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the Evergreen <br />CITY OP <br />everett <br />CIiY �latl :598A8� <br />EVENEl1, WnSNIryLif1N <br />98101 <br />ntrr. m cocm�.uynr <br />OEVEIOFM[Ni <br />W�yNE�R �y �y�� <br />�/Y1Li L W +�a/f� <br />.�.: ♦e s. •.:: a. <br />. � <br />■ <br />1 �'1 ii: <br />�,� � <br />'ERMIT <br />� <br />CONSTFtUCTION <br />PERMIT <br />MECHANICAL <br />PLUMBING <br />L <br />E <br />❑OVILDING PLUMBING �MECNANICAL �NEW ❑A�DITION ❑ALTEFATION ❑REPAIR <br />JALUATION OF WORK <br />❑DEMOLISH ❑F[NCE ❑SIGN ❑SK'IMMING POOL <br />5 <br />]ESCRIBE WOFK <br />�u�. � � o�+� Q, �� �z.� <br />�aoroseo use MECHANICAL <br />LOT 6LOCK— <br />JOBADDRE55(� �-` <br />■� :�iW� <br />PLUM6ING <br />Ail�IA <br />LOTHES W! <br />ATER HEA <br />SPECIALCONOITIONS: <br />HOW BELUW OR ATTACH <br />REARYARDSET6� <br />VACANTSITE <br />❑VES ❑NO <br />NO.OF OWELLING <br />UNITS <br />TVPE Of EaU1PMENT <br />AIR COND. UNI'fS--H.P. EA. <br />fiEFRIGERATION UNITS-H.P. EA. <br />�OILERS-Ii.P.[A. <br />GAS f-IRE1� A.C. UNITS-TONNAGE EA. <br />FORCED AIF SVSTEMS-F�.T.V. M EA. <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />EVl�f'OfiAT1VE COOLEPS <br />CLOTMESDRYERS <br />VENTILATIONFAN <br />FANGEHOOD <br />AIR HANDLING UNIT- C.F.M. <br />INdNERATOR <br />everett <br />� SU� TUTAL 5 � <br />PEHMIT 5 � <br />TOIALFEE 5 � <br />THIS PEHMIT DECOMES NULL AND VO10 IF WpqK OR CONSTFVG <br />TION AUTHOFI2ED IS NOT COMMENCED WITHIN 120 UAYS, OR IF <br />f.ONSTFUCTION OR WORK IS SUSPENDED OR A�ANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREHV CEPnGY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION A�JD KNOW THE SAME TO 6E TRUE AND CORRECT. ALL <br />PROVISIONS OF IAWS AND OROINANCES GOVERNIPlG THIS TYPE <br />Of NJORK VlILL OL C'JMPLIEO WITH �VfiE"fHER ,".PECIFIED IiEREIN <br />OH NOT, Tf1E GflANTING OF A PERMIT OOES NOT PRESUh1E TO <br />GNE AUTHORIiV TJ VIOLATE OR CANCEL THE PROVISIONS OF <br />FNY OTHER SIATE OR LOCAI LAW REGU�ATINGCONSTfiUCTION <br />OR THE PERFORM1IANCE OF CONSTRUCTION. <br />x <br />SIGNATURE OP CONTI <br />PLl�N CNECK NUM[3ER <br />FEES <br />PLAN CHECK FEE <br />FEE RECEIPT ND. <br />VALUATION FEE <br />MA%.00C. LOAD AUILDING S � . <br />PLUM�ING � �� <br />FIqESPRINK�EFS I <br />REO!JIREL] I <br />❑YES ❑NO MECHANICAL � <br />OTHER � <br />I <br />PENELTY SEC.303 (al I <br />1 <br />TOTAL � <br />I <br />� �PERMIT VALIDATION <br />WHEN PROPERLY V �LIUATED IIN TFI13 SPACE) THIS IS VOUR PLRMIT <br />� <br />