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tlle �. reiyreen <br />�� �, �� <br />everett <br />CITY HALL 259 fl���`� <br />EVEfiETT, WA 98201 <br />Same <br />Ancr <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • EUILDING • MECHANICAL • PLUMBING <br />M1IAII AUPH[55 i II- 1'I1pNL <br />3enito 1615 Holbrook 98203 355-3G29 <br />I �1AIL AODqE55 �'110NE LIC[NSL <br />IL <br />�]COMBINl1TION <br />�.] �UILDING ❑ PLUM�ING ❑ MLCIiANICAL <br />VALUATION OF WORK <br />repair 4 roof <br />osEo use <br />single family <br />thru Z�ocrc � <br />1615 Holbrook <br />PLUMBING <br />-- shake <br />NO. <br />❑NEW ❑ADDITIUN ❑ALTEfiATION �EPAIR <br />❑�EMOUS ❑PflNCE ❑SIGN ❑SWI�1A11NG POOL <br />everet'e <br />� <br />"i <br />z <br />c <br />MECHANICAL <br />iVPG OF ENERGY <br />ISHOW F3ELOW OR A'TACM ❑GAS ❑ELEC. <br />;n An110 Add. N� TVPE OF EQUIPMENT FEE <br />� �11R COND. UNITS-H.P. EA. 5 �__ <br />{lSbP121GLR/�TION UNITF H.Y. EA. <br />I1011 EfiS H.P. EA. I <br />� FORCEO �11R SYSTEMS-�.T.U. MEA. �— <br />_ __ — I <br />SPACE & WALL HEATEfiS - D.T.LL i <br />VNIT HEMERS B.T.U. � <br />EVAPORAiIVECOOIERS � <br />CLOTIIES DRVERS � <br />VENTILATION FAN T- <br />_ -�HANGE IIOOD � <br />ITEM FEE � nuv nnrvO�.iNa uNrt- 0.F.M. <br />5 __- _ . . __ _ __.___ ' <br />� - ----r— <br />WATLfi IIEATER _� _ <br />� FAC IiU11.T fIREPIACE & CNIMNEY I <br />� _ T <br />- GAS. SY57[M- NO OP OUTLETS <br />� -- - --- - - - -" - - -- SUo TOTnL 5 I <br />I - __ _-____ - ' _ __. _ _ _—_ PERM1IIT $ —T- <br />1 ----__ <br />Efl5 i TOTn� Pee 5 I <br />� 1.�1; PLHMIT O�CUMES NULL ANU VOID If WDIiK Ofl CONSTRUC <br />--�� TL:'v AU1110RIL�'t IS NOt COMMFNCED WITMIN 120 DAVS, OH IF <br />COVSTHUCTION OR WORK IS SUSPENDLD OH A[tANLJONED FOR A <br />� PEf110O UP 120 DAVS l�T ANV TIAt[ I�FTER WOf1K IS COMMENCEO. <br />� 1 11[REf1Y CLPTIPV THAT 1 HAVE RE/1D AND E%AM1IINEO THIS AP� <br />�'LICAIION f�ND KNOW THE ^AME TO f3B TPUL ANO CORRECT. ALL <br />C � Pf10VI510N5 OF LAW$ I�NO ORDINl�NCBS GOVLRNING THIS TVPB <br />� OF° WORK WILL f3[ COMPLIED WITH WHETIIEH SP[CIfILD HEREIN <br />— OH NOT, 1'H[ GfiANTING Of- A PEfiM111T OO[S NOT P(iLSUME TO <br />� GIVL AUIHOFlITY TO VIOLATE OR CANC[L TME PROVISIONS OF <br />ANV OTHER STM@ Ofi LOCAL LAW qEGULATING CONSifiUCTION <br />� OR TIIE PERf-OFMANC[ OF CONSTRUCTION. <br />V7/ , /���'� . �— 3/3/78 <br />X �i//�<!,1_ , �_E��,r <br />iERSERVICESIZE 6LDG.SUPPLVSIZE 51GNntVHeorCONinneionoi�nuiii.ni;ervi unie <br />iEYl1RD5ETUACK STREETSETI3ACK REARYARDSGT�ACKPLANCH@CKNUMf1E(i PLANCNECKPEE <br />FEE n�CE1PT ND. <br />E ZONE LOT AREA V�ICANT SITE <br />❑vEs ❑NC FEES VALUATION FEE <br />;PLCIAL CONUITIONS: <br />,:,��,:�� �� ��, <br />IRED <br />ES ❑NO <br />�,,,,�, ��: ,�,.�., � �„� <br />eb <br />IiUILDING 5 (00.p0 6� QQ <br />PLVMIIING � <br />� '___ <br />- I <br />MECHANICAL � <br />OTHER j <br />PENALTV 5[C.70�1a1 � <br />__--- - _ _-_ - I <br />TOTAL 6 � 00 <br />PGRMIT VALIDATION <br />WIII�.N YROPF HI Y Vl11.iU��l Lll 1I�1�lfIL'�SPAC{� jl{�J• �l� fi--il.11T ' <br />� { � A V U O , <br />� <br />' YOUR RFCEfP7-�- <br />TNANK YOU <br />`� i: <br />� •�ft4R7R .�.�' <br />■ <br />