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the Eve�grec:r <br />CITY OF CONSTR UCTIOIV <br />everett PERMIT <br />[rtv ��au n+sEa, <br />� vi xvt. v:nsrunrau <br />ss:w <br />°", °"°"',°"", BUILDING MECHANICAL PLUMBING <br />cEv[tovr,�Ervr <br />Ny;ER �} MAILADD(iE55 ZIP YliON[ <br />II:l '�:f.r � ��tt��l �:'• <br />7HITECT OR OESIGNER MAIL AODRE55 PHONE LICENS <br />VERAL GDNTRACTOR MAIL AooiiLSR aunmv ��..�.�.. <br />CO <br />❑ OVIL�I'JG � PLUMUING � MECNANICAL <br />/ALUATION OF WORK <br />LOT <br />JOp AOONE55 <br />PLUMBING <br />1 <br />& <br />R <br />Y': ',LL �I�.�is; �e't's'• � <br />OELOW <br />T �.J �� �+� <br />ADDR <br />NSE NO. <br />NSE �i0. <br />�NEW ❑ADDITION ❑HLTERATION ❑REPAIIi <br />❑DEMOLISN ❑FENCE ❑CIGN ❑SWIMMING POOL <br />MECHANICAL <br />AS <br />AIR COND. UNITS—H.P. 6'A. <br />_ REFPIGEql�TION UNITS--iIP, EA <br />601LER5—H.R EA. <br />G1�5 PIRED A.Q UNITS—TONhAG <br />i FOFCEO AIR $vSTEMS-8.T.11. M <br />bVAL� kiEl�TERS—O.T.U. M <br />UNIT IIEATERS—p.T.U. M <br />EVAPORATIVECOOlERS <br />CLOTHESDFVLRS <br />� VENTILATION FAN <br />RA�00 <br />AIH HANDLING UNIT— C. <br />IINCINERAtnR <br />5 <br />everett' <br />1 W�(1L� <br />� <br />W <br />m <br />� <br />� <br />Z <br />H <br />� <br />� <br />W <br />a <br />385 <br />�___ SU� TOTAL $ F � <br />PEfiMli S <br />'fOTl1L FEE 5 � <br />THIS PFRM1IIT 3CCOMES NULL AND VOII� IF WORK Ofi CON51'RUC <br />TION AUTlIOR12ED IS NOT C0�IMENCED WITHIN iP0 D.lvS, OR IF <br />CONSTRUCTION Ofi WORK IS SUSPENDHU OR A6ANUONLD FOR A <br />PEflIOD OF 120 DAVS AT ANY TIM[ AFT�_R WORK IS CO�\1�fENCED. <br />I HERE6Y CERTIFY THAT I NqVE fiEAD AND E%A1.11NED THIS AP� <br />PIICATION AND KNOW THE SAME TO �B �RVE ANO CORRECT. ALL <br />PROVISIONS Of LAWS ANU OFDINANCHS GOVERNING THIS l'YPE <br />OF WORK WI�L OE COM1IPLIED WITH lY�1ETHLH SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF l� PERMIT DOC-S NOT PNESUME TO <br />GIVF. AUTHORITV TO VIDLATE OR CAfJCLL THL PROVISIONS OF <br />ANY OTMER ST.'1TE OR LOG1L L��W RLGULI�TING CONSTf1UCTION <br />OH THE PEliFORMANC[ Of- CONSTPVCTION. <br />IX <br />SIGNATURE OF <br />SETBACK STRGETSET�ACK REAqYqRDSET�ACKPLANCHECKNU <br />LOTAREA VACANTSIT[ <br />❑YES ❑NO FEES <br />��ECIAL CONDITIONS: <br />PLAN CHECK FEE <br />FEE FECEIPT NO. <br />VALUATION FEE <br />�1i1x.OGG LOAD DUILOING 5 � <br />I <br />PLUM�ING I <br />FIH65PHINKLEfiS � I <br />ftEOUIRED � <br />❑�'ES ❑NO MEf.HAfJICAI r �� <br />OTHER � <br />I <br />T <br />PENELTV SEC.3031a1 I <br />TOTAL j � <br />PEFMIT VALIDATION <br />WHEN PFiOPERLY VALIDATED IIN THIS SPACEI TH1515 YOUF PERp�IT <br />� � <br />Ov. <br />J <br />