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� tAc Everyreen <br />I CITVOF CONSTRUCTiON <br />everett PERMIT <br />nrrunu u�eaes <br />�veaeTi.rms�nrvcrnr� <br />9BI01 <br />°F��°°�°'°��°�°�r BUILDING MECHANICAL <br />oEu�iovM[xr <br />NER MAIL ADDFESS <br />U3Sf�]5.�� Ci1BiA:�7 :Q:".:t�:;�, I::t:. i.n. i30;i :.��7 <br />CHITECT Ofi DESIGNER MAIL ADDRE55 <br />I�t;pre_sio;: Uesi�n 2229 Jac}zsou, <br />NERAL CONTRACTOR MAIL AD�RESS <br />uel-^'.t3 34 .)Cf:1($i <br />PLUMBING <br />Z�p PHC <br />2�7l3ij ]J!\"'� <br />PHONE IICi <br />3fi:�-3Z'JU <br />everett <br />i :�3-77 <br />��SiUILDING �J'PLUMBING []MECHANICAL �NEW ❑ADDITION ❑ALTERATION ❑FEPAIR <br />VALUATION OF WORK <br />LOT <br />3!1��)!(���a ❑DEMOIISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />"rece sin;Ic fa:.,iiy rettf:tencc <br />E � 9 MECHANICAL <br />N�n71� Fa^»ily k^.s.i�enea <br />TVPEOFFUEL ��JIL �GAS. ❑�PG. <br />�CRIPTION OF PROPERTY ISHOW BELOW Oft ATTAGH <br />E51 �,J I+dLliQl �[:S�Qi1L$ NO. TYPEOFEQUIPMENT _ <br />— BLOCK_OF q;R COND. UNITS—H.P. EA. <br />REFRIGERATION UNITS—H.P. FA. <br />. [301LEflS-H.P. @A. <br />JOB AODRE55 <br />5.ryi.l% 7..�.;^_2.? 1i914 <br />PLUMBING <br />A <br />FOFCEO Alfl SVSTEMS-B. <br />WALL HEATERS-B.T.U. <br />UNIT YEATERS-�.T.U. <br />G\/PPORATNE COOLERS <br />CLOTHESDRYEftS <br />VENTILATION FAN <br />RANGEHOOO <br />�11R HANDLING UNIT- <br />INCWEFATOFl <br />� <br />W <br />m <br />� <br />7 <br />Z <br />F <br />� <br />� <br />W <br />a <br />27�6 <br />SU6TOTAL 5 I f1 <br />PEFMIT 5 .� <br />TOTAL FEE 5 `� � � <br />THIS PEFMIT BECOMES NULL AND VOID IF WORK OR CONSTPUC- <br />TION AUTHORIZED IS NOT COMM1IENCE� WITHIN 720 DAYS, OR IF <br />CONSTRUCTION OR WOFK IS SUSPENDED OF ABAN�ONEO FOF A <br />PEFiIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCE�. <br />I HEftEB�' CERTIFV THAT I HAVE READ A��O E%AMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO OE TRUE AND COFRECT. ALL <br />PRJVISIONS OF LAWS AN� OROINANCES GOVERNING THIS TVPE <br />OF WORK WILL 6E COMPLIED WITH WHETHEF SPECIFIEO HEREIN <br />OR NOT, THE GRANTING OF A PEftM1T DOES NOT PRESUME TO <br />GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW FEGULAI'ING CONSTRUCTION <br />OR THE PEFiFOFMANCE OF CONSTRUCTION. <br />I.lTAL1FEE S � �Ol1��J7 <br />x <br />SIGNATUREOFCONTRACTORORAUTH.PGENT DATE <br />vARD::ET�ACK STREETSETBAG" REARYA;n�ETBACKPLANCHECKNUM6ER PLANCHECKFFE N <br />{�y' .ZQ 7%/-='�3 FEE %���� flEf���.�+y <br />!ONE LOT AFEA VACANT SITE <br />❑YES ❑No FEES VALUATION FEE <br />SPECIAL CONDITIONS: <br />.�• <br />❑NO <br />BUILDING S �'���-''�v�w`� " I �v <br />C <br />PIVMBING � <br />V <br />MECHANICAL � <br />I <br />OTHEF � <br />T <br />PENELTY SEC.3071a) � <br />— ,y w <br />TOTAL � <br />PERMIT VALIDATION <br />WHEN PROPEflLY VALIDATEO (IN TIiI55PACE1 THIS IS YOUR PERMIT <br />a <br />0 <br />