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rnr Frcrqr.rrn <br />Cll'V' ol= <br />eve�Ptt <br />crrv ��ni.i. zs� t�n= <br />EVLFETT, WA nFC01 <br />CONS�i"RUCTION <br />PERMIT <br />COMBIN,�TION • BUILDING • MF.CHANICAL • PLUMBING <br />Dr Wm E. � Ilummel 20��5 Nukilteo IIlvd 355_ 2255 __ <br />:IIITECT OR �ESICiNLfi M11I11L AppNE55 PHONE. LICENSE N <br />Plan Formation 6822 Zllth PL N� Arlington 223-01-PL-AN-FU28 <br />IERAL CONTIiACiOR MAIL ADDH[SS PFIONE LICENSE N <br />As above <br />;HANICAI CONTR/1CTOR MAIL AUDIiFSS PNONC LICENSE N <br />IMpING CONfRACTOR MAIL ADDFESS <br />Vaughns Plumbing Rt 3 Arlington 935-5167 <br />� COM�INATION <br />[.�:OUILDING �PLUh1�ING �MECHANICAL <br />❑ NEW <br />VALVnTION OF WORK <br />s 14, 500. 00 � y('�`�'� <br />OESCRIBE WOAK <br />addition to ¢side of livin room - <br />PROPOSE� USE <br />s ngle residence <br />L@GAI_ JESCRIPTION Of- PROPERTV ISliOW �ELOW OH AT fnCH <br />FOUR COPIE51 <br />�oT 1- 2❑�ocK 5 oF aJilp O��aLling_ton� <br />thereof Rec. Vol 8 of Plats PP#29 <br />PLUMBING <br />OR ITEM I FEE <br />�JADDITION X❑AI_TERATION LIREPAIR <br />❑FENCCI ❑SIGN ❑SN'IAIMING PJOL <br />MECNANICAL <br />TVPE OF ENBRGY <br />❑GAS ❑ELEC. <br />everetl1 <br />'D <br />m <br />� <br />� <br />-� <br />z <br />c <br />� <br />W <br />,�, m <br />'��� �� <br />�: � <br />AIRCOND.VNIT$-H.P.EA. IS I <br />� REFFIGENATION UNRS -H.P. [A. � —� <br />f301LEH5 HA EA. � <br />PORCED AIR SV�TEMS-E3.T.U. MEA. —T� <br />_ _ — � <br />I <br />SPACf & WALL HEATLRS - B.T.U. —�� <br />UNII 11[M[q5 1).T.V. � I <br />F. V APO fiN I V[ COOLE RS �— <br />---- CIOTH[:OIIVLRS I <br />VENTIIAiION F4N �— <br />I <br />�� PAN(i[ IIOOD I <br />/�IR IIANIiLING UNIT C.F.M. � <br />_. _ .. __-_. -_.___. i <br />I <br />- wnren i�enT�rv - � �— <br />FAC. IIUII_i F:REPLAGE & CHIMNEV I <br />GnS. 5\'StE�1 NO OP OVTLCTS <br />___�__ __ _____ SVOTOTAL 5 � <br />. PERAIIT S--T <br />TOTALfEE 5 I <br />TIIIS P[RM�T UECDMES NULL ANf] VOi� IF WORK OR CONSTRUC <br />TIJN AUTHORIZFD IS NOl' COMMENCED WITNIN 120 DAYS, OR If- <br />CONSTROCTION OR WORK IS SUSPGNDFD OH A13ANOONED FOR A <br />PERIOU OF 120 DPVS /1T 11NV TIME nfT[:� WORK ISCOMMf.NCED. <br />I H[RLliy CEfilIFV TNAi I NAVE RLIN] ANO G%nM11WED TH'S AP� <br />PLICATION AND KNOW THE SAME TO [3L TRV[ !�N[] CORf1EC�. ALL <br />PROVISIONS O^ LAWS nND OROIP�ANC[5 GUVC(9NING THIS TVPE <br />OF WOHK WILL [l@ COMPLIED WIT�1 WH[THLR GPL'Clfifil] HEREIN <br />Oli NDT, TII[ GfiANTING �)F !� PFHMII' UOES NOT PRLSUM[ TO <br />GIVE AUTHp1iRY TO VIOL/1TE OH CANCEL TNL PHOVISIONS OF <br />A\Y OTHIfl STl1TL Oft 1_OCAL LAW REGULATING CONSTRUCTION <br />019 TN[ PCNFORMANCh OP CONSTPUCTION. <br />x � � ��/1,G1.../a,�2�2-16- <br />NATEFSERVICE5�2E BLDG.SUPPLVS;ZE si nTUHeorCONraM1CTonorr •n�.nGfNr onr[ <br />SI�EYl�RDSET6ACK STpEElSFT[IACK REARYAH�SETflACY.PLANCHfCKNUMB[R P�ANCHECKFLE <br />FC[ fi[CEIPT Np. <br />78/148 36.00 28120 <br />VSE ZONB LOi AREA VACANT SITE <br />❑vEs ❑no � FEES � ` VAWATION FEE <br />TVNL OF CONST. OCCUPANCY GROUP NO.OF DWELI.ING � I <br />V–N <br />I <br />TI <br />2 <br />inEo <br />es (�No <br />���� � : , �.,::, � �,. <br />(iU1LDiNG s1�L,.5.QQ.�O .�2-f_OD— _ <br />PLUM�ING � <br />�}00— <br />MCCHANIGAL � <br />_ — 1-- <br />OTH@R � <br />I <br />PGNALTY SEC. J0� Inl I <br />--__ --_ —_-1-- <br />TOTAL � <br />83:00 <br />PERMIT VALIDATION p�(7� Q; �y <br />wi�E:N i���oi�rni v vn�i�ni r:o iig at2�;rnci$ U l L.� tl�lylin��� � <br />,� <br />Yf?�11�R REC�4F7 <br />7NANK YOU <br />n ` <br />� • . .. �.V�.� �I�V :'' . <br />� <br />