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�n�, � ���,,,,�,�„� <br />CITV OF <br />everett <br />CITY HALL 2G9$]4[i <br />EV[HETT, WP 9N?Ol <br />OWNER <br />Robert G. Sm <br />CONSTRUCTION <br />�� pERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />1920 <br />�COM�IN{1TION <br />� [tUILDING ❑ PLUMUING ❑ MGC��nNICl�L <br />5 AOO.UU <br />�CRIE3E WORK <br />repair fire damage <br />single family residence <br />I.EGAL �ESCRIPTION OF PROPLPTV ISIIOW <br />FOVR GOPIES) <br />1' Pine <br />LOT lO��'�L'(JCK? OF <br />JOB ADDRE55 <br />1920 Pinehurst Avenue <br />PLUMBING <br />PHUt <br />?�3-8278 <br />❑NEW ❑l�UDIiION ❑/1LTEfiATION ��1EPAIR <br />❑OEMOLISH ❑FENCE ❑S�GN ❑SWIMMWG POOL <br />everett <br />� lr <br />� <br />� <br />MECHANICAL I <br />TVPE OF ENERGV ❑Cns �ELEC. <br />oa nrTncN <br />NO. TYPE OF E�UIPMENT FEE <br />l�IR COND. UNITS--1'1.P. EA. � <br />REfRIGEfiATIONUNITS H.N.EA. 1 <br />-- OOILERS-H.P. EA. � <br />FORCEO A�R SVSTEMS-f3.T.U. MEA. <br />T <br />— — I <br />�� <br />SPACE & WnLL HEATERS - P.T.U. <br />UNIT MEM-[f15 ❑.LV. � <br />— —t <br />EVl�POHMIV[ COOLERS <br />CLOTHE;DRYERS . � <br />T— <br />v[Nri�nTioN FnN <br />� r+nrvce u000 � <br />� —_ <br />FEE AIR IIf�NDUNG UNR 0.F.M. <br />5 � --'_____."—. —_ � <br />I --- WATCR iIEATLR -�-- <br />� FAC.BUILT PIRGPLACE R CNIMNEV � <br />� GAS. SVSiEM11'. NO OP OUTLEIS <br />� --'----'---- - ' � SUl1TOTAL 5 T <br />� — - -". � .--- ---- P[RMIT 5 <br />� --- TOTAL FEL 5 I <br />i <br />THI: PENMIT OECOMES NULL AN[] VOIn IF WORK OR CONSTRVC <br />TION AUTHORI2ED IS NOT COMM[NCLD WITHIN 120 DFVS, OR If <br />PE�HIOD OFT120 DAVS nT ANVSTIME Af-TOEfi WOfiK I�OCOti1MENCrED. <br />I <br />�I IIERCOV CEf�T�FY THAT I HAVE READ �1ND [xAMINLD T1115 AP <br />PLICnTION AND KNOW 111C Sl�M11E TO (lE TRUE AND CORIiECT. ALI. <br />� PROVI;�UNS OF LAWti AND OHDINANCES GOV[RNING TNI; TVPE <br />i OI' WOIiK WRL f3E COb1PL1ED WITH \NHETHER SPECIPIED HEREIN <br />OR NOT, THE Ii�ANTWG OF A PERMIT DOES fJOT PRESUME TO <br />� ANV Ol11LlP SiAfL:TOR LOCALLLAW IEGULATING CONSTf9UCTION <br />� OR TII[ PBRFONMANCE Of- CONSTflUCT10N. <br />— — SUeTOTAL <br />PERMIT 5 8/31/78 <br />TOTAL FEE I �' � �� <br />TERSEfiVICE5IZE OLDG.SUPPL�SIZG siGNnTVr�° oN �vnCTonot��UTr�.nceNr onrG <br />PLI�N CHECK FE@ <br />IE V/�RD SETl3ACK STREGI' SET[lACK REAR VIIRDSETl1ACK PLAN CH[CK NUMIt[R ���E�pT ND. <br />FE6 <br />E ZONE l0T AFE/1 I VAC/1NT SITE -- —_— -- _ <br />❑vEs ❑No FEES VALUA710N FEE <br />SPLCIAI CONDI TI ONS: <br />UIREO <br />YBS ❑NO <br />�n�.�.iuin ...,...... <br />eb <br />nui�oitvc 5 800.00 8 j 00 <br />--t-- <br />i <br />PWMOING <br />I <br />M@CHANICAL � <br />!— <br />I <br />OTHEfl � <br />' SEC. �071a1 � -- <br />P L N A LT V .L_—.— <br />Torn� 8 i 00 <br />PERMITVALIDATION . � <br />WHGNPROPGRIVVAI-IOMC.DII�N�4+C'alClil���i�B���{�Atl �. <br />440 �U <br />. . ¢ . <br />��j�, R���f�l' <br />;� ����,�� ,r�� : <br />r . F , �. <br />. r q <br />t: F <br />�� ' . i � i.,�, ,` ' .`?"i� J�9. ... . . � <br />