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the G ver9�een <br />CITY OF <br />�V�I'ett <br />urr �wu is�eses <br />R'EliEii, PIRSIIIpGi0t1 <br />9Pt01 <br />°"`°"°"'"'°"°r BUILDING <br />o[vriovrn[Nr <br />VER � <br />`�Yf?:'C�`Li: ''^G'�7Y'�Z.? �.�s1.a;115!3 <br />�?:+�%� �n..�� r"�i GSI.l ���]T: <br />iANICALCONTRACTOR MAIL <br />� BVILDING � PLUMBING ❑ MECHANICAL <br />JALUATION OF WORK <br />v�'�,: y <br />�tunL I�tSCFIPTION OF P <br />FDV R COPIE5) <br />LOT 9LOCK _ <br />JOBADOqESS <br />�► <br />Jil�. ..��„4� 4:t� <br />F'!_UMBING <br />L <br />YARD <br />SPEC�AL CONDITIONS: <br />�EL <br />R <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />55 <br />� �. 7��e..�vw,v.�..,. /F <br />r:.'o7':�. <br />PLUMBING <br />L <br />❑NEW ❑AD�ITION ❑A�TERATION ❑REPAIR <br />❑DEIv10LIS11 ❑FENCE ❑SIGN ❑SWIMMING POOL <br />ACH <br />MECHANICAL <br />AIR COND. UNITS-H.P. EA. <br />REFRIGERATION UNITS-H.P. EA. <br />OOILERS-H.P. EA. <br />GAS FIqED A.C. UNITS-TONNAGE El <br />"OHCED AIR SVSTEMS-O.T.U. M EA. <br />WALL HEATERS-�.T.U. M11 <br />UNIT MEATERS-e.T.U. M <br />EVAPOPATIVECOOLEFS <br />CLOTHES ORYERS <br />VENTILATION FAN <br />ftANGE F'000 <br />AIR HANDLING UNIT- C.F.M. <br />INCINERATOR <br />S <br />everett <br />i���' Ilt <br />SUB TOTAL 5 j <br />PERMIT S <br />TOTAL FEE S � <br />THIS PERMIT �ECOMES (�ULL ANC) VOI� IF WORK OF CONSTRUC <br />TION AUTHORIZED IS NOT COMRIENCED WIThIN 120 UAYS, OR IF <br />COfJSTftUCiION OR WORK IS SJSPENDED OF ABANDONED FOR A <br />PEP'.O� OF 120 DAYS M ANY 7�ME AFTEH WORK IS COMMENCED. <br />I MEREBY CERTIFY THAT I HAVE READ AND EXANINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AFO CORRECT. A�� <br />PROVISIONS OF LAWS AND OFOINANCES GOVERNING THIS 7YPE <br />OP WOFiK WILI BE COMPLIED WITH WHETHER SPECIPIED HEREIN <br />OR NOT, THE GRANTING OF q PEftA11T OOES NOT PRESUME TO <br />GIVF AUTHORITV TO VIOLATE OR Cl1NCEL THE PqOVI510NS OF <br />ANV pTHER STATE OR LOCAL LAW REGULATING CONSTRUCTIOM <br />�R THE PEFiFORMC.NCE OF CONSTRUCTION. <br />X <br />DSET6ACK PL <br />❑1'ES ❑NO <br />nturGVrviH/�CTUHOFAUTH.AGENT DATE <br />CK NUMBER PLANCHECKF[E <br />FEE RECEIPT NO. <br />FEES VALUATION FEE <br />I <br />OCC. LOAO BUILDING 5�*�.�y�W '�jl� <br />—_y__ <br />PLUMBINV � <br />tPRINKIERS � <br />IRED <br />ES ❑NO MECHAPIICAL � <br />I <br />OTHER I <br />I <br />PENELTV SEC. 703 (al � <br />TOTA L .r � � <br />C] <br />PERMIT VALIDA; ION <br />WHEN PROPERLY VALIOATEO (IN THIS SPACE) THIS IS VOUR FEPMIT <br />ov. <br />�3 <br />