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tlre Evergmen <br />CITV OF <br />everett <br />❑IY HqLL 159BE05 <br />CVEflEti,lVA5111N1it011 <br />9A101 <br />ocar. av coi.+niurvi.v <br />u[ve�otrncxi <br />NEF <br />T:.-tt:•• >........ �,{.. <br />.�•:HANICF <br />i 11 .. <br />R <br />co�s-rRuc-rior� <br />RERMI� <br />EUILDING MECHANICAL <br />MNL/ADpRE55 ns ZIP <br />f.�!� ilc _�� :1.;'1 <br />PLUMR!NG <br />IPERMIT CLASSOFWORK � <br />! ❑ �UILDING ❑ PLUM9ING m MECHANICAL V <br />' ❑NEW ❑ADDITION ❑ALTERATION OR[PAIft <br />� VALUATiON OF WORK <br />I S I ❑DEMOLISH ❑F[NCE ❑SIGN ❑S'NIMMING POOL <br />DESCRIBE WOFK , <br />�...��..,{���.r_ .�. <br />:s,.� <br />PFOPOSEO USE MECHANICAL <br />LEGALDESCftINTIUN OF PROPERTY (SHOW BELOW OF ATTACH - TYPE OF FULL uOIL ❑GAS ❑LPG. <br />LOT bLOCY. <br />�ou noor�ess <br />PLUMBING <br />101�1:\'� <br />�141 <br />SPEOAL CON�ITIONS: <br />� � y • ^�� <br />�tl� t�Y <br />A <br />AI Fi COND. V NITS�-H.P. EA. <br />REFRIGERATION UNITS-H.P. EA. <br />pO1LEfiS-H.P. EA. <br />GAS PIRED A.C. UNITS-TONNAGF. cP <br />FORCED AIR SYSTEMS-B.T.U. A1 eA. <br />WALLHEAfER,^,-B.T.U. N. <br />VNII"HEA"ERS-�.l'.U. 'N <br />EVAPORA",'IVECOOLEflS <br />CLOTF!FS DRvERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR H4NOlING UNIT- C.F.M. <br />INCINEPATOR <br />( �Werett <br />—�� <br />7.,72-?b <br />�_ _ SVeTOTAL 5 � �-N <br />PERMIT S �-} <br />^---- <br />TOTPL FEE $ •= '`�— <br />THIS PERMIT 6ECOMF.S NULL AND VOID IF WOFK OR CONSTRUC� <br />TION AUTHORIZED IS NOT COMMENCEU WITHIN 120 O/�VS, OR IF <br />CDFSTRUCTION OP WORK IS SUSPENDED O(i A6ANDONED FOR A <br />PERIOD OF 120 DAYS AT GNV TIME AFTER WORK IS COMMENCEO. <br />I HCREHY GERTIFV THAT I HAVE READ AND E%AAIINED THIS AP� <br />PLICATION AND K.NOW THE SAME TO BE TqUE AND CORRECT. ALL <br />PHOVISIONS OF LAWS AND ORDINANCES GOVERfJING THIS TVPE <br />OF WOftK WILL BE COMPLIED WITH WHETHLfi SPE�IFIED HEREIY <br />OFi NOT, THE GflAN'fWG OF A PEflMIT DOES NOT PRESUME TO <br />GIVE AUTHOfi�TY TO VIGLATE OR CANCEL THE PflOVISIONS OF <br />ANV OTHER STATE OR LOCAL LAW REGULATING CONSTFUCTION <br />OR THE PEFFORMANCE OF CONSTRVGTION. <br />X ��f� <br />SIGNATUHEOFCONTRACTORORAUTH.I�GENT DFTE <br />REARYAqDSET�ACKP�ANCHECKNUMt3ER PLANCHECKFEE <br />FEE HECEIPT NO. <br />VAC4NT SITE <br />❑VES ❑NO FEES VALUATION FEE <br />.00C.LOAD BUIL�ING 5 � <br />— i <br />PLUMBING � <br />. SPRINKLEfiS <br />UIREO I <br />YES ❑NO MECHAPLCAL � +'+ <br />OTHER � � <br />I � <br />— PENELTV SEC.3031a1 � <br />TQTAL � <br />? � <br />PERMIT VAl1OATION <br />-- WHEN PROPERLY VALIDATED (IN THISSPAC[) THIS IS YOUR P�.:MIT <br />=oa issunrvce or. I <br />Ii f:• <br />