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the fveiyraen <br />CITy OF <br />everett <br />citt�wu xsrea.,s <br />NENEIT, YiAS��iHf.�A <br />,eroi <br />OfVL 0� C0��1Mp"IIiY <br />OF.VELOPMEIii <br />BUILDING <br />3��t CL � <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />PLUMBING <br />PNC <br />2�� <br />,,, :,°' 27� �r•7:x'!7 <br />.�'t'�:: t';S4'_'3"`! �."'i:,,:. �'. U. . . <br />C�iAiVICAL CONTRACTOR �d�1�L ADDRESS PHONE LICENLE NC <br />UMBING C�OyNTFACTOR MAIL A�ORE55 PHONE LICENSE NC <br />'��.�'.-�%RyJ:Aa Y i�r� <br />RPo71T CLASS OF WORK <br />'I6UILDIPIG LfPLUM�ING ❑MECHANICAL ,�NEW ❑ADOITION ❑ALTERATICN ❑REPAIR <br />�LUA F,W K <br />��, .0 ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />LOT — <br />� <br />JOB ADCRE; <br />PLUMBING <br />U <br />,:, . .r.. ,..,,..,,,,. <br />���' . _ �. <br />IIPTION OF PROPERTYr 15HOlY F3ELOW OR ATTACH <br />� � . .�i"�',.� � .}Y <br />f <br />pLOCK—OF <br />� O$' ",dL � �i.'3 �1 �'Si C t�£bG`.kiti i'iC <br />� Gri� �.�..� <br />� �� 1�� �.�i',��'sYJtc ..i.•• <br />.4Y <br />SPGCIAL CONOITIONS: <br />�E� ❑NO <br />MECHANICAL <br />OF �UEL �OIL UNP <br />GP <br />TVPE OF E�UIPI <br />AIR COND. UNITS—H.P. EF. <br />REFFIGEft/�TION UNITS-F <br />DOILERS-H.P.EA. <br />GAS FIRED A.C. UNITS-TONNAGE EA. <br />FOFCE� AIR SVSTEMS-O.T.U. �N EA. <br />WALL HEATEFS-O.T.U. •N <br />UNIT HEATERS-�.T.U. M <br />EVAPORATIVECOOLEFS <br />CLOTHESDRVEflS <br />VENTILATIONFAN <br />RANGEHOOD <br />AIF HAN�LING UNIT- C.F.M. <br />INCINERATOF <br />everett <br />�.� <br />� �iVC"j� <br />i� <br />z <br />i" <br />� <br />� <br />W <br />d <br />1174 <br />_�_ SUBTOTAL 5 I . <br />PE(iMIT 5 <br />TOTl�L FEE $ I <br />THIS PERMIT �ECOMES NUIL AND VOID IF WOliK OR CONSTRUC- <br />TION AUTHOq12ED IS NOT COAIMENCEO WITHIN 120 DAYS, OR IF <br />CONSTRUCTION Oa WORK IS SUSPENDED OR AB/�NDONLD FOR A <br />P[RIOD OF 120 DAVS M ANY TIM11E AFTER WORK IS COMM19ENCED. <br />I HEREB� CERTIFV THAT I HAVE READ ANO EXlIMINEO THIS AP� <br />PI.ICATIGN AND KNOIN THE SAME TO DE TRUE AND CO(if1ECT. ALL <br />PRO'JISIONS OF LAWti ANO ORDINANCES GOVERNING THIS TVPE <br />OF WORK WILI. BE COMPLIED WITH WHETHEfi SPECIFIED IIERE!N <br />OR NOT. THE GRANTING OF A PFRM1IIT DOES NO'f PRESUME TO <br />GIVE AVTHORITY TO VIOLATE OR CANCEL THE f ROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR TNE PERFORMANCE OF COP:STIiUCTION. <br />�f7t/ l'� <br />X <br />StGNATUREOFCONTRACTOROFFVTH.AGENT �ATE <br />PLANCHECKNUM�EF � PLqANCHECKFEE <br />'�/y'�Ya' FEE �ii3��V RECE�ItPT NO. <br />.L {i � <br />FEES VALUATION FEE <br />DCC. LOAD E3UILDING 5 '�'��"� "� �"rl � <br />� <br />PLUMBING � <br />'PRINKLERS � <br />IPE� $ MKHA�:ICAL I <br />ES ❑NO <br />I <br />OTHEF � <br />PENELTV SEC.3031a1 � <br />TOTAL �;�� <br />PERMIT VALIDATION <br />WHEN PqOPERL\' V ALIDATED (IN THIS dPACF) THIS IS YOUF PEFMIT <br />�,. .ti. I �. c. � L•4 a./z. co <br />