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� <br />r,��� ����-"���,�,� CONSTRUCTlOIV <br />��TY ��� p�RMI� <br />ev�rett <br />CITY IIALL 2G9 (374!1 <br />ev��eTr,wn aezui COMBINATION • BUlLDING • MECHANICP,L • PLUMBING <br />OWNE(1 M/�IL AI�C�R655 ZII' I'HONE <br />Brian D. Pa:��on 6400 Bvergrenn Way 93203 <br />ARCHITECi OR UES�C;NLN Ml�IL ADDRES: �'IIPN.- LIC[NSE <br />GENERALCONTRACTOIi MAILAOUNESS i'll'�NL� <br />MECHANIC,IL f:ONTRACIOH ^�AILl�DDRESS � PIIONE LICENSE NC <br />Natural. Gas Equiyment Co., inc. 1611 East Grand 258-2491 397 <br />PLUM6ING CONTRACTOR Ml1R AO�fiE55 PHONE LICENSE NC <br />PERMIT CLA55 Of- WOfiK <br />❑ COMDIPIATION <br />❑ OUILDING � PWMHING ❑MLCHANICILL <br />❑NLW ❑rIUD�TION ❑ALTERATION ❑FGf`AIR <br />VALUATION OP WORK <br />❑DGMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOI <br />5 <br />DESCFlIiIE WORK <br />LJT PLOCK_ <br />.IC� ADDfiE55 <br />6400 �verqreen Way <br />PLUMBING <br />everett <br />MECHANICAL <br />ERTV ISHOW �ELOW OR ATTACH TV�E Of- ENERGY <br />❑GAS ❑ELEC. <br />NO. TYPE OF E�UIPMENT FEE <br />— AIR COND. UNITS- H.P. EA. S I <br />HGFRIGEfiATION UNITS-H.P. EA. —T— <br />I <br />._ (301LER5 II.P. EA. I <br />FOFiCED AIR SVSTEMS-�.T.U. MEA. <br />I <br />Sf'ACE ri WALL HE/aTEftS - �.T.U. T— <br />UNIT I�iEl1TERS- �.T.U. � <br />rvnaoranrive coo�e�as <br />c�or�+Es envEns i <br />`./iNTILATIGN f AN ��— <br />—J— <br />NhMGE :IUOD I <br />E Ofl ITEM FLE �11fl 1-IANOLING VNIT�� 0.F.M. —�— <br />S —T— I <br />---�' j —'"'"'"WATER HEATER —�— <br />� 4AC �UIL� FIREPL4CE & CHIMNC-V I <br />1 � GnS. SVSTEM: NO OP OUTLGTS <br />1— _ __ _ _ SUI7 TOTAL 5 Q I Q� <br />� ' _ _ _ _ PFqM1T 5 � <br />.EADERS � 70TA1.: rr. g � <br />�— THIS PERMIT [IECOMES NULL AND VOID IF Wt�?� OR CONSTRUG <br />— TION l�UTHOft12FD IS NUT COMMENCED WITHIN 110 �AVS, OR IF <br />CONSTf1UC�IpN Ofl WORK IS SUSPC-NDED OR n6ANDONGD fOR A <br />PERIf,I� OP 170 DAYS AT I�NY TIME /1FTEP WOFK Ic COMMLNCED. <br />I <br />� I H[REBV CERTIFY TIIAT I HAV! R[AD I�ND LXl�MINEO THIS AY <br />PLICM iC V ANO KNOW THE SAML Tp [�E TFUE 1�N0 COfiRfGT. ALL <br />iCTRIC � PROVISIONS OF Ll�WS AN� ORDINANCES GOVE(iNING THIS TY'PE <br />� 01= WOFiK WII I L'c COMPLIEO WIT/I WHLT11[fi SPGCIFIEU HEREIN <br />OR NOT, THC i.�RANTING OF A PEFMIT f�OES NOT PqESVME TO <br />� GNE l�UTI10!SITV TO VIOLl�TE OR CANCEL TIiE PROVISIONS OF <br />__ /�Nv OTH[fi STAT[ p�7 LOCAL L/�W REGULATING CONSTRUCTION <br />� OR TIIE P[RI°ORMANCE Of- CONSTFiVCI'ION. <br />Persnnr s y, <br />TOTALFEE -� X�%,,��. -� ,,,1���� 12/12/78 <br />TER SERVICE SIZE BLDG. SUPPLV SI2E � —��- <br />3IGt1ATUPEOPCOtJT ACTOROliAUTFi.AGENT DM'G <br />�E Vl�qO5ETf3i�CK STf�GET SETf3ACK REAR VARnSGT[34CK �'Ll�N CIiECK NVM6EH PLl1N CHECK FEE <br />� EE �flE:.EIPT NO. <br />❑YES ❑Dl0 <br />V[5 ❑fJ0 <br />SPECIAL CON�ITIONS�. <br />icnnor�nccu��unrc h'i.nriycuu.�.tnin. �nrrnuvrnroiur;sunr�ci irv <br />FEES <br />E3UILDING 5 <br />PLUM(31NG <br />MECHHNICAL <br />OTHGfi <br />PENALTV ;LC.3031a) <br />TOTAL <br />�E�MIT VALI/ATI�N <br />WHENNfiOPLfltY VILLIDAIE❑ <br />�: <br />FEE <br />- . � 7 � o0 <br />li TrIYi,��.st�nc�UiUs/�GV!OF�rtTmny� <br />1 � � , j • I <br />, `�1. <br />�`4R/'R RE'QE�f'iF '� • <br />` � 7lI�AK Y.O� '� <br />; } ' <br />� 7 ,� � � . . i) <br />t�' � � <br />� 1. ' '' <br />, e � #�� l� J , � <br />_.�_�.. �_ :..-- - < _ _. <br />� <br />