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�°�' F���� ����� �� CONSTR UCTION <br />`", °` PERMIT <br />everett <br />cirv ��n�� zs�a�as <br />evcnerr,wn 9H:01 COMBINATION • BUILDID'.i • MECHANICAL • PLUMBInL; <br />JWNER �tqll. �DDRl55 LP PHON[ <br />_Pltillip Oswald 4018 Grand 259-5399 <br />naci�ireci orv drsir,rvFi� — .,,.�� ,.,,�.�,�.« ......... . _—_-- . <br />�.rver�n�wrviiincror� mni�nooaess � <br />Everett Builders 5606 Everqreen Way <br />iCMANICALCONTRACTOR qAAILADDqESS <br />�COMBINATION <br />[}� �UILDING � PLUM6ING � �tECHANICAL <br />/ALUATION OF WORK <br />5 LZQ�.�� <br />)ESCRIBE WORK <br />Re-roof <br />'ROPOSED VSE <br />Single Family Residence <br />Ula <br />353-7161 EV ER EB <br />NO. <br />❑NLW ❑AODITION ❑l�LT[RnTION �R[PqIR <br />❑�EMOLISH ❑PENCE ❑SIGN ❑SWIAAMING POOL <br />LEGAL DESCRIPTION OF PROPEHI V ISHOW �ELOW OH A <br />FOUR COPIESI <br />�or 23_fILOCK 1 oF Headlee's lst <br />JOD ADORESS <br />4018 Grand <br />PLUMBING <br />ixrua <br />NATER SERVICE 512E �LDG. SUPPLY SIZE <br />SIDEVAIiO5ET0ACK STAEETSETfiI�CK RBl�fiVl�Rp5CTf3ACF <br />LOT <br />SPECIAI CONDIiIONS. <br />r� nrrlicN�pNnf.CIr11U1rv- r'LnNsl;nl <br />❑Y[S ❑NO <br />MECHANICAL <br />ivpE OF ENERGV <br />[f <br />everett <br />❑GAS ❑ELEC. <br />NO. TYPE OF EOUIPMENT � . FEE <br />AIR COND. UNITS-H.P EA. g � <br />REFRIGc(iMION UNITS-H.P. [q, --T <br />_— ��OI�EFS II.P. [A. � <br />FORCED Alq SVSTEMS-U.T.U. MEA. �— <br />I <br />SPACE R WALL HEATENS - B.T.U. <br />UNIT IIGMGRS Ii.T.U. � <br />' LVl�PpqATIV6 COOlERS <br />CLOTHE: DRYLfiS � <br />VENTILATION FAN �— <br />. PANGENOOp � <br />!IH IIAYf)LINC VNIT- C.F.M. � <br />i <br />WATEH HEl�TLR 1 <br />F�1C. HUI�T FIFEPLACE & CHIMNEY � <br />c�AS. SV!:t[M� NO OP OUTLFTS —�T— <br />SU[l TOl'�1L S 1— <br />I <br />—__'_'_- _____ P&fiM1T 5 ' <br />TOTAL PEG 5 � <br />THIS P[RMIT Il[COMES NU�L AND VOI� If WOIiK OR CONSTRUG <br />TION AV1110(�I2ED IS NOl' COMMENC[D WITNIN 120 DA\'S, OR IF <br />CONSiPUCTION OR N!ORK IS SUSPIdNOED OR AOANDONED FOF A <br />�Ef110U Of 120 DAVS M ANY 1'IME AI'T[Ii WORK IS COMMENCEO. <br />I HLRLIIV CERiIFV T1111T I IIAVE RGAD AND E%I�MIN[D TNIS AP� <br />PLICATION ANf) KNOIY TIIG SAMF: TO UG iRU[ ANO CORfiECT. ALL <br />PROVIilONS OP L4W^. ANfJ OHDINl1NCE5 GOVEfiNING THIS TVVE <br />OI� WONK WILI R[ GOMVLI@D WITH WHETHEfi SPfCIFIEO 11@REIN <br />UR NOI, T11[ GHrN'i1N(i UP A P[qMIT �pES NOT PqESUME TO <br />GIVB AUIHORIIY f0 VIOLATE Ufi CANC6L THE PROVI`.'ONS OF <br />ANY OIMLq STATL Ofi IUCAL LAN' RG(iULAiING CONSTfiI�^.IION <br />OR TH@ P[ql°p17MANCE Of CON51'RUCI'ION. <br />�y���/A��— �n J6�� <br />�iEOPCONI f�C10RORAUTH.AGENT DAfE <br />CK NUMIICH PLAN GHECK FE[ <br />FEL li[CEIPT NO. <br />FEES VALUATION FEE <br />. occ. i.ono L1UIlDING 5 1200.00 12 i00 <br />— —t-- <br />PLUMI3ING � <br />SPHINKLERS 1 <br />UIHED — I <br />V@5 ❑NO M@CHANICqL � <br />� <br />OTIIER � <br />—_ � <br />PENALTV SEC.3031a1 I <br />_—_—_ I <br />TOTAL 12 100 � <br />PERMIT VALIDATION A 63 3 ��ll �� —_ ��� <br />WHENPHOP[fal_VVAIIpATf:D11Ni I' CE)T I I 61iM1T <br />Y� �RE��E� <br />�����������,����:�„� , NANK Y?O�o <br />1 <br />° ; � . � ;• �► �iAR � 9 <br />�,. . G , ,4 . <br />/ Y <br />