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the Evergreen CONSTRUCTION <br />�. <br />CITY OF — <br />everett PERMIT <br />CITY HALL 257.8745 <br />EVERETT, WA 88201 COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />1512 <br />❑COMBINATION <br />BUILDING ❑ PLUMBING ❑ MECHANICAL <br />TALUATION OF WORK -- <br />5 400.00 <br />)ESCRIBE WORK <br />erect illuminated Sian <br />BE <br />LOT BLOCK <br />JOB ADDRESS <br />1512 South Broadway <br />PLUMBING <br />R <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />❑DEMOLISH ❑FENCE &IGN ❑SV!IMMING POOL <br />MECHANICAL <br />TYPE OF ENERGY <br />❑GAS <br />NO. TYPE OF EQUIPMENT <br />AIR COND. UNITS—H.P. EA, <br />REFRIGERATION UNITS—H.P. EA. <br />SPACE & WALL HEATERS <br />UNIT HEATERS—B.T.U. <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT-- ;,F.M <br />WATER HEATER <br />❑ ELEC. <br />D <br />iil <br />O <br />N <br />CID <br />__FAC. BUILT FIREPLACE & CHIMNEY <br />GAS. SYSTEM: NO OP OUTLETS I -- <br />SUB TOTAL 5 <br />I <br />PERMIT S r— <br />TOTAL FEE 5 <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONST RUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 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 />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL GE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PR <br />ESUME TU <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 />TER SERVICE SIZE BLDG. SUPPLY SIZE A -ha �'1 9/11/78 <br />SIGNATU1 OF CONTRACTOR OR AUTH.AGENT GATE <br />IF YARD SF.T13ACK STREETSETBACK REARYARD SETBACK PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />ONE LOT AREA VACANT SITE FEE RECEIPT NO. <br />OYES ONO FEES VALUATION <br />'E OF CO NST. OCCUPANCY GROUP NO. OF DWEI I var. — - FEE <br />uLU. LOAD BUILDING S 4OO.00 I <br />3 100 <br />FIRE ZONE BASEMENT FIRESPRI NKLERS PLUMBING I <br />REQUIRED <br />OYES ONO MECHANICAL I <br />SPECIAL CONDITIONS: I <br />OTHER <br />I <br />- FFNALTY SEC. 703 (a) <br />TOTAL I <br />3 100 <br />WHEN WHEN T VALIDATION - .�� f <br />PROPERLY VALIDATED IIN THIS SPACEI THI Is4 kP <br />LKLII BY: <br />1.c. <br />eb <br />ADDRESS FILE <br />E RMIT <br />V�;u+W <br />THANK YOU N <br />cfl <br />�SEP1a <br />