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!hc Evorgrren <br />ICITV OF <br />everett <br />��,���« ��,aFas <br />tventtr, ciasn..:cros <br />9Alil <br />oevr. ov Coranimurr <br />otvuovraevr <br />1uWNER w� <br />I ��1�. <br />'�v".?.� <br />C.ONSTRUCTION <br />PERMIT <br />BUILDING MECHANICAL <br />MAIL ADDRESS ZIP <br />3� :T1.r,: ��' <br />PLUMBING <br />r.,�K r p�.. -� �rr:3 <br />a <br />PERMIT ClASS OF WOFK � <br />❑�UIL�ING .�]PLUM9ING ❑MECHANICAL .�y.� <br />pJNEW ❑AD�ITION ❑ALTERATION ❑REPAIR <br />VALUATIGN OF WOflK <br />5 ❑DEMpL15H ❑FENCE ❑SIGN ❑SWIMMING POOL <br />OESCRIBE WORK <br />PROPOSED USE MECHANICAL <br />TVPE OF FUEL �OIL �NAT. �LPG. <br />LEGAL DESCfiIPT10N OF PROPERTV (SHOW BELOW OR nTTACII C+�+� <br />LOT OLO <br />JOB A�DRESS y� <br />.7�. �..y.. ._,i�Rfi <br />PLUMBING <br />�UN�HV TFAY <br />ATHESbVASHER <br />ATER HEATER <br />iINAL <br />iINKING FOUNTAIN <br />.00ft-SINK OF ORAIf <br />\CUUM pREAKERS <br />)OF ORAINS-RAINLE <br />NK ISERVICE-[1AR. E <br />SPECIAL CONDf�IONS: <br />TYPE OF E�UIPM.ENT <br />Alfl COND. UNITS-H.P. EA. <br />RLFRIGERATION UNITS-H.P. EA. <br />901LER5-H.P.EA <br />GAS FIREU A.C. UNITS-TONNAGE EF <br />FORCE� AIR SYSTEMS-B.T.U. M EA. <br />WALL HEATEPS-D.T.U. M <br />UNIT HEATERS-B.T.U. M <br />EVAPORATIVECOOLERS <br />fll1NGE HO00 <br />AIR HAND�ING UNIT- C.F.M. <br />INCINERATOR <br />ever�ett <br />' <br />s <br />� <br />�j �JZ"'� <br />SUBTOTAL $ I <br />PERMIT S � <br />TOTALFEE 5 I <br />THIS PEflMIT 6ECOMES NU�L AND VOID IF WORK OR CONSTRUG <br />TION AUTNORIZED IS NOT COMMENCED WITHIN 120 �AVS, OR IF <br />CONSTflUCTION OH WORK IS SUSPENDED OR ABANOONED FUR A <br />PEFIOD OF 720 DAVS AT ANV TIM11E AFTEfi WORK IS COMMENCED. <br />I HERE�V CERTIFY THAT I HAVE IiEAD AN� E%AMINED THIS AP� <br />PLICATION AND KNOW TNE SAME TO OE TFUE AND COFlRECT. ALI. <br />PROVISIONS OF LAWS AND OR�INANCES GOVEFNING THIS TVPE <br />OF WOPK WILL [3E COM1iPLIED WI7H WHETHEH SPECIFIEO HEFEIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PPESUME TO <br />GIVC- AUTHOFITV TO VIOLATE OFi CANCEL THL PROVISIONS OF <br />ANY OTHEfl STf�T@ O{i LOG�L LAIV liEGVLATING CONSTRUCTION <br />OR THE PERFOHM1tANC[ OF CCNSTflUCTICN. <br />SIGNATUREOfCONIIinGIUHONnUIH.AGtNT CTT�Te�•' <br />PAR VAROSETOACK PLAN CF!ECK NUMBER PLAN CHECK FEE <br />FEE RECEIPT NO. <br />4CANT SITE <br />❑vEs ❑NO FEES VALUATION FEE <br />).OF OWELLING <br />JITS I <br />�X.00C. LOAD Bl11LDING S � <br />I <br />PLVMBING � <br />FESPRINKLERS <br />aUIRED <br />❑VES ❑NO H�ECHANICAL I <br />OTHER � <br />I <br />PENELTV SEC.303(u� I <br />TOTAL j <br />w <br />PERMIT V ALIDATION <br />WHEN PROPERLY VALIOATED �IN THIS SPACEI THIS IS VOUR PEPMII' <br />'0 LO01'SUhNLE fiY�. <br />Lr L� <br />�� <br />