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everett <br />CITV HALL 2595745 <br />EVERETT, WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />❑ COMBINATION <br />❑OUILDING [j�LUMBING �MECHANICAI <br />/ALUATION OF WORK <br />5 <br />LOT BLOCK_OF <br />4014 HI(ii <br />PLUMBING <br />TER SERVICE SI <br />SPECIAL CONDIilONS: <br />ST R <br />���: <br />k'�4 <br />�a\rl�: <br />252-0628 <br />L <br />❑NEW ❑ApDITION ❑ALTEfiAT10N ❑RLPAIF <br />❑OEMOLISII ❑FENCE ❑SIGN ❑SWIMMIN(i POOL <br />everett <br />MECHANICAL _ <br />TVPE OF ENERGV <br />ORATTnCH ❑GAS ❑ELEC. <br />NO. TVPE OF EQUIPMENT <br />AIR WND. UNITS� Ii.P. EA. 5 <br />fiEFRIGERATION VNITS-H.P. EA. <br />UOILERS-H?. EA. <br />FOFCED A�R SYSTEMS-d.T.U. MEA. <br />SPACE & WALL NEATERS - B.T.U. <br />UN'T IIEATERS- H.T.U. <br />— EvnroHnrivecoo�ens <br />CLOTRES UIiVERS <br />VENTILATION fAN <br />RANGE LI000 <br />FEE NR IIANDLING UNIT- 0.F.M. <br />; _ _ <br />� WATER HEATEq <br />� FAC. BUI�T FIREPLACE !4 CHIMNEY <br />� .AS. SVSTEM: NO OP OUTLETS <br />' ---I�--- SU[ITOTAL 5 I <br />1 __3— <br />P[RMIT 5 <br />I <br />RS � TOTAL FEE 5 I <br />i THIS �'EftMI? 0[COMES NULL ANU VOI� IP WORK O:i CONSTPUG <br />--T TION AUTIIONIZ[D IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WOHK IS SUS�'EN�ED OR ABANDONED FOR A <br />PERIOU O� 120 OAYS 11T ANV TIM[ AFTER WORK IS COMMENCED. <br />I <br />� I IIEfiEfri CERTIFV THAi I HAVE READ ANO E%AMINEO THIS AP� <br />PLICATION ANO KNOW THE SAMf i0 (3E TfiUE AND CORRECT. ALL <br />� PROVISIONS OP LAWS nND OROINANCES GOVERNING THIS l VPE <br />� OF WOHK W�LL 6E COMPLIED WITH WHETHER SPECIFIEU NEREIN <br />OR NOT, T11E GRANTING OF A PERMIT OOES NOT PRESUME TO <br />� GNE AUTIIORIiV TO VIOLATE OR Cf�NCEL THE PROVISIONS OF <br />ANV OlH[R STAT[ OR LOC/�L LAW REGULATING CONSTRUCTION <br />I p(1 TIIf PEHFORMANCE OF CONSTFUCTION. <br />L 1 �E S x � /�� � 6-6-78 <br />BLOG.SUPPLVSIZE S�GNATUREOFCONTRACTORORAUTH.AGENT OhTE <br />3ACK fiEAR VARDSETRACK PLl�N CNECK NUMRER PLAN CHECK FEE <br />FEE �RECEIPTNO. <br />❑YES ❑NO <br />VALUATION <br />�CC.LOAD liU1lOING 5,' <br />PLUM6ING <br />IPRINKLERS <br />IREU <br />ES ❑NO MECHANIC�IL <br />OTHER <br />PENALTV — S6C�3081a) <br />TOTAL <br />PERMITVAIIDATION � <br />w��eN rrvorra�v vnuonreo u � s' <br />,�. <br />FEE <br />S•ROERM17' � <br />e <br />YOU R REQEiP%� <br />; TIHANK YOU �. <br />;,,, .. • <br />s =6,�?8 <br />. _� <br />:.1.i t:_ . . <br />