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.; tneCr��,:r,.,�„ <br />� """' CONS;"RUCTiON <br />eVerett PERMIT <br />,�„ „��, „�,s�, <br />I tvtnErl.Y;,�swi,rn9 <br />� 9P1��t <br />"`r` °` `°"„°"°" BUILDING <br />°�°t����.�<<,� MECHANICAI_ <br />� OWNEH <br />'� MNL 11DUHL55 21P <br />� ::$tjll.'>.�:1 !•"' ri� . .i ! .: . i !. ' r, � . �� <br />I nHCHITECT OR DESIGNER —: "V�ruf t <br />Mf <br />i <br />iGENERA�CONTRACTOfl <br />I 5liIi:3 M/ <br />� MECHANICALCONTRACTOR <br />Ml <br />I �LUMBING CONTRqCTOfI M� <br />rEamir <br />� c <br />I❑ DUILDING � P�UM�ING � AIECHANICA� <br />I VALUATION OF WORK <br />I 5 ��'�..):1 _' <br />DESC'SIBE WOHK <br />TCG-•ZOc�f �7 C ;- -ii17.f.C:1:1!1 <br />IPROPOSED USE <br />� �/tacHIPTION OF f <br />FOUR COPIE51 <br />LOT_ ��"��C CK � <br />I 272; 1 "t1e >�re-r.t <br />� PLUMBING <br />� <br />F <br />� <br />EAK <br />STR <br />Ipicc �r tlLliG. <br />'. FIRE 20NE <br />i SPECINL WNDITIONS�. <br />I <br />f�f.f! <br />BY: <br />R <br />noo <br />PLUMBING <br />❑NEW ❑ADDITION ❑qLTER;1110N <br />�REPAIR <br />❑DEMJLISH ❑FENCE ❑SIGN ❑�WIh1h11NG POOL <br />everett <br />v� <br />MECHANICAL <br />ATTACH TY��'nFFUEL �OIL ONI�i �LPG. �ELEC. I <br />G,1S I <br />�+d= NO. TYPE OF EQUIPMENT � <br />AIP COND. Ulv� i�S--H.P. GA. FEE i <br />REFRIGERATION VNITS-H.P. Eq. 5 I <br />�OILERS--H.P. EA. � � I <br />— GAS FIRED A.C. UNITS-TONNAGE SA. I I <br />___ FORCED AIH SYSTEMS-B.T.U. M EA. <br />WALL HEqTEflS-�.T.U. ry� I <br />— VNIT HEATEFS-B.T.U. M I <br />EVAPORATIVECOOLEflS I <br />__ �CLOTHESDRVEFS I <br />VEtvTILATION FAN � I <br />RANGEHOOD i <br />AIR HANDLING UNIT- I <br />FEE C.F.M. , <br />� INCWEfiATOR � <br />❑VES ❑NO <br />I ' SUB TOTAL S �— � <br />� I <br />I�_ PERMIT 5 <br />TOTAL FEE 5 —� � <br />THIS PERMIT OECOMES NULL AND VOID IF WpRK OR CON15TRUC- � <br />TIpN AUTHOFI2ED IS NOT COPo7MENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDEO OR A6ANDONED FOri q ! <br />PEHIOD OF 120 DAYS AT ANY TIME AFTEft Wt�qK IS CO�iMENCED. I <br />� HEREBV GERTIFY THAT I H�1VE RFA� AND EXAMINED T1115 AP. I <br />PLICqTION AND KNOW THE SAA1E Tp BE TRUE AND CORRECI. qLL <br />PROVISIONS OF LAW$ ANO ORDINANCES GOVERNING THIS TYPE <br />OF WGRK WILL 6E COMPLIEO WITH WHFTHER SPECIFIED HEREIN I <br />OR NOT, THE GqqNTING CF A PERMIT DOES NOT PRESUME TO I <br />GIVE AUTHORITV TO VIpLATE Ofl CANCEL THE PROVISIONS OF I <br />ANV OTHER STATE OR LOCAL LAW qEGULATIP:G CONSTqUCTION I <br />OR THE PENFORMl�NCE C1F �ONSTRVCTION. <br />I <br />I <br />x 1���%�%i I <br />SIGNATUREOFCONTflACTORORAUTN.AGENT OATE I <br />'LANCHECKNUM6ER PLANCHECKFEE I <br />FEE RFCEIPT NO. I <br />_ FEES VA�UATION FEE <br />- .an.vcC.LUAD �VILDING g 3•��.O;a q !j�^i <br />I <br />-- PLUMBING �-- <br />FIRESPRINKLEqS I <br />RI'QUIREp � <br />❑�ES ❑NO h1ECHAPoICAL I <br />I <br />OTHER � -- <br />I <br />PENELTV SEC.70J lal � <br />TOTAL q ,`;? <br />l <br />PERMIT VALIDATION <br />WHEN PROPFRI `'.\LI�ATED IIN THIS SPnCEI THIS IS VOUR PERM1IIT <br />