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M <br />P <br />thc Fc��rymen <br />CITY OF <br />everett <br />Li1v114LL )59d685 <br />EVEPEtI. \545111lILi0'1 <br />�fl��� BUILDING <br />nt�r nr n��.�uuun� <br />oEvtiovmu+r <br />INER` � <br />;�]P 1:LY+iFIt^'�i.'l ."-'c.L':1135 •'!� <br />MAIL <br />CU. <br />MAIL <br />� pUILDING ❑ �'LUMBING ❑ h1ECHANICAL <br />lALUATION OF WOFiK <br />5 <br />]ESCRIF3E WORK <br />PRnrpSGC U�C <br />FOUii COPSESI'PT��N OF PRC�'EHTV ISHOW AE <br />LOT BIOCK—UF <br />106 AQp R�55 <br />S�: . i itCiV� <br />PLUMBING <br />SPECIAL GONDITIONS�. <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />PLUMBING <br />❑NEW ❑/�DDITION ❑ALTERATION ❑REPA�A <br />❑OEMOLISH ❑�ENCE ❑SIGN ❑SWIMP^ING POOL <br />ATTACH <br />STREETS[Tf1�C1: (iEAli1'ARDSETB� <br />� <br />LOTAREA VACANTSITE <br />MECHANICAL <br />� LPG. <br />AIR COND. UNITS-M. �+� <br />REFRIGE'�/�TION UNI15�-H.P. EA. <br />�OILERS--HR EA. <br />G(�^ FIRED A.C. UNITS-TONNAGE EA, <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />WALL HEATEFS-O.T.U. �`+� <br />GNIT HEATERS-B.T.V. M <br />EVANOqATIVECOOLERS <br />CLOTHESDRYERS <br />VENTILATIONFAN <br />ftANGEHOOD <br />AIR Iit�N�LING UNIT- C.F.M. <br />INCWfPATO.F _ _ <br />evereft ' <br />��—J <br />a <br />w <br />m <br />Z <br />� <br />z <br />r <br />� <br />� <br />w <br />a <br />2lJ3 <br />SU6 TOTAL 5 � t <br />PERMIT S ��4 <br />.� <br />TOTAL FEE 5 I—�i— <br />THI;: PEPMIT 6ECOMES NULL AN[> VOIO IF WORK OR CONSTRUC- <br />TION AUTHOflIZED IS NOT COMMENC[D WITHIN 120 DAVS, OR IF <br />PE�RI00 OfT140 DAVS AT l�NYSTIM[ AFTER WORK SDOONE�ENCED. <br />i HEFlE6Y CEFTIFY THAT I HAV[ REI�p ANO E�nMWED THIS AP- <br />PUCl�TION ANO KNO\Y THE SAM11E TO 9E TRUE AND CORRECT. I�LL <br />OFOWOHKN� OF OE COMPL�EU WITII WH[TH6�i SPECIJFIEOHHEFEPN <br />Oli NOT, THE GRANTING OF A PERMIT DOES N[1T PfiESUME TO <br />GNE l�UTHOfi1TV TO VICLATE OR CANCEL THE PROVISIONS OF <br />ANV OTM[R ;TATE OR LOCAL lAW REGULATING CONSTRUCTION <br />OF THE PF.fiFOfiMANCE OF CONSTPUCI'ION. <br />�/17/i7 <br />SIGNATURtOFCOIVTRACTORORAUTH.AGENT OATE <br />vLAN CHECK NUML'ER PLAN CHECK FEE <br />FEE FECEIPT NO. <br />VALUATION fEE <br />❑vEs ❑No FEES T-- <br />LING � <br />— I <br />�AD BUILDING 5 I <br />_.,_ —� I <br />PLUMBIAG I <br />LEPS J i " I <br />�Np r1�1NICAL — I <br />-- I <br />OTHER � I <br />PENELTY <br />5EC.3031n1 � I <br />j � vt} <br />TOTAL <br />PERMIT VALIDATION I <br />._ - YJH[NPROPERLVVI�LIDATEDII^�THISSPACEITMISIS�OVHPEAM�T <br />SSUANCCB� <br />7 <br />