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Ihc EvPryrccn <br />��, � �, <br />everett <br />fitV lc,Il )'.�FYPI. <br />'VfPf il. �'.4\I.ir�'.I,:S <br />Yfi'I <br />otrr or con•.auti�'�: <br />nevunrMi�n <br />NER <br />ncroA <br />BUILDING <br />MAI� <br />❑ UUILDING W PLUMUING � MECHANICAL <br />/ALVATION OF WORK <br />��� ��: <br />PROPOSED USE <br />L[Gl��L`LSCHIPTIONOF PROP6Hi\ ISM <br />FOU�jR COPIC51 �y�} <br />LO"f���"� HLt�CK��OF�""�� <br />�oo noor_ss <br />B�:Q �L'�'+/.Rl <br />PLUMBING <br />NO. TyPE OF FIX7URE OR <br />NATER ClOSETITOIL[T) <br />BATHTUC <br />IAVATORV (WASH BASIN) <br />SHOWER <br />KITCHCN SINK R DISP. <br />DISHW�SH[{i <br />LAUNURVTPAV <br />cLOTH[3WASHEft <br />Vr'MEIi NEATER <br />11qItJAL --- <br />DFINKINGPOUNTAIN <br />FLOOR-SINK OR DF <br />� VI�CUUM ARFAKEHS� <br />HOOF �qAINS-Ri1INLEADERS <br />SINK ISENVICE-tillR, ETC.1 <br />suu ro, <br />P[NA11T <br />TOTAL F <br />SID@VAAOSET6ACK STflEETSETI <br />USE ZONE LOT AREA <br />TYPE OF CONST. OCCl1PANCV <br />SPECIAL CONDITIONS: <br />CONSTRUCTIO�J <br />PERNiiT <br />MECHANICAL <br />HESS <br />� <br />PLUMBING <br />�NEW ❑ADDITION ❑ALTERATION ❑R@PAIR <br />❑OEMOLISH ❑FtNCE ❑SIGN ❑SWIMMING POOL <br />everett <br />sc7�i : <br />MECHANICAL <br />I.U1V t�H ATT�CH T���L JF PUEL �OIL �G^T �LPG. �ELEC. <br />NO.I_ TVPE OF EQUIPMENT FEE <br />AIR r.OND. UNITS-H.P. EA. S 1 <br />(i[FRIG[RATION UNITS -H.P. EA. <br />_ ❑ULEP; IIP. EA. � <br />GnS FIFED A.C. VNITS-TONNAGE EA. <br />fOPCE� Alfi S�STEMS-�.T.U. M EA. I <br />WALL HLATERS-O.T.U. M <br />UNI! HEATEiiS-D.T.U. M I <br />EVl�PORATIVECOOLERS —T <br />�CLOTHESDRVERS � <br />VHNtILATION FAN � <br />RANGENOOD I <br />FEE ��R HANDUNG UNIT- C.P.M. <br />� INCINERATOfi � <br />- TOTAL FEE 5� I <br />THIS PERMIT f3F.COMES NULL ANO VOID IF WORK OR CONSTftVC- <br />�y TION AUTHORIZED I$ NOT COMMENCED WITHIN 120 DAYS, Ofl IF <br />� CONSTNUCTION OR WORK IS SUSPGND[O OR 1(3ANDONED FOF A <br />PERIOD OP 120 �AVS AT ANV TIME AFTER WORK IS COMMENCGD. <br />I HEREF3V CERTIFV THAT I IiAVE READ ANU E%AMINED THIS AR <br />PLICATION ANtI KNOW THE SAA1E TO f3[ TRUE AND CORiiECT. ALL <br />PROVISIONS OP LAN'S ANO OHOINANCES GOVEflNING TMIS TYPE <br />OF WORK WILL [3[ COM1iPLIED WITH ✓JNETHER SPECIFIED HEREIN <br />OR NpT, THE GRAtJiING OP A P[R�'.IT pOES NOT PRESUME TO <br />� GIVE AUiHpq�TY TO VIOLl�TC Uli CANC[L THG PHOVISIONS OF <br />!�M' OIHf.P STA7E PR LUC.A1 I.9A`1 fi[GUI_��l ING CO�JSil3UCTION <br />_ OIITH[PEHI'ORM4WCPOFCOf.;IPUCTION. <br />5 .- 1 {-�,i <br />5 -�i� <br />. L. _. <br />x r•�•7� <br />SIGNATUREOf CONTRACTORORAUTH.AG[NT UATE <br />PEAF YARDS[T�ACK PLAN CHECK NUMfi[R PLAN CNECK FEE <br />FEE RECGIPT NO. <br />VACANT SITE <br />❑vEs ❑No FEES VALUATION FEE <br />..�,—�7,:�: rinqsn�rcKmor. nrvno <br />e <br />:.I.OnO 9UILDING § � <br />_ PWMBING a I�� <br />NKLERS 7 I <br />D � <br />❑NO MECHANICAL � <br />OTNER � <br />_ � <br />PLN6Ll V SLC dpll �al I <br />'- _ .- ' __. _— _ _-_ _ _-___ __�_- <br />TOTAL A <br />i <br />PERMIT VAl10ATION <br />— wi��ra rnor�rai.v vnuonreo iiN n�c: :rr,r,�i i �us is vo�n Pennvil <br />