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theEvergmen <br />CONSTRUCTION <br />� <br />everett <br />CITY OF <br />PERMIT <br />eve rett <br />CITY HALL 259.8745 <br />EVF.RETT,WA 98201 COMBINATION • BUILDING • MECHANICAL • <br />PLUMBING <br />OWNER <br />MAIL ADDRESS .'ir <br />rnUNL <br />Herbert Pendry <br />5601 South 2nd Ave. 98203 <br />252-6048 <br />V <br />M <br />ARCHITECT OR DESIGNER <br />_ <br />MAIL ADDRESS PHONE <br />LICENSE NO. <br />M <br />I <br />Bonnet Roofing 1525 Madison 355-3440 <br />23352 <br />[I COMBINATION <br />❑.',JILDING ❑PLUMBING ❑MECHANICAL n^ <br />❑NEV. ❑Y41[` <br />ADDITION ❑ALTERATION EPAIR <br />VALUATION OF WORK <br />S E 3,592.00 ❑DEMOLISH ❑FNCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />Remove roof and re -roof - composition <br />PROPOSED USE <br />single family } MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH TYPE OF ENERGY <br />FOUR COPIES) ❑GAS ❑ELEC. <br />LOT 23-24BLOCK 36 OF Smiths 1st add to NO. TYPEOF EQUIPMENT <br />5601 2nd Avenue <br />PLUMBING <br />TER SERVICE SIZE BLDG. SUPPLY <br />IEYARDSETBACK ISTREETSETBACK I REP <br />SPECIAL CONDITIONS: <br />DYES ONO <br />R <br />RAt <br />AIR <br />3.T.U. MI <br />- B.T.U. <br />d CHIMNEY <br />L <br />N <br />O <br />TOTAL, SE $I 1 <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />x �ii� a y� �, 9/7/78 <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />FEE (RECEIPT NO. <br />FEES VALUATION —I FEE <br />:)AD <br />BUILDING <br />S <br />PLUMBING <br />LESS <br />❑NO <br />MECHANICAL <br />OTHER <br />PENALTY <br />S <br />PERMIT VALIDATION <br />W14EN PROPERLY VALIDATED <br />e�B <br />ADDRESS FILL <br />E <br />C. 3031a) 1 <br />28 100 <br />piffl <br />—IL <br />.a <br />(IN T141S SI�ACL 1.. .,I)RILHMI <br />). <br />1 � <br />YMit REVE tPr-" <br />TkjINK YOU o <br />