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the Evergrcen <br />CITV OF <br />everett <br />,�,. �,:.�� , �:, <br />�,��tr, �:..,�.,�'�°�,,,�, <br />95)pl <br />IIFVI 0! [OM1I!'p41iY <br />otvtiova�,[xt <br />OWNER <br />� � � <br />l�HCHITECT OR OESIi <br />CONSTRUCTION <br />PERMIT <br />BUILDING MECHANICAL <br />IdA1L �AO�D�RqGSyS � Z�N <br />� :.11�iti/Y� � � <br />F <br />PLUMBING <br />w � �� <br />L <br />E NO. <br />� OUILDING � PLUMUING � MECHANICAL <br />❑NEW ❑ADDITION ❑ALTEFATION ❑REPAIR <br />VAL SP.TIO'J OF 11'OftK g. <br />;��w� ❑OEMOLISH TJ�[NCE ❑SIGN ❑SP��M1IMINGPOOL <br />DESCRI[3L WORK <br />� � <br />PROPOSED USE ��ECHANICAL <br />TYPEOFFUEL �OiL �Nl�T. �LPG. <br />I.EGAL oESCRIPTION OF PROPEHTY ISNOW 6ELOW OR ATTACH Gf�S <br />LOT OLOCK <br />PLUMBING <br />ST <br />B <br />SPECIAL CONOITIONS: <br />AIR COND. UNITS-�H.P. EA. <br />REFRIGERATION UNITS—H <br />BOILER$--H.P. EA. <br />GAS FIFED A.C. VNITS—TO <br />PORCED AIR SVS fEMS-6.7 <br />WALI HEATERS—Fi.T.U. <br />UNIT HEATERS—B.T.U. <br />CVAPORATIVECOOLERS <br />CLOTHES�RVERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANULING UNIT— <br />INCINERATOfl <br />M. <br />S <br />a <br />LLl <br />m <br />� <br />� <br />z <br />� <br />� <br />� <br />W <br />a <br />409 <br />SUB TOTAL 5 I <br />PERMIT 5 --� <br />TOTAL FEE S I <br />THIS PERMIT BECOMES NULL ANO VOID IF WOFiK OR CONSTRUC <br />TION AVTHUR12E0 IS NOT COMM:NCED WITMIN 120 OAVS, OR IF <br />CONSTFiUC�ION OH WORK IS SUSPENUED OR A� 1N�ONED FOF A <br />PERIOD OF 120 DnVS M� ANV TIME IIFTERIVORK IS COM�4cNCED. <br />1 NERE6�' CEftTIFV TNAT I HAVF fiEAO AND E%AMINED THIS AP- <br />PLICATION ANO KNOW THE SAh1G TO f3E TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS ANO ORDINANCES GOVEFNING THIS TYPE <br />OF WORK WILL DE COAIPIJED WITM WHETHER SPECif-IED HEREIN <br />OR NOT, THE GRANTING OF A PEfiMIT DOES NOT PHESUME TU <br />GIVF AUTHORITY TO VIOLAT[ OH CANCEL THE PfiOVI510N5 OF <br />ANV OIHCR SiI�T[ OR L�Ci�L 1_AW fiGGUL1TIM1G CONSTI9UC�fION <br />OH TII[ PERFf1qA1nNCE OF COh'�TRIiCTiON. <br />X � <br />SIGNNUHL01-CONTH�1ClOHOH�UtH.f�GENT D/1TE <br />T�ACK PLAN CHECK NUMPEq PLAN CHECK FFE <br />FEE �RECEIPThO. <br />❑YES ❑NO <br />ES ❑NO <br />C.�`�`• I I IXM• <br />FEES <br />FEE <br />� <br />�UILDING S � <br />�- <br />PWM�ING � <br />I <br />1 <br />MECMANICAL � <br />OTIiEil I <br />I <br />PENELTY SCC.9031a) � <br />70TAL I <br />PERMIT VALIDATION <br />'NHEN PROPEFLV VAI.IDATED IIN THISSPACE) THIS IS VOUR PEfih11T <br />