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the Evergreen <br />CITV DF <br />everett <br />❑iT IIALL 1598flfl5 <br />FVf BI11, 14PSIIItIGiON <br />98I01 <br />I1FPi. OF CUh�A1pGI1V <br />�EVfLC'A1::i <br />BUILDING <br />��GILDING ❑PLUM�ING ❑MECMANICAL <br />VALUATION OF WORK <br />!ksld 2 soarx� 80 �e3�3.��•: :�o <br />LEGAL DESCFIPTION OF PqOPERTV ISNOW B=LU� <br />FOUR OPIE51 _.,�• <br />LOT � 9LOCK � OF ��� ��`= � <br />JOB ADORE55 <br />.i '.� ��.�1 <br />�A'f._ 1 <br />.7w -' <br />PLUMBING <br />1' TRA <br />S WASF <br />HE.4TE <br />VARO <br />SPECIAL CON.7ITIONS'. <br />BY. <br />p�, <br />CONSTR4JCTION <br />PERIWIIT <br />REAR <br />MECHANICAL <br />r5 ... T� <br />RESS <br />PLUMBING <br />L <br />NO. <br />❑NEW ��'+DDITION ❑ALTERATION ❑REPAIR <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMhiWG POOI <br />TTACH <br />❑YES ❑NO <br />NO.OF OWELLING <br />VNITS <br />rs <br />MECHANICAL <br />TVPE OF EOUIPMEN7 <br />41R COND. UNITS—H.P. EA. <br />REFFIGERATION UNITS—H.P.EA. <br />BOIIERS—H.P.EA. <br />GAS FIRED A.C. UNITS—TONN/�GE EA. <br />FpPCEDl�IR SYSTEMS—U.T.U. M EA. <br />WAILHEATE(iS-6.T.U. M <br />UNIT HEATEftS—B.T.U. M <br />EVAPORATNE COOLEFS <br />CLOTHESDR�ERS <br />VENTILATION FAN __ <br />RANGEHOOD <br />AIR HANDLING UNIT— C.F.M. <br />INCINERATOR __ <br />everett <br />I3G�'r-TG <br />SUBTOTAL 5 I <br />PGRMIT 5 <br />IOTAL FEE 5 I <br />THIS PEFMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUr� <br />TION AUTHOR12ED IS NOT CONMENCED WITHIN 120 DAVS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABAN�ONED FOR A <br />PERIOD OF 120 D/�1'S AT ANY TIME AFTEH WORK IS COMMENCED. <br />I HEREBY CERTIFV THAT I NAVF. READ AND E%AMWED THIS 11P- <br />PLICATION AND KNOW THE SAM�f TO BE TfiUE AND CORRECT. ALL <br />PROVISIONS OF LAWS ANO ORCIINANCES GOVEFiNING'(HIS TVPE <br />OF WORK WILL OE COMPLIED N'ITH VJHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PC-RMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OF CANCEL THE PFOVISIONS OF <br />ANV OTHER STATL OR LOCAL LnW REGULATING CONSTflVCTION <br />Ofl THE PERFORMANCE OP CONS"RUCTION. <br />1. �'G��S <br />x <br />SIGNATVREOFCONTRACTOFOFAUTH.AGENT DATE <br />PLAN CHECK NUMRER PLAN CHECK PEIi ! <br />eN. _i_� FEE '�� RECEIf'T fy0. <br />��,�6} <br />_ FEES _ VALUATION — FT <br />I <br />I <br />J � ��� <br />7AD BUILDING 5',��4/.J..ti I <br />— ' <br />PLUTA�ING � <br />LERS � <br />❑NO NE^HANICAL � <br />I <br />OTHER I <br />PENRTY SEC.3091a1 � <br />— I <br />— TOTAL � CO <br />PERMIT VALIDATION <br />— WHLYPROPERLYVALIDATEGIIVTNISSPACEITNISIS�OUF�PERMIT <br />9 <br />