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Nre Evergrcerr <br />CITY OF <br />everett <br />Pi1 n>II 159PFv4 <br />EVFNfIL N1tiNiYf.ION <br />14)i�l <br />neri. ur �nnnwvuv <br />utviinrnrtni <br />0\VNe'A <br />� � <br />BUILDING <br />MAIL <br />� <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />PLUMBING <br />� � � � � � R /v � � � <br />MECHANICAL CONTRACTOFl MAIL AODRESS PHONE LICI NSE NC <br />PLUMBINGCONTRACTDR MNLAD�RES£ PHONE LICENSENC <br />PERMIT CLA55 OF WORK <br />�OVILDING �PLUM3ING �MECHANICAL <br />�NEW ❑ADDITION ❑ALTERATION ❑FEPAIR <br />VALUATION OF WOFK <br />❑DEMOLISIi ❑FENCE ❑SIGN ❑S\NIMMING POOL <br />0 <br />LOT <br />JOB AO�S� <br />PLUMBING <br />8 <br />INI <br />ER <br />TR <br />in: <br />AT <br />SPECIAL,WNDITIONS: <br />i <br />MECHANICAL <br />�ELOW OR ATTACH �+^5 <br />•?,� a NO. TVPE OF E�UIPMENT <br />AIR COND. UN�TS—FI.P. EA. <br />PEFRIGERATION UNITS-H.P. EA. <br />p(.iLGRS-II.P. EA. <br />GAS FIRE� AG. UNITS-TONNAGI <br />FOfiCE� AIR SYSTEMS-B.T.U. M <br />WALLNEATEf15-B.T.U. M <br />VNIi HEl�TERS-U.T.U. M <br />FVAP[]RATIVE [OOLERS <br />SE <br />❑VES ❑NO <br />AIR HANDLING UNIT- <br />INCINERATOR <br />everett <br />SUOTOTAL 5 � <br />PER�11T $ I <br />TOTl�L FEE $ I <br />TIiIS PEFMIT BECOMES NULL AND VOID IF WOFlK OR CONSTRUC� <br />TION AUTHORIZEO IS NOT COM1IMENCED WITHIN 120 D/1V5, OR IF <br />CONSTRUCTION OR WORK IS SUSPENOED OR A�ANDONED FOR A <br />PERI00 OF 120 DAVS AT ANV TIME AFTEfl WOftK IS COMMENCEO. <br />I HERE�V CF.RTIFV THNT I lIAVE READ ANO E%AMINED THIS AP- <br />PLiCI�TION AND KNOW THE SAME TO BE TRUE AND COfiRECT. ALL <br />PfiOVI510N5 OF LAWS AND ORDINANCES GOVERNING THIS TVPE <br />Of WORK WILL BE COAIPLIE' VITH WHET/IER SPECIFIED HEIiEIN <br />OF NOT, TFIE GRANTING OF .� PERAfIi DOES NOT VRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHEfi STATE OR lOCnl LAW fiEGULATING CONSTRUCTION <br />Ofl THE PERFORMANCE OF GONSTRUCTION. <br />%� tip TfTt]S+� <br />Si��7G ATU��6"FL�QIaT1 <br />PLAN CHECK NUMPEfi <br />� <br />FEES <br />PL AN C1iECK F E E <br />FEE RECEIPT NO. <br />� � <br />VALUATION FEE <br />.00C LOAO DUILOING 5 �� fA7 <br />-1 <br />PLUMAING � <br />.SPRINKLERS <br />UIRE� <br />YES ❑NO MECHAP�ICAL I <br />OTHER � <br />I <br />PENE�TY SE0. 3071a1 ; <br />TOTAL � � <br />PERMIT'/ALIDATION <br />WHEN PROPERLV VALI�AT[� lIN TNIS SPACEI THIS IS YOUR PERAIR <br />R�• <br />� <br />