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�„�� F��,"�,�,,�" C�STRUCTION <br />"' ` "' � . � PERMIT � <br />eve rett <br />C�1\� �ollL?SOHIqi� <br />i_vi:niri,wa �r.;:oi COMBINATION • E;JILDING • MECHANICAL • PLUMBING <br />O�Y:VHF N,11L AU!1HC:5 .'�P P�IutCL <br />EVERETT GOSP�L AIISSION 3007 Hetaitt <br />nnafrt�cfoi�uei:fr;vtr� . . . . n�ni�niiu�ie;s ----- i���tiN� ucerist-No- <br />GENLHi1L COM R�1Ci011 MAII. ADDf1E55 <br />Jacob.son_P_lumbing <br />iCH/�NICAL CONTHACTOq h1AIL AODfiE55 PHONE LICENSE NO. <br />R h1A1LA0URE55 <br />_ __ - __ ..__ ._. - .__ __- .._-_ - -_ '__ <br />PGRh11T C1A550F WOR�. <br />❑COh1BINATION <br />❑ 6UILDING ❑ PlUh1UING � MECIIANICAL <br />❑New ❑nnuni„r: ❑niii_iinn��rv ❑ie�enii� <br />VALI�/1TIONOF:vORK - ___._ _._ _ ______.._ -_______-_- _ <br />s <br />❑oenaousii ❑�cn�ct_ ❑c�r,N ❑:.wc.�n+i:ac r���u. <br />LLGAL DESCRIPTION OF PROPER7Y <br />FOUR COPIE51 <br />:OT •OLOCK._OP— <br />JO� AODRESS <br />3007 Hewitt <br />PLUMBING <br />NO. TVPE OF FIXTURE OP <br />everett <br />MECHANICAL <br />rvr� or rNrNnv � - <br />❑r,ns ❑ELEC. <br />NO. TYPE OF EQUIPMENT FEE___ <br />AIFi CUND. UNITS-H.P. EA. S I <br />� tif_1 RIG6RAIION UlvliS II.P. [A-�- —~— <br />-_ 4- <br />._ __" __.._ ""'_ _ ' <br />._ _ i i;on.ei+s �i.r. en. i <br />I f`UfiCED AIR SVSTEMS--B.T.U. MEA. <br />-__ _' __-." _- ' <br />- I SPnCE ri WALL HEATERS - B.T.U. -� <br />L— <br />' UNIT HCl1TER5 fi.T.U. I <br />_� -- ---- ----�-- <br />i�v�ror�niivtcoo�ens <br />- � r.i.uri�es i�dv�ias- i <br />� VENTILATION PAN -�— <br />1 <br />"-� PnNr.F I+nnp I <br />__ nIR_HANDI-INGUNIT.. QF.M. � <br />I <br />WATER IIEATER <br />_ - _ _ -. _ _ _ --�— <br />FAC. f7UILT FIRLPLACE R CHIMNEV I <br />�AS. SVSTEM�. NO OP OUTL[1-5 -�- <br />__ _ _. _. _ _ __ _ . - __�_-.._- <br />SUII TOTAL 5 I <br />._ ._._.-.__._"._._..-._"'"__-.____ <br />PLNMIT <br />.-___._ ' ____. '-___---_ -'- -- <br />TOIAL FlE $ I <br />._ _ _. _ ..-.___ ___-_ —"___' _' -_— _ <br />llllti P6HM11 ❑[COME,^, NULL AND VOID IF WOHY, OH CONSIF9UC <br />IION /�U1110H171'f) I; NOT Cf)h9�1GNCFD WIIIIIN 120 O/�Y.^..l�li If <br />CONiT1iVCTION OR WURK IS ;USPIENULO OH lU3ANOONLO POH A <br />PLRIJD OP 120 OA�S �11 �1N1' 1IM6 N-7FR WOfiK ISCUMMENCEfJ. <br />I H[19GISV C6RTIFY iHAT I 11/�VE N1:l�I] 4NU E%A�41NGD i1115 AP <br />PLICAi�ON nND KNOW 1HE tiAME'(111C iRU� I�NO COIiRLI'T. I�LL <br />PROVI!ilONS OG I.AW: �1NI) ONDINANCEi GUVGRNING THI; TVPE <br />OI' WOHK WIL; 6E COMP�JED WIT11 W11[THEH iPECIPIED FIE.HEIN <br />OH NUi, lHE GRnNTING OI` A PLHP.1IT Ulrr.n NOT PR[SUME TO <br />CiIVL /1UTIIORIIV TO VIOLAT[ OR CANCLI THL PHOVItiION$ OF <br />11NY 0111@R S7l1iG Oii LOCAI LAW HlGUI.AIING CONtiTRUCTION <br />OR l'HE PLRI'pHMANC6 OP CON51 RUGIION. <br />- -� SUI3 TO7AL 2 � -R� - <br />7 TA�L FEE � 3�.��1 x��'� <br />TEH SBRVICE SIZE AIDG. SUPPLV SIZ[ slcNntu�t ni� <br />l[VAf9p5ETOACK STRLLTSETf1ACK R[ARYl�RD:LIIi�1CKP1./�NCII[CKNE <br />SPECInI_ CONDITIONS' <br />i-.. .i ri.�i�.�rnurn' <br />❑Yc5 ❑NO <br />NO.Of UWELUNG <br />UNITS <br />MAk. OC�. LOAU <br />ri��EsrHiNK�=_ns <br />REOUIREO <br />❑V[5 ❑NO <br />-�-�./ /% i <br />.e� i! � <br />I�UR(1HnUt�l.nt1GNT IAFE�� <br />"t f�N CHECK PE[ <br />I�LC IHF.GFIPT NO. <br />_ _ ___FEES VALUATION <br />�IiUILUING 5 <br />PLUMf31NG <br />MCCIIANICAL <br />OTIIFH <br />PLNALIA' SLC.90:SL�1 <br />TOTAL <br />fEE <br />�� PERMITVALIDATION g [ �pp <br />__ vdr�i ra ri�nri ni v vni �nm i.0 n,��tl�i�t:�i+ncL�t��iJ �I'. tl }7�� r't�.ijn�iRy <br />v a <br />u u,---- -7airarrvi u i nu r. i v.ri i�:, <br />�°��ur, RECErPT <br />, ._. <br />1�`1ANK Y01! • � <br />' .�-{.�'. 'J <br />I t !�;�+j ? R ' - <br />