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thc Fvcr�rcpn <br />���� �� CONSTRUCTION <br />everett PEFtMIT <br />CIlY MAIt }59tl9A5 <br />EV[NEIi,L'I�SIIINfIOq <br />9flN11 <br />°�°' °��°'^��°'°" BUILDING ME( �ANICAL PLUMBING <br />o[vcinrva[r�r <br />NER MAIL AUDFESS 21P PHON[ <br />;,a 'L.T, ._."?r^S.ii.: r�. 4. "�: .>`3L12 I'� 3�3'�'S'?�G <br />1 • <br />PWMBING CONTRACTOF <br />��UILDING ❑ PLUM8ING ❑ MECHANIC�IL <br />n <br />� <br />❑NEIV ❑ADDITION ❑ALTERAI"ION ❑REPAIFi <br />TION OF ryW�ORK Q <br />��t,y ❑DEIdOLISH �ENCE �]SIGN ❑SWIMMING POOL <br />uE woraK N�v ey� �p ..�.,-v :: ..:.�r ��c r,{ <br />�.�fJi:1���.�,".'T ?G.�.+1M i:.la . . . {ii..P.ia�/ <br />IED USE <br />MECHANICAL <br />LOT �LOCK_ <br />JLd ADDRESS <br />PLUM[31NG <br />1[M.la�l <br />arv is�iow ne�ow oa nrrac�+ <br />��a .�wy1'�i �Zr w �.:� <br />SETBACK ISTPEE�SETBACK �qEARYAROS <br />❑YES ❑NO <br />].OF OWELLING <br />JITS <br />R <br />SPECIAL CONDITIONS. <br />� �•e:li� ' `i . f.. %�.'� �Sl �_i�t�:r. . <br />nv <br />Alq COND. UNITS–H.P. EA. <br />REFRIGERAi1JN VNITS–H.P. EA. <br />�OI�ERS--N.P. EA. <br />GAS FIRED A.C. UNITS–TONNAGE EA. <br />FORCEO AIF SVSTE�iS--6.T.U. M EA. <br />'NALL HEl�TEF.r.–f3.T.U. M <br />UNIT HEATERS–�.T.U. M <br />EVAPORATIVE '��OLEflS <br />CLOTHES�flVERS <br />AIR HANOLING UNIT– <br />hJCINERATOR <br />everett <br />� �� <br />5 <br />� <br />W <br />m <br />� <br />� <br />z <br />F <br />� <br />� <br />W <br />a <br />795 <br />u <br />H <br />� <br />TOTAL FEE 3� I <br />TI- S PERMIT 6[COMES NULL AND VOID IF WORK Oli CONSTRVC� <br />TION AUTHOHIZED IS NOT COMNENCE� WITHIP! 120 DAVS, OR IF <br />CONSTRUCTION OR WOP.K i; SUSPENUEU OR l.BANDONED FOR A <br />P[FIOD OF 120 OAVS f�T ANV TIM[ AFTEH WORK IS COn.1MENCED. <br />I HEREOY CERTIFV THAT I HAVE ftEAD AND E%AMINED TNIS f�P- <br />PLICATION AND KNOW THE SAM17E TO k3E'fFUE ANU CORFECf. ALL <br />PROVISIONS OF LAWS AN� OfiOINADICES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED R9TH WHE7HER SPECIFIED HERFIN <br />OR NOT, THE GRANTINC OF A PERMIT DOES NOT PqESUME TO <br />GIVE AUTHORITY TO VIOLATE UF CANC[L THL PROVISiONS nF <br />ANY O'iliER STATF pq IOCAL Ll1lV REGULATING CONSTRUCTION <br />Oq TH[ PERFOqMANCE Of CUNST�iUCTION. <br />X <br />SIGN/�TUPE OP CONTI <br />PLANCHECK NUMB[R <br />FEES <br />'y'��'1�4� <br />iRUftAUTH.AGENT DATE <br />PLAN CHECK FEE <br />FEE RECE�°T NO. <br />VALUATIOM � FEE <br />:. LOAD BUILDING 5 �'w�w % �w <br />PLUMBING � <br />NKLERS _ � <br />n � <br />❑NO MECHAHICAL I <br />OTHER � <br />I <br />=� PENELTY SEC. 30� (al � <br />TOTAL � j� <br />PCRMIT VALIDATION <br />— WHEN PROPERLV VAUDI�TED IIN THIS SPACEI THIS IS VOJR PEPMIT <br />as � ♦ <br />n <br />1 <br />