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0 rVCET rAL/E' limn <br />NmEvergreen CONSTRUCTION <br />CITY OF PERMIT - <br />CITY HALL 259 4745 '0.S <br />EVERETT• WA 90201 COMBINATION • BUILDING • MECHANICAL • P UMBING <br />1 OWNER <br />MAIL ADDRESS <br />� <br />ZIP ...., .r r _� <br />PHONE i ' <br />ARCHITICT OR OESIGNCR <br />MAIL AOUNLSS <br />PI NE <br />LICENSE NO. <br />GENERAL CONTRACTOR <br />MAIL ADORESS <br />PIIONk <br />LICENSE NO. <br />PLUM91NG CONTRACTOR MAIL AOORESS 1a lONE LICENSE NO. <br />❑ COMBINATION _ <br />❑BUILDING►LUMBINO ❑MECHANICAL <br />❑NEW ❑ADDITION ❑ALTERATION ❑RLPAIn <br />I OU11 COPIES) <br />LOT BLOCK <br />JUB ADGI/t SS <br />PLUMBING <br />Y ISHOW <br />ODE MOT IS" ❑FENCE ❑SIGN ❑SWIMMING POOL <br />1YA7ER SERVICE SIZE BLDG. SUPPLY SIZE__ <br />SIUL YAHU—MIJACK JSTRLLT SETBACK InLARYARDSki <br />I <br />{.I•LCIAL CONDITIONS' <br />IRE° <br />ES ONO <br />E.v..I-E'ti <br />MECHANICAL <br />TYPE OF FNE n[IY _ <br />LIOAS ❑ELEC. <br />AIR COND. UNITS-H.P. <br />nEr nIGC nAl104UNlTS-K1 .EA. —T-- <br />0(lll-- <br />FOnCtc Alp SY9TFM9-B.T.U, MEA. L ��--- <br />_ 1 _ <br />S/nC1. A WALNE ATEgS - B.T.V. <br />UNIT IIFAIt R%- B_T.U. <br />_ LVnru11ATIVE COOLEnS �--T <br />_ c1.0 nit-; nR y t nS I -- <br />VFNIILATIONFAN -T— <br />__- nANOF H,0D <br />i <br />Aui un RULING VNIT- C.F.M. <br />WA1[it II EA_TE R___ <br />rAC. QUILT FIRE►LACE A CHIMNEY 1 <br />❑AS. SYSTEM. NO Op OIlTLE 15 <br />I'UII TO T AL f -- <br />IVtALFtE f j <br />11115 1'111 k111 III CIIM[S NUI.L AN11 VOID IF WORK OR CONSTRUC. <br />/ION AUIHORIlIO IS NOT CON-wlNCEO WITI/IN 170 DAYS, OR IF <br />CONSTRUCTION OII WORK 1•i [:USI'C NDED OR ABANDONED FOR A <br />PFn10O OT 1?B [LAYS AT ANY TIME AT TERWORK ISCOMMENCEO. <br />1 111,II1IIY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PI ICATION AND KNOW III[ %AMf TO BE TRUE AND CORRECT, ALL <br />PROVISIONS OF 1 AW.^. AND OHOINANCES GOVERNING THIS TYPE <br />OF WORK VJII L RE COMPI. TED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. 111E (iRANTINO OF A PERMIT DUES :,OT PRESUME TO <br />GIVt AUTIIIIHITY 10 VIOLATE On CANCEL THE PROVISIONS OF <br />ANY 011HR STATE OR LOCAL I AW REGULATING CONSTRUCTION <br />Oil Ili[ PLIIt OTMANCE OF CONSTRUCTION. <br />is 1 e..�GG(C�-s. <br />SIGNAIURLOI LUNTRACIORUIIAUTII.AULNT DATE <br />PLANCHICP. NUMIICn PL AN CHECK FEE <br />FEE IRECEIPT NO. <br />FEES VALUATION FEE <br />/[UILOINO- S I <br />PLUMBING I <br />MECHANICAL <br />OT/1-n <br />PENALTV STC. JO]OI 1 <br />TOTAL <br />PERMIT VALIDATION <br />WTI! N PRO"t Ilk Y VALIOAI L O ON i HIS SPACLI THIS IS YOUR PERMIT <br />It, YI IAN 101Y11.11111 Csi minl m <br />