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■' <br />«���E���,,�,���„ COiVSTf�UCTiON <br />"`�� °` PERMIT <br />everett <br />cirv ian��zs�e�as . gUILDING • MECHANICAL • PLUMBING <br />rvrr�ert.wa �,ezoi 'OMBINATION <br />n��.�n�t-u Ml�IL ADDqE55 LIP PHON[ <br />NEFil�L CONTRACTOP <br />NE <br />NE <br />� COMBINATION <br />,�] 6UILDING � PLUM6ING ❑ MECHANICAL <br />❑NEW ❑ADDITION ❑nLTERI�TION .�REf'lAlli <br />VALUATION OF WOftK <br />5 ,f`oo•oo ❑OEMOLISH ❑fENCE ❑SIGN ❑SWiM11MLJG POOI. <br />11 <br />DESCRIE3E WOHK <br />-,r tGOi� <br />Pqpl'UStU USt <br />LEGAL O�SCRIPTION OF PR <br />FOUR COPIE51 r <br />L(1T �'1' ''3 pLOCKl'77 O <br />JOI? I.�ORE55 <br />PLUMBING <br />1� <br />fY ISHOW BELOW O <br />:�i_,:1)1 Ic':�.:D C.� <br />G19 F:ot1 <br />F FIXTUR <br />everett <br />MECHANICAL <br />TYPE OF [NEFGY <br />TI�CH ❑ .AS ❑EIEC. <br />NO. TYPE OF EQUIPMENT <br />AIP COND. UhITS-���P� EA. S <br />REFRIGERATION UNITS�H.P.EA. <br />❑UIL[RS- h�.P. EA. <br />POflCED AIR SVSTEMS-B.T.U. MEA. <br />_I <br />� I SPACE & WALL HEATEFS - e.T.U. <br />I UNIT HEATERS�-B.T.V. <br />_ 1 EVl�PORI�TiVE COOLEHS <br />ICLOTHESDR�ERS <br />I V[NTILMION fAN <br />HANG@HOO� <br />FEE nIP 11ANDLING UNIT- GF.M. <br />T -- - <br />� WATEF HEATEft <br />� FAC. f3U1LT FIFEPLACE .W CHIMNEV <br />� GAS SVSTEM19 NO OP OUTLETS__ <br />TOTAL fEE SI I <br />THIS PERMIT UECOMES NULL ANIJ VOIp IF WORK OF CONSTFUC <br />iION 11VTHORIZEU IS NOT COMMENC@D WITHIN 120 DAVS, OR IF <br />CONSTRUCTION OR WORK IS SUSVENDED OR 1�t3l�NpONED FOii A <br />PERI00 Of 120 �AYS f�T ANV TIME AFTLfi WOFK IS COAIMENCEO. <br />I HERE6V CEiiTIFV THAI I H4VE R[/10 AND E%lM1WEU iN15 l.P� <br />PLIC�TION l�Nn KNOW THE SAME TO 6E TqUE ANO COPRECT. AL� <br />PROVISIONS OF Ll�WS I�ND OfiUINl�NC[$ GUVERNING THIS TVPE <br />Of° WORK WILL I3E CUM�LIED Wll-11 WHETH@R SPECIFIEO HEFiEIN <br />Oft NOT, TH@ CiRANIING OF A PFRMIT DOES NOT VRf.SUME TO <br />GIV[ AUTIIO�iITV TO VIOLl1��E OR CANC[L �U[ PHOVISIONS OF <br />r1NY OTH[H SMTE OR LOCAL LAIN f�EGUI .�TING CONSiP�CiION <br />Oft THE PEfiFORMI�NCE OP CONSTRUCTION. <br />TOTAL FEE X _ �.yL%�_� <br />TERSEHVICESIZE__BLDG.SUPPLVSIZE SIG�TUfj oPCONTI <br />)EVAqOS[T�ACK STREETSETI3ACK AEl�RVf�ROS[T6l�CKFL(1NCHECKNUME3ER <br />iP <br />SPFCIA� CONDITIONS: <br />❑vES ❑No I FEES <br />)I1JNnuT1l.nGtrv� un�� <br />PLAN CHECK FEE <br />FEc RECEIPT NO. <br />VALUATION Fk'.E <br />.00C. LO/1❑ �UILDING 5 I.�jOO�C�O 11{ IOO <br />PLVM6ING � <br />SPqINKLERS � <br />UIftED � <br />Y[S ❑NO MGCNANICAL � <br />_ � <br />OTHER � <br />—i <br />PENALTV SfC.:1081a1 � <br />1 <br />--- I <br />TOTAL LL�OO <br />PERMIT VALIDATION �� �(� � ,/�A <br />wiicnivno��ita�rvni_ionrEolir��Q�rnG +� p�dF�A^+��� <br />� <br />Yaut� ��cE,Pr <br />....... ....... . . THANK `� r;, t; <br />{ � ,... f ' <br />