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rnc Evcrgrnan <br />CITV OF <br />everett <br />urr xnu as�esas <br />E"FflElL,1V45NINGLON <br />94JJ1 <br />ocvi.av coMn�mutr <br />ocvEiurMEni <br />NBR <br />x `1�9�i �-G� <br />BUILDING <br />MAIL <br />� <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />ADDNESS 21V <br />�:%i`? "9i11;0:' `�C c�: <br />PLUMBING <br />PI10N <br />�52-3orn <br />'ERMIT CLASS OF WORK <br />❑ �VILDING � PLUM�ING � MEC4ANICAL <br />❑NEW �ADDITION ❑ALTERATION ❑R[PAIP <br />/AIUATION OF WORK <br />5�lyy�R M ❑DEMOLISH ❑PENCE ❑SIGN ❑SWIMMING POOL <br />�V�.AW <br />)ESCFIB[ WORK <br />71� aefln�B .ut no�r � i u1.rh v <br />'FOPOSED VSE <br />MECHANICAL <br />TYPE OF FU[L �011 �NI�T. �LPG. <br />_EGAL OESCflIPT10N OF PROPI'RTV ISNOW OELOW OR ATTACN GAS <br />�o7T�5�LOCK� oF ��`�� r NO. TYPE OF E�UIPMENT <br />JOO AODRESS <br />PLUMBING <br />BA <br />AI <br />�7 <br />SPECIAL CONOITIONS: <br />STREE <br />OY: <br />❑VES ❑NO <br />��: <br />OOILEfiS�-fi.P. EA. <br />GAS FIRED A.C. VNITS-TONN <br />FORCEO AIR SVSlEMS-L7.T.V. <br />WALL HEATERS-B.T.U. <br />UNIT HEAT@RS-�.T.U. <br />EVAPpRATIVECOOLEPS <br />CLOTHES�RYEflS <br />VENTILATION FAN <br />Rl�NGE HOOD <br />AIR IIANDLING UNIT- <br />INCINERATOR <br />everett <br />]27,�7�i <br />� <br />W <br />m <br />� <br />� <br />Z <br />H <br />� <br />� <br />W <br />a <br />1182 <br />SU9TOlAL 5 � <br />PEFMIT 5 � <br />TOTAL FFE S � <br />i1i15 PEHMIT BECOMES NULI ANO VOIO IF WORK Ofl CONSTFUC� <br />TION AUTHORIZEO IS NOT COMMENCtO WITHIN 120 OAVS, OR IF <br />CONSTRUCTION OR N. �RK IS SUSPENOED OR ABANOONED FO(1 A <br />PERIOD OF 120 GAVS :�T ANV TIME AFTEA \NORK IS COMMENCEO. <br />I HEREEiY CEFTIFV THAT I NAVE READ AND EXAMINEO THIS AP- <br />PLICATION 11ND KNOW THE SAME TO f3E TfiUC AND CORflECT. ALL <br />PIiOVISIONS Of- LAWS ANO ORDINANCES GOV[RNING l'HIS TYPE <br />OF WOfiK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOi, THG GRANTING OP A PEfi�.JT OOES NO'f PRESUME TO <br />GIVE PUTHORITY TO VIOLATE OR CANCGL THE PROVISIONS OF <br />ANV OTHER $TATE O!i LOCAI LA'N fl[GULATWG CONSTRUCTION <br />OR THE PERfOFA1ANCE OF CONSTRUCTION. <br />� <br />C�:�`/ V <br />IEOFCONTRACTOfiORAUTH.AGENT �ATE <br />;K NUA18EFi PLAN CHECK FEE <br />FEE RECEIPT NO. <br />FEES VALUATION FEE <br />I <br />I <br />OAD BUIL�ING 5 ��� � � (}'� <br />P1U�781NG � <br />LER$ � <br />❑NO MECHA��ICAL � <br />OTHER � <br />I <br />PENELTV SEC.3031a1 I <br />TOTAL �� � <br />PERMIT VALIDATION <br />WHEN PROPEflI\' VALIDATED (IN THISSPACE) THIS IS YOUR PER�11T <br />!S <br />