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tlre Evergreen <br />CITY OF <br />everett <br />cirrxau assaeas <br />E4EPEii,IYASHIYGiUN <br />98}01 <br />OEVI. pF COL!AIUNITY <br />OEVELOVMENT <br />0 <br />CONSTRUCTION <br />PER'MIT <br />BUILDING MECHANICAL <br />MAIL ADOftESS <br />_ r� � � <br />PLUMBING <br />:la�s�o � .....,._ ",.�,.,�,��. <br />MECHANICAL CONTRA�CTOR���y�� MAIL RAwDDIi/E�S�S �y���,, P�HjO.��N�E� LICENSE NO. <br />� � f'.s+sij�{�Y•••, � �,ry �Virf �� P�LI.C7 .iJ��� <br />'LUMBING CONTRqCTOR MAIL ADDRESS PHONE LICENSE NO. <br />'ERMIT CLASS OF WORK <br />❑ DUILDING � P(,UTABING � MECHANICAL <br />❑NEW ❑qDDITION ❑A�TERATION ❑REPAIR <br />lALUATION OF WORK <br />5 ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />LOT <br />JUE3 qOORE: <br />PLUMBING <br />BLOCK_OF <br />I <br />SPECIAL CONDITIONS: <br />C5 <br />MECHANICAL <br />). UNITS-H.P. E! <br />RATIOfJ UNIT$- <br />FORCED AIR SVSTEIAS-B.T.U. M EA. <br />WALL HEqTERS-B.?.U. M <br />UNIT HEl1TERS-B.T.U. M <br />[VAPOfil1TIVE COOLERS <br />CLOTHf:S �qYERS <br />VENTILATION FAN <br />Rl�NGE HOOD <br />AIF HANDLING UNIT- C.F.M. <br />INCINERATOR <br />5 <br />W <br />m <br />� <br />� <br />z <br />�"' <br />� <br />� <br />W <br />a <br />6J0 <br />I <br />1 <br />I <br />_L SU6TOTAL 5 <br />PEHMIT 5 <br />TOTAL FEE 5 �� <br />TIi�S FEFMIT UECOMES NULL AND VOID IF WURY, OR CONSTRUC� <br />TION AUTfiOR12ED IS NOT COMM[NCED WITHIN 120 DAVS, OR IF <br />CONST'RUCTION OR WORK IS SUSPENOED OR AIiANDONEO FOR A <br />PERIOD OF 110 DAVS AT ANY TIME AFTER WORY. IS COMMENCCD. <br />I HEREDV CERTIFY THAT I HnVE REAU AN� EXAMINED THIS AP- <br />PLICATION AND KIJUW TFIE SAME TO �E TRUE AND COFRECT. ALL <br />PflOVI510NS OF LAWS AND ORDINANCES GOVERNIIJG THIS TYPE <br />OF WORK WILL OE C0�1PLIE� WITH WHETNLR SPECIFIEO HEREIN <br />OF NOT, THE GRANTING OF A PEftA11T OOES NOl' PpESUME TO <br />GIVE AUTHORITV TO VIOLATE OR GANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTftUCTION <br />OR THC PEFf-ORMANCE OF CONSTRUCTION. <br />SiGrvn I �'NE OF CONTfiACTOF O <br />ACK pEAR VARDSETBACK PLAN CHECK NUAI�ER <br />FEE <br />❑VES ❑NO <br />FEES <br />�� <br />.AGENT DATE <br />PLAN CHECK FEE <br />RECEIPT NO. <br />fION FEE <br />I <br />MAX. OCC. LOAO �UILL`ING $ � <br />I <br />� <br />FIHESPRINKL[RS PWM�IIIG I <br />RfOU�REO � <br />❑\"ES ❑NO MECHA�JICAL ��� <br />OTHER I <br />I <br />PENELTY SEC.703(al I <br />TOTAL :R. • aQ <br />PERMIT VALIDATION <br />WHEN PqOPERLY VALIDATED IIN THISSPACE) THIS IS VOUF PLFiMIT <br />BY. <br />.\ � <br />