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U;c fvrryi�ren <br />��„ �.� <br />everett <br />CITY H.1LL ?'��t OJAL <br />CONSTRUCTION <br />PERMIT <br />everee�t,wn eiaza� COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />OWNER MAILAU[lNL`SS 21P PHONE <br />Joanne Brenner 106P Park Drive <br />�RCHITECT Ofl DE9IGNLR MAIL AUDREtiS F410NE LICENSIi NO. <br />3ENEPALCONTHACiOR MAILAUURESS PHONG IJCENSF Nn_ <br />M <br />Electric <br />❑con•eir�aTioN <br />❑ UUIL�ING [� PLVM6ING � h7ECHANICAL <br />5 <br />DESCFI6E WORK <br />LOT__ �LOCK_ <br />JO� AODRE55 <br />1060 Park Dr'.�e <br />PLUMBING <br />TURE OR <br />IJ[HI <br />❑N[W ❑l1�OI7lON ❑ALTERATIJN ❑H@PAIN <br />❑OEMOIJSH ❑PENCE ❑SIGN ❑SWIMMING POOL <br />MECHANICAL <br />LOW OR ATTACH T�PE OF ENEPG`/ <br />❑GAS <br />NO. TVPE OF E�UIPMENT <br />AIR COND. UNITS-II.P. EA. <br />REFRIGERATION UNITS--H.P. Ef�. <br />OOILERS H.V,EA. <br />FORCED AIR SVSTEMS-B.T.U. MEA. <br />SPACE A. WALL HEAiERS �- �.T.V. <br />uwr ncnTeas �n.r.�. <br />EVAPORATIVECOOLERS <br />CLOTH[SDRVERS <br />V@NTILATION FAN <br />� RAN(:E HOOD <br />FEE Alq 161NDUNG VNIT- Q�.M. <br />S_—_ _._—_ _ <br />� __ <br />WATER HEATER <br />i — - <br />� __ <br />fAC.BUILTFIREPLACE R CHIMNEV <br />. GAS. SVSTEM: NO OP OUT�ETS <br />ELEC. <br />everett <br />i:t <br />�J <br />�t <br />_1_ ____ tiUR TOTAL S Q I QQ <br />—__'"___—_.'—._ �'ERMIi 5 3 ��� <br />TOTAL FEC 5 % I OO <br />TIIIS P[RMIT IIECONLS NUl l. AND VOIp IP W01iK OR CONSTRVC- <br />TION nUT110R12[D IS NOT COMp1ENC[D WI�IIIN I_0 DAvS, OR IF <br />CONSTRUCT�ON O(i WORK IS SUSP[ND[D OR nfIANDONEO FOfi A <br />PLfiIOD OF 120 �AVS AT ANY TIM[ N'TEP WO(iK IS CO��MGNCED. <br />I RLHLIIV CLRTIf V TIIAT I{IAV6 RGAD AND E%AMW[D THIS AP� <br />PLICATION I�ND KNUW THL SAME TO It[ TRUB 11ND CORqECT. ALl <br />PROVI;IONS OF LAW$ l\ND ORDINANC[S GOVEliN�NG THIS TYPE <br />OI- WOHK WIL1. 6E C(1f.1PLIED Wlll1 �YH@TIIGfi SPEGf:ED HEREIN <br />OH NOI, 1H[ (if1nN�ING OF A PEqMIT DOES NOT PIiESUME TO <br />GIVE AUTHqfiITV TO VIOLAT[ OR CANC(3L THE PROVISIONS OF <br />ANv 0711[R STAT[ Ofi I.00AL LAW R@GULATING CONSTRUCTION <br />Oq Tllf- PC.HI'ORAtANCG Of CON;TRUCTION. <br />TOTALFEE S —� x 2/6/79 <br />TERSERVICESiZE UL�G.SUPPLYSIZE SIGNnTUv[Ur-coMRncionoRnuiH.nGENr onTe <br />IE YARD SET�ACK STR[[T SGTIlACK liEAR YAROSETLIACK P.AN CNFCK NU\Aft[fl PLAN CNECK FEE <br />fEE In�CEIPTNO. <br />SPECIAL CONDITIONS: <br />nCANI SITG <br />❑v[S ❑No , �ES VALUATION <br />I.OF nWELLING <br />VITS <br />)CC. LOA[] [iUILOWG 5 <br />PI_UM[11NG <br />PfiINKLGf�S _ <br />REU <br />. ❑NO M@CHANICAL <br />OTllEfi <br />PENALTY ' SBC.;10ff(al <br />��,�,Y �.,,,�„����„ <br />TOTAL <br />PERMIT VALIDATION <br />w���N rr�oreivi v vni inni�o <br />FeE <br />7 I 00 <br />ICTITIt�;VACL�'rHN;IS7C�1fiPFRA7� ' ' <br />� , <br />YC?�l� i�E'C'Ei�'f:n'• <br />t TI.:'�„�NIE YtiOU `� <br />� � � <br />• � � ; ,� <br />- - � -�- . 6 �8 .19 _ .� <br />N <br />� <br />