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d�e Fveiyn'en <br />������� CONSTRUCTION <br />everett PERMIT <br />CIIYNiLL 1`V9�RS <br />[V[FCIi. Ni541ti]1�V1 <br />9P1�� <br />���, °, �°•�^��^�°� BUILDING MECHANICAL <br />otvtiovratr* <br />Wfi[R MAILADDRE55 Z�P <br />;:.'"'�F'^ � Tq. *�'T.%; 3� :`'Z'"'T,- •�77. <br />�I�,e-,i . . ... <br />Fi <br />�Q ,; �r,;.�. . ."`. <br />�6UIL�ING �PWMBING ❑MECHANICA <br />S <br />PLUMBING <br />MAIL ADDRE55 PHONE LICENSE N[ <br />CLASS OF WORK <br />L �ODITION ❑nLTERATION ❑REPAIR <br />❑ NEW <br />❑DEM1IOLI;H ❑FENCE ❑SIGN ❑SWIM11MWti POOL <br />r:,r.<<{:t t.;; -:': ti <br />MECHANICAL <br />TVPE OF FUEL �OIL ❑G�15 <br />OR ATTACH <br />LOT � BIOCK_OF_ <br />�i+L � !.V :3 Tli� J�r <br />� .M�il�: !.l. il-:\�:�� <br />PLUMBING <br />NO. TVPG OF Fi <br />WATER ClOSET IT( <br />6ATIiTUB <br />LAVATORVfWASH <br />.^.HOWER <br />KITCHEN SINK & DI <br />❑ISIIWf�SMER <br />LAUNDRVTRAY <br />CLOTHES WASIiER <br />Wf�TER MGnTEH <br />UHINAI <br />ORINKING FOUNTt <br />FI.00R-SRJK OR f� <br />VACUUM pP@AKI'.P <br />FOOF . RAINS-li4i <br />SINK (SCRV ICE-3! <br />TOTAL FEE _ _8� <br />1RD SETfiACK Sl'RFET SETDACY. REAR YARD <br />SPECIAL CUNpITIONS: <br />nnm�ncarrcunr �riar.�,n�rr���nnv. <br />3.a. �. c. <br />❑VES ❑NO <br />AIR COND. UNITS-H.r. tA. <br />REFRIGERAiION UNITS�-H.P. EA. <br />E701LERS-MA EA. <br />GAS FIHEO A.C. UNITS-TONNAGE EA <br />fORCEO AIR SVSTEMS-O.T.U. M EA. <br />Wf�LL HEMEPS-F3.T.V. M <br />UNIT MEMERS-B.T.U. M <br />EVAPOHATIVECOOLERS <br />C�OTHESDftVENS <br />VENTIIMIOIJ FAN _ <br />RANGG IIOOD <br />AI(i HAND�ING llNll- GF.M. <br />INGWERATOR <br />everettl <br />� <br />� <br />5 <br />0 <br />TOTAI.fEE 5� I <br />TMIS �'LfiL11T DECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />TION I�UTHOli1ZED IS NOT COM1IL4ENCED WITMIN 120 OA�'S, OR IF <br />COhSTRUCTION OR WORK IS SUSPLNDGD OR AfiANDONED FOR A <br />PERIOD OF 120 OAYS AT ANV TIME AFTEH WORk IS CCh1MENCED. <br />I HLREUV CERTIFV THAT I HI�VE RLAD AND GY.A�IINED THIS AP- <br />PLICATION AND KNOW THE Sf�ME TO �E TRUE AND CORfiECt. ALL <br />PROVISIONS OF LA\4'S AND ORDINANCES GOVEHNING IHIS TYP[ <br />OF WOPK WILL A[ COMFI.I@p WITH WHETHER SPGCIFI@D NEPEIN <br />OH NOT, THE G1il�NTING OF A PEPMIT DOES NOT PRESUME TO <br />GIVE 1UTHORITV TO VIOIAT[ OR CANC[L l'HG PROVISIONS OF <br />ANV OTH[H $l'I�TE Oii LOCAL LAW R[GULATING CONiTRUCTION <br />OR THE PERPORMANCE Of CONSTflUCTION. <br />x <br />SIGNATURG OF C( <br />'LAN CN[CK NUM <br />�`w� <br />FEES <br />IROFiAUIH.l1GtNl VHIt <br />PLAN CHECK FEE <br />F[E �r H@CEIPT NO. <br />J�7��� � <br />VALUATION FEE <br />I <br />_J1,_, <br />JAD AUILOING 5 �� ,� W,/� <br />—�- <br />PLUMDI NG � <br />LEFS 1 <br />I I <br />❑NO M[CNANICAL � � <br />I <br />OTHEF I <br />PENELT� SEC.30JIa1 � <br />I <br />— TOTAL y� <br />PERMIT VAIIDATION <br />wr�eia rr�oa�n�v vn�.ionreo nN nns�"'ncei 1�iis is voun reA+nir <br />1. r../ b:� C <br />� <br />