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I ri,� c���,,�„�,� <br />ICITY OF <br />everett <br />CIiY IIO.LL i530P.4) <br />EVEflCii,1'IP9�R.i�O": <br />9Yt',I <br />ner� ur rav^uanv <br />c�vu u�rt :� <br />OWNEF <br />� �..r. �.T� <br />G(ENERAnL �CONT'F'b.1�CTyO,/F� <br />%�� ��1AliNi+f'J�.W�A� <br />GONSTRUCTION <br />PERMIT <br />BUILDING MECHANICAL PLUMBING <br />MAIL AOURE55 ZIP PHDN[ <br />�i '.�.� DSSR: 7�2tr�. 2s�' is� <br />ppUILDING ❑PLUMBING ❑MECHANICAL <br />s �7aKs <br />oescainr wor+n <br />:'�Aft .�'QC1� ''7PJF�4'�'i <br />aaovosen usE <br />LEGAL DESCRIPTIDN OF PRO: <br />FOUR�OP�S) <br />LOT � ��LOCK—OF_ <br />JOB �[JDRE55 <br />�. L4�.Cs1 id'i'iR <br />PLUMBI�JG <br />KITCHEN SINK & �ISr. <br />DISHWASHtR <br />_ LAUNDRYTRAY <br />_ CLOTNES WASHEfi <br />NATER HEATEfl <br />URIIJAL <br />DRINKING FOUNTAIN <br />FLCOR- SINK OR DRAIN <br />VACUUM 6RGAKERS <br />qOGF DRAIkS-FlAINLEAOEfiS <br />SINK (SEFVICE-6AR. ETC.) <br />SU6 TOTA <br />PEFMIT <br />TOTI�L FE <br />SIOE Yi\fiO SET�ACK STREET SETBI <br />USE ZONE: LOT AREA <br />SPECIFlL CONDITIONS: <br />❑NEW ❑AOOITION �,aLTERATION ❑REPAIF <br />❑DEMOLISII ❑FENCE ❑SIGN ❑SWIMMING POOL <br />❑VES ❑NO <br />MECHANICAL <br />TVPE OF EQUIPMENT <br />AIR CON�. UNITS—H.P. E0.. <br />REFRIGERATiON UNITS—H.P. EA. <br />DOILERS—H.P.EA. <br />f.AS FIFED A.C. UNITS—TONNAGE EN. <br />FORCEO AIR SYSTEMS—B.T.U. M EA. <br />WALL HEATERS-8.1'.U. M <br />UNIT IiEATERS—�.T.U. A1 <br />EVAFORATIVECOOLERS <br />CLOTHESDRVEflS <br />VENTILATION FAN <br />FANGEHOOO <br />AIH HANDLING UNIT-- C.F.M. <br />I�ICINEFATOR <br />everett <br />�/�f V <br />� <br />w <br />m <br />� <br />� <br />z <br />F <br />� <br />� <br />W <br />a <br />1697 <br />I SUBTOTAL 5 � <br />PEflMIT 5 —� <br />TOTl�L FEE 5 � <br />THIS PERMIT EEGOMES NULL l�ND VOI� IF WORN OF CONSTFUC- <br />TION AUTHORIZF.LI IS NOT COMMENCED WITHIN 720 DAYS, OF IF <br />CONSTFiUCTION OR 'NORK IS SUSPENDED Ofl A6ANOONEO FOfl A <br />PEFIOD OF 120 �f.VS AT ANV TIME AFTEP WORK IS COMMENCE�. <br />I HEfiE6Y CERTIFY THAT 1 HAVE READ AN� EXAMWED THIS AP� <br />PLICATION AN� KNOW TNE SAA1E TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF Ll�WS AN� OFDINANCES GOVERNING THIS TVPE <br />OF WORK WILL pE COM1IPLIED WRH WHE?H[R SPECIPI[D NEREIN <br />Ofi NOT, THE GFANTING OF A PEFA�IT DOES NOT PFiFSVM[ TO <br />GIVE AUTHOfiITV TO VIOL4TE OR CANCLL THE Pf10VISIONS OF <br />4NY OTHER STATE O!i LOCAL LAt1' REGULATING CONSTRUCTION <br />OR THE PERFOFMANCE OF CONSTRVCTION. <br />X <br />SIGNATURE OF CONTI <br />'LAN CHECK NUM6ER <br />FEES <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />VALUATION FE[ <br />DAD �UILDING SJI.i7�+ � w <br />�— <br />PLUMOING � <br />LEHS � <br />1 <br />�N� MECNA�JICAL I <br />OTHER � <br />__ I _ <br />PENELT� SEC.3031a) � <br />TOTAL � O� <br />PERMIT VAIIDATiON <br />WHEN PFiOPERLY VALIDATED IIN TIi15 SPACE) THIS IS �OUR PEPG11 f <br />pNACCFPIiIIp'/ rI✓......II:CN(pf!Y 'TII A�I`pOV�COf� i. '.ANC[�V <br />���• I� +'' I f.�• <br />