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._. ��. <br /> u,�, ��-�,�,�,��� <br /> '�, ��„ ��� CONSYRUC`TIO�d �� �everett , <br /> � everett PERMIT I <br /> � cnr eau asueare i <br /> cvci�[�r.�savunr,rmi � <br /> seio� � <br /> ��°� °° �°�.°^°���� BUILDING MECHANICAL PLUMBING I <br /> nEveioemcpr i <br /> OWNEfl M111L ADDflE55 ��II' f HONE � <br /> `-Sr C'.1::: .:�3 j�1^',i�,-:'- I <br /> I�FCHITECT OR DESIGNER A1AIL Af]DRE55 PHONE LICENSE NO. 1 �J j-- j 1 <br /> I PHONE UCENSE N0. �i <br /> GEVERALCONTRACTOR MAILAOOFIESS i <br /> j ':':�err_tt Siqn tc�.�a.-:y ?' �'-4:13 ii <br /> J.' <br /> MECHANICAL CONTRACTOR MAIL AOORE55 PHONE LISENSE NO. I <br /> I � <br /> i PLUMBiNG CONTRACTOR MAIL ADDRE55 PHONE LICENSE NO. uJ I <br /> m <br /> PERMIT CLASS OF WORK � I <br /> z <br /> II �BUILDING ❑ PLVMBING ❑MECNANICNL ❑NEW ❑qDDITION ❑ALTEFATION ❑R@PAIR �� II <br /> I VALUATION OF WORK �t � <br /> � `,�DEMOLISH ❑FENC@ �SIGN ❑SWIMMING POOL W <br /> 5 3'')t,. Bii -- °' <br /> � DESCRIBEWORK 1��� <br /> £:rL•�;t. S��jii � <br /> PROPOSED USE MECHANICAL � <br /> ( TYPE OF FUEL �OIL �Gns. [�'LPG. �ELEC. i <br /> I LEGI�L DESCHIPTION OF PROPEFTV ISIIOW eELOIV OR ATTACH <br /> roUaCoviE51 Np, TYPEOFEQUIPMENT FEE � <br /> i <br /> LOT-- OLOCK--OF — q�q COND.UNITS—H.P. EA. S � <br /> FEFRIGERATION UNITS�-H.P. EA. I <br /> , —�60LLERS-H.�'. EA. � ' <br /> GAS P�RED A.G UIv�TS-TONNAGE EA. � <br /> � ;� � i <br /> I ,i� .� __ _ _�FORCED AIF SVSTEMS-6.T.U. M EA. �I <br /> JOB AODRE55 ��bVALI HEATEFS-B.T.U. M I <br /> �yJ�e� _ 1 �_`}, ��rp�� _ UNIT HEATERS-B.T.U. M � _ <br /> v:.l'�('/ 1. . <br /> ILVAPORATIVECOOLEFS _. II <br /> PLU�981NG CLOTHESORVER$ � �I <br /> VENTILATIONFAN i <br /> RANGEHOOD I I <br /> � T— II <br /> AIR HANDLING UNIT- C.F.N. � <br /> I NO. TVPEOFFIXTUREORITEM FEE INCINERATOR � <br /> WATER CLOSET ITOIL[TI 5 I <br /> I BATHTVFI � <br /> � LAVATORY (WASH BASIN) � <br /> I SHOWER I <br /> � KITCHEN SINK& �ISP. SUB TOTf.L 5 I <br /> ��� DISHWASHER _ PERMIT S �I <br /> � LAUN�ViY TRAV TOTALFEE 5 I i <br /> � CLOTHES WASHER 71115 PEFMIT BECOMES NULL AN� VOI� IF N:ORK OR CONSTFUG <br /> � WATER NEATER TION AUTHORIZED IS NOT COMAIENCED WITHIN 120 DAYS, Ofl IF � <br /> ! Uf�INAL CONSTNUCTION OR WORK IS SUSPENOED OR ABAN�ONED FOR A II <br /> PER100 OF 120 DAYS !�T ANV TIME AFTER WORK IS COMMENCED. <br /> �, DRINKING FOVNTAIN <br /> fLOOR--SINY.OR DRAIN 1 HEREBV CERTIfY THAT 1 HAVE READ AND E%AMWED THIS AP- � <br /> �I VACUUM BREAKERS — PLICATION AND KNOY!TME SAME TO�E TRUE �1ND CORRECT. ALL I <br /> PROVISIO�JS OP �AWS AND ORDINANCES GOVERNING THIS TYPE <br /> ROOF DPl�INS-RAINLEADERS OF WOPK WILL BE COMPLIED WITH NJHETHGR SPECIFIED HEREIN <br /> ( SINK (SEFVICE-�AR,ETG.) OR NOT, THE GAANTING OF A PERMIT DOES NOT PRESUME TO i <br /> GIVE AUTHORIT� TO VIOLATE OF CI�NCEL THE PFlOVIS�ONS OF <br /> ANV OTHEF STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OH THE PEFFORh1ANCE OF CONSTFUCTION. I <br /> SUDTOTAL I <br /> PERMIT 5 I <br /> TOTALPEE _ S `�1 ,/�' II <br /> X I <br /> I SIGNATUFEOFCONTRACTOflORAUTH.AGC:N1 �ATE I <br /> i <br /> i SIDEYl1RDSET6ACK STREETSET�ACK REARYAROSETf3ACkPLANCHECKNUNElEFi PLANCl1ECKFEE j <br /> PEE RECEIPT NO. �I <br /> II USE ZONE LOT AflEA VACANT SITE I <br /> ❑vE5 ❑N� FEES VALUATION FEE � <br /> 7YPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING � �� <br /> UNITS <br /> .. .�' J <br /> i SIZE OF BLDG. NO. OF STOFIES MAX.000. LOl�O OUILDING 5 I i <br /> PLUM�ING � � <br /> I i <br /> FIRE ZONG 6ASEMENT FIRESPPINKLEFS � <br /> I R ❑VGSED ❑NO MECHANICAL � <br /> I I <br /> �I $PECIAL WNOITIONS: OTHER I <br /> ' PENELTV SEC. 9031n1 � I. <br /> II <br /> :J <br /> TOTAL � I <br /> I� PERMIT VALIDATION i <br /> iWRGN VfiOP[(il.V VALIDATED fIN THIS SPAC'c)THIS IS YOUR PERM�T <br /> I I <br /> j I <br /> li MPIILATION�LCEPTEDBY- �LANSCHEC✓.EOOY' MCPOVfOt0ii14Ul•tlCFLV I� <br /> I <br />