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tlre Evcrgreen ��TRUCTOON � <br />GTV OF , � pERMMT <br />�verett � � <br />cnv HAL�459874!i � . MECHANICAL • PLUMBING <br />EVERETT, W!� �azo, COMBINATION BUILDING <br />1512 South Broadway <br />❑ COhIBINATION <br />❑DUILDINa �LUM6ING ❑MECHl�NICAL <br />VALVATION OF WORK <br />5 <br />DESCRIBE WORK <br />PROPOSE� USE <br />LEGAL DESCR�PTION OF PftOPERTV (SNOYJ BEI <br />FOUR GOPIES) <br />LOT BLOCK _ OF <br />irsY2- South Broadway <br />PLUPABING <br />F F <br />LA <br />1-A <br />L <br />❑NEW [�(�UDITION ❑hLTER�1TIfJN ❑REPAIR <br />❑pf:61OLISH ❑FENCE ❑513A� ❑SW�MMING POOL <br />everett <br />MECHANICAL <br />TVPE OF EM1ERGY <br />❑GAS ❑ELEC. <br />NO. TVPE OF EQUIPMEf�T FEE <br />AIR COND. VNITS-H.P. EA. 3 � <br />REFRIGERATION UNIT$-r1.R F.l�. —�--- <br />__ I <br />�OILERS N.P. EA. � <br />FORCED AIR SVSTEMS-B.T.U. MEA. <br />I <br />SPACE ft W4LL HEATEHS - B.LV. <br />UNIT FIEATERS-�R.T.U. � <br />EVl�PORAI'I V E COOIE RS <br />CLOTHESDRVERS � <br />_— '—.i— <br />VENTILAiION FAN <br />Rl�NGE Y000 � <br />NR HnNULING UNIT- C.F.M. i <br />I <br />WATEfl HEATER � <br />� FAC. GUILT FIfiEPLACE & CHIMNEV I <br />GAS- SVSTEM: NO GP OUTLETS �— <br />__ _-_ I <br />SU6 TOTI�I 5 I <br />!'ERMIT 5 _ <br />TOTALFEE 5 I <br />THIS PEFMI'� 6ECOMES NVLL AND VOID If WOPK O� CONSTRUC- <br />fION AUTNORI2ED IS NOT COMMENCED WITHIN 120 DI�YS, OR IF <br />CONSTftUCTION OR WORK IS SUSPENpED OR A(3ANDONED FOR A <br />PERIOD OF 120 Dl�YS AT I�NV TIME AfTEfi WOfiK IS COMMENCED. <br />i HEP[!iV CERTIFY THAT I IIAVE RFAD AND EXAMINED T415 M� <br />PLICl�TION nN0 KDIOW THL SAME TO U[ TRUE !WD CORFECT. All. <br />PROVISIONS OF Ll1W5 AND OHDGVANC[S GUVERNING THIS TYPE <br />OF WORK WILI �E COMPLI@D WIifI WN[THER SPECIf1ED HEFEIN <br />OR NOT, THE GRANTING OF A PERMR DO[$ NOT PRF.SVME TO <br />GNF. AUTHORiTV TO VIO'..f�TE OR CANCEL iliE PROVISIONS OF <br />nNV OiHER 5i/1TE OR LCCAI.IAW REGULATINGCONSTPVCTION <br />OR THE P[RPOfiM/�NCE O� C(LNSTIj�JCTaON. <br />�-- TOTAL FEE � X /T�"� <br />TEH SEFVICE SIZE BLDG. SUPPLV SIZE SicNnruae �F oN � <br />�EYARDSET6ACK ,STREETSETBACK FEAfiYl1R�SCTF3ACKPLl1NCHHCKNUMf3ER <br />SPECIAL CONDITIONS'. <br />xv <br />ur. <br />❑VES ❑NO <br />].OF DWFLLING <br />JITS <br />IR�R�TH.AGENT OATS <br />Pl.AN CHECK FEE��— <br />FEE f1ECE1PT NO. <br />VALUATIOI� FEE <br />OCQ LOAD �UIIOING 5 <br />PLV.'d�ING <br />�PRINKLERS � <br />IRE� <br />ES ❑NO MECHANICII <br />OTNEft <br />PENALTV SEC.8071n) <br />TOTAL <br />� � PEaMIT VALIDATION 48 <br />--: WHI:N FROPERI Y VALID�ITE� 11 TIIIS� <br />uinum <br />� _ I I: � <br />/.C�i�iitSS rll_i= . � <br />• �1 <br />�C}t1R .RECESP'f�� <br />i 't�iA�!K YUU � <br />� N <br />� ' , � <br />; � q ��.11 <br />