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. . � <br /> � �n, t �,�,,.; ,o... � <br /> ; CUNSTRf�CTp�Ji� everett � <br /> �,�� �� <br /> I� evexe�:t PERMIT <br /> Ciiv�ITIL 159�¢d5 . <br /> II . ••. •• . '•�Itl:�ll <br /> `°'�� °, �°•"°'��^ BUILDIfJG MECHANICAL PLUMBING � � <br /> nrvuu��.:u:i <br /> i <br /> OWNEF MyAILAUDfiE55 ZIP NHONE <br /> �„t.�..�. .. .., :�p .... .�It:/ �'4��s�/ �!.'.:i4��.:J'�1.� <br /> AFCHITECi Ofl OESIGN[R MAIL PDDRESS PHONE • �IGLNSE NO. <br /> i _ �;)•. ;v�6 I <br /> GENERAL CONTFiACTOFl MAIL ADOFES:; PHONE LICENSE NO. <br /> MECHANICAL CONTRACTOR IdA1L ADDRE;:; PHONE LICENSE NU. I <br /> I PLUM6ING CONTRl1CTOR� MAIL AODRES& PHONE LICENSE NO. � I <br /> WI I <br /> I W <br /> PERMIT CLA55 OF WOFK � <br /> �R� z I <br /> '�[J 6UILDING �y PLUMBING �MECHANICAL F' <br /> I �NEW ❑ADDITION ❑ALfEFPTION L]REPAIR � I <br /> VALUATION OF WOnFK�1n � I <br /> 5 3��j,;�y.�r ❑DLMO�I511 ❑F[NCE ❑SIGPi ❑5\NIM1IMING POOL a <br /> - _. _ ___._..__ — — <br /> UESCFI6GWOflK ,� : ... . . .._ ., . . .. .. . R` ��� <br /> i <br /> PROPOSEO VSE MECHANICAL <br /> T'�PEOFFUEL uJIL �NAT. �I.PG. �EIFC. I <br /> LGGAL DESCRIPTION OF PROPERTV ISHOW RELOW OR ATTICII Gn� I <br /> fOUq OPIES) <br /> '• � ?;"ij irS� NO. TVPEOFEUUIPtdENT fEE � <br /> �OT. �LOCK—OF � q�R CONO. UNITS-H.P. EA. $ � �i <br /> REFHIGEflATION UNITS-N.P. EA. —�- �i <br /> �OILERS-N.P. E4. I <br /> GqS FIfiED A.C. UNITS-TqNNAG[ LA. <br /> FURCED AIR$VSTEMS-B.T.U. M EA. I � <br /> JnR n1�ORE55 s �y,, WALL HEATERS-e.T.U. M �— I <br /> I �I„I� 3V4] R�C• +�r s�♦ _ UNIT HEATEfiS-��.T.U. M � � <br /> ' EVFF�)�ATIVECOOLER�. <br /> PLUMBING CLOTHES Dfl�EFS I <br /> V�NTILATION FAN <br /> _ � <br /> RANGEHO00 � � <br /> Alq HANDLING UNIT- QF.M. --� � <br /> NO. NPE O� FIX7URE OR ITEM FEE � <br /> WATER CLOSET (TOILET) 5 _ �NCINERATOF I <br /> dATHTU6 —� -I-- I <br /> LAVATORV IWASH �ASIN) � � <br /> I SHOWER _ �..{y�--- � <br /> KITCHENSINK& DISP. SUBTOTAL 5 J+`��IM' <br /> i 7 DISHWASNEF � PEHMIT 5 , <br /> LAUNDRV TRAV TOTAL FEE $I i� <br /> CLOTHES WASHER THIS PEPMIT BECOMES NULL AND VOID IF WGRK OF CONSTRVG I <br /> ,4 WATER HF.ATER �_ TION AU'fH0l912ED IS NOT COMMENCED WITHIN 120 �l�Y�, OP IF <br /> URINAL CONSTPUCTION OR WOFK IS SUSPENDE� OR A6ANOONED FOH A I <br /> DRINKIkG FOUNTAIN PERIOD OF 120 Dl�YS AT AtJV TIME AFTER WORK IS COMMI NCED. I <br /> FLOOR-SINY. OF ORAIN I F1EqEeY CERTIFV THAT 1 1'I�VE REAO l�KD EXi1MINED T1115 AP� <br /> I VACUUh1 F3REAYERS �— PLICATION AND KNOW'i HE SAS1E TO BE TRUE ANO CORFECL ALl <br /> NOOF ORAINS-RAINI.EA�EFS PAOVISIONS OF LAWS AND OFOIN�INCES GOVERNING THIS TVFE <br /> �I _ _._ OF WORI: WILL �E COMPLIED WITH N'HETHER SPECIFIED HEREIN <br /> I __ SINK (SERVICE-FIAfl,ETCJ OR NOT, iHE GRANTING OF A PEFMIT D'JES NOT PRESVME TO I <br /> GIVE nUTHORITV TO VIOLAiE OR CANCEL THE PROVISIONS OF <br /> I — ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> I — — OR THE PEFFORMANCE OF CONSTFiUCT10N. '� <br /> SUBTOTAI <br /> PERMIT 5 � I <br /> TOTAL FEC 5 - <br /> -- - -- -- - x �����{ <br /> $IGNATUR120FCOP:TFACTOfiORAIiTH.AGENT �ATE � <br /> SIOFVARDSETUACK STREEr�TSLT6ACK RFARYAaDSE�'IlACKPL�INCHEC< NUMf3EH PLANCHECKFEE II <br /> � �"� yy� �f 9�FM FEE j,C'=(� RECEIPT NO. ' <br /> i �f <br /> VSE ZONE LOT AREA VACANT SITE <br /> ^� - � <br /> CZJvES ❑No FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY �1FOUP NO.OF OWELLING <br /> UNITS � � <br /> � __ '��_��/� �+y� n <br /> � sVF nF ni n� NO.OF STORIES M1AAX.00C l.OAD �UILDING 5 �.r.yv�+`-'�� �+Jv�+'v <br /> I � — _— <br /> PLUMF31hG y��� <br /> I FIFEZONE BASEM�EN�T qE�UIREOKLERS MECHANICAL '�'I�' <br /> I � <br /> ❑YES ❑ND <br /> I I SPECIALCOND�TIONS- OTH_R I <br /> I <br /> T <br /> PENELIv SEC.3031a1 � <br /> I <br /> I <br /> �'I TOTAL a�t� <br /> � PERh71T VALIDATION <br /> � _ N:HEN PROPEiiLV VALIDl�TED IIN THIS9PACE)THIS IS YOUR PERMIT <br /> II <br /> � <br /> I1.��L�G:iIpNACLEPTEpqY. PLANSLHECK[OBY: NPCIiOVfOFONI550�KCC0Y�. <br /> I �f � Ir;��� <br /> I L I I� � <br /> � - -- _.�: - - - --w■�r! <br />