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� <br />r��„ E��-,�,,,•�,�� <br />CI fY pF' <br />everett <br />cn�r i�n�� zso��as <br />�ver�err, wn oazui <br />�� <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • P�UMBING <br />MAIL AUGHl55 LIY PIIONt <br />Bill Stoeffer 2[�est p7arilyn Ave. 355-9820 <br />TECT OF DESIGNEFi M111L n[lORh55 PIIONL LIGLNS@ NC <br />2AL CONTFACTOR MnIL ApDRE55 PHONE UCENSE NO <br />Everett Builders 5606 Evergreen SOay 353-7161 223-01-EV ER EB <br />1NIC�lL CONTHACTOR A1A11. AODRESS PHpNF i �ro.��� .�.. <br />R <br />MAIL <br />E NO. <br />�'tHY11T CLA55 OP WORK <br />❑ COMB W ATION <br />�CiUILDING �PLUMDING L�M[CNANICAL <br />— ❑NEW ❑AU�ITION ❑AL7ERATION �qCP/U!i <br />VI�LUATION OF WORK - — <br />5 j, ��Q.DO ❑OEMOlISH ❑FENCE ❑SIGN ❑yWIM11MING PO01. <br />DESCRIRE 1YORK - --' <br />reroof <br />PROPOSEO USE <br />single family MECHANICAL <br />LEGAL DESCRIPTION OF PPOPERTV ISHON' 6ELOW OR ATTnCH TVP[ OF EN[FG V <br />FOURCOPIE51 ❑Gq5 ❑ELEC. <br />Lo7 5— oLOCK 11 oF Ittt2TClt�Diy. "H° N�� 7YPE OF EQUIPMENT <br />J06 ADDRESS <br />2 I9est MarilynAvenue <br />PLUMBING <br />everett <br />Alfi CONO. UNITS- H.P. EA. g � <br />R[FRIG[NATION UNITS �H.P. El�. _---t— <br />_—'- ftOILEPS II.P. El�. � <br />FURCLD AIR SYSTEMS-6.T.U. MEA. �— <br />I <br />SPACE & WALL li[ATERS - B.T.U. <br />__ UNIT HEMERS� R.T.U. � <br />GVl1POfiATIVE COOLEHS <br />CLOTHE3DRV[q5 � <br />VENTILATION FAN T <br />_ RANGLNUOD � <br />AIRHl1NOLINGUNIT- C.F.W. <br />_ --_ _ I <br />WATGR HEATER <br />_ FAC. HUILT FIREPLACE R CHIMNEV � <br />G�15. SYST[M: ry0 OP OUTLETS <br />_ _ ____�--_"___ SUDTOTAL 5 � <br />PERMIT S <br />_--_. � �— --- TOTAL FE[ $ � <br />T1115 PIiRh11T IILCOME i NUI_L AND VOID IF WORK OR CONSTiiUC <br />TION AVTHOliIZED IS NOi' COMM@NCEO WII'HIN 120 UAVS, OR IP <br />CONSI flUCT�ON Ofl l^JOHK I; SUSPGNDL[l OH nUANDONEU FOR l� <br />V[RIOO OF 120 DAVS M' /\NV TIML Af-lER WORK IS COMMENCL�. <br />I IIEREOY C[RTIFV 1HAi 1 HAVE RLAD nND [XAMWLD TNIS AP <br />PLICATION AND KNOW THE SAME TO f3E TRUL AND CORFiGCT. A�L <br />��OVISION; OF LAW; ANp OHDINANCES GOVERNING TIIIS TVPE <br />OF WORK WILL BE COA1PlIEL� WITII LVHEI�HBfl iP[CIFIED HEViEIN <br />OR NOT, THE GNAM-ING OP � PLqMIT l)OES NOT PfiEtiUME TO <br />GIV[ 11UTIIUflITY TO VIOI �"�[ OR CANC@L THE PqpVItiIONS Of- <br />ANV OTIiF.R SiML OR LO�t�L Ll�W fiGGULI�TING CONSilillCTION <br />OR THE PERFORMI�NCf. c'.1- CONSTRUCI ION. <br />SUuro7q� I <br />PERMIT — $ — / <br />_` - TOTAL FEE —I x1 LI�� L�/ r/ 7�26�78 <br />TcH SERVICESIZE BLOG.SUPPLV SIZE SIGNMUfiEOFCONT TCit ORAUTH.AGGNT DATE <br />)@Yl�RDSETf3ACK STH[@TS[TUl�CK HEI�RVAROSETOACKI•LAPICHECKNUMGBR PLANGIiECKFEG <br />F@L IRECEIPi NO. <br />E ZONE LOT AFiEA vnremr ciro <br />SP[CIl�L CONOITIONS: <br />,���,�,,. <br />❑VES ❑NO <br />I.OF DWELIING <br />JITS <br />IfiED <br />LS ❑NO <br />,,.��,,,.�„: �;.�. <br />eb <br />FEES � VALUATION I FEE <br />RUILDING 5 ],�OOO ].O � OO <br />�— <br />PWMIIING � <br />_ L_ <br />MECNANICAL � <br />I <br />— � <br />OTHER I <br />_ i <br />— PFNALTV SEC.:70]lal I <br />—__--_'.'.—.___. __-____— _- —1. <br />TOTAL . LO I OO�.' <br />PERMIT VALIDATION 8 � v . <br />-- 1VIIPNPROPLRIVVi1LID/�TEDIINIIIISSPnCLI1111tiISV0\1P,PLHAll1 <br />- rt`'C?'U R .fi���C'f <br />_ IL-lAf(� k'{�4i: <br />, • � <br />7p . <br />=1 � �, �' �r I 4 <br />_ �_�n....:::':_.. _ . <br />� <br />� <br />� <br />z <br />C <br />0 <br />� <br />