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�, ;hc EI'Crrl•erq <br /> I "'�� "� C.aNSTRUCTION <br /> everett <br /> ; ev�erett PERMIT <br /> Gli'IHALL 159BNF5 <br /> EVEdE*t.19A5�INGIG!! <br /> 9A:1.1 <br /> I °`°' °o���'�o�;�E r SUILDING h1ECHANICAL PLUMBING <br /> IONJNFq MAIL A�DfiESS <br /> Z�� PF10NE <br /> Jo:�n :;urgF.3� �.,�. �lo:c '>J.:i7 0�,.,•� . � <br /> � • . .,; ?.1..'": G.;G ���7? <br /> �RCVIiI'tCTOROESIGNER MAILAb 9�55 PHONE I <br /> ' ICENSE NO. I <br /> I .. .T. r'fi';::': I:i4'. :'�.U. FSC!: :::�?'r ca �r,)3 <br /> . . 3�,?. u�i 3.. <br /> GENEftA�CONTRACTOR MALL ADORESS <br /> 2 PHOhE LICENSE NO. <br /> I t:..;;5. C��tJ".'. `�' <br /> i MECHANICAL CONTRACTOR MAIL ADDRE55 — <br /> �7*r��4 h ;Zl�C�,. PHONE LICENSENO. <br /> � __ �r�7�"�jC�l � <br /> P. VM�ING CONTFACTOR MqIL ADDRESS � <br /> PHONE LICLNSE NO. <br /> �3j'�:3 1 I.U.�.�i�riCy �:�^1.7��J W <br /> IPERMIT CLASS OF N/0RK � <br /> � <br /> ' � DUILDING -[J` ?LUM6ING �MECHANICAL z <br /> I �bNEHV ❑ADDITION ❑ALTFRAiICN ❑�EPq�q F <br /> VALUATION OF WOFK <br /> � 5 '����5`�'�• ',�� ❑DEMOLISN ❑FENCE -- ----- — � <br /> DESCRIBL WOqK ❑SIGN ❑SWIMMING PJ��i. W <br /> S ':.<lta F.,n1Zy r'oi:i A.. a <br /> ;1�„`:L �aas <br /> I PROPOSED USE <br /> 41_1:;1�,: P.1;.�Ijr Ri'"5:,:;;:,C•? MECHANICAL <br /> LEGAL DESCflIPT10N OF PROPERTV ISNOW BELOW OR ATTACH T�WE OF FUEL �OIL ❑Gn' ��pG' ❑E�EC. <br /> FpUP Cp��E51 � � <br /> LOT 1_ BLOCK_oF �•r`lr�x'�`1 �eacvi�u :i'$'C4�,F; N TVPEOFE�UIPMENT �� ,,� <br /> � AIR COND. UNITS-H.P. EA. 5 F-T"'-- <br /> if� �I�/.} liLFRIGERATIONUNITS-H.P. E,�. <br /> ) "{ <br /> OOILEfiS-�H.P. EA, <br /> I <br /> � �-- GAS FIRED A.C. UNITS-TONNAGE EA. <br /> JO� AD�fj E5g \ __ �OfiCED AIF SVSTGtdS--p.T.U. M EA. � <br /> -�`-71�i :3Ti_ ':q(u'1`1'T ��G`�J'�: N1ALL HEATERS-B.T.U. M <br /> I • UNIT HEAT[RS-O.T_U. M � <br /> PLUMBING EVAPOPATIVE CCrOLE: d <br /> I _ CLOTHESURV[RS � � .� <br /> I ` I VENTILATION PlW --f � <br /> � FANGEHOOD .