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q <br />�.� �—� ---_ -__. ..__ _ ._ . .. .,_ . <br />_ TT--� <br />u roctr reeu • i..e.n <br />, . . , . , ..,. . i. <br />_ ._--ff�, f�,�� ----------�-�-- -� CONSTRUCTION � cvcrett <br />"'"°' � PERMIT <br />everett <br />CITV IIAlL76Y��7�0 . gVILDING • MECHANICAL • PLUMBING <br />EVEqFTT. WA uua� COhdBINATION '' <br />'E RMIT <br />❑ COMBINATI��N <br />❑ DUIIDING [� PLUMBING � MECHANICAL <br />r <br />❑NEW ❑AnDIT10N ❑ALTEHATION ❑AEPAIH <br />DEMOLISH ❑FENCE ❑SICN ❑SWIMMING POOI <br />6 �'LPM;N- <br />MECHANICAL • <br />LEGAL DESCRIPTIJ': OF PROPCRTY �$HOW 9ELOW OR ATTACM TV PE OF ENERGV <br />FOUR COPIE51 ��-/ f <br />1.0T� Bi�CY OF_( ��e S/-�J{�:� ifT (� 1� <br />�.nT , 5,� 13eJ. H; Ll".5 .�; �, IJ�. 3 AS <br />JOP ADDRESS <br />6'yiti �'��,, ;.,� <br />PLUMDING � <br />NO. TVPE CF F1�, <br />t7l.TEF SEf1VICE S12E BLOG. SUPPLY $IZE <br />SIUEYAHDSETLLACK STNGLTSE70ACK REANVAHUSETUACM <br />:.�'lC!AL CONUITWNS: <br />❑YES ❑NO <br />❑GAS UELEC. <br />TYPE OF EOUtP�1EN7 <br />AIR CUND. UNITS-N.P. EA. S <br />PEFf31GEfiAT10N VNITS-H.P. EA. <br />ooiiens=�� v. en. <br />FpRCED AIH SVSTEMS-B.T.U. MEA. <br />SPACE b WALL NEATENS - B.T.U. <br />VNIT 11E/�TERS-If.T.V. <br />EVAPORATIVECOOLERS <br />CLOTHES DRVERS <br />• RANGEHDOU I <br />AIN nANI)UNG UNIT- 0.F.M. <br />I <br />Y:nT[H IIEATER <br />lAC. f1Ul1.T FIREPLnCE A CHIMNEY � <br />GAS. SY$TEh1: NO OP OU fLETS <br />_" i <br />SVOTOTAL S � I <br />PFRMIT f <br />7UTnLFEE S I j <br />7H15 PERMIT AECOMES NVIL AND VOIO IF WURK UR CONiTRUC• <br />710N AUTIIOH�ZEO IS NOT COMtA[NCF.O Y/IT111N 120 OAVS, OR If <br />CONSTIiVCTION Otl WOfiK li SV :NENDEO OR AOANUONED FOR A <br />PEAIOD OF 1]0 UAVS AT AfJY TIME AFTEF WORK IS CGMMENCED. <br />1 HEHhBY CERTIFY THAT I 11nVE READ A�JD E%AMINED THIS A�• <br />PUCRTIU'� nND KNOW TH@ SnMF TO UF TRUE :.ND f.URRECT. ALl <br />PROVItilO���. Uf L/�WS AND Of!DINANCE$ GOVERNING THIS TYPE <br />OF WONK vJILI_ OE CUh1PLIE0 WI711 wHET11En SPECiFiEO MEREIN <br />OR IhOi, TME GRANT�NG OF A PERAIIT DOEi NOT PR[SUME TO <br />GIV[ AUTIIOfiITV TO VIULAfE O!� CANCEI. THE PROVISION$ OF I <br />' U111ER .TATE OA LOC�L �AW HEGVLATING CONSTRUCTION � <br />. � ��E P[RFOfiMANCE OF CONSTRUCTION. � <br />( �/'� �/-�i�EJ� <br />Uf1E UP CONTllACTO� U <br />1N CHCCK NVMIIEfi <br />FEE <br />FEES <br />PLAN CNLCK FEE <br />� RECEIPT NO. <br />MA%.OGC. LOAO BUIIDING S � I <br />VLUMBING � I <br />iillF SPNINKL HS �__ <br />RLOUIHtD �� <br />❑YCS ❑NO MECl/ANICAI. , I I <br />i <br />on�rn � <br />� <br />PCNAl1Y Sf C. ]O7 b) � <br />"'_" " I <br />TOTAL I <br />1'FHMIT VALInATIl7N <br />WIIINI'itql•I.III.YVALIbATCD11NT1115GPACE17111SISY0UR�CflMIf �! <br />I <br />1 . <br />