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thc Evcrqrcen <br />CITY UF CONSTR UCTION everett <br />everett PERMIT <br />I.iiv NAl l 159 B905 <br />IVFPEt1.5':?911NGiuY <br />���� BUILDING MECHANICAL PLUMBING <br />o[v.. ar coa�aunrtr <br />ocv[iov�e[u� <br />OWNER MAILADDRE55 ZIP PHONE �.�! <br />F...,.���,.�,.5.,..yLr.��,. � �� :�t� I �ii"li+ <br />nnen nnnacss PHONE LICENSE NO. <br />�i.��. iiK-" -• <br />AECH�INICAL CONTRACTOH �+1AIL ADDRESS PHONE LICENSE NO <br />'LVMBING CONTRACTOR MAIL ADDftE55 PHONE LICENSE NC <br />'ERMIT CLA:'�S OF WOF:K <br />[[;1PUILDING ❑HLUMBING ❑MECHANICAL �NEW ❑AUDITION ❑ALTERATION +�REPAIR <br />/ALUATION OF WORK <br />�FhA_fYl ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />iarwoHK ,..�.�f;.. r•.l ,_.�. <br />. _ �l:.r.�'�..� <br />LEGAL DESCRIPTION OF PFOPERT� �SHOW UE <br />FOVF COPIES) <br />LGT BLOCK—OF <br />�09 ADDRLSS �j <br />� .7Jc'ii �J�i• <br />PLUMBING <br />SPECIAL CONDITIONS: <br />F <br />MECHANICAL <br />OIL fINA.T. nLPG. nELEC. <br />� <br />W <br />m <br />� <br />� <br />z <br />F <br />� <br />� <br />W <br />a <br />740 <br />AIR COND. UNITS-H.P. EA. S_1, <br />FiEFFIGEFATIGN UNITS-H.P. EA. <br />�OILEfiS-HP. BA. I <br />GAS FIRED A.C. UNITS-TONNAGE EA. � <br />fORC@D AIR SVSTEMS-E3.T.U. M EA. � <br />tNALL HEATERS-R.T.U. M 1 <br />UNIT H@ATERS-�.T.U. M � <br />EVAPORATIbE COOLERS i <br />CLOTHESDRYERS � <br />VENTILAiION FAN _� <br />RANGEHOOO � <br />AIR HANDLING UNIT- C.F.M. ___� <br />INCINERATOFi � <br />` _ SU6 TOTAL S I <br />PEflMIT 5 <br />TOTl1L FEE 5 I <br />THIS PEFMIT BECOMES NULL AND VOID IF WOflK Ofl CONSTRUC� <br />TION 11UTHORIZED IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br />CONSTftUCT10N OR WORK IS SUSPENDED OR Af3ANDONE� FOr, A <br />PEflIOD OF 120 DAVS AT ANV TIME AFTER WORK IS C0�1MEkGE�. <br />I HEREBY CEFTIf-V THAT I HAVE HEAD AND EXIIMWE� THIS AP- <br />PLIC/�TION AND KNOW THE SA�1E TO BE TRUE AN� CORfiECT. ALL <br />PROVISIONS Of LAWS AND OR�INANCES GOVBFNING THIS TYPE <br />OF VlORK WILL BE COMPLIED �VITH WNCTHER SPLCIFIEO NEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PF.cSUME TO <br />GNE AVTHORITV TO V'OLATE OR CANCEL THL PROVISIGNS OF <br />ANV OTHER STATE OR LOCAI I.AW FEGULATING CONSTRVCTION <br />OH TIiE PEflFOfiMANCE UF C�M1STRUCTION. <br />IX _—''/+aJ 1� <br />SIGNATVRGOFCONTRACTORO:iAUTH.AGENT DATE <br />R[AP��1ft�SET6ACKPLANCHECKNUh16GF PLANCHECKFEE <br />FEE �FiECE1PTN0. <br />❑YES ❑NO <br />GROVP NO.OFDWFLLING <br />UNITS <br />IES �AA%.00C. LOAD <br />IFIRESPRINKLEflS <br />ftfQUIRED <br />❑YES ❑NO <br />nr <br />v�o ra�i is <br />� ti• <br />FEES I VAWATION .I FEE <br />E3U:LUING 5 ,µ�}./�yy (�:�{/y <br />f <br />PLUMHING � <br />I <br />— I <br />MECHANICAL � _� <br />� <br />OTHER � <br />PENELTV SEC.3031a) � <br />— I <br />TOTAL �„�,� � <br />PERMIT VALIDATION <br />WHF.N PFlOPEFiLY V 4lIDATED (IN THIS SPAGE) THIS IS VOUR PERNIT <br />