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the Evr,�grcen <br />CITY OF <br />everett <br />CIiY IIA�I �S�EFiS <br />fPEPCli.1':4S!f:NLlf1Y <br />95111 <br />o[vi w i:o�.;.r•;u� <br />etvunrv[•u <br />NER <br />�n► i7u�o. r <br />CONSTRUCTION <br />PERMIT <br />BUILDING MECHANICAL <br />MAIL AOORESS ZIP <br />7717 t� �'S�e ,�:2it3 <br />PLUMBING <br />PHO`N'[� <br />� �17 <br />dECHANICALCONTRACTOR MAII.ADDRE55 rnurve u�cnac�.v. <br />'LUM�ING CONTRACTOH MAIL AODRESS PHONE LICENSE NO. <br />'BFMIT C1A550F WORK <br />��UILOING ❑PLUMBING ❑MECIIANICAL <br />❑NEW ❑�+ODITION ❑ALTEjATION �REPAIR <br />JALVATI N OQ _ F WOFiK <br />1r^�m ❑DEMOLISH ❑FENCE ❑SI]N ❑SWIMMING POOL <br />s <br />PRO <br />LOT <br />JOB AODFE55 <br />77j7 �1� Thlt.�lt <br />PLUMBING <br />SET�ACK <br />SPECIAL CnNOITIONS: <br />F:.G. <br />$ <br />REAft VAR� SETU <br />❑VES ❑NO <br />MECHANICAL <br />rvrr nr rue� noi <br />everett <br />•r� yr <br />� <br />W <br />m <br />� <br />� <br />Z <br />H' <br />� <br />� <br />w <br />__ a <br />0978 <br />Alfi COND. VNITS-Ii.P. EA. S � <br />REFRIGGRATION VNITS-H.P. Ef�. r <br />llOILERS-M.R EA. I <br />GAS FIRED A.G. UNITS-TONNAGE EP. � <br />�OHCEO AIR SVSTEMS-D.T.U. M EA. I <br />WALL HEATERS-B.T.LL M <br />UNIT HGATERS-[3.T.U. M � <br />EVAPUHATIVECOOLERS -� <br />CLOTHESORYERS � <br />VENTILATION FAN �� <br />RANGENOOD � <br />AIR HANDLING UNIT- C.F.M. <br />INCINERATOR � <br />SUB TOTAL 5 I <br />PERMIT 5 � <br />TOTA� FEE 5 I <br />THIS PERMIT OECOMES NULL AND VOID IF WORK OR CONSTRUC� <br />TION .iUTHORIZED IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br />CONSTiiUCTION OR WORK IS SUSPENOEO Ofi AIfANOONEO f-OR A <br />PERIOO O�- 120 DAVS AT ANV TIME AFTER WORK �5 COMMENCED. <br />I HERE61' CERTIFV THAT I HAVE READ ANU G%AMINED THIS AP� <br />PLICATION I�NO KNOW TNE SAA9E TO l3E THUE AND COIiHEGT. l�Ll <br />PROVISIONS OF LAWS ANO ORDINANC[S GOVERNING TNIS TYPE <br />OF WORK WILL 6E COMPLIED WITH Wli[THGfi SPECIFIED HEREIN <br />OH NOT, THE GPANTING OF A PGRRiIT DOES NOT PRESUME TO <br />GIVE FUTHORITY TO VIOLATE Ofi CANCEL TH[ PROVISIONS OF <br />f�NY Ol"HER STAT[ OR IOCAL LA1V REGULATING CONSTFUCTION <br />OR THG PERFORMl�NCF OF CONSTRUCTION. <br />x � <br />SIGNATUREOFCONTRACTORORAUTM.l�GENT DATE <br />'LAN CHECK NVMBEP PLAN CNECK FEE <br />FEE FECEiPT NO. <br />FEES VALUATION � fEE <br />ICC.LOAD �UILDING 5 7�"'��- `-� <br />-"i <br />PLUMOING � <br />'PINKLERS � <br />�E� MECHANICAL � <br />5 ❑NO <br />I <br />OTNER � <br />PENELTY SEC. 90� (al � <br />I <br />TOTAL I <br />PERMIT VALIDATION <br />WH[N PfiOPERLV VALIDATE� UN THIS SPACE) THIS IS VOUR PEH�11T <br />nr <br />