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; <br />, _ LS 'Je'.,. <br />CIiY JF <br />everett <br />�.. _ ..�.,. ° <br />"°` °` `�°°°"" BUILDING <br />oEa[:ovv[•n <br />NNEP r� <br />� � � � •1 ii <br />ENEFALCONTPACTOR Nl <br />���L�:�rI �i:�� %���1 � <br />ECHANICAICONTRACTOq n. <br />CONS�'Rl��TION <br />PERMlT <br />MECHANICAL <br />t. <br />LA <br />PLUMBING <br />evereft <br />� rJ f' V <br />NERh11T CLASS OF WORY. <br />�BUILDING ❑ PLUMBING [� MECNtNICAI <br />❑New ❑r,oni�ior� ❑nirennno�: ❑�,eania <br />VALUATIONOFWORK -----� — - <br />s '� ❑ oErnous�� ❑, cr�:ce [3 �icr� Gs�,vir.,�rir:<, i=oo� <br />� .SCRIBE WORK - ' ��l - - <br />F'`T�T �'�,..^.TMt ;`^5' �'�t 11 J;=<'::� <br />FFOPOSED USh <br />MECHANICAL <br />TVPEOFFUcL �DiL �Nr1T. �LPG �[L <br />LEGAL OESCFiiI'TIO.'; O1� PHpP[RTV ISHOW i°LOW OR ATTACH GAS <br />P O V fi COPI ESI <br />i-o7 BLOCK_OF Nn� TYPE OF E�UIPMENT <br />� AIR CON�. UNITS-H.P. EA. $ <br />�tiEFRIGERA710N UNITS-Ii.P. EA. <br />— �, E:OILERS-M.P. EA. <br />� �.AS FIftED A.C. UNITS-TONNAGE EA. <br />�FOFCEO AIR S�STEMS-B.T.V. M EA. <br />JOt3 �'����'`' I WALL MEATEFS-O.T.V. M <br />� �� UNIT HEATERS-B.�.V. M <br />EVAPORATIVECJO�ERS <br />PLUMBING CLOTMES DRVERS <br />VENTILATION FAN <br />RANGE HOOD <br />NO. TVPE OF FIXTURE OR 17EM FEE AIR HANOLING UNIT- C.F.M, <br />WATEF GLOSETITOILETI § �NCIN[RATOR <br />DATMTUB <br />LAVATOflY (WA51{ BASIN) � _- � <br />[N[H�RSYY/nFY:19:1 <br />K <br />A <br />'i SVECIALCONDITIONS' <br />I <br />� _ — <br />I <br />I -- <br />I _— _ _ <br />:.��ptiCrtl:p4 LS[Irtlllltv <br />Afl VAROSE <br />❑YES ❑NO <br />( SUB TOTAL 5 � <br />PENMI7 S <br />TOTAL FEE 3 � <br />THIS PERMIT OECOMES NULI AND VOID IF WORK OR CONSTflUG <br />TION AUTNORI2ED IS NOT COMMENCEO WITMIN 120 OAVS, OR IF <br />CONSTqUCT10N OR WOPK IS SUSPENDED OR AFiAI �ONED FOIi A <br />PEPIOD OF 120 DAVS AT ANY TIME AFTERN 1qK ISCOMMENCED. I <br />I H[REHV GERTIFY TIIAT I HAVL READ AND E%FMIN[O THIS AP <br />PIIC/�TION AND KNOW TIIE SAME TO UE TftUE ANO CORRECT. ALL I <br />PNOVISIONS OP LAW; AND OROINANCES GOVERNING TMIS TVPE I <br />OF WORK \NILL 6E COAIPUED WIT11 WHBTHCP SPECIFIED IIEPEIIJ <br />OFl NOT, TNE GflANTING OF A PEqMIT DOES NOT PFESUME TO <br />GIVE I�UTMORITY TO VIOLATE Ofl CANCEL TME PROVISION$ OF <br />ANV ptlltfi STATE OR LOCAL LAW REGUTATING CON-�TRUCTipry <br />clti fHE PLRFORMpNCE C�F CONSTRUCTION. I <br />X �F 9bOL$: � �%�%�'j�i <br />SIGNATUFEOPCOVTfiACTOPORAUTH.AGENT DATE <br />�'LAN CHEGK NUId0Ef1 PLAN CF ECK FEE I <br />FEE RECEIPT NO. �i <br />I <br />— I <br />FEES VALUATION FEE � <br />'�AD fiUILOING 5 Q <br />_ VLUMBING � <br />LEIiS <br />❑�ip MELH/�NICAL � '— <br />OiHEI � <br />I <br />rEN[LTY SEC.30��a) I <br />—' i <br />TOTAL � � <br />� <br />PERMIT VALIDATION <br />WH[N PHOPLRLY VAI IUAT[D!I^J TIIISSP(�CCI Tllly IS YOUR PCR1111 <br />