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fNe Evergr�'en <br />��„ UF <br />everett <br />�„� .�.,<< ,:, ,,. <br />I VI f.l l l. 15\VIINti11:9 <br />9d101 <br />Dk19. Of [Oh".NLIIY <br />OEYClOI'AI[N1 <br />CONSTRUCTION everett <br />PERMIT <br />BU�LDING MECHANICAL PLUMBING �_� <br />.1'^.111i`:; i': ���'lC.i' <br />MNL A�pfiE55 21P 1'H�NE <br />2.^.rl-� ': ' ;1 ".; `3i `�''� �s�.,�2:5 :�aits <br />MAIL ADDIILSS Ph10NE LICENS[ NO. <br />���T; <br />:HANICAL CDNTRACTOR <br />&� 3X1�i.it:ri,L...� . %�, FiO� :' �. $ <br />'ERA11T <br />��UILDINu .aPLUM�ING �MECHANICAL <br />I:II:L�IhUl:i3 <br />Cz:�I"^.e:i :a:: �G� <br />�. . <br />LIC[NSE NO. <br />.�']NFW ❑ADUITION ❑ALTERATION ❑REPA�R <br />❑OEMOL�511 ❑PENCE ❑SION ❑SWIMMING POOL <br />*�Y "r ^' ;'�7T?:, <br />MECHANICAL <br />TYP[ Of FUEL noi� f'iNAL f-7LPG. <br />lEG/11. DESCRIPTION OF PRO�'ERTY IaHOW �ELOW OR ATTACH <br />FOUR COPIE5) <br />LOT � 6LOCK�OF �C �;�. :�=�E. ._ <br />� m� or s wv+ <br />JO� <br />PLIIMBING <br />R <br />II� <br />7ir'�3 �r�,�' `L <br />d� �}t <br />USE ZONE LOT AREA <br />� <br />TVPE OP CONST. OCCUPANCV GI <br />SIZH Of R�DG. NO. OF STORI♦['. <br />�V <br />FIflE ZO JE [3nFEMENL <br />•� jC9 <br />r <br />SPECII�L CONDITIGNS: <br />Ilv <br />�►� <br />HCANTSITE <br />�ES ❑NO <br />AIR CONO. UNITS-II.Y. EA. <br />flEFRIGERATIONUNITS-N.P.EA. _ <br />601LER5� H.P. EA. <br />GAS FIRED A.C. UNITS-TONNAGE EA. <br />FORCLD 41f1 SYSTEMS-B.T.U. M EA. <br />WALL HEMLRS-l3.T.U. M <br />UNIT HEATEPS-�.LV. M <br />EVAPORAT'vECOOLERS <br />CLOTHES UPVEfiS <br />VENi1LM-iON FAN <br />RANGEHODD <br />AIR IiANDLING UNIT- CP.M. <br />INCWER/�TOR <br />I SUU TOTAL 5 � <br />PEIiM111T 5 �- <br />_ � <br />TOTA�FEE 5 � <br />lfil5 PEFMIT �ECOMES NULI ANO VOID IF WpqK pq CONSTRVG <br />TION AVTHORIZED IS NUT COM1iMENCEfi WITHIN 120 OAVS, OR IF <br />CONSTIiUCTION OR WORK IS SUSP[N�ED pq ABANOUNED FOFl A <br />PERIO� OF �20 DAYS !�T ANV TIME AFTER WORK IS COMMENCED. <br />I H@RGNV CERTIFY THAT 1 HAVE REi1D AND E%AMINEO T1115 AP� <br />PLICAI'ION AND KNOW THL SAME TO �E TRUE AN� CORflECT. ALL <br />PflOVI510h5 OF LAWS �1ND OR�Ip'4NCE5 GOVERNING THIS TYPE <br />OP WORK WILL 6E COMPUCD WITN WHETHLq SPF.CIFIEO HEREIN <br />OR NOT, THE GPANTING OF A PERAtIT OOES NOT PRESVME TO <br />GIV[ �IUTNORITY TO VIOLME Ofi CANCEL THE PflOVI510N5 Of- <br />ANv OTHER ;TATE OP LO^_AL LlbV HEGULATING CONSTRUCTION <br />OF TH[ PEHFORMANCE OF CONSlRVCTION. <br />CHECK NUh16EH P�AN CFIECK FEE <br />,,,,� • �.� FF.E `t�•frt RECEIti; �NOp. <br />��.��. :sv A'- l+i <br />i�EES VALUATION FEE <br />MA%, OCC. LOA[l �UILDING 5 ���'�,�i��} �� � <br />PLUMOING M <br />FIRESPqINKLERS I W <br />RC�UIFED � <br />❑VES ❑NO M[CHqDlICAI �� <br />OTHER � <br />I <br />— �_ <br />YEN@LTV SEC.3031a1 I <br />TOTAL � <br />I <br />_ i <br />PERMIT VALI�ATIOM <br />WHLh PqOPERLV VALIOAiEO (IN THISS�'4CE1 i'HIS IS VOUR PliR�11T <br />� <br />