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dre fvc�gremr <br />ciTv or <br />eve rett <br />LIIY II.1Ll 95JA�'95 <br />fVl NlI1.110SIIINliiO^I <br />�.:.�� <br />11EVL Of C05C.1UbIlY <br />otvtiuw.:[rn <br />WNER <br />4,.^. i� ..�.+_n%'.�. <br />RCHITECT OR DESI <br />ENEPALCONTRAC <br />.yll� <br />CONSTRUCTION <br />PERMIT <br />BUILQING MECHANICAL PLUMBING <br />MAI�Ly A�DRESS ZryiPn NHn <br />��T .iA �� Ju+ �:• .� �.... . .;.� 3'1���' ..,.� <br />= i __ <br />qIL ADO <br />AIL ADO <br />'ERMIT ICLASS OF WUHK <br />[��UILDING ❑N�UM�ING ❑MECHl�NIC/\L �NEW ❑PDDIIION ❑ALTEftAT10N ❑FEPMR <br />Jt LUATION OF WORK ,][ <br />� � -- `JfENCE ❑SI(iN ❑SWIMMING POOL <br />s <br />LOT <br />J06 AOUnt: <br />PLUMBING <br />- ❑ DEMOLISH __ <br />:_i� ..,.. - �n '�`K/ f`.:j:' ..}i �: . i.%: <br />.MECHANICAL <br />tIPTION OF PROPERTV (SHUW ut <br />1 <br />i.;�'�.'�i:'i.'..�T� <br />BLOCK-_—OF � <br />7Gu F�i*"�'w� `>• ''• <br />V TRl1v <br />S WASHER <br />HEATER <br />N <br />TOTALFEE <br />11RC15ET6ACK STREETSETBA� <br />inic LOT AREA <br />SPECIAL CON�ITIONS' <br />C� f1Y <br />ma <br />REAR Y/�HD SET�/ <br />VACAN'! SITE <br />❑VES ❑NO <br />everett <br />"�c <br />- ?�t(-ZY <br />41R COND. UNITS--H.P. EA. 5_� <br />REFfiIGERATION UNITS�-H.P. EA. <br />601LEfiS-H.P. EA. � <br />Gn5 FIREO AC. UNITS-TONNAGE EA. _�1 <br />FORCED P Ift SYSTEMS-6.T.U. M EA. � <br />WALL HEATERS-H.T.U. M <br />UNIT HEl1TEP5-B.T.U. M I <br />1 <br />GVI�?ORATIVE COOLERS <br />CLOTHESORYERS � <br />VENTI�AT�ON FAN <br />RANGEHOOD � <br />qlq IIANOLIN(i UNIT- C.F.M. <br />INCINERATOF <br />"�1� - SU� TOTAL 5 �_ <br />I <br />PER�AIT 5 ��_ <br />7pTAL FEE 5 I <br />THIS PERMIT BECOMES NULL AND VOID IF 'NORK OR GONSTRUC- <br />TION F.UTHOR12E0 �S NDT COMMENCED WITHIN 120 Of�VS, Ofi IF <br />CONSTRUCTION O.'� WORK IS SUSPENOED OR f�U(�NDONED FOH A <br />PERIOD Of 120 D�1VS AT ANV TIME /1FTEF WOfiK IS GOMMENGED. <br />I HERELiV GERTIFV THAT I HAVE FEAD AN� E%AMW[O TNIS AP� <br />PLICFTION AIJO KNOW THE SAME TO 6E TRVE I�ND CORRECT. ALL <br />OF�WORK W�oLL d[ COM LDIED WITN WIIETH6R SPECIFI DF�HEREPJ <br />Ofi NOT, THE GflANTING OF A PERMIT UOES NOT �'F��SUME TO <br />GIV[ AUTHORITV TO VIOLATE GR CANCEL THE PROVISIONS OF <br />ANY UTHER STATE OR LOCAL LAW �EGULAiING CONSTFU�TION <br />OR THE PEFFOR"AANCE OF GONSTRUCTION. <br />x <br />EOFCONi��nci��n�n.av���....,�... _... <br />K NUMBER NLAN CHECK FEE <br />FFE RECEIPT NO. <br />FFFS � VALUATION FEE <br />)CC. LOFD �UILDING 5 G�'��^' ' �� - <br />I <br />PLUMI3ING I <br />PRINKLERS I <br />RED I <br />_y �N� MECHAfJICAL <br />I <br />OTHER � <br />_ PENELTY SEC.3031a) � <br />TOTAL ^� �� <br />PEFMIT VALIDATION <br />WHEN PftOPLRLV VALIDnTED (IN THIS 7PACE1 Tt11515 YOUfi PERA1IT <br />OR L`SUntlC[ IJY. � <br />�.� L•• I <br />J3 <br />� <br />� <br />