|
;; ,� ,�,,,�,�, C�'!�V5TRUCTION
<br />� �" � PERMIT
<br />everetr
<br />t'ii� i��111.:5'JHL}'
<br />i�-iiuii,w:,���ori COMBWl�TIO�V • BUILDING • 111ECHANICAL • PWMBING
<br />l��PJNI12 R1,111 nlil�lll'., :II' 1'l1UN���
<br />John H. Dow G121 Bevcrly Lane 98203 353-2529
<br />niv[ni i i ci c�n ut sir,Ni iv � nia�i nnnni r,��, -- winAi ._ ._ __ i.ict_Nst Nb
<br />c�rvLn.�icuN�nnc���n ___._.._ .__________
<br />41n11 .l1lUfi[ti5 ..1'l1UNE lIC[N:END�_
<br />Same
<br />- � ----.-_ _--- ------- -- -- - - - - � - � --
<br />M6CIIAMCAI. COM HACTOR MNL ApqHE55 PIIONE I.ICENSE NO.
<br />�'LUMHIhG CUNTfiACTOR MNL ADDIlESS PHONL LIC[NSE NU
<br />i'LfiM111T_-_" "_. _'.___ _-_..' .
<br />_ _
<br />_"'_-. _.._. _ __
<br />CLASSO�WOIIK _-..__. _--'"__________
<br />❑ COMAINA tION
<br />� ItU1LDING � P�UMOING � MRCIIANI�AL
<br />Orvr.w ❑nuuninr� ❑.��_n_i�niioN ❑r��rnir�
<br />------------------- _- ----
<br />vnwnnorv oF wonrc -. .. .. . ---�
<br />5 350.00 ❑ut.n�oi isi� ❑i �rvcr ❑�:ir,N ❑`;�vrt.�nnrm� ruu�_
<br />UFSCRIf:LWORK ___. . - .. . .._ _._- ._"" -__'--
<br />cement drive and carport addition
<br />NnuvOstu use
<br />single family residence
<br />LGGAL f�ESCtiIPTION OF PROP6RTV �tiHOW HI,�_��pyl)ry Ai �qCR
<br />FUU(1 COPIL51
<br />�o. m.ocK__or�___Peck's Bayviet�i Tracts
<br />S 100' Tract 3 less E 82y'
<br />JO[l AOOR[SS
<br />E121 Deverly Lane
<br />PLUMIiING
<br />everett
<br />�
<br />m
<br />�
<br />3
<br />1
<br />MECHANICAL
<br />�----- ---- ___.. —�-----� —
<br />IV�•I Of FNFHf.Y
<br />�, '�S ❑ELEC.
<br />NO. I 7VPE OF EDUIPMENT FEE
<br />;nivvcoNo.-uNir: ��.v.en.�� 5 I
<br />'. H( 1 fil.:E.HA�IUN UNIL; H.P. EA. —��1��
<br />. . . . __.___—. -.i--
<br />� nu�� t���: �� �� i n. �
<br />I i���CEU AIH :Y!:IGMS� Ii.T.U. MEA. —�
<br />� .. ._ _ ._ ..-. _-L_.
<br />I
<br />':;PACC N, YJALL HLATERS - B.T.U. t—
<br />I
<br />t'N�� uf.A11115 H.i.U. I
<br />�! VAPf1HAlIVL COULC1i5 _ ___ —T--
<br />c�ntr�tsnnvtii=- — �
<br />��I.NIII.AIiUNIAN��'-- --T-�
<br />_.-_ _. ... _. _ _—
<br />HqN(d. 11tt11U �
<br />� . .. . _ ..._
<br />� AIH IIANOI INI. UNII C P.ML �
<br />�
<br />W(1TlR ��Ft�T[li —�
<br />I'IqC. HUII-i iIHtPLACF K CHIMNEY �
<br />GAS. SV$tEM NC1 pP nU-iLCTS �—
<br />� SUIIiUTAL��$-- �
<br />PIERMIt $ �—
<br />. _ . . . . _.._.__.. ___--_- —_i_--
<br />IOI(1l.(FE 5 �
<br />_-__._.._'___--- _"
<br />IHI:: PF 11 di 1 6L�:ONf.^. NUl L ANU VOiU If' WORK OR CONSTRUC
<br />IION �UTIIOHILLI� C; NOT Ct1h1A1ENCLU 441TIIIN 170 C�4`�S, Ofi L
<br />CON:iHUC1iON UH WOf1K I;:SUSP[NU@p OH A13ANUONEJ FOR A
<br />PFiHIOp UI 17(1 DAV$ AT ANV i1ME AFiEH WO�K ISCOMMENCEO.
<br />i 11[HEItV C�qtIFY �II�T I NAV[ q[AU AND E%Ah11NE0 TIIiS r�r
<br />PIJC411(�N ANU KNUW iHF .^,Ap1C tp fi[ TRU! ANO CORliECT. .1LL
<br />P110V1!JUNS UI' I AWS �ND OPI)INANCES GOVEHNWG 1HI51VPE
<br />OI' WUHK Wil 1. Bf�. CtlpV'I.IfD WI111 WHLiHEf1 SP[CIFIEU HEqEIN
<br />OH NO1, LHf GHANTINf, Of A N[fiMIT OOFS NOT PRESUME TO
<br />GIVL f.Ul�101tliv IU VIOL/��C OH CANC�L TME {'qOVISIONS Of
<br />ANv Ol11LH :iAl� UH IUCAI. 1AW HIGUTAiMGCONSlRUCTION
<br />ON Tllt PE1�1 ��IiMANC6 OI CUNtiIIiUCIION
<br />_-- _.-_ ... -".__
<br />_ SUB TOTAL �_
<br />PERMII $ J�
<br />_ __ TOTALFEE -.__ __.__'.__{__ X ._ .f7� LO�B�iB
<br />V
<br />NAiEf1 SERVICESIZE BID( EUIILV SIZE sit; IUriLnl CaNtilnClOnOianUtll.nGENi OnTE
<br />'ilU[VARDSETf1ACK iTRF.EISLTlMCI: Rf:AHVAHD9lTP4CKPlAHC1�lfKNUM1111L1i PLANCIILCKFEE
<br />f6G IREC[IPTNO.
<br />U:E LONE �� 1 Jt AR�A -._.. .-- V/�CANt "ItG
<br />�
<br />';PI_CInL CUNI)ItIONS
<br />��,�,�„�,,�..,,,,�..
<br />❑YE: ❑NO
<br />OCCUYANCY GHOUP NO.Of pW[LLING
<br />UN115
<br />NO. UF ;TORIfS MAX.00C. 1 OAD
<br />."_--_ ' ' "___._- _. _...
<br />❑A51 Mf. N I ... -- 1� I111.':Pll l NN L f Hq
<br />H@OUIHCU
<br />❑YLS ❑NO
<br />,,,, �.. �,�,,,, ,��
<br />F[ES � VALUATION FEC
<br />_ ._.___.__ ..
<br />I4UILUING
<br />i'I UMIIIKG -�-
<br />MlClll�NICAL
<br />UTIILR -_
<br />PfNALIV
<br />_ . _-. ___ - __. - _ __
<br />TOTAL
<br />s 35o.n0
<br />5EC..10] lal
<br />5 I�0
<br />I
<br />5 100
<br />PBfiM1T VALIDATION / I / � ,�U-�,���Q��—'�'i� �
<br />WIIIN�'11UP11IlYVl�III1qIIfl11N11115iPACC1I111515VU IIPL(Nli �
<br />EWeb 3
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