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the Evergreen CONSTRUCTION <br />CITY OF �- PERMIT evereri <br />everett <br />CITY HALL 259.8745 <br />EVERETT, WA 98201 COMBINATION BUILDING • MECHANICAL <br />' PLUMBING <br />OWNER <br />' MAIL ADDRESS LIP <br />�% 3502 <br />AR u ES'GNER EVERETT 2526O914 m <br />GENERALCONTRACTOR <br />MAIL ADDRESS PHONE <br />SNOHOMISH CO LICENSE NO. COUNTY BLURB. 5606� EVERGREEN WAY 355-5757 223—01—EV—ER—EB 30 PH <br />MECHANICAL CONTRACTOR MAu nnnoc..,. <br />❑COMBINATION ..LAba Ur WORK <br />[BUILDING ❑ PLUMBING ❑ MECHANICAL 1�'� <br />❑NEW ❑ADDITION IEALTERATION ❑REPAIR <br />/h LUATION OF WORK <br />_ S ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />)ESCRIS'E WORK <br />LOCK 656 <br />3502 LOMBARD <br />PLUMBING <br />TER SERVICE <br />ST <br />SPECIAL CONDITIONS: <br />MECHANICAL. <br />HOW BELOW OR ATTACH TYPE OF ENERGY <br />OF EVERETT DIV M NO. ❑GAS ❑ELEC. <br />TYPE OF EQUIPMENT <br />AIR COND. UNITS-H.P. EA, Is <br />AIR <br />— B.T. <br />AIR HANDLING UNIT - <br />WATER HEATER <br />FA C. BUILT FIREPLACE & <br />_p m <br />.A M <br />C7 <br />cn <br />SUB TOTAL $ <br />PERMIT S� �� <br />TOTAL FEE $ <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />TION AUTHORI2 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 BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <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 />BLDG. SUPPLY <br />---------•• rLAN CHECK FEE <br />SITE <br />ACANT <br />FEE RECEIPT NO. <br />J::� <br />OYES ❑No FEES <br />OF DWELLING VALUATION FEE <br />UCG. LUAD <br />BUILDING <br />$ <br />5 00 I <br />'PRINK LERS <br />PLUMBING <br />'RED <br />ES ❑NO <br />MECHANICAL <br />I <br />I <br />OTHER <br />PENALTY <br />I <br />SEC. 3031a1 <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT . <br />YC4 U'R RECEtft- " <br />THANK <br />]fON ISSUgNC[ XY. <br />e <br />�J <br />ADDRESS <br />FILE <br />= <br />p- <br />