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, ,,,, ,,,, <br />��, , <br />c�ve rett <br />Ci � � ��.AI L:'btl IVq�.. <br />I t I H f I I. W A 9R'U 1 <br />nWNLfi A1AIL��UDHL5:1 .:n� irivu_ <br />Helen �e�a O�anes 7120 Highland Drive 98203 353-4397 <br />- ---. _ . -. _ .__.--- – --- – __ ___--- -------- — <br />nrcru�rci iii�ui:;ir,Ni.n - mni�'ni�oF¢i-s:; � - i�iioN� i�cr�v�;i ti�,, <br />E� <br />CONSTRUCTION <br />PERMIT <br />� <br />COPABINATION • BUILDING • MSCHANICAL • PLUMBING <br />- --- -�---------�-----�-----�--- <br />f;t Nt.HAL CONTflACTOF n1nIL Af)DR@:i5 PHONE LICENS[ WU. <br />Town & country Lynnwood, WA 98036 <br />�\�LC11l�NICAL CONTftACTOfi A1ML AODPESS PIIONE LICENSE NO <br />PLlIAi111 <br />PI1RN1 i C <br />[� COM�INATION <br />❑[3UILDING �PLUMfIING �MEr,I��:NIC�L <br />5 �JQ�.�� <br />DFSCRIESE \VORK <br />PRUPOSEU <br />EN9E NU. <br />�NEW ❑ADOITIUN ❑ALTERATION ❑R[PMH <br />COEMOIJ511 ;][ fCNCE ❑SIGN ❑SWIMMWG POnI. <br />LCGAL DESCRIPTION OF PHOPEHT�' 151104V RELOW ON ATI,�CII <br />f OU li COPI G51 p <br />�oT 3 BLOCK_`C�F—_�e_v_eYly Hills_Add <br />JOB ADDHLS$ <br />iiiahland Drive <br />PLUMBING <br />I <br />C'V�L'Yl'It <br />� � <br />m <br />� <br />MECHANICAL <br />T\'P[0{ I.NCPfY -- <br />❑GAS ❑EIEC. <br />_ . �__._._- __ "_ <br />NO. TVPE OF EaUIPMENT FEE __ <br />iAIRCOND.VNIT9�H.P.EA. $ � <br />i REFFlIGLRAI I(1N UNIT:: H.P. EA. -�— -- <br />i1101L[fi;: ILP.1.�1. - -��--- I__ <br />� PORCED AIH SVSIEMS- �3.T.V. MEA. <br />,—_-__ "____._ __ ' <br />�i SPACE & WALL HEM'Ei75 - B.T.V. _ <br />I UNIT 11EATERS� 0.T.U. � <br />;------- �r—_ <br />EVAPORATIVE COOLE(i5 <br />�CLOTH[SDRVERS � <br />VENTILATION FAN T— <br />__ � <br />NANGE IIOOD <br />AiH 161t<UI.INtI UNIT C.F.M. �T <br />_ _ _ . . . . _ . _ . _ _ _ . _ . _ _ . _ � <br />1 <br />WATEFl HF.ATER --r <br />{_ ___ <br />FAC. IIUILT FlfiEl'LACG f4 CHIMNEY I _ <br /><;AS. iY;TL�1� NO OP OVTLEIo <br />. __._ _"- ._ __.. <br />�- - - tiUtl TOTAL $ I <br />_-_. _." ___.._ _.__ __.._ ___ -_ <br />PEfiMIT 5 <br />-"-�--_-------"-'_— TOTALPEE 5 I <br />TNIS PERMIT UECOMES NULL AND VO10 IF WORK OH CONSTPUC <br />TION l�UTHOHI2ED IS NUT COMh1ENCE� WITIIIN 120 D4V5, OR IF <br />CONSTNUCTION OR WORK IS SlISPENDCD Ofl /��ANDONE� FOR n <br />PERIOU OF 1:0 D/1V5 M AN� TIME AFTER WORK IS COhiMENCED. <br />I IIEfl[flY CEIiTIFY THAT 1 11AV[ PE/1D AND EXnA1WLO iH15 AP <br />PLICATION ANf) KNOW l RL SA�1i TO ItE TRUF AND CONRECT. AL1. <br />PROVISIONS OF LAW; ANI> OROINANC[5 GOVFRNING TIIIS TVPF. <br />OF WORK WILL pB C0�IPLICD VlIT11 WHEIHf H ttP1.C.IPII_D HEIiFIN <br />OP NOi, lHG Oq(�NTING U� A PERMIT f���i'� NU1 �'��IEI,UA1(: 1�� <br />GIVE /�UT110PITv TO VIOI nTE OR CANCI i��❑ �'P��`.'L:iON< ni- <br />ANV OTIIEFl STATI- OR l OCAL I_/1W IIE�:Ui :.� i'.� �� C„n::.11;UCi il�� <br />OR Tjj� PCIIFORAI�NCE (�P C��NSI IIUCiic��, <br />�— TOTAL FEE SI X \�-�'a'�^'�'"^\ <br />NATFR SERVICE SIZE ULDG. SUPPLY SIZE Sic3 /��Un�G UI� Cu4TiZn •ti�ii <br />51U[ VAFiD ;[T13ACK STR@El SETbACR ftEAN YARIJtiETiACK PL/1Po CIIPC� NUA18LR <br />FEE <br />IV <br />si: t <br />:tPLC1nL CONUIIIUNS <br />c•i: <br />R <br />❑ves ❑No _, _ FEES <br />YLS <br />,cEN4 nni�c'�15– <br />PLAN CH6CK F6[ <br />IRECEIPT Nn <br />VALUATION FEE <br />-- ..... - . _ <br />__ _—.-_ I <br />�ono RUIIDING S _50O.OD --��DO-.— <br />PlUMf3�NG � <br />IKLEHS - � --- - <br />- 1 <br />❑N(l M[CHANICAL � <br />_- 4—' <br />I <br />OTM[R � <br />PENALTY S�C.3071a1 � - <br />—1__ __ . <br />- TOTAL �- -��- � --- � S �OO � <br />i <br />PERM11IT VALIOATION � <br />-. - . - l'JnllJPHOI'IHIYVAlII1,11LU11NiI11::5P,ICUTHI515VUV19FCR�111 <br />.. . •t�'rliU� �{�./v`�;';� <br />-_"___"—_ __ - f 1'{;`UV4 ,�b tl <br />- i�.iiii�..__— __�v:,��.�ni�i���—..:i.:.. <br />__I.. ,_--' <br />c �r� ' <br />