWG <br />VITS , <br />�+LL�J <br />'l1UJl I) I llu I'/Il <br />L' -c. <br />everett <br />� <br />z <br />C <br />� <br />W <br />MECHANICAL <br />TvrF oF FriEr�cv <br />❑��s nE�E�. <br />NO. I _ _TYPE OF EQUIPMENT _ FEE <br />.�l�IR CON�. UNITS-H.P. cA. S � <br />� RLfPIG[RATION UNITS��H.P. EA. —�— <br />�% FaoiiEr�s�-Fi.c. en �_ <br />/ FOFCED AIR SYSTEMS-B.T.U. MEA. � <br />I <br />� SPACE R WALL HEATEPS - H.T.U. �— <br />I UNIT HEATERS l3.T.U. � <br />��- �vnNo�nnvEcoo�ens �— <br />� � c�ori��csor�vtr�s �_ <br />` VENTILATION Fl1N <br />� � RAN(iE HOO� � <br />� AIR LIANDLING UNIT- GF.M. � <br />__ —"_- '_ -_ <br />_ __ _._ . ___-. __ <br />WATER HE4TER <br />__ ._.._—. .. _. . _ .--- — <br />FAC. dUILT FIREV'LAC[ & GNIMNEY I <br />..._ —_'- _--�_ __ <br />GAS SYSTEM- NO OP OUTLETS <br />..____- '"__ _ . _. — _ — <br />� SUR TOTAL 5 �� <br />..__ _____-________--_ PERMIT 5 3 O <br />'._"_ '_—"_"-__-_-'"---_— TOTAL FE@ 5 I� <br />I 7NIS PEHMIT IiECOMES NUI_L ANO VOID If- N:ORK UR CONSTRUC <br />TION AUTHORIZ[D IS NOT COMMENC[D WITHIN 120 �AYS, Ofi IF <br />CONSTRUCTION OR WORK I; SUSPEN[�ED OR AIIl�NDONEO POR A <br />PLRIUD OF 120 D11Y5 AT ANV TIMc AFTEP WOFK ISCOMMENCED. <br />I HEfiE'3V CEf3TIFY TH�IT I 1�1l1V[ �El�D ANO EXAMW@D THIS l�P� <br />PLIChTION �1N0 KNOW THE SAMF TO 6[ TRUE AN� GORfiECT. ALI_ <br />PPOVISIONS OF L/�WS AND ORJINANCLS COVERNING TNIS TYPF <br />OF WOIiR WILL [3[ CnM1iVLIlif� WITII WHFTHEfi!:PECIfIF� NEflEIN <br />OR NOT', TIIE G�i/�NTWG Of- !� PERMIT OOEi NOT PF@SVME TO <br />GIV[ AUTIIORITV TO VIOLAiE OI� CANC&L THL PROVISIONS UF <br />AN\' OTHEfi STN'f OR LOCAL L/�W RLC3ULl�TING CONSTRUCTION <br />ORTHEP[RfORMANCEOPCONSTRUCTION. <br />�.�%��_% �---z <br />x. �_��� _ �- ,-, <br />SGNA'fUf:LOPCONTflnCTOfiOfil�UTH.AGENT U/1TE <br />PL/�NrHfCKNUMREH PLANCIIECKPE[ <br />FGi RECEIPT NO. <br />77�[04 � -- -7/, oo <� � �0 3 <br />fEES VAWATION FEE __ <br />L}UILDING s3•�(;CX�,O° �yZ IQ(� <br />PLUMfIING '/,�� � �� <br />— __ <br />MECHANICAL �� � QQ <br />--' I <br />OTHER I <br />PfNALIY 9CC.:tOJle) � <br />TOTAL _-___-- -_ . _ ____. I 7 / �VO <br />PERMIT VALIDATION � n C/ C� 7 7 U` It (1 T <br />wiura rr�ove�vi v vni ioni �o u tau�a,vncr:�lip+�s U' �SpN�a l�l'�bMTT- <br />� <br />ynt.+Z RECEIPT <br />1 ' ' r,; :: "�7 U <br />���-���i <br />, �, <br />