�� �. � <br /> N • TYPo OF FIXTURE OR ITEM E E q A�f� HnNDUNG UM7- C.P.M. <br /> WA7'EFi CLOSET(TOILET) S If�CINERATOR --� <br /> BATNTUO — <br /> LAVATORV �W,�SHBASIN) ��� -- _� <br /> SIIOWER — � <br /> ^ `( 1--- <br /> KITCHEN S�NK & DISP. - <br /> DISHWASHEfl --'���-��— SUB TOTAL $ : � •' / I <br /> LAUNDfiV TRAY ._�-�J PERMIT 5 '� ' <br /> � CLOTHES WASHER �I-7�"r' TOTAL FEE 5 '�� '���/ <br /> _ WA�ER HEATEH � ,. T��IS PERMIT �ECJMES NJLL AND VOID IF WORK OR CONSTRUC- <br /> URINAL --I ^ TION AUTHORI2ED IS NOT COAIMENCED WITHIN 120 DAVS, OR IF <br /> CONSTRUCTION Ofi WOItK IS SUSPENDED OF A�ANDONED FOR A <br /> ORINKING �^�VTAIN PERIOD OF 120 DAYS !�' qNV TIME AFTER WORK IS CO�dMENCFO. <br /> FLOOR-FINK OR ORqIN � � HERE6V CERTIPV 7HPT I HAVE REA� AND E%AMINE[] THIS AP� <br /> VACUUM o9EAKEqS �--f PLICATION AND KNOW TI�IE SAME'(O 6E TRUE qND CORqECT. ALL <br /> ROOF ORAINS-RAIN(.EADERS P�OVISIONS OF LAWS AND OR�INANCES GOVEPNING THIS TYPE <br /> SINK (SERV�LE-DAR, ETC.1 —�-- nF \NOPK WILL 6E COPdFLIE� WITH WHETHER SPECIFIED NEREIN <br /> -- OR NOT, THE GRl�MTING OF q PcqhlR DOES NOT PRESUME TG <br /> ___, C�IVG AU7HORIiV TO �/IpLATE OR CANCEL THE PROVISIONS OF <br /> �.y� � � ANV DTHER ;TliTE OR LUCAL LAW REGULATINlg CONSTRUCTION <br /> SU� TOTAL :rZTT)—' U'; T��F PERFORA1nNCE OF CONSTRUCTION. <br /> _ PERMIT 5 ,. t'�t�- <br /> —�TI . <br /> ___ TOTALFEE 5 • <br /> � <br /> I '__ _ x 1��i(.` . <br /> SIGNATUREGFCONTRACTiIRpqqUTH.AGENT DATE � <br /> ' SIDE YAftD SEl'eACK. STREET SET�ACK REI�q V'RDSET�ACK PLAN CH[ N M R <br /> I 71.i <br /> I � �j� � .�y�� y��F. L P�AN Cf1ECK FEE <br /> � / L F��.E 1� '�� <br /> RECEIPT h�0. <br /> USE 20NE LOT AREA VACANTSI'fE �;�)_L�a <br /> n..r z �.cu�u <br /> LJVES ❑No FEES VALUATION FEE <br /> TVPE Of CONST. OCCUPANCV GFOUP NO.OF OWELLING ' <br /> �i-�� = UNIT$ Z <br /> SIZE OF BLDG. NO. OP STIq1E5 MAX.pCC. LOAD BUILDING gJ�S�J�;�y(� ��j1 !}'� <br /> FIRE ZONE.j pl�SEMEN� FIRESPRINKLERS PLUMBING ��� 7,� ' <br /> �. flf(IUIqEO I <br /> _ I ❑YLS ❑NG MECHAHICAL L ':T- <br /> I <br /> SPECIAL CONDI710N5: <br /> -- OTHER � <br /> — I <br /> ---- "' PENELIY SEC. 309!al � <br /> - _-_ TOTAL-_— _.. �.�.i�, - <br /> - I <br /> PERM7T VALIDATION ' <br /> — NJHF.Pi PfiOP[RLY Vl�LI!]ATED IIN TI�ISSPACF:1 iH151S YOUR PERhili I <br /> -- _ 1 <br /> I <br /> MPLICFiIOH��[C[A-FOftv PL�INSLHCCAEpp1. q�P11fryF.DfO{iIGfUAIlt'YIIY <br /> �\�L,� ...� ._ . <br /> n <br /> � I <br />