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the Evcr9�een <br />GTY OF <br />everett <br />❑IV N�LL ?5°8<85 <br />[V[fllii, WASNIM1GiQH <br />98101 <br />ntrto�cornau•u�r BUILDING <br />o[v[iare�.[xr <br />NER 1 <br />;1� �a11t��1 �� �f,..'..�-.. <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />PLUMBING <br />'LUMBING CONTRACTOR MAIL ADDRESS PHONE LIGENSE NO. <br />�}�+ <br />'EFMIT CLASS OF WORK <br />❑OUILDING �PLUMliING ❑MFCHANICAL q� <br />❑NEW ❑A��ITION ❑ALTERATION hJ�EPAIR <br />/ALUATION OF WORK <br />❑�EMOLISH ❑FENCE ❑$IGN ❑SWIMMING POOI <br />5 <br />]ESCFIBf WORK <br />LBGAL DESCRIYTION <br />FpV Fi COPIE5) <br />LOT BLOCK. <br />�.� �� q� <br />)f PftOPERTV (SHOW BEIOW Ofi <br />"....__.._.... LJ.K.L TC�ti� <br />PLUMBING <br />INI�L <br />INKING F <br />SPECIAL CONOITIONS: <br />MECHANICAL <br />AIP <br />OF <br />^11.�'1 EA v <br />?D A.C. UNITS-TONNAGC GA. <br />AIR SVSTEM1IS-[3.T.V. M E�1. <br />l�TERS-O.T.V. M <br />AIR HANDLING UNIT- C.F.M. <br />everett <br />` 2?6n-'Tb <br />� <br />W <br />m <br />� <br />� <br />Z <br />H <br />� <br />� <br />W <br />C <br />1701 <br />DISP. � SU� TOTAL 5 � <br />PEPMIT 5 <br />_ TOTAL FEE 5 � <br />� ll!�S PERMIT OECOMES NULL ANU VOID IF WORK OR CONSTRUC- <br />TION AUTHORIZEO I$ NOT COMMENCED WITHIN 120 DAVS, OR �F <br />CONSTHUCTION OR WORk IS SUSPBNDED OR A�AN�OiVED FOR A <br />�AIN } PE��00 OF 120 DAVS �1T ANY TIME AFTER WORK IS COMMENCED. <br />ORAIN I HEflEftV CLftTIFV THAT I HAVE READ AIJf] L%AA1WE� THIS AP� <br />_�5 PLICATION ANO KNOIV TNE SAME TO I3G TRUE AND CORFECT. ALl <br />AINLEADERS %'��VISIONS OF LAN'S AND ORDINANCES GOVERNING THIS TYPf <br />OF WORK WIL� BE COMPLIED INITH WH@TIIER SPECIFI[D H[REIN <br />ll�R, ETC.) � �� NOT, iHE GRANTING O� A PERMIT DOES NOT PR65UME TO <br />�-' GIVG AUTNORITV TO VIOL�ITF OR CANCEL TH[ PROVISIONS OF <br />-� ANV OTHEfl STATE OR LOCAL LAN' REGULATING CONSTNUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SUD TOTAL <br />P[RMIT 5 <br />TOTP.IFEE $ <br />x � <br />SIGNnTUfiEOFCONTRACTOROFAUTN.AGENT DATE <br />STREET SETBACK IiEAR VARDSETf3ACK PLAN CHECK NUM�ER PLAN CHECK FEE <br />F[[ RECEIPT NO. <br />LOT AFEA VACANT SITE <br />❑vEs ❑No FEES VALUATION FEE <br />OCCUPANCV GROUP NO.OF DWELIING <br />UNITS ( <br />NO. OF STORIES M11A%.00Q lOAO �UILOING 5 � <br />I <br />PLUM�ING f� W <br />�ASEMENT RE�UIREOKLEHS i <br />❑Y@S ❑ND MECHANICAL I <br />OTMER � <br />I <br />PENELTV SEC.30JIa) I <br />TOTAL )j a,� <br />PERMIT VALIDATION <br />WHEN PPOPERI.V VAIIDATf. l f W TMIS ;PACEI THIS IS VOUR PERMIT <br />ISSU�MCL OY. � <br />i� C� <br />— � <br />u <br />