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ure Evr,yn,rn <br />C�, Y U� <br />everett <br />cirv �an�� z�o�a�ns <br />EVEftETT, WA 78201 <br />R. J. <br />CONSTRUCTION <br />� PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />MML ADUH[:i5 ZIP 1'HUNC <br />6318 POLK PLACE 98203 353-�740 <br />— ..n�� ..�noccc N��nN[ LICENSL KO. <br />W. S. Builders 7529 Beverly Blvd. 353-6422 223-01-25146 <br />..i�.�.. .�..�ir.,.rr..o 61Ai� AnDnF55 PI10NE �ICENSL NO. <br />❑COM9INATION <br />[�(3�iILDING ❑�LUM6ING ❑MECHANICAL <br />LOT �S— OLOCK—ZOF <br />JOB ADDRESS <br />6318 POLK PLACE <br />PLUMBING <br />A <br />❑NEW C�DDITION ❑nLTEFATION ❑RLPAIR <br />❑DEh10LI5H ❑FENCE ❑SIGN ❑SWIMMING POOL <br />�ELOW OR A <br />everett <br />MECHANICAL <br />— TVPE OF FNERGv <br />1 ❑Gq5 ❑ELEC. <br />NO. TYPE OF E�UIPMENT <br />— AIR COND. UNITS-H.P. EA. 5 <br />REFfiIGEqATIONUNIT; H.P.F.A. <br />DOILERS H.P, EA. <br />FORGED AIR SYSTEMS-f3.T.U. MEA. <br />SPACE & WALL NEATERS - 9.T.U. <br />VNIT R[ATERS- U.T.U. <br />EVAVORATIVECOOLERS <br />ICLOTHLS DiiVEfiS <br />VLNTILATION FAN <br />Rl�NGE HO00 <br />NR HANOL�NG UNIT- QF.M. <br />WATER IIEATER <br />FAC.eUILT FIREPLACE K CHIMNEV <br />GAS. SVSTEM: NO OP OUTLETS <br />� <br />� <br />z <br />� <br />SV[I TOTAL 5 I <br />PERMIT 5 � <br />TOTI�L FEE 5 I <br />TI11; PERMIT 0@COMES NULL AND VOID IF WORK OR CONSTRUG <br />TION AVTHOFiIL[D IS NOT COMMENCED WITHIN 120 OAVS, OP If <br />CONSTIiUCI ION Ofi WORK IS SUSPENDED OH A[IANDONE[l FOR A <br />PERI00 UF 120 DAYS l�T ANV TIME AF TER iVORK IS COMMENCLO. <br />1 IIGREII� CERTIFV TNAT I IIAVE READ AN[] @XI�MINED THIS f�P <br />PLICnI �ON AND KNOW THE 5l�M[ TU li[ THUE ANO CO�if1EC1'. AlL <br />P(lOV1510N:i OP LAWS AND OROINANCGS GOV[(tNING THI$ TVPE <br />OF WORK 141LL IlE CDM1IPLILD WIT11 WH[Tr16R SFECIFIED HEPEIN <br />OR NOT. THE GRl1NTING OF A PLRMIT DOLS NOT PRESU�tE TO <br />GIVE AUTIIOHIIV 1'O VIOLATE OR CANCGL TFIL PfiUVI510N5 OF <br />ANV OiHER ;tATE OR LOCAL lAW R@GULl�TING CONSTRUCTION <br />OFi TH[ PGHFORM/1NCE OF CONSTFUC110N. <br />� PERMIT SI { . �' � y• � 3/15/78 <br />� TOTAL FEE SI 1_ X�'`�-'�.�:�� _„�-_-:/-T^-'�-�' <br />_ .C.'___._ -+i - <br />TEHSt.RVICESIZE BLDG.SUPPLVSIZE SicNnr�H[ur�coNinncroivonnur�+.nceNr onr[ <br />IE VAHDSETOACK STREETS[T�ACK FEl�fiYAqpS[TI3ACK PL/�NCIIECK NVMfiEN PLANCHECK FE[ <br />f-f.@ RECEIPT NO. <br />L20NE LOTAREA VACANTSITE 78/195 ZQ.�� 28716 Z�27 <br />❑vEs ❑No FEES VALUATION FEE <br />PE OF CONST. OCCUPANCV GROUP NO.OP DW[LLING � <br />UNITti � <br />SPECIAL CONDITIDNSr <br />��.,,,�,., <br />[IWM <br />.occ.�ono n�i�oiN� 5 8,000.00 48i00 <br />PLUMDING � <br />.SPqINKLEi15 I ' <br />UIRED � <br />YLS ❑NU M[Ch/ANICAL � <br />—J <br />1 <br />OTHER 1 <br />— PENALTY 5[C. �O71a1 � <br />I <br />TOTAI .__". _— __. _—_ ��—.. <br />PERMITVALIDATION � �` <br />WIICN I`HUPf fiLY VAIJDAI f� IIN TI11::::�'�\C[1 11115 IS YUUR PLHM1IIT <br />YOU R REG'EfR� <br />' Ttt�aN� YPu - <br />. . ., . <br />„����., .. ��,,�: � �,,. ', . ; e � � . <br />K.C.eb � � � t ¢ � j� <br />,� 1 7 <br />1 f, <br />