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the Evergrcen <br />CITY OF <br />everett <br />LIiY HnLI 1598B85 <br />FVEflETi, WASNINGTON <br />9B101 <br />OEPL Of COMMUNIiY <br />OCVElOVMENT <br />BUILDING <br />� <br />CONSTHUCTION <br />PEI�MIT <br />MECFIANICAL <br />ILA <br />PLUMBING <br />��+�P_HyO♦N�E <br />G�JG��,�i.i <br />}� BUILDING � PLUMBING � MECHANICAL <br />❑NEW ❑ADCITION ❑ALTERATIpN �EPAIq <br />VAIUATION OF WORK <br />5 �� ❑�EPApLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />�ESCRIBE WORK <br />ttj7,�n�-i:ia(!% ..�'r�m�: !�slt}.. <br />PROPOSED USE <br />MECHANICAL <br />LEGAL DESCFIPTION OF PROPERTY (SHOW BELOW OF ATTA�_li TVPE OF FUEL �OIL �GAnT. �LPG. � <br />FOUfl COPI E51 <br />Lo7 BLOCK—oF NO. TVPE OF E�UIPMENT <br />AIR CONO. UNITS-N.P. EA. $ <br />JOB ADDRE: <br />PLUMBING <br />2Q�a :�;�''. d�l, <br />AL <br />SPECIAL CONDITIONS: <br />BOILERS-H.P. <br />GAS FIREO A.f <br />FORCED AIR S <br />WALLHEATEF <br />UNIT HEATERI <br />EVAPORATIVE <br />CLOTHES DflV <br />VENTILATION <br />RANGENOOD <br />Alft HANDLINI <br />INCINERATOR <br />T.U. M EA. <br />M <br />0.F.M. <br />everett <br />` �� <br />� <br />W <br />m <br />� <br />� <br />Z <br />F <br />� <br />� <br />W <br />a <br />2101 <br />TOTAL FEE 5� � <br />THIS PERMIT BECOMES MULL AND VOID IF WORK OR CONSTRUC- <br />TION AUTHORIZE� IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br />CONSTRUCTION OR WORK IS SUSPEIJOED OR ABANDONED FOfl A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBV CERTIFV THAT 1 HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL <br />PfiOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEO HEFEIN <br />OR NOT, THE GFANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE i'ROVISIONS OF <br />ANV OTIIER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUftEOFGONTRACTOFORAUTH.AGENT DATE <br />REARYARDSETBACKPLGNCHECKNUMBER PLANCHECKFEE <br />FEE RECEIPT NO. <br />VACANT SITE <br />❑vEs ❑No FEES VALUATION FEE <br />NO.OF DWELLING <br />UNITS 1 <br />MAX.000.LOAD BUILDING S ��% y��� <br />PLUM�ING � <br />FIRESPRINKLERS I <br />flEOUIRED I <br />❑VES ❑NO MECHAflICAL � <br />OTNER � <br />I <br />PENELTY SEC. 303 (a) I <br />TOTAL �1 j � <br />PERMIT VALIDATION <br />WHEN Pf10PERLV VAI.IDATED (IN THIS SPACE) THIS IS VOUR PERMIT <br />� <br />