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the Evergreen <br />c�rv oF <br />everett <br />:11Y HqLL 89699] <br />EVENEii.1ti45HI11LillN <br />981�1 <br />OEVi. Of CpIA'.N!IIIY <br />OEVELOPA�Lbf <br />NERw} ,�t <br />�'.: '.: i V � <br />� <br />� COlVSTRUCTION <br />PERMIT <br />BUILDING MECHANICAL <br />M{�A/yI�L ADOfiESS <br />tM."% .... ., <br />❑BUILDING ��PLUMBING QMECHANICAL <br />5 <br />LtGAL <br />FOUF( <br />LOT _ <br />JOB ADDRE: <br />PLUMBING <br />��l:lldl.l' <br />PLUMBING <br />PHnNE <br />3�3=.w"'�'I <br />❑ NEW ❑ADDITION �' AITERATION ❑REPAIR <br />❑�EMOLISH ❑FENCE ❑iIGN ❑SWIAIMIYG POOL <br />iIPT10N OF PROPERTY ISHOW BELOW OR ATTACH <br />BLOCK—OF <br />H <br />fl <br />:c7 ^.r.w <br />. �:� .ii.�...! <br />MECHANICAL <br />UF tUtL UOIL �NAT. � <br />GAS <br />TVPE OF EDUIhMENT <br />111ft CONO. UNITS—H.P. EA. <br />fiEFRIGERqTION UNITS-H.P. EA. <br />BOILEf4S-hi.P. EA. <br />G<a5 FIFiED A.C. UNITS-TONNAG! <br />FORC[O AIR SVSTEMS-D.T.U. M <br />WALL HE4TER5-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />LVAPORATIVECOOlEFS <br />CLOTHES DRYERS <br />RANGEHOOD <br />Alfl HANfJLING UNIT- <br />INCINEFATOR <br />5 <br />everett <br />Y C��� <br />� <br />W <br />m <br />z <br />� <br />z <br />H <br />� <br />� <br />W <br />a <br />29�3 <br />TOTAL FEE 5� I <br />THIS PERMIT BECOMER NULL AND VOID IF WOflK OR CCNSTRUC� <br />TIUN AUTMORI2ED IS NOT CO�dMENCED WITHIN 120 DAYS, Oii IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONFD FOR A <br />PERIOD OF 120 DAVS AT ANY TIME AFTEFi WORK IS COM11MENCE�. <br />I HEREBY CERTIfY THAT I HAVE liEAD AN� E%AMINED THIS AP- <br />PLICATION ANp KNOW THE SAME TO pE TRUE ANO COFRECT. ALL <br />PROVISIONS OF LAWS AN� ORDINANCES GOVEFNIhG TY15 TYPE <br />OF WOAK WILL BE COM11!'LIE[J WITH WHETHEfl SPECIFIEO IiEREIN <br />OR NOT, THE GRANTING OF A PEHMIT DOES NOT PRESUME TO <br />GIVE AUTIiORITV TO VIOLATE OR CANCEL THE PROVISIONS UF <br />ANY OTHER STATE Oft IOCAL LAW REGULATING CONSTRUCTION <br />OF THE PERFORMANCE OF CONSTFUCTION. <br />x <br />SIGNATUREOFCONTI <br />SETUACK STREET SETDACK qEAR VAH�SET6l�CK PLAN CHECK NUh7�ER <br />LOTAFEA VACANTSITE <br />❑VES ❑NO FEES <br />SPECIALCONDITIONS: <br />1aP1P.11 <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />VALUATION I FEE <br />MAX.00C. LOAD BUILDING 5 � <br />—y—_ <br />v�uMaiNc 7 QQ <br />FIRESPRINKLERS <br />R'OUIRE� <br />❑YES ❑ND MECHANICAL � <br />OTHER � <br />I <br />PENELTY SEC.3031e1 I <br />TOTAL � � <br />PERMIT VALIDATION <br />WHEN PROPERIV VALIDATED (W THISSPACE) THIS IS YOUq PEiif.11T <br />