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'� :� <br />Uie Evergrnen CONSTR UCTION <br />CITV OF �'"��� �:i�,� � --_ <br />everett PERMIT ` <br />CITV HALL259g)45 <br />eveReTT,wa �azo� COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />OWNER <br />601 S. Broadway_ _ _ <br />--nnni� nnoness <br />MAIL ADDFESS � <br />MAIL ADDRESS <br />98204 <br />Pi�orat <br />N <br />�CE <br />NO <br />------' CLFSSOf WORK <br />❑COMBINATION <br />❑ DUILDING �P�UMBING � MECHANICAL <br />❑NEW ❑l1DDITION ❑A,LTEHATION ❑PEPAIR <br />/ALUATION OF WORK -� -- <br />g ❑DEMOLISH ❑FENCE ❑SIGI� ❑SWIMMING PppL <br />)ESCRI6E WORK - -----� — <br />FOUR COPIESI �""1° vr rnt�rtM' Y ISHOW F3E <br />LOT BLOCK_OF <br />J06 ADDRE55 <br />fi01 RYnaAwav <br />PLUMBING <br />NO. TVPE OF FIXTURE oR ITFM <br />everett <br />L�i <br />f'J <br />r. <br />MECHANICAL <br />H TVPE OF ENERGV <br />❑�'AS ❑ELEC. <br />N0. TVPE OF EDUIPMENT FEE <br />AIR COND. VNITS- H.R EA. 5 I <br />flEFRIGERATION UNITS� H.P. EA. -��— <br />— �OILERS H.P. EA. � <br />I <br />FORCED AIF SVSTEMS-B.T.U. MEA. �-�-1�- <br />l— <br />-- I <br />SPACE & WqLL HEATERS -- A.1.V. <br />i <br />VNIT HE11TER5 �.T.V. � <br />EvnroanTivEcoo�Eas —�— <br />CLOTHES DfiVERS � <br />I <br />VENTILATION FAN —T <br />_ Rl�NGE MOO� � <br />NR HANCLING UNIT C.F.M. <br />-- __ _ -_ � <br />WATER HEATER <br />— __ FAC. BUILT PIREPLACE & CHIMNEV � <br />GAS SVSTEM:.NO OP OUTlETS}_ QD— <br />_1 __ _ SU6TOTAL 5 � <br />____ _ ___ PERMIT 5 <br />TOTAL FEE 5 � <br />THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC <br />TION AViHORIZE� IS NOT COMMENC[D WITHIN 120 OqyS, OR IP <br />CONSTqUCTION OR WOHK IS SUSPENDED OR l��qN�ONEO FOR A <br />PERIOD OF 120 O11Y5 l�T ANV TIME AFTEF� WORK ISCOMMENCED. <br />I HEREI3V CERTIFV 1HAT I f1AVE REAp AND E%AMINED THIS AP� <br />PLICATION AND KNOW l HE SAME TO �E TRUE AND COf�qECT. qLL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE <br />OF WORK WILL 6E COMPLIED N/1TH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF f� PEFMI ES NOT PR[SUME TO <br />GIV[ AUTHORITV J�qTE On' rTN^E��E PROVISIONS OF <br />11NY OTN[fl STq'1'� OR LOrAL L REGU A NG CONSTFUCTION <br />OR THE PERF045MANfc ndrn <br />` X�TERSERVICESI2E BLDG.SUPPLVSIZE sicnt rNqeoFcor� <br />IEYAR�5ET8ACK STREETSET[3ACK REARVl1RDSET�ACKPLANCHECKNUM6ER <br />SPECIl�L CONOITIONSr <br />n <br />l:ll[(:KI11 <br />❑vEs ❑No <br />FEES <br />PLAN CHECK FEE <br />FEE FECEIPT NO. <br />VALUATION FEE <br />. oCr.. i.OnD RUILDING 5 <br />PLUMBING <br />'.SPRINKLERS <br />UIHED <br />vFS ❑NO MECHANICAL <br />OTHER <br />PENALTV SEC <br />TOTAL <br />PERMIT VALIDATION <br />-- WH[NPqOPER�VVALIpAT[DII <br />plf�5';II/�HI] IIY <br />•_';ti I"���, <br />C <br />I <br />3091a1 I <br />— ' <br />I <br />fSTI�SPACE�iV119'��OR�MIi� � ' � <br />Yalt R�;R'E`CElt�'�;' <br />7t'iR,NK YOU � <br />[ <br />_ S, A° occ�� � <br />