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����� f �-������'�"' CONSTR UCTION <br />uiroF k� � <br />evecet� PERMIT <br />cin� iin�� zs� s�ns <br />eveaerT.wa nyzoi COMBIIVATION • BUILDING • MECHANICAL • PLUMBING <br />DWNEP 11NLl�OfJHE55 11P PIIONE <br />Jerry Nielson 3615 Dtukilteo Blvd <br />FRCHITECT OR O[SIGNER � NnIL nD[JIiEs; t���nn�c i irr.ni�u <br />AIL <br />LICENSE NO <br />❑COMBINATION <br />❑[3UILOWG �(I�LUM�ING ❑M[CHANICAL <br />❑NEW ❑ADOITION ❑AL1ERl�TION ❑RPPAIR <br />lALUATION OF WO�iK , <br />5 ❑OEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOI. <br />LEGAL �ESCfiIVTION OF PROPERTV ISHOW <br />FOUR COPIESI <br />LOT BLOCK_UF <br />JOOA�DRESS <br />3615 Mukilteo Blvd. <br />PLUMBING <br />YPE OF FIXTURE <br />ATER SERVICE SIZE BLDG. SUPPLV SIZE <br />IDG\'ARpSETOACK STRECTSETAACY. R[ARVARDSGT3AC! <br />SP[CIAL CONUITIONS�. <br />II:RIIIIIV <br />❑VES ❑NO <br />everett <br />� <br />m <br />� <br />� <br />"i <br />z <br />c <br />3 <br />W <br />,_ m <br />:; <br />� <br />MECHANICAL <br />TYPE OF EN@PGV <br />❑GAS �]ELEC. <br />NO. TYPE OF E�UIPMENT FEE <br />AIR CONO. UNITS-H.P. EA. S I <br />flLFIiIGERATION UNRS -HP. EA. —_�— <br />—__ �OILERS -II.P. [A. � <br />FORCED AIR SVSTEMS-6.T.U. MEA. T— <br />-__ ' <br />_ SPACE & WALL NEATERS - B.T.U. � <br />UNIT IIEATERS� B.T.U. I <br />EVAPORATIVECOOLERS <br />iCLOTHESDRVERS I <br />VENTILAiIUN FAN T— <br />RANGEHppO I <br />nIH HAND�ING UNIT- C.F.M. <br />.. _ _ '--- ' ' <br />WATEfl IIE�ITER —T— <br />FAC. UUILT PIREPLACE R CHIMNEV � <br />GAS. SYSTEM: NO OP OVTLETS <br />�� --�-�'- —'- SVI{TOTAL $ � <br />_"__.'_ _ P[fiMlT 5 � <br />TOTAI FEG 5 I <br />TIUS PERMIT 0@CUfdEti NULL ANU VOIO IP WORK ON CONSTRUC <br />TION AUTIIORI�ED IS NOT COMMENCEU WITHIN 120 DAVS, Ofi IF <br />CON51 qUCTION OR WOfiK IS SUSPENOED OR A(3ANOONED FOR A <br />PERIOO OP 120 DnVS At ANV TIML Af-TER WORK ISCOM19M[NC[D. <br />1 HGR@I)Y CERTII°Y THAT I NI�VE fiGAn ANf] Lxl1MWED THI$ A' � <br />PLICI�TION AD1U KNObY THE 5l�ME TO 64 TRU[ AND CORpGCT. f�LL <br />PRpVI510N5 OF L(1WS AND ONDINANC[S GOVLRNING TNIS TYPL <br />OI° WpNK WILL IIE COAIPLI[D WITII WHETHER ;PLCIf IED HLfiE1N <br />ON NOI, TIIL GRI�NTING OF A PBRMIT UOES NOT PRBSUME TO <br />GN[ AUT1lpfllTv TO VIOLME OR C/1NCGL 711E PROVISIONS OF <br />ANV O1'R[R S1l�i[ OR LOCAL L�1W H[GULATING CC>NSTiiUGTION <br />OR THE PFHFORMANCE OP CONSTRUCTION. <br />x <br />1fiCOFCONTf1ACTIIHOf�4UTH AGENT D.1TE <br />[CK NUMIIHH PL�1N CHECK FE@ <br />F[E �RLCEiPTNO. <br />VAIUATION FEE <br />--i <br />MA%.00C. LOAD RUIL�ING 5 � <br />_ �_- <br />PLVM(31NG 9 � OO <br />l�IR65PRINKLER; I _ <br />REQUIR[D I <br />❑VLti ❑NO M[CHl�NICAL � <br />OTHBR � <br />I <br />— �_ <br />PGNALTV SEC.3DHIal � <br />-_ _ _ � <br />TOTAL 9 � 00 <br />PERMIT VALIDATION �� n,� �� Q a,�n <br />WHfiNPROPLHL\'VAI.IUATGDII IV PACL I ly drarRrnv� <br />eb <br />YOUR RECEIPT� <br />„y ; THANlC Yd U <br />\ <br />� � <br />� Ih��'R]$ <br />N <br />� <br />