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PERMIT IM <br />everett <br />CI I Y HAI L 2pR Rin'• <br />EVERETT. WA "SWOT COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />OWNER MAII. AUUH E:;S <br />A. H. "AL" LARSON 3419 Hayes r11' 11110NE <br />aRCJTiT[cr2iFuisidNfa - ____-- 259-9179 <br />Sake <br />evere" <br />,e <br />kPERMIT <br />cUNTRACTOR MAIL ADDRESS W <br />PHONE LICENSE NO. <br />(Q <br />CLASS OF WORK O <br />ATION <br />G ❑PLUMBING ❑MECHANICAL.yF"_❑NEW MOD1TION ❑ALTERATION ❑REPAIR OF WORK�000.00 ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOLWORK <br />ludition t0 Office <br />PROPOSED UST: <br />Office MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY I5f10W BEL OIY OR AT TACH TYPE FNER�yf'f-- <br />FDoiSD`mill 323 Shaffer's First Add. 1! ❑ELECf� <br />Lor iu ocK_DF_ N TYPE OF EOUIPMEN7 <br />AIR CON_O. UNITS-H.P. EA. — - _FEE <br />REFgIGF RAYON � is —tip <br />JOB ADDRESS — <br />3419 flays <br />PLUMBING. <br />WATER CLOSETS <br />WATER HEATERS -EL <br />WASH BASINS <br />LAUNDRY TRAYS <br />SUB <br />PER <br />TOT <br />LTER SERVICE S12E <br />UE YADSETRACK T,TREE <br />'L OFF BLDG. <br />BLDG. SUPPLY <br />11 <br />6 WALL HEATERS <br />ATERS B.T.U. <br />'.ATIVE COOLER$ <br />sDareas ---- <br />LTIONFAN <br />C.F.M. <br />_ _WATER HEATER 1 <br />.6_ _CHIMNEYFAC. BUILTFREPLACE <br />CAS. SYSTEMN_PO <br />_-_OUTLETSTOTAL $ I <br />I <br />PERMIT S <br />TOTAL FEE $' I I <br />THCOON IS PERT IECOMES NULL AND VOID IF WORK OR CONSTRUC <br />CONSTRRUCCTIONTION MIO IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />PERIOD OF 170 DAY <br />WORK IS SUSPENDED OR ABANDONED FOR A <br />YS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO RE TRUE AND CORRECT- ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLII D *[-., WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTINr, OF A PFRMIT LILIES NOT PRESUME TO <br />GIVE AUT14DRITY TO v:.,: ATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATL OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />x . 12/5/77 <br />SIGNATURE OF CONY HACT ORORAUTH.AGENT GATE <br />'LAN CHE CK%UMBER PLAN CHECK FEE <br />FEE RECEIPT NO. <br />77/717 23.40 I 2AAA 1 <br />❑vE5 ❑NO FEES VALUATION FEE <br />). OF DWELLING <br />TITS <br />LX.00C. LOAD RUILOING <br />_-- s G,040.�0 3*1CD <br />