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rAe fvei9recn <br />�iTY U� <br />everett <br />�,,.,,,<< >�.��.�. <br />FIFflIii. dA911:�:ffiPl <br />Jilnl <br />ocrr av co�.�:��u:irv <br />oEVEiav�uE:;r <br />WNEH <br />..^�F.•.:1 `?"�i <br />BUILCING <br />r <br /><<fc1•''] � :;`Gw <br />ENEFALCONIMnGIUt� <br />'..n^ t: ! �b.L �� <br />.i.JS{ . t�tiT' �s �� ..� Cv� <br />R�ISI <br />■ <br />CONSTRUCTION <br />PERMIT <br />L ADDR <br />MECHANICAL <br />E <br />PLUMBING <br />L <br />��UIIDING ❑ PLUMBING ❑ MECHANICAL <br />❑NEW ❑ADOITION ❑ALTGRl�TION ❑REPAIH <br />JALUATION� WOFK <br />�Uai��Q � ❑oEmous�� I�en�c� ❑sicn ❑svnranninc eoo� <br />S------ — <br />JESCRIAC WO�iK { a, y ,.,r,,.,v r_ <br />C'9.'.9'i`t.S�T L2" 5.'�' 'ft .,...� i l� <br />>r:oWoseu use MECHANICAL <br />rvaeorFut� �bii— []n+n�. —pi_rc. <br />IGGAL DESC�iIPTION Of` PqnPERTY ISHOW RELOW OR ATTACII �'A5 <br />FOVRCOPIE:;I - -- <br />NO. TYPE OF E�UIPMEN7 _ <br />LOT _-_ 6LOCK__OF ql(i COND. UNITS-II.P. EA. <br />JOB ADf)FEE <br />PLUR'IBING <br />n <br />USE <br />�REFRIGEFATION UNITS-HP.EA. <br />_. ❑OILEHS-H.P.EA. <br />GAS FIPED A.C. UNITS-TONNAGE EA. <br />� FORCED AIR SVSTEMS-6.T.U. M EA. <br />1�/y�(� � r � � � WALL HEArERS-6.T.U. M <br />4flr+'✓ �J�• �4Y UNIT HEA�ERS-�.T.U. M <br />- LVl�PORATIVECOOLERS <br />CLOTHESDHVEFS <br />VENTILATION FAN <br />RANGEHOOD <br />A�P HANDL ING UNIT- � 0.F.M. <br />_OF FI%7URE OR ITEM FEE INCIi iERATOR <br />I�I <br />Tp4CK <br />SPECInL CON�ITIONS: <br />N <br />ADERS <br />iTC.I <br />SU�TOTAL <br />PERMIT S <br />TOTALFEE S <br />�crSFianCY. REAR <br />� <br />1CANT SITE <br />❑VES ❑NO <br />everett <br />�� <br />L <br />� <br />W <br />ro <br />� <br />� <br />Z <br />F <br />� <br />w <br />a <br />578 <br />I <br />SUB TOTAL 5 I <br />PEf1M1T 5 � <br />TOTALFEE 5 I <br />THIS PERMIT BECOMES NULL AND `:OI[) IF WORK OR CONSTRUC- <br />iION AUTHORIZED IS NOT COAIMENCED WITHIN 120 OAVS, OH IF <br />CONSTRUCTION OF WORK IS SUSPENDED OR Af7AN�ONED FOR A <br />PERIOD Of 120 DAYS /1T ANV TIM[ AFTER WORK IS COMAIENCED. <br />I HERE�V CERT:PV iHAT I HAVE FEAn AND E%AMINED THIS AP� <br />PL�CATION l�ND KNOLN THE SA�1E TO 6E TPUE ANO CORRECI'. ALL <br />PfiOVISIONS OF LAWS ANL] ORCIINANCES GOVERNING THIS TYPE <br />OF WORK W�LI. 9F COM1IPLIED WITH :VHETHER SPECIFIE� HEREIN <br />Ofi NOT. THE GRANTING OF A PEfiM111T DOES NOT PflLSUME TO <br />GIVE AUTHORITV TO VIpLATL OR CANCEL TI1E PROVISIONS Of- <br />ANV OTHGR +TATE OR LOCAL LA�Y REGULATING CONSTRUCTIDN <br />OF THE P[RFORMANCL OF CONSTRUCTION. <br />x D?' v�+CL� �1t7�S i� r�7f, <br />SIGNATUFlEOFCONTli�CIOHORnUTH.AGCNT DATE <br />PL1N CHGCK N11�10ER PLAN CIiECK FEE <br />pEE RECEIPT NO. <br />FEES VALUATION � FEE <br />DAD BUILDING 5 LNt/K.v ( W <br />PLUM�ING � <br />LERS � <br />I <br />❑NO MECI{qfJICAL � <br />I <br />I <br />OTHEF I <br />_ _ -_� <br />--- PENELIv BFC. 081.�1 � <br />-- TOTAL ----I� � � <br />PE(1MIT VALIDA710N <br />WH[N PqpP[RLV VAUOAT[f) Ufl1H155PACF1 TH1515 VOV�i PEI{�,111 <br />� �%M <br />