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s� . <br /> �hc Evcrgrcen � <br /> =�T� o� CONSTRUCTION evere�t <br /> everett PERMIT <br /> C�tY Ildtl 1SiP.pAti <br /> EVFNFII Na9�INGiUN <br /> 'J32�1 <br /> °`"' °�`�E��;n;E„", BUILDING MECHANICAL PI_UMBING <br /> OWNEf: MARADDRE55 ZIP PHONE <br /> .. r, .�,7: ?; .. '?��'CY� ,. „ � <br /> °�3�_#.�` ��� -'�� 1 �,�:... <br /> ARGNITECT OF OESIGNER MnIL PODRESS PHONE uGCNSE NO. <br /> GENERAL CONTRACTOR MAI._AODFESS PHONE LICENSE NC�. <br /> MECHANICAL CONTRACTOR t.AAIL ADDRE55 PHONE LICENSE NG <br /> PLUMBING CONTflACTOR IdAIL ADOFiESS PHONE ! ICEfJiE NO. � <br /> W <br /> m <br /> PERMIT CLASS OF WORK � <br /> z <br /> �DUI�DING � PWM6ING ❑MECHANICAL y�' f- <br /> ❑NEW ❑ADDITION ❑ALTE(iATION '�7REPFIR � <br /> VALUATION OF WORK r � <br /> 5 , .� ❑DEMOLISH ❑FENCE uSIGN ❑SWIMMIN� POOL � <br /> DESCRIBE WORK <br /> ?`epa?r raa�c#aticr�� �t_w�et2.la, actxz ;'Cr.�¢ ��7 4 <br /> PROPOSED USE MECHANICAL <br /> '� r��!�� T"PBOFFUEL �OIL �D!!�L Q�PG. �ELEC. <br /> LEGl�L DGSCfiIPTION OF PROPEfiTY ISH04V�ELUW Oli ATTACII GAS <br /> FOU�C�OgP�I�E51 1� <br /> Loi '�+L aLOCK '�°�1oP ���f' NO. TY"PE OF EQUIPMEN7 fF.E <br /> nIR COND. UNITS-H.P. EA. 5 I <br /> REFRIGERATION UNITS-H.P. EA. <br /> �OILERS-H.P. EA. I <br /> GAS FIRED A.C. UNITS-TON�'AGE EA. <br /> I fORCEp AIR SVSTEMS-B.T.U. M EA. I <br /> JOB A�yOyR�ESSr� WALL HEATERS�-p.T.U. M <br /> `CVi� 6'�r(; '';.�.� t��{}Aw UNIT HEATERS-p.T.U. �✓i i <br /> � PLUMBING EV�IPOFl�TIVECOOLEFS <br /> CLOTH[SDRVERS I <br /> VENTILATION FAN <br /> RANGE hI00D I <br /> NO. TVPE OF FIXTURE OR ITEM FEE P.IR NANDLING UNIT- QF.M. <br /> WA'i8R CLOSGTITOILETI 5 INGINFRATOA I <br /> BATHTUF3 <br /> — �_ <br /> LAVATORV (WASH BASINI I <br /> SHOWEI: <br /> KITCHEN SINK& OISP. SU6 TOTAL $ � <br /> DISHWASHER PERMIT <br /> LAVNDFV TFAV (UfAL FEE $ � i <br /> CLOTNESVJASHER I -- - - - <br /> -- --{ THIS PERMIT JECCCicS P:VLL AND VO!O IF VJO?J: �li CONSTRUC� <br /> WATER HEATER TION AUTHOR�LED IS NCT COIAMBNCEG WITHIfJ 120 �AYS, JR IF <br /> UFINAL CONSTRUCLIO� OR WORK IS SUSPEN�ED OR AEAPJI:ONED FOfi A <br /> DRINKING FOUNTAIN PEFIOG OF 120 DAYG qT �•.NV TIME AF�ER WORK IoCOMMENCED. � <br /> PLOOR-SINY. OR DRAIN I HERE6Y CERTIPV THAT I HAVE fiEl�D �l�lJ EY.�'dINED THIS AP- <br /> Vl�CUVM �REAKERS PLIG�"fION AD1D KNO'N THE SAME TO�[ TFlV[ AND CORflECT. ALL <br /> ROOF OfiA1NS-RAINLEADERS �-- ��(:V!SIONS OF Ll�LVS FND ORDINANCES GOVEflNING TNIS TYP'? <br /> OF WORK WILL �C- CUMPLIED WITH bYHE'fF1ER SPECIFIED HEREIN <br /> SINY. ISERVICE-�AR, ETC.) �— OP. NOT, THE GRANTING OF A VERMIT DOES NOT PRESUM@ TO <br /> -- CIVE AUTHORITY TO VIOLATE OR CANCEI. THE PROVISIONS OF <br /> —}�--- ANY OTHER STATE OR LOCAL �AIN REGULATING CONSTFlUCTION <br /> ___ OR THE PERFORMANCE OF COIJSTRt1CTIDN. <br /> SUB TO"!AL <br /> PERMIT $ —{ <br /> TOTAL FEE 5 �- <br /> �— — X :�Z!�+��i <br /> SIGNATUREOFCONTRACTORORAUTH.AGENT �ATE <br /> SIUE YARO SETBACK STflEET SETftACY, REAR 1'AROSETBACY. PLAN CHECK NUML3ER PLAN CHECK FEE <br /> , FEE RECEIPT NO. <br /> IUSE ZONE LOT AliEA VAGANT SITE <br /> ❑YE5 ❑No FEES VALUATION FEE <br /> l'YPE qF CONST. OCCUPANCV GFOUP NO.OF OWELLING <br /> ';NITS I <br /> SIZE Of �LDG. NO. OF STORiES MAX.00.C. 1040 9UII.DINC 5 r��.yq.� a� yv <br /> t— <br /> FIRE20NE BASEMENT FI':ESPRINKLERS PLUMOING � <br /> Rf�U1RED I <br /> ❑V65 ❑NO MECHAHICAL � <br /> — � <br /> SPECIl�LCONDITIONS: OT4EF � � <br /> PENELTY SEC. J09Ia1 I <br /> TOTAL j � L� <br /> PERMIT VALIDATION <br /> �-- LVH[N I'POV[RLY Vl1LIDATED I�N TI11;SPAC[I iHIS IS 1'OUR PLRMIT <br /> __"_ __— _ I <br /> 4 Ai�PLIfAil01lAC(L.T(p �'; tt�IJ:LHECKEp9Y NPP11pVEUFOpI5511PNCEEY <br /> � I � I . . -.�,,. <br /> � i I 0 <br />