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� tlre .=ucryrecn <br />i <br />GTV OF <br />�� everett <br />urr��au �seezes <br />, ECEFEiI, ClASNILGLOfl <br />I 90]01 <br />I o[=r_or cm:vmurtv <br />'�i p:fVEIOPUHIi <br />I OWNER <br />� �1.'""'..," JI �=....`,.._.., <br />i <br />i <br />GOi�S'TRUCTION <br />PERMIT <br />E3LiILDING MECHANICAL <br />MAILApDRES:i ZIP <br />7 � ;�`T� <br />..-: . . ...�-`:�„• •. .'.P",^;. �5.._"ott: .� <br />PLUMBING <br />�BUILDING ❑PWh181NG �MECNANICAL . <br />❑NEW �]AOOITION ❑ALTEFlATION ��EPAIR <br />VALUATION OI� WORK <br />�f�'�� ❑DEMULISN ❑FENCE ❑SIGN ❑SWI.`AMING POOL <br />5 �_— <br />DESCRI9[ WORK <br />.,, , _ - _ , _. .. : . . <br />PROPOSED USE MECHANICAL <br />LOT <br />lOB AODRE: <br />PLUMBING <br />❑PTION OF PROPERTV ISHOFJ f1E�ObV OR <br />I <br />BI.00K__OF _ <br />�� ••w� <br />KI �CNEN SINK & �ISP. <br />DISHWASHEF <br />LAUNORV TBAV <br />CLOTHESWASHER <br />INATER HEATER <br />UPINAL <br />DRINKING FOUNTAIN <br />FLOOF-SINK OR ORAIN <br />VACUUM �REAKERS <br />ROOF �RAINS-RAINIEA <br />SET6ACK �STREETSET6AGK IREARY <br />SPECIAL CONDITIONS: <br />� Lh�2.'s � <br />Ri''�'7iii'e°ubtS:�r�C:+w�._.::.., �� � � ., .. .11.4.:-.�• .� 1 �--,. . <br />❑YES ❑NO <br />AIR COND. UNITS-11.P. EF. <br />REFqIGERl�TION UNITS-H.P. EA. <br />�OILE�S-11.P.EA. <br />GAS FIflED A.C. JNITS--TONNAGE EF <br />FOFCE� Alq SYSTEMS-6.T.U. �1 EA. <br />WALL HEATERS-B.T.V. M <br />UNIT HEATERS-B.T.U. L1 <br />EVl�PORATIVE COOLERS <br />CLOTHESORVERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIRHAND�INGUNIT- C.F.td <br />INCWERATON <br />everett <br />� � <br />r.3-iL <br />� <br />w <br />m <br />� <br />� <br />z <br />� <br />� <br />W <br />a <br />738 <br />5 � <br />_�— SU6TOTA� 5 � <br />PERMIT S <br />TOTALfEE 5 � <br />iH15 PEFMIT DECOfdES NULL ANO VOIC IF WORK OR CONSTRUG <br />TION AUTHORREO !S NOT COMMENCED'NITHIN 120 OAVS, OR IF <br />CONSTf2UCT10N OR WORK IS SUSPENDE� OF A(3ANDONE� FOR A <br />PERIOD OF 120 DAVS AT ANY TIA9E AFT4R WORK IS COMMENCED. <br />1 NERE�Y CERTIFY THAT I HAVE REiIC ,1YD E%AMWED THIS AP- <br />PLICATION AND KN04V THE SAME TO 9E TRUE AND C09RECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES fOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WtiE.'(YER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PEFM1IIT OGES NOT PRESUME TO <br />61VE l�UTHOFITV TO VIOLATE OP CANCEL TIiE PliOVISIONS OP <br />ANY OTN[R STATE OR LOCAL LAW REGULATING CONSTFUCTION <br />ORTHEPERFORMANCEOFCONSTRUCTION. <br />� <br />f:/lttf 7; <br />fUREOFCONTRACTORONAUTH.AGENT DATE <br />HECK NUM�ER PLAN CHECK FEE <br />FEE REC[IPT NO. <br />FEES VALUATION FEE <br />OCC. LGAO flUIL�ING <br />PLUM61NG <br />�PqINKLEFS <br />IHEO <br />ES ❑NO MECHANICAL <br />OTHEft <br />PENELTY <br />TOTAL <br />PER�71T VALI <br />WHEN PfiOPE <br />:Z <br />5 <br />SEC. 303 (al <br />RLY VALIDATE� (IN THIS SPI�CEI T415 1S YOUR PERMIT <br />,� �� .� ��.� � � . . � � .. . . <br />- � � i �� . _... �; .. . :,.��� ., .�.:.. <br />�:. [ <br />�1 r>�+-�a•yll yF,+r'�, iI j4 T j :` 1 , � t. ��_ �l � <br />� Y�ast LAu �rii � �.� / .� I .�. . 1} .. <br />� ifF9 Y r�l' 1r, ..' /� .. 'I ...L 4. ' �t .�.t�c� , <br />J,��,y�y}, �� rt a�,hr _ . {�� J� . � � r � � � �C '' <br />r �� vuv . � y�y�`Lk1�� °,.. �~ � �,., i'� � �I , .� ;'v� �`� �r_ ) ! ,� � � � ?}{�j �{ i <br />��^ Kr�. LTln�'� .,} . ..�', . N., u. �w:A.!�1-i� <br />