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u,�� �_ ��,�„-�.,,,, <br />CI"i V OP <br />everett <br />cirv xaii �sse�ss <br />Evex[rr,:;:n+r�r.�nr; <br />99:111 <br />otvr. nr ro�.�:�.m�nr <br />xvuovn�enr <br />R <br />�3UILDING <br />� <br />COI�STRUCTION <br />PERMIT <br />MECHANIC^,L <br />PLUMBING <br />� DUILCNG ❑ PLUMfi�NG ❑ MECHANICAL � NEW �qDDITION ❑ �+LTERNTION �LPAIF <br />VALUATION Of WORK <br />T��,M ❑OEMOLISH ❑FENC[ ❑SIGN SWIMAtING POOL <br />5 jni <br />OESCRIBE WOPK ( <br />' 1.l_". .,! ,[:... U <br />•:'4 4 ""�%�. �' i': <br />Nnoeoseo us�_ MECHANICAL <br />TYYE OF FUEL ���� ❑GAS ❑LPG. <br />.-^.. ^�^ pTION OF PFinaFNl V IS�iONJ [3ELOW OR ATT�CH . <br />LOT <br />71 <br />) <br />BLOCK---� <br />J06 AO�FE; <br />PLUMBING <br />V <br />IN <br />nHo <br />� 'jE31 !:V�Eu <br />SP[CL4LCON�ITIONS: <br />1[p <br />SET <br />AIR COND. UNITS-H.P. EA. � � <br />REFRIGEftATION UNITS-H.P. El�. <br />POILEFS-HP LA. <br />GA$ FIREO A.C. UNITS-TONNAGE EA. <br />FOHCED AIR SYSTEM.S-D.T.U. M EA. <br />N.'ALL HEAiLRS-�.T.U. M <br />UNIT �iEATERS-B.T.U. M <br />CVAPOFlATIVECOOLEFS _ <br />CLOTHESDR�ERS <br />VENTILATION F/1N <br />RANGEHOOD <br />AIF HANDLING UNIT- C.F.M. <br />�� SUD TOTAL 5 I <br />PEFiM1T S <br />TGTl1L FEE 5 I <br />f_.— TNIS PERA9IT F3ECOMES NULL AND VOID IF WORK OR CONSTRUG <br />TION I�UTHORIZED IS NOT COM�dEMCED WITHIN 1?0 DAVS, OR II' <br />CONSTFUCI'ION OR VJORK IS SUSPENDE� Ofi �1�ANOONEO FOF A <br />}--- PERIOD Of 120 DAYS AT ANV TIM11E AFTER IVORK IS COMM1IENCEC�. <br />� I HGFEf3Y CERTIFY THAT 1 HAVE PEAO AND E%AMINED TNIS AP- <br />PUC 1TION AN6 KNOW THE SiiME TO BE iRUE AND COFiRECT. ALL <br />_�— PROVI;IONS O� L�1WS AN� ORDINPNCES GOVERNING THIS TYPE <br />OF YVCRK WILL �[ COMPLIED WITH �:'NETHEfi SPECIFIED HF:REIN <br />- OR NOT, TNE G(iANTING OF A PERM1IIT DOES n0�� PRESUME TO <br />ANY OTH6R STATETOH LOCALELAW REGULATING C)NSTR�UCTION <br />�— OR THL PEHFORM11nNCE OF CONSTRUCTION. <br />5 <br />5 ?�ld:f'7'6 <br />SIGNATUFiEOFCONTRACfOFOPAUTFI.AGENT DATE <br />RLAF VAROSLT6l�CK PLAN CHECK NUMA[fi PIAN CHECY FEE <br />FEE RECEIPT NO. <br />VACANT SITE <br />�yE� ❑No FEES VALUA710N FtiE <br />T— <br />NO.OF OWELLING � <br />UNITS . _ ,�} � <br />fviAX.00C. LOAO OUILOiNG 5 ����`� ��� <br />� -- I <br />PLVM�ING I <br />FIRES?RINKLERS I <br />FfdU1RED MECHANICAL � <br />❑YES ❑NO � — <br />pTHER � <br />—T <br />PEN6LlV <br />SEC. 30J lal � <br />- --- — — i: � ao <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERL�' VALID.ITED IIN iHl i SPnC[I THIS IS VOUF PERtd1T <br />t:� <br />Pv <br />