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: Ih" Lnvynren <br />i <br />I CITY OF= <br />I everett <br />� �,,.,,a« ��,vao� <br />n�tnm �.s:s�unr,rnv <br />�n: u <br />� nrvr o� ro•.rau�uir <br />�nvi�orr.rzr�� <br />I OWNER <br />� ':d2`:� ,.:O:JG:.�'^ <br />G+✓ s <br />BUILDING <br />� <br />ryn ...: . <br />CONS'�'RUCTION <br />F'ERMIT <br />MECHANICAL <br />1UGHE55 ' ^�: <br />R <br />PLUMBING <br />� "'•^"^•"��'•�^����+n MAILADOFE55 PHONE LICENSENO. <br />�� <br />PERMIT CLASS OF WOftK <br />I �J'BVILDING �pPLUMBING �MECHANICAL ][ <br />.Y <br />❑NEW ❑ADDITION �JALTERATION �R[Pl;lfi <br />� VAWATIONOfWORK — <br />I5 �� ❑DEMOLISH �PENCE ❑SIGN ❑SWIMMING POOL <br />i^ +► <br />L@GAL DESCRIPTIOP <br />i FOUFCOP1E51 <br />I LOT `� OLOCK <br />JO[3 11�DPE55 <br />:�w l,� .:;;�• ✓ <br />, PLUMBING <br />� NO. T <br />j WATER Cf <br />I BATHTU6 <br />I LAVATOR <br />SNOWER <br />� KITCNEN: <br />' oisriwnsr <br />ING FOU� <br />-;INK OF <br />p4 4HLAK <br />)FNN$-f <br />:Fr.virF- <br />K <br />51 <br />I� SPECIALCONDIPJNS' <br />IL <br />MECHANICAL <br />rvreci=Fuei �6i� �NAT. QLI <br />H GAS <br />NO. 7YPE OF EQUIPMENT <br />AIR CONO. UNITS-II.P. EA. <br />REFRIGERATION'INI1S-�HP. EA. <br />❑OILERS-H.P.EA. <br />GAS FIRED A.0 UNITS-TONNAGE Ei <br />FORCED Alq SVSTEM&�B.T.U. M Eq. <br />WALL MEATEFS-O.T.U. M <br />UNIT HEATERS-A.T.V. M <br />EvnvoanTivEcoo�e�s <br />CLOTMES �RYEFS <br />VENTILATION FAN <br />FANGEMOOD <br />AIR HANDLING UNIT- C.F.M. <br />INCINERATOR <br />everett <br />� <br />SUDTOTAL 5 j <br />PERMIT 5 <br />TOTAL FEE 5 I <br />I <br />THIS PERMIT �ECOMES NULL ANO VOID IF WOflK OR CONSTFUC- <br />TION t1UTHORIZEO IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br />CONSTRUCTION OF WORK IS SVSPENDED OR AOANDONED FOfi A <br />PERIOD OF 120 DAVS AT ANV TIME AfTER WORK IS COMMENCED. <br />1 HEREBV CERTIFV THAT I HAVE READ ANp E%AMINEO THIS AP- <br />PLICATIDN AND KNOW THE SAME TO �E TFUE AND CORRECT. AL� <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE <br />_{_ Of WOf1K WILL GE COIdPL�E� WITH \YHETMER SPECIPIE� MEFF.IN <br />1 OR NOT, THE GRANTING Of A PERMIT DOES NOi PfiESUME TO <br />�-'� GNC nUTHORITV TO VIOLATE UR CANCEL THE PqOVI510N5 OF <br />� 4NV OTHLq STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />�� ONTHLPERFORMANCEOFCONSTRUCT'ION. <br />4 , <br />5 �t <br />S � � .i <br />X c�„][�� <br />SIGNAiUREOFCONTRACTORGRAUiM.AGENT Ul1TE <br />REARVAf1p5ETBACKPLANf.NEf,KNUAIBER PLANCHECKFEE <br />FEE IiECEIPT NO. <br />VACANT SITE <br />❑vEs ❑No FEES VALUATION FEE <br />NO.OF OWELLING �— <br />UNITS � <br />MAx.pCGLOn�t BUILDING ' S Ll,�y <br />O la/ <br />—i--- <br />PLUM�ING �� (y} <br />FIFESPFINKLEHS <br />Ff�UIRED <br />❑VGS ❑NO MECHAIJICAL � <br />OTNER � <br />� <br />PflNELTv SEC.3071a1 I <br />I <br />TOTAL � <br />�I r� <br />PERMIT VALIDATION <br />w�arr; rnoP�r��v vnunnren nrv rr�is sHncEi nns is vour+r�nrair <br />qV <br />