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thc EvCrqrecn <br />CITV 01' <br />everett <br />cureut nreaws <br />tvtncrr, wnsxixcmx <br />9B}01 <br />ntrt. or coMuuvirv <br />ntvciorutxr <br />,�� ;Y IJI'. 'll�CilW <br />CONSTRUCTION <br />PERMIT <br />BUILDING MECHANICAL <br />MAIL AODRESS ZiP <br />25�} ='� L„�: <br />�iOL: <br />� pUILOING � PLUM8ING �MECIIANIC/+L <br />�nrx,� t,�s;�t <br />PROPOSED USE <br />LCGAL OESGFIPiNN u�- YNUY6{iTV ISHOW 9ELOW UR <br />FOUR COPIESI <br />LOT p�.pCK _ OF— <br />JOBAD�RESS <br />i$�D L7A� <br />PLUMBING <br />TER <br />FYq <br />� SPECIAL CONpITIONS: <br />PY'. IP�A��S Cllf IXE 0 OY <br />��J <br />PLUMBING <br />❑NEW ❑ACDITION ❑ALTERATION �[P(��H <br />❑DEMOLISIi ❑FENCE ❑SIG4 ❑SWIMMING POOL <br />MECHANICAL <br />TYPE OF E�UIPN <br />Nfi COkD. UNITS-H.P. EH. <br />REFRIGERf.tiUN UNITS--H. <br />(301LER5-H.P. EA. <br />GAS FIHEU A.C. UNIiS-TOf <br />FORCED AIR SYSTEMS�-U.i <br />WqLL MEATEHS-��.T.U. <br />UNIT HEATERS-fl.T.U. <br />EVAPORATNLCOOLEHS <br />c�otr��s or�veas <br />V[NtILATION fl�N <br />RANGEHOOD <br />Alfi HANDLING VNIT- <br />INCINERATOR <br />M <br />QF <br />E A. <br />everett <br />2S'u.tb <br />� <br />W <br />m <br />� <br />� <br />Z <br />� <br />� <br />� <br />W <br />a <br />1757 <br />� _ SVUTOTnL 5 � <br />PEPMIT 5 <br />- TOTAL FEE 5 t <br />I <br />TMIS PERM1tIT [3[COMES NULL AND VOID IF WORK ON CONSiRUG <br />_ TION AViMORl2@D IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br />—+ CONSTRUCTION OR WORK IS SUSPENOE� OR 48ANDONE� FO�. n <br />FlERIOD OF 120 DAVS AT ANV TIME AFTEF WORK IS COMM[NCED. <br />I H[liEDY CERTIFY THl1T I MqVE READ nvO E%AMWED THIS AV- <br />PLiCATION AND KNOW THE SAME TO �E TRCE 4NO CORqECT. ALL <br />---� PfiOVI510N5 OF LAWS AND ORDINANCES GOVEPNING TIIIS TYPE <br />_ _ OF WORK WILL (3E COAIVLIEO WITM WHETHEF SPEdF1EU HEREIN <br />OP, NOT, THE GRl�NTING OF A PERMIT OOES NOT PRESUME TO <br />G�V@ AUTHORITV TO NIOLATE OR CANCEL THE VROVISIONS OF <br />4NY OTHEF STME OR LOCAL LAW q[GULATING CONST(tUCTION <br />OR TH[ PEflFOR�tANCE OF CONFTqUCTION. <br />s � <br />$ -- <br />— x �' a�c� t�45 n/z3�+6 <br />SIGNATUREOFCONTRACTOROFlAUTH.AGENT DATB <br />(iEAR VARDSET[3ACK PLl�N CMECK NUMBER PLAN CHECK PEG <br />FEE FECEIVT NU. <br />VACANTSITE <br />❑YEs ❑No FEES VALUA710N FEE <br />NO.OF DW[LLIf.;G <br />UNItS � <br />h11�%.00C.IOAD 13UIL�ING 5 �� w'� <br />PWM�ING <br />�PRINKLERS <br />IRED <br />ES ❑NO MECHAHICAL <br />OTHER <br />PENELTY <br />TOTAL <br />PERMIT VALIDA7 <br />WHENPROPERLV <br />� C� <br />SEC. 303 lal <br />� It�' 00 <br />O(IN iH1;51'>CEI THIS IS vOUP PCRMR <br />