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_ n,,. e�-,�,,,,,,,�,� <br />CI1�'UF <br />everett <br />GITY Hl1LL2578lAS <br />_ �ONSTRUCTIJ�� <br />PERMIT <br />iveneir,wn �eaoi COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />]LVNER �� MAILAOOfiI::b lll• PHONE <br />Vern Albre 328 104th Str. S.tq. 98204 353-8849 <br />�fiC1/1TECT OH OGSIGKc.' MAI� ACDHE55 PHONE LICENSE <br />3ENERAL CONTFACTOF h1AIL AODRESS PNUNF i rrrucc <br />CON <br />❑ COMF3INATION <br />�IlUILDING ❑PLUMUING ❑M[CHANICAL <br />/ALUATION OF WORK <br />5 z10��.00 <br />)ESCRIe@ WORK <br />repair existing residece <br />'ROPOSED USE <br />KYX Duplex <br />C�DR ES i <br />K <br />u <br />LIC@NS <br />❑N[N� ❑ApOIIION ❑ALTEflnT10N �REPNR <br />❑DEM�LIiH ❑PENGE CS��N ❑SWIMMWG POOL <br />LEGAL D[SCFIPTION OF PROPERTV (SHOW OELOW OF ATT <br />FOUA COPIE51 <br />LOT��=..�.�LOCK�OF Lowell Div. A <br />�oenooAess <br />9721 6 4723 Soutl� 3rd Avenue <br />PLUMBING <br />eVCPE'fI <br />MECHANICAL <br />TVPE Of- ENERGY <br />❑GAS ❑ELEC. <br />NO. iYPE OF EOUIPMENT FEF <br />AIH COND. UNITS-II.P. EA, g � <br />REFRIGERATIONUNITS-H.P.EA. —� <br />i=ww.w <br />� <br />� <br />Z <br />C <br />3 <br />SVAC[ R WALI IIEATERS - p.7�.U. I � <br />UNIT HEATGRS- Ii.T.U. � � <br />EVl�POIiATNECOOLERS T <br />CIOTHCSDRYERS � <br />_ I <br />VENTILATION fAN T- <br />RANG[HOOO � <br />__ AIH IIANDI.ING UNIT- GF.M. � <br />I <br />WATEq HEATER �— <br />FAC. FiUILT F�qEPLACE & CHIIANEV � <br />GAS. SVSTEM: NO OP OUTLETS <br />—'_ _ __-_ � <br />SUfI TOTAL $ � <br />1'ERMIT S <br />TOTA�FEE 5 � <br />iHIS P[RMIT pFCOMES NULL ANO VOID IF WOqK ON CONSTRUG <br />TION AUTHORI2[D IS NOT COMMGNCEU WITHIN 120 Dl1YS, OR IF <br />CONSTf1UCTION OH WOfiK IS SUSPGNpGU O(i Al1ANDONED FOfi 11 <br />PERIOD OF 120 DAVS AT ANV TIM[ AFTER WORK IS COMMENCGO. <br />I IICli[UV C[lttIFV iHM' I HqV[ IlEAO ANO [%AMINED i11151�P- <br />PLICAt10N /�NO KNOW THL SAM[ TO It@ 1 RU[ AND CORPECT. ALL <br />PROVI;IONS OF L/�W; AND ONUINANC[5 CpVERNING T1115 TVPE <br />OI' WONK WILL IIL CO'dPIJGD WITII N�HETMGq SP[CIFILO IIGREIN <br />Ofi NOT, TIIE Gql�Nl l JG OF A PEqMIi DO@5 NOL PR[SVME TO <br />(31VE AUTIIORITY TO VIOLI�i[ OR CANC@L TH@ PROV!SIONS OF <br />/�NY OTH[Il STf�TL OR LOCAL LAW RLGULATING CONSTRUCTION <br />Oli THE PEFiFORMANCE OI' CONSTliUCT10N. <br />I TOTAL FEE �(� �^�cri� �a�G <br />TERSERVICESIZE ULDG.SUPPLVSIZE SIGNnlU19[ufCONinnCTORC <br />ICV4RD£cT[3ACK STR[[TSETOACK R[ARYARDSGT[iACKPLANCIICCKNUM1ILfi <br />ree <br />E ZON[ LOT AREA VACANTSITE 79/355 <br />❑vE5 ❑Nci FEES <br />SPECIAL CONDITIONS: <br />,,. <br />v.c. <br />5/10/79 <br />PLAN CHECK FEL <br />fiECE1PT NO. <br />10.00 39616 <br />LUATION FEE <br />ono �UILDING $ 2�OOO.GO 20 i 00 <br />r�unmm�� i <br />LERS � <br />�NQ MECHANICAL � <br />1 <br />OTHER � <br />I <br />�— <br />PENALTV SCC. �OOla) I <br />� <br />TOTAL ZO I OO <br />P[RMIT VALIUATION � ny 9 <br />WH@NPHUP[RLVVN_IDMGDIINTIIISSPAC[ I.I Y PERM <br />1'UUR REGE(P�,' <br />��-lo.h'i: YOUv <br />'3 I 0 �.�,r 79 <br />i1L�DR6�'S PILF <br />