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� (ho fvci�pne�n <br /> ��,� �� CONSTRUCTiOiV everett <br /> ev�rett PERMiT <br /> LII' IIdLL 1598Pd! <br /> [VLP�11.C::9uNf1i1N <br /> 9tl1111 <br /> °"` °` `°','"°""" BUILDING MECHANICAL PLUMBING <br /> ocvuov�aExr <br /> OWNER MAILAODHE55 ZIP PLION[ <br /> � �Ti T3r �3?1`�`:�; 3� �1g 'e".far -s �• � ' `vi' ,^•1i��1 �7� :StJ� ��'� <br /> � <br /> ARCHITECT OF DESIGNER M.11L ADDNESS PHONE LICENS[ NO. <br /> .uENERA�CONTqACTOR MNIADDRESS PHONE LICENSENO. <br /> �� <br /> MECHANICAL CONTRACTOR MAIL ADDflESS PHONE LICENSE NO. <br /> �v;j�:�?i ,.^.''S F'i�:t.'.�iii� <br /> ?Wbi'oi?1G CONTRACTOR MAIL ADDRE55 PHONE LICENSE Np. � <br /> c 3 . �'!'� fr►t {"-.�" . W <br /> '_. . . ��S» . i:�r m <br /> PERMIT CLA55 OP WORK � <br /> � <br /> �BUILOING [a�.PLVfdAING +�MECIIANICAI. n z <br /> I[yNEW ❑ADf�ITInN ❑ALTERATION ❑REPAIR ~ <br /> � <br /> VALUqTI�O�(Ny OypP W� O�RK - � <br /> S l(.;/Vb��I.RJ ❑DEMOV� �1 ❑FENCE �SIGN ❑SWIMMING PppL W <br /> y <br /> DESCRI9F.WORK <br /> `?S .— . ...._ `:�:' . 4!if$ '.t;T3. .. ._ ��°�� <br /> PHOPOSEf. � � - -^�- <br /> MECHANICAL <br /> TVPEOFFUEL �nll. �NAT. �LPG.UELCC. <br /> LEGAL C . '41PTION OF PROPERTV ISHOW BELOW OR ATTACH GAS <br /> FOUR C ESI <br /> �� <br /> ��*+f1; Y_'":r*L^�q•� �— <br /> Lo7 oLocK_oF �'"�� ' i-.°. hu.�__ TYPEOFE�UIPMENT FEE <br /> I AIR COND. UNITS-H.P. EA. 5 I <br /> r E�RIGEftP.T10N UNITS-H.P. EA. <br /> L <br /> — — Bt',�ER$-N.P. EA. � <br /> GAS FIREO A.G UNITS--TONNAGE EA. �— <br /> � f-ORCED AIF SVSTEMS-B.T.U. M EA. -� <br /> JOB AD�RESS {+�ry{ WALL HEATERS-O.T.U. M —�T <br /> � .�"- � ��.�i��1 VNIT HEATERS-6.T.U. M I <br /> 1 <br /> � PLUMBING EVAPOfiATNECOOLERS <br /> CLOTHESUFVEFS � <br /> VtNTILATION FAN <br /> RANCFHOOD � <br /> A!R HANOLING UNIT- C.F.M. � <br /> TVPE OF FIXTURE OR ITEM FEE — — <br /> WATERCLOSET (TOILET) 5 �NCINERATOR � <br /> BATHTU� --�—� <br /> LAVATORV�WASHBASIN) � <br /> SHOWEfi <br /> KITCliEN SINK & OISP. SU� TOTAL 5 <br /> DISHWASMER <br /> Lf�UNDflV TRAY _ PERMIT 5 <br /> CIOTHESWnSHER T0T4LfEE � � <br /> WATEH HEATEFi T���S PEFMI f BECOh1E5 NULL AND VOID IF WpqK OR CONSTRUG <br /> TION AVTNORI2ED IS NOT COMMEIJCLO WITHIN 120 CAYS, Oq IF <br /> UFiINAL CONSTftUCTION OF WORK IS SUSPENDE^ OR l�BANDONED FOR A <br /> �RINKING FOUNTAIN PERIOD UF 120 DAVS A7 ANV TIME AFTEfi WpRK IS COMMENCED. <br /> FLGOR–SINK OR DRAIN I .iE�rBY CFRTIFV THAT I HAVE READ AND E%AMINGD THIS AP� <br /> VACUUf.1 ORE�IKERS - ���C��I{pry .-,ND KNOW THE SAME TO 7E TqUE AND CORFECT. ALL <br /> ROOF DRAINS–(iAIN�EADERS ' "A'%'^=���ONS pF Ll�WS AND ORDWANCES GOVERNING THIS TVPE <br /> 1 O� �`.'^IIK f'lILL t3L COMPLIEO WITII WHFTHER SPECIFIED HLft[IN <br /> SINK ISEftVI::E–BP.R, ETC.1 � � ' JH NOT f 1E GRANTING OF A PERbIIT DOES NOT PR[SUME TO <br /> —I—' GIVE AVTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHEP STATE OR LOCAL LAW qEGULATING CONSTftUCT10N <br /> OR THE PEFfOFMl1NCE OF CONSTRUCTION. <br /> SU8 TOTAL I <br /> PERMIT 5 <br /> I TOTAL FEE § �__ �J�ry/ <br /> i X �/'V/� <br /> SIGN1ITUREOFCONTRACTORORf�UTH.AGENT Dl:TE <br /> SI�E Vn�yyl;.r��^CK STREF�.LETBACK 9EAR VAG{J���C�F TBACK PLAN CHECK NUAARER PLAN CHECK f-EE <br /> t ��`_ ��� _+ ry�',�(�� FEE �1/y1 RECF�IPI NO. I <br /> (4. \KI 7.,.3ts3 <br /> USE ZONy{ I_OT Af:EA Vl1CF1NT SITE <br /> +1 [?Yes ❑NC FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GftOUP NO.OF OWEI.tING � <br /> UNITS g � <br /> SIZE OF BL�G. NO. O�,jQ(jIES MA%.00C. LOAO BUILDING 5 ���1'�^.�w� L� W <br /> .f.1Tr <br /> PLUMBING M <br /> FIqEZ�NE OASEMENT FIfiESPRINKLERS � � W <br /> RfQUIH[D <br /> �$ ❑VF.S �NO MECHANICAL � � <br /> SP[CIAL CONGITIONS: OTHER � <br /> I <br /> —_ _�_ <br /> --- – — PENELT� SFC. 9CJIo1 I <br /> TOTAL– —��-- ���yy"� /y1� <br /> -_ - G�:VI 41.� <br /> PERMIT VALIDATION <br /> WHf.N PROPERLY VALI�l�TED IIN "lil`;SPAC[1 T111515 VOUR PEHMIT <br /> PP�IIGi�l01 C��pgY� PL4b`.f,R pMa �qP E�f�(V �iI�CLBT <br /> W � <br /> � � <br /> I( <br /> 1 <br /> _r . _. . . <br />