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tln� Evergreen <br />CITY OF <br />everett <br />UTY IIFII )5988B5 <br />EVEflEii, WASIIV:GtON <br />98Ia1 <br />OECI.Of COMANNItY <br />o[vE�orM[rv� <br />WNEN <br />r.,f =`��'.�.. <br />BUILDING <br />a <br />❑DUILDING �pLUM81NG �MECHANICAL <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />SS ZIF <br />�MlN�V <br />� `�' J_�� <br />t�. .Ms:'m nrr :i�00�i, � �R <br />PLUMBING <br />PHO <br />�y{� ����Yw.� <br />�/'Jli+•i 4�r <br />❑NEW ❑ADOITION ❑qLTERATION ❑REPAIR <br />ALUATION OF WORK <br />g ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMN.ING POOL <br />ESCRIBE WORK <br />�6 *�sutA�t G'a.:q,rt 1'�5.,* .�3� �'nR"e`nttapai as� liC+ 95Sb ..n9��ca UY� <br />ioPoseo use <br />,3LA�(� "t {py�� MECHANICAL <br />. : , . <br />■w:�':;:-:iK'�FL� jilt.� <br />JOB <br />PLUMBING <br />YAR <br />SPECIAL CONDITIONS: <br />ET <br />av: <br />� `'?Qt o?.' <br />SET� <br />❑YES ❑NO <br />i �{ <br />��ernicERATION UNIT: <br />BOILERS—H.P. EA. <br />GAS FIRED A.C. UNITS- <br />FORCED AIRSYSTEMS- <br />WALL HEATERS—B.T.U. <br />UNIT HEq7ERS—B.T.U. <br />EVAPORATIVECOOLEP <br />C�OTHESDRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING I:NIT— <br />H.P. EA. <br />)NNAGE EA. <br />T.U. M EA. <br />M <br />M <br />C.F.M. <br />everett <br />� 5 ��1�. <br />z <br />H <br />� <br />� <br />W <br />a <br />1925 <br />0 <br />TOTAL FEE SI I <br />Tli1S PERMIT BECOMES NVLL ANO VOID IF WORK OR CONSTRUC� <br />TIOW AUTHORIZEO IS NOT COMMENCED WITHIIJ 120 �AyS, OR IF <br />CONSTRUCTION OR WORK IS SUSPEN�ED OR AgqNOONED FOR A <br />PERIOD OF 120 DAVS AT ANV TIME I�FTEF WOFK IS COMMENCED. <br />I HEREDY CERTIF-V TNAT I HAVE FEAO ANO E%AMINE� THIS AP- <br />PLICATION ANO KNOW THE SAM11E TO BE TRVE AND CORRECT. ALL <br />PROVISIONS OF Ll�WS AN� ORDINANCES GOVEftNING THIS TYPE <br />OF WORK WIL� pE COMPLIED WITH WHETFIER SPECIFIED NEREIN <br />OR NOT, THE GHANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANV OTHER STAT[ Oq LOCAL LAW REGULl1TING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />�itsrvHl URE OF CONT. <br />LAN CHECK NUM6@R <br />FEE <br />FEES <br />21R•Tj <br />.AGENT DATE <br />PIAN GHECK FEE <br />RECEIPT NO. <br />�ION FEE <br />OAD BVILDING 5 .`�J :•�$(I <br />I <br />PLUMBIt�G � <br />LERS <br />I <br />❑NO MECHAPJICAL � <br />I <br />1 <br />OTHER � <br />I <br />PENELTV SEC.3031a) � <br />I <br />TOTAL � - I <br />��4'C1 <br />PERMIT VALIDATION <br />WHEN PRpPERLY VALIDATE� (IN TI115 SPACE) THIS IS VOUR PERMIT <br />