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`'�° �'��"�����°'�� C'ONSTR UCTION <br />� ����� ", PERMiT <br />everett <br />r.irv �ia��:��;�a�ys <br />cveaerr.wr. �ia:>o, COMBINAT�ON • BUILDING • MECHANICAL • PLUMBING <br />OWNER MNL AD[�H49ti .'iP <br />PHUNF <br />T"IO^ ... . ..� . ' <br />__---' <br />ARCNITECTOHDE`,ilGNF_!i - RIl�ILAD�RE55 �-- �- j+{��pf14 � LICfID15f: <br />,ENEflALCONTHACTOR � -RAAn nnnaccc n.,nn�� .._....__. <br />ADD <br />PLU'dIIING CONTRa�CTOR MNL ADDRE55 PHOPIE LICENSE t:n. <br />r'!.1�� �.: Pt.....• ' <br />_ . .. .�-'�,,';'_ <br />aearair - c�_assorwoaK —_—_____ <br />❑COMPINATON ..'%� ���L <br />❑GUILDING .�PLUMpING �M(CIIANICLL <br />❑NEW ❑ADUII'I��M ❑,1LT[kt1TION ❑REPNH <br />VALUATION OF WORK ---�-'— -- <br />5 ❑D[MOI.IS,i ❑fE;JCE ❑;IGPI ❑SWiMMIfJq POO� <br />�ESCRI�C WORK '---'---------"' - <br />NHC.POSEO USE <br />LLG 11. �ESCfiIPTION OF PNOPERTY ISHOW [3E1. <br />I' OU R COPI E51 <br />LOT BLOCK__OF __ <br />JOR AUQqE55 <br />� �U Ot, �` <br />/41, <br />PLUMBING <br />BA <br />� <br />TURC OR ITEM <br />ev�re�t <br />MECHANICAL <br />)R �lilACll TYPE Or F_PlE3FCY � ����� <br />❑GAS ❑ELEC. <br />NO. I� TVPK OF E�UIPMENT FEE <br />I�IIRCONO.VNff$-H.P EA.-'-"— 5 �— <br />REPFlIGEH/1TION UNITS -FI,P. El�. �— <br />-_'� �[301LEH5 II.P. Eq. �--'" � <br />FORCED AIR SVSTEMS--B.T.V. MEA. —T— <br />_ __ -"_-___ __"___ _ I <br />SPACE tL WALL HEATERS - �.T.U. <br />UNIT REl�TERS -Ii.T.LL � <br />� [V/�POfiATIVEI'OOLEPS <br />_.-1------ —�- <br />i CLOTIIE9 DRVER.^. � <br />� I VLNTILl1TION FAN T- � <br />��nrvc� uono— —_ _ <br />FEE niw �inrvui.ir�r, UNir- C.F.na. � <br />—_r_— i . .__ _. . _ .. <br />i__.___ � <br />WATER IIEAI'ER <br />1 - <br />i 1'AC. HUILT PIREPLACE 1L CHIMNEV � <br />�"�- G�15. SVSTEA9 NO OP OUTLETS �— - <br />. . _ _ '.—__ - <br />� � I SU[7 TOTAL 5 � <br />.___.._____._.....— <br />�- PERMIT 5 —r <br />_� __ _' _ _ _ _'. __ __—_ "—"_ <br />_ i ruin� Fte s � <br />THIS PtHMIi 8[COMES NULL AND VOID IP WOFiK OR CONSTRUC <br />TIOIJ l�UiHOI;IZLIJ IS NOT COMMENC[O WITHIN 120 OAVS, OR IF <br />-� CONSTRUC110N ON N/OHK IS SUSPENDED OH A6ANOONED FOR A <br />� PERIOD OP 120 Dl1V i AT ANV TIM[ /�PTLR WpRK ISCOMMENCEO. <br />---�- I IIERE:iV CEfiTIFV TIII�T I HAV[ FlEI�D ANp EXAMINE� THIS nP <br />1 <br />PLICl�TION AND KNOW ThIL iAME TO OG l'RUE nN� CORRECT. ALL <br />� i� PROVI;IONS Uf LAWS AND UfiDINl�NCES GpV[fiNING THIS TVPE <br />OF WOFiK WILL l3L COMPI.IED WITH WH[THBR SPECIFIF.D HEPEIN <br />-- U(i NO1, TIIE GRANTING OP A VEIiMIT DOE; NO� Pfi[SUME Tp <br />� GIVC l�UTHpRIIY TO VIOL/1T@ OR CANC@� THE PROVISION> UP <br />ANV pIHER STATE OR LOCAL lAW REGULATING CONSTRUCIIUN <br />� OR THE PERFOf9MANCG OF CONSTRUCTION. <br />i TOTAL PEE 51 '''��l i( y V�I� <br />l'ER SEHVICE SIZE BLDG. SUPPLY SIZ[ SiGNn1URE <br />ib VARDSET[3ACK STpFETSET6ACK �REARVARfJSLT(3ACk PLnNCH[CK <br />U;E ZON[ <br />3PEdlLL CONI]ITIONS: <br />� � a--lL� 1�U.2�—� .� � � i � ' : <br />f1ACT0liORAUTN.AGENT DATE <br />�i PLANCHECKFEL <br />F[E IFi[CGIPTNO. <br />❑vEs ❑rvo FEES VALUATION <br />J.OF DWELLWG - <br />JITS <br />1%.00C.LOAU AUILUING � � 5 <br />PLUMUING <br />H[SFfiINKLERS __ <br />OUIRED <br />❑VLS ❑NO h��C11ANICAL <br />O�HEFi <br />-- PF.NALiV ;CC.70:SIa1 <br />FEE <br />I <br />-1 <br />i <br />0 <br />- TOTAI I - � :�•:, <br />PERMI7 VALIDATION -- <br />--- 41'llfPiYHt)P[Hl'i Vn11UMCOIINi�11S5PAC[I�tlll$IS�'OUflPEFMIl <br />c��tcKiinrv �erruovtniomr.imrnic� <br />Yc,�l1R REC�tPr <br />�'-;,4t���; Y�u . <br />� <br />t I <br />. ; �?k� �� • � { <br />� ,. <br />i ,,• ` <br />