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U�e Eve�grcen <br />CITY OF <br />everett <br />LILY Il�ll i599flfl5 <br />CV[llCii,lyFSNlryfiTON <br />9ni01 <br />OCP1. OF COLI!AIINItY <br />o[vciuvn�cnr <br />�NER <br />.�t p�....yrr.� � <br />.Y <br />CH�TECT OR DESIGNE <br />NERALCONTRACTOR <br />J�"L� <br />BUILDING <br />�y MY♦. <br />. . -1.:� . :1 �a �i <br />AIL <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />K <br />E <br />PLUMBING <br />PHOfJE <br />3-ta-CiT67 <br />� HUILDING � PLUMBING � MECHANICAL <br />❑NEW ❑qDDITION ❑ALTERATION �REPAIR <br />/ALUATION yOF�Ny'ORK <br />S Syy0.� ❑OEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />)E �CRIBE WOqK <br />;-r.Yri)- �r�:''.r^}� '?E''.:Jk.�, ".'�' I�:r Af�f' P!!'.�,j� <br />'ROPOSED USE <br />MECHANICAL <br />� vcai.niri iUN UF PqOPERTV �SHOW �E <br />FOUR�!C�OPIESI ��� � <br />LOT�JLBLOCK�OF �__.L• ��.._�'r <br />JOB ADDRESS <br />e�C�� �-.,..,4.��'�S 17� <br />77 <br />PLUM3ING <br />SETBACK <br />SPECIAL CONDITIONS: <br />HIR COND. UNITS–H.P. EA. <br />FEFryIGERATION UNITS–H.P. <br />BOILERS–H.P.EA. <br />GAS FIRED ��.C. UNITS–TONN <br />FORCEO AIR SVSTEMS–B.T.U. <br />WALL HEATEqS–B.T.U. <br />UfJ1T HEATERS–B.T.U. <br />EVAPORATIVECCOLERS <br />CLOTHES DfiYERS <br />VEIJTILATIGN FAIV <br />Fl�NGE HO00 <br />AIR HANDLING UNIT– <br />INCINERATOR <br />everett <br />= �� <br />1863 <br />5 I <br />n <br />_L SUBTOTAL 5� � <br />__ PERMIT SI —�— <br />TOi:.L FEE 5 ' <br />I <br />THIS PERMIT BECOMES NULL AND VO�D IF WORK OR CONSTRUG <br />TION AUTHORIZEO IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOF A <br />PERIOD OF 120 DAVS AT ANV TIME AFTER WORK IS COMMENCED. <br />� HEREBV CERTIfY THAT I HAVE READ AND EXAtdWED l'HIS AP- <br />HLICATION ANO KNOW THE SAME TO 8E TRUE AND CORRECT. ALL <br />PROVISIONS OF LP.WS ANO OR�INANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIE� WITH WHETHER SPEGFIED HEPEIN <br />OR NOT, THE GRANTING OF 11 PERMIT DOES NOT PRESUME TO <br />GIVE AUTIiDRITY TO VIOLATE OR CANCEL THE PqOVIS10N5 OF <br />ANV OTHER STATE OR LOCl�L LlIW pEGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTIO^!. <br />x <br />SIGNATU <br />❑YES �]NO <br />Efl <br />PLAN CHECK FEE <br />FEE RF.CEIPT 1J0. <br />VALUATION �EE <br />MAn.00C. IOAU BUILDING 5 �� /4} j�yy <br />Y'— <br />PLUMBING I <br />FIRESPRINIILC-RS � <br />RE�UIRED � <br />❑VES ❑NO MECHAHICAL � <br />OTHER � <br />'"_ � <br />PENELTY SEC.303�N I <br />TOTAL e��� . <br />PERMI7 VAI.IDATION <br />WHEN PROPERLY VALIDATED IIN THISSPACE) THI515 YOUR PEFiM1T <br />� <br />