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the Evergreen <br />CITV Of CONSTR UCTION <br />ev�r�tt PERMIT <br />b1Y �bAl� )599885 <br />EVCHEii, IYASIII4GION <br />9BI01 <br />°`"` °"°"'''°""r BUILDING MECH,4NICAL PLUMBING <br />u[veioP�cxt <br />OWNER MAILADDRESS Z�p pryp <br />;'tir',T1@'E!. L1�3�'� ;�T7�..II,;� z'; 1:AGe't G!'�Ei PiWS!�para :�4i `J�"�;i <br />i�.l�'.LWYW 1�1yL;y ..�a <br />❑ DUILDING � PLUMBWG �MECHANICAL <br />ROPERT <br />LOT <br />6LOCK <br />JOB ADDRE: <br />F'LUMBING <br />VARI <br />AF <br />SPECIAL CONOITIONS: <br />rnu'w�`c-+-j� LICENSE NO. <br />� � �� � <br />L ADDHE55 PHONE LICENSE NO. <br />ASS OF WORK <br />❑NEW ❑AODITION �'ALTERATION ❑REPAIR <br />❑�EMOLISN ❑FENCE ❑SIGN ❑SWIM11MING POOL <br />OR ATTACH <br />MECHANICAL <br />AIR COND. UNITS-H.P. EA. <br />REFflIGERl�T10N UNITS-H.P. EA. <br />[301LER5-H.P. E/�. <br />GAS FIRED A.C. UNITS -TONNAGE EF <br />fOpCLD AIR SVSTEMS-6.T.U. M EA. <br />WALL HEATEflS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />EVAPORATIVECOOLEFS <br />CLOTHESDRVERS n <br />VFNTILATIONF.qN �F� <br />RANGEHOOD <br />AiR HANDLING UNIT- QF.M. <br />INCINEFiATOR <br />S <br />everett <br />:�%�-7G <br />� SUB TOTAL 5 LJ�. �Wq�--- <br />PERh11T 5 v,�y <br />TOTALFLE 5 �� <br />THIS PEFMIT BECOMES NULL AND VOID IF WOFK OR CONSTRUC- <br />TiON AUTHORIZED IS NOT COM1IMENCED WITHIN 120 OAVS, OR IF <br />CONSTRUCTION OR WORI: IS SUSPENOED OR ABANOONED FOR A <br />PERIOO OF 120 OAVS AT ANV TIME AFTEfl WORK IS COMMENCEO. <br />I FIERE�Y CERTIFV THAT I HAVE qEAD AND E%AMINED THIS AP� <br />PLICATION AN� KNOW THE SAME'f0 BE TFUE AND CORRECT. ALL <br />PROVISIONS OF �qWS AND ORDINNNCES GOVERNING THIS TVPE <br />OF WORK WILL UE COMPLIE� WITH WHETHER SPECIFIED HEfiEIN <br />OH NOT, TNE GRl11.TING OF A PEFMIT DOES NOT PqESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANV OTHER STATE OR LOCAL LAW FEGULATING CONS"fRVCTION <br />OF TIIE PERFOHMAACE GF CONSTFUCTION. <br />x <br />SIGNATUREOFCONT <br />YAFOSETDACK PLANCHECK NVMBER <br />❑VES ❑NO <br />7AO �UILD�NG <br />PLUMBING <br />�EflS <br />❑NO MECHAfJICAI <br />OTHER <br />PENELIV <br />TOTAL <br />PERMIT VALI <br />W IiEN PROPE <br />r���• <br />n <br />��� <br />)RORAVTH.AGENT DATE <br />PLAN CHECY. FEE <br />FEE RECEIPT NO. <br />VALUATION FEE <br />$ <br />SEC. 303 la) <br />RLV VAUD.4TFO UN iHIS SPI�CEI THIS IS VOUR PERAIIT <br />