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� <br />(hc fvergreen <br />CITY OF <br />evei�ett <br />LIiY IIALL 159Ad°5 <br />EVE11Eli.\YAS111'1Gi01i <br />sr.tui <br />IIfPi. 0f COf.11.I11flRY <br />ONELOCI.1ENi <br />NEF <br />,^. ta 1� �i�.3:: n <br />:�4:<!tti � 1 � .:,.1_'nC3:' <br />1 <br />CQi�ST�tUC710N <br />PERMIT <br />BUILDING MECHANICAL <br />M/�IL AOf]RESS Z�P <br />t:'��J^,• ::1:Ii�.C.i ����'.�^�: <br />MAILAO�RE55 PHQ <br />MAILADORE55 PHC <br />MAIL <br />PLUMBING <br />L <br />`aP� <br />��UIL�ING �PLUM6ING ❑MECNANICAL �NEN� ❑ADDITION ❑ALTERATION dREPA1R <br />JA�VATIOI� OF WORK <br />�+ ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMINGPCOL <br />:,c,y,,. ;; <br />5 <br />JESCRIB�`��}�,: r�.-rn�f <br />LOT 6LOCK— <br />JO�ADORE$S�,-� ^i.:iA:l;:.:L J.r.�Cl: <br />PLUMBING <br />L <br />S <br />Y <br />SPECIAL CON�ITIONS'. <br />F <br />� <br />w <br />ffl <br />� <br />� <br />z <br />F�- <br />� <br />� <br />W <br />266$� <br />MECHANICAL <br />TVPFOFFUEL �OIL �GAS� �LPG. �ELEC. <br />PELOYV OR ATTACH <br />NO. TYPE OF E�UIPI�IENT FEE <br />— AIR COND. UNI'i'S-H.P. EA. 5 Y, <br />REFRIGERATION UNITS-H.P. EA. <br />. BOILERS-H.P. EA. � <br />GAS FIRE� A.C. UNITS-TONNAGE EA. <br />FOfiCEO AIR SVSTEMS-6.T.U. M EA. � <br />WALL HEATERS-O.T.U. M <br />UNIT H[ATERD-B.T.U. M � <br />EVAPOf:ATIV[ COOLERS <br />CLOTHESDRVEFS � <br />VENTILATION FAN <br />FANGENOOD � <br />AIH HANDLING UNIT- QF.N. __� <br />FEE WCINERATOR _ � <br />--1 SU� TOTAI 5 I <br />PERMIT S--�T— <br />� TOTAIPEE 5 _ I <br />THIS PERMIT DECOMES NULL AN� VOID IF INORK OF CONSTRUC� <br />TION AUTHORI7_ED IS NOT COMMENCED WITHIN 120 DAVS, OF IF <br />—� CONSTFUCTION OF WORh IS SUSPENDED OR ABAN�UNED FOfl A <br />�-- PERIOD OF 120 DAVS AT ANY TINE AFTEI� WORK IS CCMMENC[D. <br />—+_ I HEFFAY CEPTIFV THAT 1 HAVE READ AND EXAMINED THIS AF- <br />PLICATION f�ND KNOW THE SAME TO BE TRUE AND COflRECT. ALL <br />PfiOVI510N5 OF LnV:S AND ORUINANCES GDVERNING THIS TYPE <br />_� OF VJORK WILL �G COMPI.IED WITH WHETHER SPGCIFIED HEREIN <br />OR NOT, THE GFANTING OF A PERMIT OOES NOT PRESUME TO <br />—�— GIVE AUTHOflITY TO VIOLATE OR CANCE� THE PROVISIONS OF <br />ANV OTHE(i STATL OR I.OGAL LAW PEGULATING CONSTRUCTION <br />�_ OR THE PEFFORMl�NCE OF CONSTflUCTION. <br />-- i: f?/',T'! <br />-� <br />i <br />SIGNATUREOFCONTRACTOROf1AVTH.AGENT DATE <br />iARYARDSCTOACK PLAN CHECK NUM�ER PLAN CHECh FEC <br />' FEE fiECEIPT NO. <br />4CANT SITE <br />❑vE5 ❑No FEES VALUATION FEE <br />I.UF DWEI.LING I <br />VITS <br />r . ::1. `.i !•'J � •,t'.J <br />laX.00Q LOAD 6UILDING $ � I <br />I <br />PWM�ING � <br />FESPPIhKLERS � <br />�(]UIqE� � <br />❑YES ❑NO MECHANICAL <br />I <br />OTHEfi T_ <br />— PENeLTV SEC.30�1a1 � <br />— ., � � <br />�OTAL � <br />PERMIT VALIDATION <br />WH[N PR�.PGRLV VALI�ATED IIN iNISSPACEI THIS 151'OUR PERMR <br />� <br />