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1 <br />rnr Ev<•,yn,en <br />��, � ��- <br />everett <br />CIl1' HALL 259 0�45 <br />EVFaETr.wn nszoi <br />r� <br />Same <br />VICAL <br />- � CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PI.UMBING <br />382b High Street <br />L <br />98201 <br />LI <br />❑ COMBINATION <br />❑ f IILDING � PWh1pING �MCCHI�NICAL <br />❑ NEW ❑ /��OITION [JhLTERATION ❑ R[PAIR <br />JALUATION OF WORK <br />5 ZOO.00 ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />JESCRIBE WORK � <br />Plexiglass roof over back porch area <br />�aoroseo usE <br />single family residence <br />_EGI�L DESCRIF'1'ION OF PROPERTY ISHOW DELOW OR ATTnCH <br />�OUR COPIES) <br />0�60.61 ei.ocK � or Smyth Land Co. S 2nd <br />JO�ADOAESS <br />3826 High Street <br />PLUMBING <br />MECHANICAL <br />TVI'E OF LNGRG" <br />❑GAS ❑ELEC. <br />Alfi CONO. UNITS-H.P. <br />fi[FRIGERATION UNII <br />- —" IIOILEfiS H.p. EA. <br />FORCED AIR SVSTEM1 <br />$PACE & WALL MEATE <br />UNIT HEM[RS -�13.T.U. <br />~ CV APORATI V E COOLL <br />c�oTr�es onve�s <br />VENTILATION Fi1N <br />NANGEHOOU <br />Alq 11ANpLING UNIT- <br />WATER I�IEATEfl <br />FAC. BUILT FIFEPLAI <br />GAS. SVSTEM: NO OP <br />F.M. <br />E R CHIMNEV <br />everett <br />_l SU[t TOTAL S � <br />PERMIT 5 � <br />10TAL FEE 5 � <br />T1115 P[RMIt ❑CCnMGS NULL l�NO VOID IF WONK OR CONSTRVC <br />110N AUTIIOHIZGU IS NOT COMAIGNCED WITHIN 120 DI1Y$ OR IF <br />CONSTIiUCiION OR WOHK IS SUSPENDED Ofi IUTANDONEI� fOR 11 <br />PERIOD O� 120 OAYS !�T ANV l IMG AFTGfi 1VOIlK IS COMMENCED. <br />I RBfiEfiV CLfiTIFV TIIAT I IIAV[ R[AU AND G%AMWGD TH�S AP <br />PLICATION AND KNOW TIIE SAMf° TO It[ TqUE /�ND CORfiGCT. ALL <br />PpOVI510Ni OF L/�WS AND OHf>INANC[S GOVERNING TIIIS TVPE <br />UP WOIiK WILL [3ii COM1IPLIED WIT11 WNETHEft SPECIFIEU NEfiHN <br />OR NOI. THE Gfil1NTING Of 11 PEHMIT �O(i; NOT PRESl1ME TO <br />GIV[ AUTFIO(ill'V TO VIOL/�i[ OR CANCEL THE PROVISION:�� Of- <br />l�NV Ol'H[R STATE Ofl LOCAL LAW REGUL4TWG CONSifIVC110N <br />Oli T11f PERf-ORMANCE UF CONSTRUCTION. <br />I TOTAL FFE 51 � � - <br />TER SERVICE SIZE BLDG. SUPPLY SIZL 51�� nj �[t�CONTi <br />�EYARDSGTpACK STRECTS[T[IACK REARYARDS@iOACKVLANCIIE'CKNUMP[li <br />SPECIAL CONDITIONS' <br />,PhInAflOqqCC11`1lIIIIY PIAN51:111 <br />P <br />�CANT SITE <br />❑VES ❑NO <br />eb <br />[�NU <br />f <br />rcc <br />PL AN CHECK F E E <br />�RGCEI"T NO. <br />_ _ FEES VALUATION� FEE <br />I <br />— evi�oiNc s z00.00 5 i 00 <br />_ PLUMf71NG ; <br />_ � <br />MLCIIANICAL I <br />! <br />OTIIEF � <br />I <br />— PENALTV SEC.�OJIe' � <br />TOTAL _.__—_ . _—_ _ - . _.. --- _ $ j 00 <br />PERMIT VALIDATION tan� �} � <br />— W I I F N P H U Pf: H 1 V V n IJlI AT F. U 1 I N J I M:�j��AC [ 1�I �.��"Jlj(le f�'itiQ I 7 � <br />! / � " <br />— �"t7?Ct �t `R'�GE I Ri . <br />— `7�iAMl: YQ tS <br />i � <br />' � �. at� 18 _. . <br />