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tAe ft�r,rgrcen <br />CITV OF <br />everett <br />CiIY n>ll 1198;tlt <br />[V[11[Ii.11ASNIYGI011 <br />98I01 <br />IIIPT. OF GOWM1IIIN1IV <br />�[VILOVhIkNt <br />AL <br />CONSTRUCTION <br />PERMIT <br />BUILDING MECHANICAL PLUMBING <br />MAIL ADDRESS 21P PMO <br />LJ DUILDING � PI.UMUING � MECliANICAL <br />JALUATION OF W♦UqK <br />� 6.M1.�N <br />)ESCfi10G WORK <br />^�r s• �ct� � s'�xna�t9,an <br />�OT <br />JO� A�DRESS <br />�: .�.� .��.�lu <br />PLUMf�ING <br />TU[3 <br />V <br />K <br />SPECIAL CONDITIONS: <br />�CI <br />OF WORK <br />❑NEW ❑ADDITION ❑ALT[RATION �EPAIR <br />❑DEMOLISH ❑f[NCE ❑SIGN ❑SWIMMING POOL <br />OF PROPEfiTV ISHpW BELOW OR ATTACN <br />b7Cs < < � L LKr. c' <br />❑YES ❑NO <br />�) <br />MECHANICAL <br />TYPE OF EnUIPM11ENT � - <br />Alfi CON0. UNITS-H.P. EA. <br />REPRIG'eRATION UNITS-N.P. EA. <br />EOIL'cRS-H.F. EA. <br />GAS FIRED A.C. UNITS-TONNAGE EA. <br />FORCED Alft $VSTEMS�-P.T.LL M EA. <br />1VALL HEATGRS-�.T.U. M <br />UNIT HEl�TERS-O.T.V. M <br />EVAPORATIVECOOLERS <br />CLOTHESONYERS <br />VENTILATIOVFAN <br />fiANGE HO00 <br />AIR I/ANDIING UNIT- C.F.M. <br />INCINEFATOR <br />everett <br />SUp TOTAL 5 � <br />PERA1IT S <br />� <br />TOTAL FEE 5 � <br />THIS �ERMIr �ECOME3 NULL ANO VOI� IF WORK OR GONSTRUC <br />TION AUTHOHIZEO IS 1•�OT COMMENC[D WITHIN 120 DAVS, OF IF <br />CONSTPUCTIDN Ofl WORK IS SVSPENDED OR l�l3ANDONED FOR A <br />PERI00 Of- 120 DAVS l�T ANV TIME AFTER WORK IS COMMENCEO. <br />I HEflEDY CERTIFY TNAT I HAVE READ AN� E%AIdWEO TNIS AP� <br />PLICATION AND KNOW THE SAME TO OL TRU[ AND CORRECT. ALt. <br />PROVISIONS OP LAWS AND ORDINANCES GOVEfiNING THIS TVPE <br />OF WORK WILL BL COGIPLIEO WITH WHETHER SPECIFI[D HEREIN <br />OR NOT, THG GRANTING OF A PEfiA91T �OES NOT PFESUME TO <br />GIVE AUTIiORITV TO VIOLATE OP C VCEL THE PROVISIONS OF <br />ANV OTHER STMC OR LOCAL LAW REGULATING CONSTfiUCT10N <br />OR TIiE PEHFOFAIANCL OF CONSTRVCTION. <br />PLANCHECK NUMOER <br />FEES <br />+'�.r�� ! <br />)FORAUTH.AGENT �ATE <br />PIAN CHECK FEE <br />FEE RECEIPT NO. <br />VALUATION FEE <br />JAO DUILDING $ Z��%A'.N f.� � f�i <br />PLUMAING I <br />LEPS <br />❑NO MECHANICAL � <br />OTHER i <br />P[NEI.TY SEC.3031a) I <br />TOTAL �� r�, <br />PERMIT VALIDATION <br />bVHLN PROP[RLV VALIDATE� (IN iHI55PACE) THIS IS VOUP PGflM1T <br />7 <br />