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fhe Ei�ci�lreen <br />CITV UP <br />everett <br />CITV HALL 259-R]45 <br />EVERETT, WA 98201 <br />Tl:omas I�u=`man <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />M11l�IL I�DOH[SS ZIP PHONE <br />�:tp PLer:aain� .,,. )7:,u^_ <br />�ECHANICAL CONTRACTOR MNL ADDRGSS PNONE LICCNSE NC <br />51.5. Builders 7529 Beverly B vd 353- �422 <br />'LUMBING CONI RACTOF MNL ADDRESS PHONP LIC@NSE NC <br />[:ver�;iecn °tal'c PLuiwing P.U.Cu�: 1;;OS 'LSJ--'+':.;� 7.'L3-Ol-LV-tiL-Gu-i13���:0i. <br />'EHMIT CI_ASS OP WOPK <br />❑ COMeINATION <br />❑ 6UII.DING Q PLUNBING ❑ M1IECHANICAL � NEW ❑AODITION �l�LTLftATION ��FlEF/UR <br />LOT <br />1� �)l� • UQ <br />BLOCK_—OF <br />JOB ADDRESS <br />:310 Flcm <br />PLUMBING <br />3L' <br />❑O[MOLISH ❑FLNCE ❑SIGN ❑SWIMMING POOt. <br />evereri <br />� <br />m <br />� <br />MECHANICAL <br />TYVE OF F_N[RGY <br />BELOWORAlTl1CH ❑GAS ❑ELEC. <br />___ NO. — __—TVPEOF EQUIPMENT FEE <br />AIR COND. UNITS-H.P. EA. 5 �_ <br />REFRIGERl1TION UNIT&-H.P. Ef�. <br />UOILERS -Ii.P. GA. � <br />FORCED AIR SVSTEMS-B.T.U. MEA. <br />_ _ _ � <br />SPACE R WALL HEATERS - B.T.U. �_� <br />UNIT IIEiIT[RS-�I3.T.U. � <br />[VAPORATIVECOOLERS <br />GLOTRES DRV[Fi5 �__ <br />veNn�nnoNr-nrv- <br />P/�NGE NOOD � <br />FEE l�IR Hl�NULING UNR- C.F.M. �-- <br />5 I <br />`�_`� _ WATER HEATEF --�� <br />FAC. �UILT FIfiEPLACE & CHIMNEY I <br />� GAS. SVSTEM: NO OP OUTLETS <br />� __ —_ _.. ---1 <br />i� SU6 TOTAL 5 I <br />� PERMIT 5 <br />I -_ <br />i TOTAL FGE 5 I <br />THIS PLRMIT RECOMES NULL AND VOID IF'NORK Oli CONSTRVG <br />TION l�UTHORIZ[U IS NUT COMMENCED WIfFIIN 120 DAVS, OF IF <br />-- CONSTNUCTION OF WOfiK IS SUSPENDED OR `1l3f�NDONED FOR A <br />� PERIOD OP 120 Dl�YS AT ANY iIME Af-TER WORK IS COMMENCEO. <br />� <br />� I RER[6V CERTIf-Y THM I 1111VE READ AND E%l1tdINGD THIS AP- <br />PLICATION AND YNOW THE SAM11[ TO IlE TftUE AND CORRECT. ALL <br />- U PqOViSIONS OF LAWS AND ORDIhI�NC[5 GOVERNING THIS TYPE <br />..� OP WOFY, WILL �E COMPLI[O WITH WHETNER SPECIFIED NEFEIN <br />—T— Ofl NOT, THE GRANTING OF A PEflM1T OOES NUT PRESUME TO <br />GIVE l�UTIIORITV TO VIOLATE OR CANCEL. TIiE PROVISIONS OF <br />ANY OTHER STM[ OR LOCAL LAW REGULATING CONSfRUCT10N <br />� OR THE PE(iFORMANCE OF GONSTRUCTION. <br />TO7ALFEE SI X 1-17-�3 <br />RSERVICESIZE BLDG.SUPPLYSIZE SIGNMV�;C^�'CUNTRACTOfiOR!'•UT'H.(�GLNT onre <br />YARD SET�ACK STREET SET6ACK RFAFl YlIRDSETBACK PLAN CHECK NUMI3Cfi PLAN CHECK FEE <br />IF[E �RECEIPTNO. <br />❑YES ❑NO <br />YES ❑NO <br />SPECIALCONU11iuWS: <br />� <br />FEES � VALUATION I FEE <br />6UII.DIN� S I <br />�— <br />PLUMI3ING 1 �.I�O <br />I <br />M[CHANICl�L � <br />I <br />OTHEfi � <br />— PENALTY 5[C.30�1:�1 � <br />I <br />70TAL I`"J�0 <br />PEFMI7 VALIDA710N � w�p <br />— WII[NPHOP[RIVVtII.IUATC�11Ntl'I�I:��ACLI�I�i$�I�IWy�-�IL� <br />7L LI I Y V <br />i ' <br />�., <br />— ;YO�`R RECEtP`i'. <br />,,. ' THANK YOU:�=�, <br />Y. <br />n � 7 ,�4N ] g <br />