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the Evergreen <br />CITY Of <br />CONSTRUCTION <br />everett <br />PERMIT <br />r Iv vUl JSe M�) <br />111wr1 0A)wre r,rav <br />9Alll <br />BUILDING MECHANICAL <br />Id)1 FlGpa(% <br />MAIL ADDRESS 21P <br />�OyW;N�ER /� <br />R1ii� 006 <br />M.86m ga <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS PHO1 <br />OENERALCONTRACTOR <br />MAIL ADDRESS PMOA <br />PLUMBING <br />everett <br />T- �E� <br />�T7(/ <br />AM BUILDING ❑ PLUMBING ❑ MECHANICAL s <br />LJ NEW []ADDITION ❑ALTe RATION ❑REPAIR ~ <br />VALUATION OF WORK <br />S ❑DEMOLISH []FENCE ❑SIGN ❑SWIMMING POOL W <br />DES RIBE OR 4t �wx a <br />m 235 <br />PROPOSED USE <br />MECNANICAI <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH TY E OF FUEL OIL GAS <br />NAT. LPG. ELEC. <br />FOUR COPIES) <br />LOT BLOCK —OF N0. TYPE OF EQUIPMENT EE <br />O uD REum mP *6 <br />PLUMBING <br />SPECIAL CONDITIONS'. <br />WALL HE <br />RANGE HOOD _ <br />AIR HANDLING UNIT — <br />11vry nvinunl[tU 18 NOT COMMENCED WITHIN 170 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 />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PFOVIS IONB 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 />i <br />SIGNATURE OF CONTRACTOROR AUTH.AGENT DATE <br />EAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />ACANT S1TE <br />❑YES ONO <br />_FEES <br />VALUATION <br />FEE <br />DW LLIN 4IT <br />VITS <br />I t� <br />AX. OC LOAD <br />BUILDING <br />E <br />PLUMBING <br />Y-- <br />I <br />I <br />WrEMUNK—EE Pts <br />'OUIRED <br />❑YES [:]NO <br />MECHANICAL <br />OTHER <br />1 - <br />1 <br />I <br />PENELTv <br />SEC. 3081e1 <br />—T <br />�.II.� <br />,TOTAL <br />FLY VALIDATED (IN THIS SPACE) THIS 16 YOUR PERMIT <br />1 <br />