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the fvergreeR <br />CITY OF <br />CONSTRUCTION <br />everett <br />PERMIT <br />CITY HALF 7SS FRS <br />[WE of D. WASHINGTON <br />NMI <br />oFR. B OFAIDPINSIT <br />BUILDING MECHANICAL <br />WNER <br />MAIL ADDRESS 21P <br />[mayll mArt�f <br />yr,� <br />MAIL AD[)RES <br />PLUMBING <br />I've lhl <br />everett <br />78d�77 <br />1•01 <br />PERMIT CLASS OF WORK <br />Z <br />PIBUILDIND ❑PLUMBING []MECHANICAL � <br />❑NEW ❑ADDITION ❑ALTERATION REPAIR <br />VALUATION 7 WVORK— - <br />❑DEMOLISH ❑FENCE: ❑SIGN ❑SWIMMING POOL W <br />BEWOa�+ WORK O <br />DESCRIBE RK <br />Toww1 n !: row ols n, 2603 <br />PROPOSED USE <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH T• OF FUEL OIL NAT. LPG. ELEC. <br />FOU P WI ES) OAS <br />LOT__nLOCK_OF N0. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS-H.P. EA. 11 B I <br />JOn ADDRESS <br />h lhfh 36 low, <br />PLUMBING <br />SPr ;IAL CONDITIONS: <br />.DNS C IFClI 11 m <br />T.U. <br />I UBTOTAL 4 <br />S1 <br />PERMIT S F <br />_ TOTAL FEE S 1 <br />THIS PERMIT SECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />x <br />SIGNATURE OFCONTRACTORORAUTH.AGENT GATE <br />'LAN CHECK NUMBER PLAN CHECK FEE <br />FEE RECEIPT NO. <br />❑YES ONO <br />GAD <br />BUILDING <br />PLUMBING <br />R <br />ONO <br />MECHANICAL <br />OTHER <br />PENELTY <br />TOTAL <br />VALUATION FEE <br />• — - <br />S <br />SFC. 303 (N) I <br />_ 1 <br />TION <br />Y VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT <br />I <br />