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thr Evegtreerf <br />CITY OI CONSTRUCTION <br />everett PERMIT <br />CIIY NAZI Al on, <br />EVE III II WAM.40ON <br />N701 <br />IIEFI of (OYPIIWIY BUILDING MECHANICAL <br />9I YHOlY1 %I <br />11TECT OP OESI6NCR -- MAIL AUDRLbS <br />RAiL CONTRAZTOR MAIL ADDRESS <br />I <br />AANICNI. CDNT HACi OR MAIL ADD" <br />E55 <br />11 <br />PLUMBING <br />cvere" <br />�.e�� <br />I", <br />1'Hur.I <br />�__ V•HUNI <br />-__—LICkf.- 1 - <br />I <br />--PIIGNE <br />ICI. N'•1 -. <br />I`,., :1 <br />(ICE NSL NU <br />PEERNTIT — CLASS OF WORK <br />Ip BUILDING ❑P,UMBING []MECHANICAL U3 NE 'A, ❑AUDI IIUN ❑At TL 11A I IIIN ❑Rf'AIH <br />VAI UATION OF W09r _ <br />] UI Mot Pt11 ❑I I NCi ❑':1(,N IJ'-:NIMMMI, PI ,I <br />II LSCRIAI Ali <br />lid'I I I n tichul III I•, lu-1In Ii•1 sa I r rt: n,iw i.l l nw m n l 1 ..1 n <br />GUUq CI I'll'❑ <br />11111 AUIrI1LSS <br />PLUMBING <br />1.1df. (If 111,00. <br />-If, q `/ <br />I mL TSNk <br />tit <br />',,Pt CIAL CONDITIONS <br />ITUREOR ITEM <br />Lk71 <br />STHELI !it MACK <br />LOI MIE A_-- <br />OCCUPANCY OROU <br />NO. OFS ORIES <br />MECHANICAL <br />--- I II I,1 IIIII l]IIII llci' ---nl VU LI L I C <br />NO TYPE OF EQUIPMENTFEE __. <br />-UrtrIOI UN!1:if- In <br />I I„ 1 <br />, 1 <br />IIII Ilu .ul. .114', IIII�11 :. � I <br />1 All I ". I' I, I <br />1, ,.I „IIAI.. , "."I I <br />1lnlul 't 1.I ...I I <br />l l •.I II nlli, 1 I <br />11Ar,1.1 1111111 1 1 <br />I <br />- I 1 <br />1 <br />T2Tf.4 <br />PFQAl1T I <br />_ 1 <br />T I:TAL fkE S _2_I <br />I M.; PE IV.111 HI LOMF'. '1U1I AqD VOID IF WORK UR CONSTRUE <br />IION A'11110R111-II IS W(II COMMI NCtD W11111N 1:0 OnY5, OR 1' <br />CONST IIUC1 ION OP WOIIK 11, SUtiI•ENUEU OR .RANDONFD FOR <br />-- PER1.)D OF 170 DAYS At ANY TIME AF11.H WORK ISC'OMNiENCEL, <br />1 HE"EPY CERTIFY THAT I HAVE READ AND EKAMINLD THIS A <br />PLI-ATION AND KNOW I HE SAME TO RE TRUE AND CORRECT. AL L <br />PROVISIONS OF SAWS AND ORDINANCES GOVFIA INI THIS TV14 <br />_ OF WORK WILL RE COMPLIED WITH Wr1ET11ER SPLC1f ILD HEPEIN <br />OR NOt, 111E GRANTING OF A PERMII DOES III PRESUME Tn <br />GIVE AUt11ORITY TO VIOIAIE OR CANCEL THE PROVISIONS (II <br />ANY OTHER STAtt, UR I.00AI- LAW F1E.GU1 K1lNG CONSTRUCTION <br />OR THE PERFORMANCE Of CON57 RUC tIDN <br />x - <br />SIGNATURE OF CONtSAL l Ull(Ot MIT 1I. A(A'41 (�AII <br />1EAR AROSETBAC <br />I I //�/:,/ <br />IILAN CHI: CK NUMHE It <br />AP N1'fR <br />IFL �7 <br />C.P. I II <br />HI CF WE Nu. <br />_ - <br />IIACANT SITE <br />vES ONO <br />JOV DWELLING <br />)NITS <br />_FE EB <br />VAI UATION-- <br />_ FEE <br />BUILDING <br />AAX. OCC. LOAD <br />PI U1I <br />/- <br />1E0U1RLD <br />❑YES NO <br />MECHANICAL <br />OTHER <br />- - ..- <br />PI NE LTV <br />SEC. 000111 <br />TOTAL <br />PERMIT VALIDATION <br />W/II N PROPE R(v V CUDATFO IIN THIS SPAf1F 1 T IU5 15 YOUR PE RAIIT <br />APPLICANT'S COPY <br />Y <br />