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(he Ever9�een <br />CITY OF <br />everett <br />urvuau is��raa�. <br />EVCNEIi. 19ASIIIIVGfOq <br />90i111 <br />mrr nr cos.i.m�u�r <br />OkVFlOf`�IE":i <br />WNEF <br />�f'1� !.T,C^.,'.]af3,j� fT:R'Y3S <br />i''.k�:�"i` ii71, <br />CONSTRIlC�ION <br />PERMIT <br />BUILDING n4ECHANICAL <br />MAIL�DDRESS ZIP <br />Z�� ��,:': �e'. �*� <br />PLUMBING <br />�Pi <br />NO. <br />❑[tUiL�ING ❑PLUMBING �MECHANICAL �NEW ❑ADDITION ❑ALTERATION ❑REPAIF <br />/ALVATION OF WORIC <br />❑D@MOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />5 <br />)ESCRIBE WORK .�,..,q�'r. <br />. e-�_r, P.� i��r .. �';{y,•'�,. <br />LOT <br />PLUMBING <br />iIPTION OF PROPERTV ISHOW 6ELOW OR ATTI�CH <br />1 <br />BLOCK_OF _ <br />%6{7 ?iilV :yw �at�' <br />KITrHEN SINK n u�sr, <br />DISHWASIiER <br />LAUNDflV TFiAV <br />CLOTHESWASHER <br />WATER HEATER <br />UHINAL <br />DflINKING f-OUNTAIN <br />F-LOOR-SINK OR DRAIN <br />VACUUtd6REAKERS <br />FOOF DHAINS-fiAINLEA�E <br />SINK (SEfiVICE-BAN, ETC.) <br />SU(3 l <br />PERN <br />TOTC. <br />SIDEVARDSETOACK STREETS <br />SPECIAL CONOITIONS: <br />MECHANICAL <br />everett <br />���' <br />or-rue� poi� p��s. p�ac. �e�Ec. <br />TYPF. OF EQUIPMENT FEE <br />AIR COND. UNITS-H.P. EA. 5 I <br />HEFRIGERl1TIOIJ UNITS-H.P. EA. —� <br />E301LER5-H,p, EA. I <br />GAS FIRE� A.C. UNITS-TONNAGE EA. <br />FORCED AIR SYSTEMS-0.T.U. M EA. <br />Wl1LL HEATEFS-E3.T.U. M <br />UNIT HEATERi-F3.T.U. M I <br />EVAPORATIVE COOLEf:S � <br />C�OTHESDRVERS I <br />VENTILATION FAN <br />RANGENOOD I <br />Alft HANDLING VNIT- C.F.M. <br />INCINERATOR I <br />_L ��u::_`�rnt. 5 � <br />AE(iMIT 5 `�— <br />TOTAI FEE 5 �li <br />THIS PERMIT �EfOMES NULL AND VOID IF WORK ON CONSTRUC� <br />I. ._ l"ION AUTHORI[ED IS NOT COh1A1ENCED WITHIN 1:0 DAYS, OR IF <br />CONSTRUCTION OR WOF1K IS SUSPEN�ED OR Af1tlNDONED FOR A <br />PEFIOD OF 120 DAYS AT ANV TIME ..FTER WORK IS COMMENCED. <br />I HERERV CERTIFV THl1T I FIAVE FEAD ANO E%AMWED THIS AP. <br />- �-- PUCATION ANO KNOW THE SAME TO OE TFUE AND CORRECT. ALL <br />�--- PROVISIONS OF LAWS AND ORDINNJCES GOVERNING THIS TYPE <br />OF YVORK WILL 6E COAiPL1ED WITH WH@THER SPECIFIED HEREIN <br />OFi NOT, THE GRANTING OP A PERMIT DOF.S NOT P(iESUME TO <br />GIVE .�VTHORITV TO VIOLATE OR CANCGI THE PROb'ISIONS OF <br />ANv (itHER STATE OR LOCAL Ll�W FEGUI.ATING CONSTFUCTION <br />OR TI1E PERFO(iMANCE OF CONSTftUCTIOfJ. <br />5 —� <br />5 _ X +��� <br />4 <br />SIGNATVREOFCONTRACTOROFAUTH.AGENT DATE <br />REAR VARDSET�ACK FLAN CNECK NUMRER PLAN CHECK FEE <br />f-EE RECEIPT NO. <br />VACANTSITE � <br />❑YE5 ❑No FEES VALUATION FEE <br />JAD �UILDING S � <br />�- <br />PLUMUING � <br />LEFS �J,,,� <br />❑NO MECHAtlICAL � �i,J <br />OTHER � <br />I <br />-- PENELTY SEC.3091a1 � <br />TGTAL 1 y++ <br />PERMIT VALIDATION <br />WHEN PqOPERLY VALIDATED (IN THIS SPACE) THI515 VUUR PERMIT <br />�� V• <br />1 <br />� <br />