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the Evergrren <br />cirv or <br />�verett <br />aiv xai� nseee, <br />tv[xErr, n�s�rixcroH <br />9BI01 <br />(IEPi. OF COFIMOf11LY <br />OEVHOiM[9t <br />NEq <br />,...,.,, -., _ *3 <br />,..:,��.. :, <br />�"!s• C;. ti. • ." . <br />BUiLDING <br />� 6UIL�ING � PLUM�ING ❑ MECHANICAL <br />/ALUATION OF W�ORK <br />5 3�'J.LM1f <br />LOT <br />JOB ADDflE: <br />PLUMBING <br />.�,���- {; .; ^} <br />CONSTRUGTION <br />PERMIT <br />MECHANICAL PLUMBING <br />LICENSE NO. <br />❑NEW ❑ADDITiON ❑ALTERllT10N �FEPAIF <br />❑DEMOLISIi ❑FENCE ❑SIGN ❑SWIMM11iNG POOL <br />PTION OF PRCPEHTV ISHOW BELOW OR ATtACH <br />LOCK_OF (.iI4�'•v.]•'sSy tii,. {yli� <br />8 <br />I:Yfi:F\ <br />SPECIAL CONOITION,S: <br />:.C-f: i :' <:i7ii ::yi� <br />AFl <br />nr: <br />2AR V ARO SETE3, <br />4CANT SITE <br />❑YES ❑NO <br />MECHANICAL <br />� <br />W <br />m <br />� <br />� <br />z <br />F <br />� <br />� <br />W <br />a <br />2�39 <br />AIR COND. UNITS-H.P. EA. 5 I <br />REFRIGERATION UNITS-N.P. EA. —r <br />_1 <br />�OILEfiS-H.F. EA. I <br />GAS FIRE� A.C. UNITS-�TONNAGE EA. —� <br />FOftCED Alft SYSTEMS-R.T.U. M EA I <br />WALL IIEATERS--B.T.V. M <br />UNIT HEl�TERS-B.T.U. M I <br />EVAPOftATIVECOO�ERS <br />CLOTI�{ES DRYERS I <br />AIN HANDLING UNIT- C.F.M. <br />INCINERATOR <br />TOTAL FEL 5� � <br />THIS PERMIT AECOMES NULL A��D VOID IF WORK OR CONETRUC- <br />TIGN AUTHORIZED IS NOT COMMENCED WITHIN 120 OAVS, OR IF <br />CONSTFUCTION OR NlORK IS SUSPENDE� OR A�ANDONEO FOR A <br />PERIOD Of- 120 DAVS AT ANY TIME AFTER WOFK IS COMMENCED. <br />I HERE[3V CERTIFY iFIAT I HAVE REA� AN� EXAMINED Th11S HP� <br />PLICATION AND KNON' THE SAMC TO �E T'RUE AND COftRECT. ALL <br />PROVISIONS OF LAWS ANO ORDINl�NCES GOVERNING THIS'fVPE <br />Of WORK WILL BE COMPLIEO WI'!H WHETHEFi SPECIFIED HEREIN <br />OR NOT. THE GftANTING OF A PERMIT OOES NOT PR[SUME TO <br />GIVE AUTHCRITY TO VIOLATE OR CANCLL THE PROVISIONS OF <br />ANV OTHEft STATE OR LOCAL L�1W PEGULnTING CONSTRUCTION <br />OR THE PERFOftMANCE OF CONSTRUCTIOfJ. <br />/� t� % � / �; M <br />X .i?.� �'�..} . .�-;ti-/lJ �l�:�i( <br />SIGNATUrIE'OFCONTRAGTOftORAUTH.AGENT DATE <br />'LAN CHECK NJME3ER PLAN CHECK FEE <br />F[E FECEIPT ND. <br />FEES VALUATION FEE <br />DCQ LOAD 6UILDING 5 �-'J�r..�.l �j � <br />�— <br />PLUMBING � <br />IPqIM1:KLERS <br />IRED I <br />ES ❑NO MECHANICAL � <br />OTHEft � <br />I <br />PENELTY SEC.3J31a1 I <br />— � <br />— TOTAL �j�O <br />i � <br />PERMIT VALIDATION <br />WH[N PROPERLY VAUDATED (IN THI$ $PACEI SHIS IS YOUR PER�tIT <br />�fl IESUPNCL OV <br />�4 �+� <br />