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�,��• E���,��,������ CONSTRUCTION <br />"Tv "' PERMIT <br />everett <br />CITV HALL 259 fl�4:i <br />Fvenerr.wn �aza� COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />owtvetj n�ni� nouniss zir riioNt. <br />Davin A. Brandvold _P.O. Box 428, Mukilteo 355-1135 <br />GENERAICONT <br />Same as o <br />ro�ni�nouaess ---- <br />State Sheet Dfetal (If required) <br />Ray's Plunil�ing <br />PEFMIT <br />� COMBINATION <br />, . npUILOING �PLVM�IIIG �MECHANICAL <br />7C <br />VALUATION OF WORK <br />s 27.294.00 <br />)RK _ — <br />familv residence <br />OF WOfiK <br />E LICENSE N <br />B P,-AN-DD-A- 2 9 <br />NO <br />�NEW ❑AOOITION ❑ALTEFATION ❑fiGPAIN <br />❑OEMOLISIi ❑FENCE ❑SIGN ❑SWIMMING POOI <br />Residence <br />LEGAL DESCRIPTION OF PROPERTV ISHON' BFLOW OR ATL <br />FOUR OPIE51 <br />�or � BLOCK—�iberty Addition <br />Le4a1 attached <br />4217 Grand Ave. <br />PLUMBING <br />MECHANICAL <br />T�P[ OF ENGRGY <br />UGAS [�ELEC. <br />NO. _ _ _ TVPE OF E�UIPMENT <br />nIN I.ONO. UNIiS-M.P. EA. 5 <br />everett <br />CJ <br />C:J <br />C,il <br />� <br />REIliIGEPATIONUNITS-H.P.EA. � <br />1301L[!iS H.P. @A. � <br />f-OHCED AIR SV51 EMS-B.T.U. MEA. <br />i I <br />$PACC- W N'ALL HE/1TERS - f1.T.U. � <br />UNIT IIL/1iLR$ I;.T.V. � 1 <br />I:VAPpNATIVE COOLEIiS � <br />1 c�or��cs unve�as I 3� 00 <br />1 veNTii.ntioN rnN I 2��� <br />_� HnNGF nOnD _ � d /�/�_ <br />�11HHANOLINGUNII C.F.M. T,�,� <br />— _ _ i <br />electric_1�aseboar � <br />WATEH IIEATER —� <br />- I <br />fAC. RUILT FIREPLACE f4 CHIMNEY � <br />�AS. SVSTEM-. NO OP OUTLETS �— <br />_ _ . —_ . . . _ _—_ ---1-- <br />_ _ _ SVOTOTAL 5_�( �(�Q_ <br />PEqM1T 5 <br />� TOTAL F[E 5 ZZ OO <br />THI,^. P[qMlt [3GCOMES NULL AND VOID IF WORK OF CONSTHUG <br />TION AVTHORIZED IS NOT COMMCNCGD WITNIN 120 DAVS.OR If- <br />CONSTRUCIIUN OR WORK IS SUSPENpED OH Af3l�NpON[D PO(i A <br />PCRIO� O� 1,^.0 DI�YS AT ANV TIM1fE AFT[(1 WORK IS COA1MENCED. <br />I IIEN[13V CEfiTIfY TllAi I IIAVL PEAD AND E%AMIN[O THIS AP� <br />PLICl1TION AND kNOW TIIE ;AME 101t@ TRUE ANf� COf1RECL AL� <br />PfiOV1510Ni OF LAWS AND ORDINANCES GOVEHNING THIS TVPG <br />OF WOf1K WILL U[ COMPLIEO WIT11 WHETHGN SP@Clfl[U HLREIN <br />OR NOT, IIE GfiANTING OP A �ERMIT OOLS NOl PN[SUME TO <br />CiIV[ AUT IORITY i0 VIOLATE OR CANGGL TIIE PqOVI510N5 OF <br />nNY Ofll !1 ;MfL OR LOCAL LnW HGGULAiING CONSTNUCTION <br />OR 11!` P qFONM/1NC[ OF CO� ION. <br />X �- ��/���7 <br />TER SERVICE SIZE OLDG. SUPPLY SIZE sicNn7U�c�t�r CUNTI <br />IE VARD SET�l�CK STR[[T SETfinCK REAR VARDSLTIiACK PLAN CHECK NUMO[R <br />G� 2�� 2�� <br />�zoNe �orna=_n vncnNrsn� 77/564 <br />R-1 9G06 SF C�E, ❑No FEES <br />24' X 40' <br />3 <br />SPECIAL CONUITIONS: <br />U IIT <br />1 <br />=NT <br />Yes <br />�nonnurH.nutrvr ynre � <br />PLANCFfE FE[ <br />FGG RLCEIPT NO. <br />VALUATION FEE <br />1 <br />�CC. LOAD OVILDING 5 <br />PLUMOING <br />IPHINKLBHS <br />IqEO <br />[5 ❑NO M[CIIANICAL <br />OTRBR <br />Y[NAI.TV SGC.;O�IaI <br />TO7AL <br />f'ERMIT VALI�ATION <br />WH[NPROPLRI.V VAl IDNE�_DIIN f111tiSP/ <br />-- u 'I/����'j��i <br />� ��� <br />0 <br />154' 00 _ <br />�,ti RPHfih11T � <br />� <br />l'011-R .aECE1Pj;; <br />� THANK YOU `� <br />, �; , <br />