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�'��' � ���'����"�'�� CONSTRUCTION <br />� �-� , ,- �„ <br />�`� everett �ERMIT <br />cn-v ��n�� t��tv-�s <br />evt,r��rr,wn ��ta;ui COh9BINATION • BUILDING • MECHANICAL • PLUMBING <br />OWN[�: Nl�li_ ADDNEti; Lli' PHUNL <br />Burl E. Scott <br />- __--- — - --. <br />n��c�n�iecr6iiii(' ii.Ntiz .__ . n+ni�nnur�ess-------.__..--_-i�iii�rat -------- uceNse <br />— -- <br />GENLHALCONTRACTOR .�.. --'-...."-- MnILA1�DHES'. <br />Quality Roofing 6904 Beverly Blvd. <br />RiLCHANICAL CONTql�CTOR MML A�DfiESF <br />❑ COMBINATION <br />�6UILDING �PLUMpING �MECHANICnL <br />VALUATION OF WORK <br />2400.00 <br />5 <br />DESCRIBG 1NOFiK � <br />composition re-roof <br />PROPOSED USE <br />single family residence <br />I.EGAL DESCFIPTION OF PROPEPTY ISMOW JEl <br />FOUfl COPIESI <br />�oT33-34 OLOCK 9 oF Ready La�, <br />AL <br />[ <br />LICENSE <br />❑NEW ❑ADUI1'ION ❑ALTEHA'IION �]ftLPAIR <br />❑�EMOUSH ❑PENCE ❑SIGN ❑SWIMMING POOL <br />MECHANICAL <br />TYP9 OF FNEHGY <br />ATIACH ❑�qS ❑ELEC. <br />� S ].St NO. TVPE OF E�UIPMENT <br />_ �AIR COND. UNITS-Ji.P. F:A. 5 <br />_ __.._.__ ___. ___. .._"___ _ _ <br />f REFRIGERIITION UNITS �II.P. °!1. <br />� Faa�e�s ��.r. en <br />� fUHCEO AIH SVSTEMS-B.T.U. MEA. <br />everett <br />� <br />m <br />� <br />3 <br />� <br />Z <br />C <br />�' I <br />JJ <br />r1 <br />J <br />_---_ � I <br />JOB ADDRESS �I SPACE & WALL HEATEfiS - B.T.U. � <br />2601 21st Stxeet �� j UNIT FIEAT[R5� 6.T.U. � <br />[VAPORATIVECOOLERS -T- <br />PLUMBING � � c�orriesonve�s � --��— <br />i <br />I-_-_VENTILATION FAN -�— <br />_ - I <br />_l ---'- RANGE HOOU � <br />NO. TVPE OF FIXTURE OR ITEM FEE � nir� r�nNuuNc uNn-- C.F,M. -T- <br />BATH TUBS -- 5 .._ _.j. _ _- _—.______ — <br />CLOTHES WASHER i � � <br />WATER HEATER T— <br />DISH WASHEHS i -- - ---- ----- --1--- <br />F�1C (3UILT FIREVLACE ft CHIMNEV <br />DRINKING FOUNTAINS � � t qs SYSTEM. Na OV OUTLETS �— <br />FLOOR DRAINS i �___ <br />K17CHEN SINKS & UISP. --� SVU TOTnL 5 � <br />E3AR SINKS -- i '- -' .....--'- - PeRMIT 5 -T- <br />I <br />ROOF DIiAINS - flNN LE�UERS i TOTAL FE[ 5 � <br />SHOWEH E3ATHS _ THI; PI:RM11rt ItECOMES NULL AND VOID IF WORK OP. CONSTRUC <br />SEHVICE SINKS iION AUTHORII[D IS NOT COMMENCEU WITHIN 120 OAYS, OR IF <br />SUMPS -� SEWAGE PUMP CON51 ;UCTIpN OR WORK IS SUSP@NDEO OR A6ANDON[.D FOR q <br />UFINALS j �F.flIOD OF 120 DAVS AT nNY TIMG AFTER WORK IS COMM1IENCED. <br />NJhTEfi CLOSETS I � M[HL[tV CERTIPV THl�T I 11l�VE RCAD AfJD [%AMINED TFII$ AP <br />WATER HEATERS - ELECTHIC � �'LICnTION AND KNOW TNE SAME TO U[ 1 RU@ AND �ORflECT. AI,L <br />. _ PROVItiiONP OP LAW; /1ND OflDINANCE$ GOVEPNING THIS TVPE <br />WASH 6ASIN5 i Of° WORK WILL UL COh1PL1[D WITH WHLTH[R SP[CIFIED HEREIN <br />IAUNORY THAVS �— OR NO1, iH[ C.{iAM WG OP A P[IiMIT UOFS NOT PIiESUME TO <br />- � GIV[ AUTHOfiITY TD VIOLATE OFi C�INCEL THE PiiOV1510N5 OF <br />� ANV OTHLfi STATC OR LOCnL LAW REGULATING CUNSTIIUCTIOIJ <br />� pR TH[ P[fiFORMANC[ OF CONSTflVCTION. <br />—_ , <br />SU6 TOTAL i <br />PERMIT 5 / / / <br />. TOTAL FEE Si —F x�/_ C /�? o.�_ 4 zd �9 <br />"�-/2�--�_-_ <br />NATERSERVICESIZ.E BLDG.SUPPLYSIZE tiIGNnTUKEOFCONIRACTORORAUTH.AGENT DATE <br />SIOE VARD SEl'UACK STREET SETOl.CK R@AF. V/�RUSCTHACK PLAN CnFCK NUMfILR PLl�N CHECK FEE <br />FL[ �qECEIPTNU. <br />❑�ES ❑No FEES VALUATION FEI: <br />❑NO <br />SPECIAL CONDITIONS- <br />�,r� i�� nnorv nr.ctrn u uv <br />flUILDING 5 2400.00 24 i00 <br />__ _y <br />1'LUMI3ING I <br />I <br />MECII1INICA� � <br />I <br />OTII[R � <br />_"_ � <br />PGNALTV • SGC.3091a1 I <br />_"-_-'"" _- _ '_-. __ .__ __ _ __ _L'_ <br />TOTAL 24 Ip0 <br />PEflM1T VALIDA710N �� � <br />WHEPI PyOP�HI Y VAI II)1TfD (IN TI1155141C[� iHiti IS VOUN 1'EfiMIT <br />. ` � � � <br />Y=� �. iV�4 ti i; <br />T�TAt�K YC� U;� <br />,_: ; <br />4 <br />�2au��2, :,,j <br />_.. ��.�_�t .J <br />� <br />� <br />� <br />