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fh�' E�e'ryrren <br />CITY OF <br />everett <br />urvr�au +soea=.s <br />i vu�n �. �sanunr,i ori <br />nsmi <br />���ri or rnacur:nv <br />ntv[toro[xi <br />)IINER <br />�'. t•. r�- n <br />CONSTRUCTION <br />PERMIT <br />BUILDING MECHANICAL <br />MAIL ApDRESS 21P <br />�1 �"r ``� <br />PLUMBING <br />JS^i�::3'�1i1 ^L�"• ��30 C''J !� �5�I0� <br />�EFMIT CLASS OF WORk <br />❑�UILDING �VLVMOING ❑MKIIANICAL �`', NEW ❑ADOITION ❑ALTERATION ❑R[PAIN <br />VALVATION OF WORK <br />❑OEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />s <br />�ESCPIUC WOFK <br />PaoPoseo use MECHANICAL <br />LEGIILUESCRIPtION OF VtiOPEHTV �SHOW f3ELOW OH ATTACH_ TYP[ OP FULL �011 �G^S ❑LPG. <br />FOUR COPIE51 <br />LOT -- oLOCK—oF NO. TVPE OF E�UIPMENT <br />JOO ADDRESS � <br />���M <br />PLUM6ING <br />NO. NPE OF FIXTURE OR Il <br />WAT[R CL9SETITOILETI <br />��THTV� <br />L�IVATOFY �WASIi HASIN) <br />SHOWER <br />KITCHEN SINK d DISP. <br />DISHWASHER <br />LAUNDPV T{iAV <br />CLOTHCSWASHEP <br />IVATER I:FAT[H <br />URINAL <br />DFINKING FOUNTAIN _ _ <br />FLOOF� SINK Oft DH.JN _ <br />VPGUUIdiINC�KLR3 <br />SPECIlLL CONDITIONS'. <br />ACf.IPirpOV IP�nN5C11CCK1:�pY <br />_�fiEFfiIGEF/�TION VNITS-H.P. EA. <br />_"__I UOI�EP$ �11.P. EA. <br />__ I GqS FIREU A.C. UNITS-TONNAGE EC <br />a <br />I fOFCED Aiii SYSTEh15-D.T.U. M EA. <br />IWALLHCATERS-p.T.U. M <br />_�UNIT MEMERS-0.T.V. M <br />� EVl�POFnTIVE COOLERS <br />CLOTHE� ""EFS <br />VENT" 1N <br />PANGE M . <br />AIP HANDLWG UNIT- GF.M <br />everQtt <br />�1��r�J <br />� <br />W <br />m <br />� <br />� <br />z <br />H <br />� <br />� <br />W <br />a <br />61.5 <br />_ SUUTOTAL 5 � <br />PERM17IT 5 <br />_�__ <br />TOTAL FEE S � <br />THIS PERMIT [IECOMES NULL l�ND VOiD IF N�ORK OI: CONSTRUG <br />TION AUTNORIZED IS NJT COG�MBNCfD WITHIN 120 DnYS, OR If- <br />CUNSTRUCTION OR WOHK IS SUSPENI�ED OH ApANpONED FOR l� <br />-- PEPIOD OF 120 D�YS AT ANV TIMF PFTER IVORK i5 COMM1IENCEO. <br />I IIEHEOV CERTIFY TNAT I Nl1VE RFAD AND [XA�IINED THI$ AV- <br />— PLICI�TION ANO KNOW THF. SAME TC 6E TRUE AND CORRECT. ALL <br />— PfiOVI510N5 OF LAWS AYD ORDINANC[5 GOVERNING THIS TVPE <br />__ OF \VOR� WILL 6E CO�dPLIED WITI� 1YNETHER SPECIFILD HLqEIN <br />OR NOi, THE GRANTING OF A PERhSIT DOES NOT PR[:UME TO <br />-- GIVE AUTHORITV TO VIOLATE OH C4NCEL THE PRUVISIONS OF <br />— ANV OTHER STATE OR LOCAI lA'N R[(3VLMiNG COtJ;TqUCTION <br />__ Oii THG PERfOFMANCE OF CONSTRUCTIO�. <br />x <br />SIGNAtUR[OPCONiHACTONCR <br />2ARYAROSET6ACK PLANCH[CK NUA".RCR <br />f6E <br />4CANT SITE <br />❑vE5 ❑NO FEES I V <br />PLAN CIIECK f E@ <br />fl4CE1PT NO. <br />TIJIV FEE <br />� <br />I <br />JAO f3UILOING S � <br />1 <br />� <br />PLUM�ING <br />L[RS _ � <br />�N� M[CH4N'CAL I <br />OTHEfi � <br />� _— <br />PcNLLT� 5[C.3031a1 I <br />TOTAL � <br />PERMIT VALIUATION <br />WH[N VROPERL�� V�LiDATOD U^J T�tI55Vl�CE1 TFup IS VOUH PEN4iIT <br />�� C♦ <br />7 <br />