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in�• F�-� �u��„ .. <br />CITY VP <br />everett <br />CITY IIAI.L 2S9�d'4'v <br />f:V[NfTT, Wq 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />MNLAUL)HF55 JIP PII<WL <br />T. L. s�a:,� ,^� :i,,,i� <br />TOR �]ESIGNER �-- ---" - MAIL AUUR[55 PHONE LIGENS[ <br />,�atu;•al Cas Equipcient <br />MAIL <br />'ERMIT <br />❑COMBINATION <br />� �UILDING ❑ �LUMUING ❑ MECHANICAL <br />'FiOPOSE� USE <br />LEGAL OESCRIPTION OF P' <br />POUP COPIES) <br />LOT OLOCK—� <br />JOB AODRE55 <br />°^7 :S�plc <br />PLUMBING <br />Nn. 7VPE OF FIX <br />�� <br />❑N[W ❑ADDITION ❑ALiEFiATION ❑REPAIR <br />❑OEMOlISH ❑fENCE ❑SIGf� ❑SWIMMIN(3 POOL <br />everett <br />� <br />�/ <br />� <br />m <br />W <br />� ; m <br />� <br />MECHANICAL <br />TYPL OF CN[RGY <br />BELOVJORATT'ACH ❑GAS ❑ELEC. <br />NO. TVPE OF E�UIPMENT _ FEE _ <br />- - AIR COND. VNITS-H.P. EA. 5 I <br />IlEFRIGEHATInN UNIiS -H.P. EA. �— <br />OOILERS H.P. @A. � <br />FORCED AIR SVSTEMS-D.T.U. MEA. --r— <br />,rSPACE & WALL HEATERS - B.T.U. � <br />I UNIT NGATERS Fl.t.U. � <br />LVl�PORATI V E COOLERS _ <br />CLOTHES URVEfiS � <br />--� � VENTIIATIONPAN --�- <br />NANGGNOOD � <br />FEE AIq1�1�1NDLWGUNIT QF.M. � <br />_-_-- _______-_._ <br />5 � <br />� _.t.. WATER IIEAT[R � ---" _',� UU <br />� FAC.BUILT PIR[PLACE R CHIMNEY 1 <br />� GAS. SVSTGM�. NO OP OUTL[TS <br />� _- _ - ._-__ —�— <br />SUIt iOTAL 5 OI <br />� -- -- ---- --- P[fiM1T 5 <br />1 _— -'-_-_-_— - - - <br />- TOTAL FLL 5 �1 <br />I <br />THIS YERMIT [3ECOMES NULL ANU VOID IF WOIiI: OR CONSTRVG <br />TION AUTHOR12E0 �S NOT COMMGNCED WIIHIN 120 DAYS, OR IF <br />CONSTRUCt10N OR WORK IS SUSPENDED Ofi l�UI�NOON[D f-ON A <br />P[(iIOD OP 120 DA�S l�T ANV TIME I�FT[!i WORK IS COMMENCED <br />_�- <br />� I IIERL6v C[RTI�� iHAT' I IIAVE fiEAp AND [`(AMINED THIS AP� <br />PLICl�T10N AND KNOW TH[ tiAME TO 13E TRU4' AND CO�RECT. ALL <br />� PRUVISIONti OF LAK': /�ND OfiUINANC[5 GOV[fiNING TIIIS TVPG <br />j Of WORK WILL 13[ CO�iPLIED WIT11 WH6THGfi SPECIFILD NEHEIN <br />Oli NOi, iHF (iHANTING OP A PERMIT UOES NOT NRBSUME TO <br />GIVL AIIiHOHIIY TO VIOLl�TE OR CANCEL THE P(IOVISIONS OP <br />nNY OtHGR STI�TG OH LOCAL LAW HEGUf.ATING CONSTRUCTION <br />� OR THE PCIIFORMANCL OF CONSTfiUGTION. <br />PERMIT 5 , <br />70TAL FEE ' X � C�--:-<--v �` � .�c�L -���K%-'+�.-- L1i 1�i/77 <br />�.' � <br />TERSCR\ICESIZF ULOG SUPPLVSIZE ;IGNnlU1i[ofCOM'R�C1oR')FinUiU..�i+[Ni OnT6 <br />IEVAROSETUACK STR[@TSGTOIICK liE/�RV/�RDSET6ACKPLI�NCHECKNUh1li[R PLANC��ECKFE[ <br />fEE �RECLIPTNO. <br />SP@CIAL CONOITIONS'. <br />4Cl�NT 91T[ <br />❑v[S ❑No <br />y[g ❑NO <br />�,����� ��:;����, � �„ <br />__ __ _ FEES I VALUATION I FEE <br />--� <br />_— ' ____— � <br />❑UILOW(: 5 I <br />I <br />PLVM6ING � <br />- --� <br />MC.CNANICAL 71 UO <br />1 <br />OTIIER I <br />PENALTY SEC.�O71i1 � <br />1 _ <br />- — - — I <br />TOTAL =�� i�r� <br />PERMIT VALIDATION <br />wiu: r� r��orr rvi v vni.ionicu �iN missr�ncE� nus is voui� r�iannr <br />3ooa 5005.OD — � <br />MOl1R RECEiPT � <br />; 7HAAlK YO U ` �� <br />o . <br />, <br />. � . _._ .. <br />