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the Everqreen <br />CITY OF <br />everett <br />cnr �wu }yPB85 <br />EVEPEti, 1YASIIIHGION <br />99Ip1 <br />nevr.av cuMnmxnr <br />o��E�a>,.,��, <br />VE9 <br />.u�s �t�t <br />� <br />CONSTRUCTION <br />PERMIT <br />BUILDING MECHANICAL <br />MAIL ADDFESS ZIP <br />�24 t�I��i'u4..'�C F� <br />MNLADORESS .un <br />PI <br />PLUMBING <br />n BUILOING � PLUMBING ❑ MECHANICA� ^ <br />❑NEW ❑ADDITION p�ALTERATION ❑REPAIR <br />VALUAT�ONOFWOF�K . <br />4 <br />�(��TY ❑DEMOLISH ❑FENCE GSIGN ❑SWIMMING POOL <br />JESCRIBE WORK <br />� � � <br />'ROPOSE� USE <br />MECHANICAL <br />_EGALDESCRIPTIONOF PROPERTY �SHOW �ELOW OR ATTpCH fYPE OP FUEL �OIL �NAT. �LPG. <br />- GAS <br />LOT <br />JOB ADORE55 <br />PLUMBING <br />BLOCK _ <br />SPECIl�L CON�ITIONS: <br />{�V W.wfa/L� :�. <br />A <br />nCK �REARYAPD <br />❑YES ❑NO <br />AIR COND. UNITS-H.P. EA. $ <br />fiEFRIGEfiATION UNITS-H.P. EA. <br />[301LER5-H.P. EA. <br />GAS FIqED A.C. Vh+:T5-iONNAGE EA. <br />FORCEO AIR SVSTEMS-D.T.U. M EA. <br />WALL HEATERS-B.l'.V. M <br />UNIT IIEATERi-6.T.U. M <br />EVAPORnTIVECOOLERS <br />CLOTHESORVERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING 11N1T- C.F.M. <br />INCINEPATOR <br />everett <br />I �9m+Orb <br />�. <br />H <br />� <br />� <br />W <br />a <br />193 <br />� SUO TOTAL SI— j <br />PEftMIT 5��— <br />TOTAL FEE 5 � <br />'iH15 P[PNIT 6EC0�1E5 NULI ANO VOID IF WOFK OR CONSTRUC- <br />TION AUTMORIZED IS NOT COhiMENCED WITHIN 120 DAVS, OR IF <br />CONSTRUCTION OR WORY, IS SUSPENDED pq qBANDONEO FOF A <br />PERIOO OF 120 DAVS AT ANV TIME Af-TER WORK IS COMMENCED. <br />I HEFEBV CERTIFV THAT I HAVE READ AND E%AMINEU T�115 AP� <br />PLICATION AND KNOYJ THE SAM11E TO B! TFUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AN� ORUINANCES GOVEHNING TNIS TVPE <br />OF WORK WILI BE CO�iVL1ED N'ITH WHETMER SPECIFIED HEREIN <br />OR NOT, THE GRnNTING OP A PERMIT OOES NOT PRESUME TO <br />GIVE AUTHOFITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANV OTHEF STATE Oli LOC.�L LAW REGULATING CONSTRUCTION <br />OR THE PEFFOqMANCE OF COYSTRUCTION. <br />x � <br />SIGNATUREOFCONTRACTORORAUTN.AGENT DATE <br />'LAN CHECK NJMBEfi PLAN CHECK FEE <br />FEE RECEIPT NO. <br />FEES VALUATION FEE <br />OCC. LOAD BUILDING I 5 6(UJ�I � �� <br />—�— <br />�PqINKLERS PLUMBING I <br />IREO � <br />NECHANICIIL � <br />ES ❑NO � <br />I <br />OTHER I <br />I <br />PENELTV SEC.3031a1 1 <br />� ' <br />TOTAL wt, i� <br />vj <br />PERMIT VALIDATION <br />WHEN PR01'ERLY VALIDATED IIN THISSPACE) THIS IS VOUR PERMIT <br />� <br />