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the Everyreen <br />CITY OF <br />everet� <br />cirv Hau u�a:as <br />EVEflEiI, 6'ASNIpGi@: <br />9A191 <br />ocvr. ov corar.�urvttr <br />oEvc�oruexr <br />NER <br />�� G. 3�us".�tx1, <br />� <br />MEGHqp <br />PWM81l <br />COI�S � RUCTION <br />PERMIT <br />BUILDING MECHANICAL <br />MA�L ADDqE55 ZIP <br />�".,y' �►rL�� �.'2�33 <br />MAILADDRE55 PHOf <br />MA�L ADORESS PFIOf <br />MAILADORESS PHOD <br />p BU:LDING � PLUM6ING � MECNANICAi <br />i,. � ,.� ,i: r .. <br />LtG/.L DESCRIPTION OF F <br />FOU? COPIESI <br />LOT BLOCK —_ <br />JCIC+ ADDRE: <br />PLUh161NG <br />B�. <br />lA <br />SH <br />K I" <br />AF <br />PLUMBING <br />PHOI <br />3�3 td�55 <br />❑NEN! ❑ApDIT10N ❑ALTERATION �itEPAIR <br />❑DEMOUSH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />nrrnai <br />MECHANICAL <br />AIR CONO. UNITS—H.P. EA. <br />flEFRIGERATIOtJ UNITS—H.P. EA. <br />DORE:IS- ✓..P. EA. <br />GAS FIf�EO A.C. UNITS—TONNAGE EA. <br />FORCED AIR SVSTEMS-9.T.U. M EA. <br />WALL HEAtERS—B.T.U. q� <br />UNIT HEATERS—B.T.U. frt <br />EVAPORATIVECOOLERS <br />CLOTHESDPYERS <br />AIR HAN�LING UNIT— C.F.M. <br />everett <br />� <br />i�C�/�j�{H <br />Y <br />J <br />:0 <br />2 <br />� <br />Z <br />H <br />� <br />, � <br />W <br />a <br />zu2� <br />n <br />"" � ^,V�TOTAL 5 I <br />y _ _ PERMIT , 5 --� <br />1ER <br />TOTALFEE 5 I <br />— THIS PERMI � BECO��ES NULL AND VOIO IF WORK OR CONSTRUG <br />R TION AUTNpR12ED IS NOT COh1MENCFD WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR N'OFK IS SUSPENDED OR Af3ANOONED FOR A <br />NTAIN PERIGD OF 120 OAVS 4T ANY TIME AFTF.R WpRK IS COMMGNCED. <br />iR DHAIN I HEREBV CEFTIFY THAT I HAVE READ AND EXAMINEO THIS /�P- <br />KERS PLICAI'ION AND KNOW THE SAME TO [iE TRUE ANO CORRECT. ALL <br />�RAINIEADERS P�OVISI�)NS OF LAWS ANU ORDINANC[S GOVERNING THIS l'YPE <br />OF WOPK WILL BE COWPLIED WITH WHLTHER SPECIRED HEREIN <br />—�AR, ETC.1 OR NO-'�. THE GRANTING OF A PERMIT DOES P�OT VRESUAAE TO <br />GIVE AUTHORITY Tp VIOLATE OR CANCEL THE PROVISIONS OF <br />ANV OTHER STATE Oft LOCAL LAW qEGULATING CONSTFUCTION <br />r OR THE PERFORMANCE OF CONSTRUCTION. <br />SPECIAL CONOITIOf•IS: <br />x <br />SI <br />F VA;iDSETBACK PL <br />❑YES ❑NO <br />IEOFCONTRAGTORORl�UTH.AGENT OATE <br />:K NUMBER PLAN CHECK FEE <br />FEE RECEIPT NO. <br />FEES VALUATION FEE <br />JAD I3UILDING 5 � '� '� � <br />PLUM9ING I <br />LEPS I <br />❑NO �+�ECHANICAL j <br />OTHER � <br />__ .` I <br />PENELTY � tiF?1. 17:1a) I <br />TOTAL � ,� i� <br />PERMIT VALIDATION <br />— WHEN PliOPEHLV VALIDATED �IN THISSPACE) TIi15IS VOUR PERMIT <br />vn �riroa♦: Irl.nnsbnccrt[unr. In�vuWtu�U�16i^nrvcEOY. <br />i:1 ����� <br />Y <br />yi:; <br />: ;� <br />