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<br />everett
<br />CIi1' HALL[SDglAS
<br />r��raerr, ivn nyzui
<br />CONSTRUCTION
<br />PERMIT
<br />COMBINATIOfv • BUILDING • MEChIANICAL • PLUMBING
<br />•••.••.•� ntn�L.lU1)HE55 LIY -
<br />M._L._ Pic_kard 1004`p T9oodlawn Ave., Everett 98203
<br />n�ac�urec? oii �iEsfcN�ii n+nii. non�ess — -- n���,tir
<br />GI: NERAL CUMI RACIOR ------ —� --A!All. AUDfi[55 PIIONE-------- LIC[NS@ NU
<br />D]ttural Gas EOqui�ment Company _1611 E. Grand Ave., Everett 256-244
<br />�t[CHANICAL CONTRACiOR MlUL ApDRESS PNpNE i iccniSF n�n
<br />'WMIiINGCOMRACTOFi p4AIL�UURE55 PIIpN[ LIC@NSFN(
<br />'ERA11T C�A55 Uf WOV3K
<br />❑COMBINATION
<br />�UUILDiNG �PLUM�ING �ht[CHANICAL
<br />❑N[W ❑.1DDITION ❑I�LTEHATION ❑RGPAIH
<br />LVATION
<br />5
<br />LEGAL DESCRif'110N Of PROPERTV ISHOIN 3ELOW OR
<br />FOUFl COPI@SI
<br />LOT pLOCK_OP
<br />JO� ADORE55
<br />1004'� Woodlawn Ave., Everett
<br />PLUMBING
<br />❑OEMOI.ISH ❑PENCE ❑SIGN ❑SWINMING r'OOL
<br />MECHANICAL
<br />TYP[ OF [Y[qGV
<br />❑ +AS ❑ELEC.
<br />AIfl COND. UNITS-IIP. EA.
<br />___ REFRIf,FRATIDNUNITS H.P.EA.
<br />fiOILERS H.P. [A. �--_�
<br />FORC[p AIR SYSTEMS-O.T.U. �
<br />everett
<br />I SPACE F WALL HEATLRS - B.T.U.
<br />- UNIT HEM'[RS fi.T.U. I
<br />GVl�PORMIVE CDOLGRS T�—
<br />"-- CLOTHLSOfiVERS �
<br />VLNTIL4TION fiW T—
<br />R/�NGL HOOD �
<br />/UH 14�ND1 ING UNIT CF.M. —�—
<br />__ _ _- i
<br />._"_- ._'__ .-__ _ —
<br />I
<br />_ 1 W41EN HEAI'EF �
<br />fAG IfU1Ll I IR[PLACf R CHIMN[Y I
<br />[ AS. SVSTEM1I� NO OP OUTLETS--- —� "�---
<br />_._.. L.• . .SUIt TOTAL S 2 ��D�-
<br />�.. . ��� �� 1'C�i�lli 5 �1�D
<br />__ _' _ . _ .. _ . -_--___"--
<br />TUTAL FE[ 5 ,�j � Q
<br />llll: PLHM1tII IiLCOM[ti NULL AND VOID II' WOHK Oli CONSTRUC
<br />TION AUTI�ORIZf.0 I; NOT CU�,IMENC[D WI1111N 120 ppVS, OR IF
<br />CONSTfiUC110N OR LVOHF li SJ:VLNO[U OR AOANOONE� FOH A
<br />PF.RIOU OI° 120 Ol�YS AT ANV 11MC AFTC.R NORK IS COMM[NC[U.
<br />I IIF.RGIlV CLfiTif V iHAT i HAVE H[AD AND L4AMiNED THIti AP
<br />PLICNION �1ND KNpW THF. SAMF. iG HC TRJ@ AND CORfif.CT. ALL
<br />PROVISIUNS C��F LAWS !WO OfiDINANC@5 GOVEfiNING 1H�5 TVPE
<br />OF WOPK WIU_ liE COh1PLIfO W1111 WHCTH[11 ;P[CIFILIJ HfRE1N
<br />OR NU1, 111[ GNl�Nl11JG UP A PfRMIT UOE:S NUT PHF.SVME TO
<br />GN[ nU1HUlillv TD VIOLnt'L ON C�INCEL 111L PHOVISIONS OF
<br />/1NV OtHHI ;IATE OR LOCAL LAW REGUI_!.i ING CUNSTlIUCTION
<br />OR TIIE PLHPOHMnNCL UI CON;TliUCT�ON
<br />� TOTAL FEE SI ' ' � '
<br />— x � �=--�.1.�1, , 9-30-77
<br />WATER SERVICE SIZ[ ALDG.SUPPLV SI7_[ 91GNnlui�[TSi-CONTRrtCroHannUii(.nGI:NI unle �
<br />SID[VARpSET[rICK STREETSE1f3l�CK R6AltYAqp;LTI1�CK1'LANCIILCKNUMIICR PLANCHECKFEG
<br />F@E I(�ECEIPT NO.
<br />SIZC:
<br />SPECIAL CONDITIONS:
<br />�«:��„�„�. �,�,�„•�,,��.���
<br />R
<br />❑vEs _ ❑No I F[ES VALUATION � FEE
<br />�i
<br />�
<br />M
<br />%.00C.IA(�D ❑UILDING $ I
<br />I
<br />-- _-_ _ �- _-_.
<br />PWMfiING I
<br />L9PFINKLGNS I
<br />)UIRLp — -- '- - - -
<br />]VLS ❑NO M[CHANICAL SI OO
<br />� _
<br />OTHER �
<br />_—'__ �
<br />T --
<br />P[NALTV SEC.�O�lal I
<br />-- - -_ _ _ --_ - - —L.--
<br />TOTAL �
<br />_ 5� ��
<br />PERMIT VALIDATION
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<br />YDUR RECEIFi
<br />TN�RK YOU "•
<br />30�'71
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