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, <br /> r <br /> r,,�. E����,�„�"�„ coNsr�ucrsoN <br />, -- evereti <br /> "T' °` PERMI�" <br /> everett <br />' cirv Hn�� z,oa�.a, <br /> Evea�nr, wn �uzui COMBINATION • BUILDING • MECHANICAL • PLUMBING <br /> OWhFR MnIL �1Up1{L5.^> ZIP PHONf � <br /> Brcce Hendrickson 1707 Russell Road 334-7739 m <br /> — ----- — � <br /> ARCIiITECTOliOeSIGNCR MAILADDRL;;; PIIUNE LIC[PID[ P:U. 7 <br /> � <br /> � <br /> CENERAL CONTRACTOR M/11L ADDRESS PIIONE � LICENSE NO. z <br /> Same C <br /> MECHl�NIf.AL CJNTRACTOft S1AIL l�GDHESS PIIUNE LICENSE NO. � <br /> W <br /> m <br /> 'LUM�ING CUNTRACNR MAIL ADOFiESS PHONE LICEYSE NO. � <br /> PERMIT CLi1S50PWOfiK � �' <br /> �COM�INATION <br /> ��UIf.DING ❑ PLUMUf�VG ❑MLCHANIL'AL <br /> ❑NEW ❑ADDITION ❑ALTEIiATION �A?LP/NP. . <br /> nn <br /> VAWATION OF WORK ^ <br /> 5 Z SOO.00 LiDEMOLISH ❑F[NC[ ❑tiIGN ❑SWIMMIN(i POOL <br /> DESCRIBE WOFK <br /> repair foundaticn� replace window and door isms <br /> PROPOSE�USE <br /> MECHANICAL <br /> LEGAL OESCFiIPTION OP PROPERTV ISHOW eELOW OR ATTACH TVPE OF LNERGY <br /> FOURCOPIE51 ❑GAS _❑ELCC. <br /> LO7 BLOCK—oF_ _ NO. _ __ TYPE OF E4UIPMENT __ _ _ FEE _ <br /> �11F COND. UNITS-f1.P. EA. 5 I <br /> REFF:IGF^ATION UN1i5� H.P. EA. <br /> ooi�e.s� �i r. en. i <br /> � FORCED AIR SVSTEMS-B.LU. MEA. <br /> _- __ I <br /> JOB PGUHESS S'ACE !L WALL HEATERS - P.T.U. <br /> 3015 24th Street __ �rviri�enr�ns� �a.r.u. _ i <br /> [VAPORnTIbECOOLEFS <br /> PLUMB'NG c�oriies or�ver�s i <br /> — ��NTi�nTiorv rnN <br /> �RANG[ HOOD I <br /> NO. TVPE OF FIXIURE OR ITEM FEE AIN MANDLWG UNIT� C.F.M. �— <br /> BATH TU65 5 � <br /> CLOTHES WASHER � -�-� --"--�"---"��"�----� <br /> OISH WASHEHS i WnTER HEATER _ __� <br /> Fl�C. BUII.T FIHEPIACE & CHIMNEV � <br /> DRINKING FOUNTAINS � - - ---' --- ------ -- ---� <br /> GAS. SVSTEM' NO OP OUTLETS <br /> PLOGRDRAINS i ---- -- --------�— � <br /> KITCHCN SINY.S & DISP. i _. _. _ _______ _ SUO TOTnL 5 I <br /> �AR SINKS -?— . ___ ____ _ __ _ _ _ P[RMIT 5 <br /> ROOF DRAINS -- RAIN LEADERS ---T TOrnL FEE 5 I <br /> SHOWER BATHS _ r �lNl` PFRNII� 13LCOM[5 NULL ANO VOID IF WOFiK OR CONSTFUC <br /> SEFVICc S�NK i TION l�U1HORl7_[D I'i NOT COMMENCED WITHIN 120 DAVS, OR IP <br /> SUMP$ - SEvVAGE 'UMP CONSTHVCtION OR WOHK IS SUSPf.ND[D Ofi AU/�NnON[D FOR A <br /> -- � — PC�11JD OF 120 O�lYS �T l�NV 1 iM[ tlf-TEH VJORK IS COMME?10ED. <br /> URIM1'ALS <br /> WHTEF CLOSETS i I N[!i[6V CERTIFY l'Hr1T I HAVE IiEAU AND [XI�MINED THIS AP� <br /> PLICATIUN .1Np KNOVJ TH[° ::�.ML TO 6E I RUF ANU CORRECT. ALL <br /> 6NATER HEATERS - ELECI'RIC � PRpv�s�ons or �nws nND nr1O�NnNCcs r.pVE?rviNG iHls ivv[ <br /> WAiH E3ASINS I C%f :HCNK WI�_L [3E COMPLIED WIIH WHfTHER SP[GiPIF� HEREIN <br /> LAUNDRV TRAYS �� NOT, THE (3R.1NIli.0 OP � �FRM111l DOES NOT PH[SUME TO <br /> i GIVE AU"•HOl11TV TO VIOLATE Ofi CANCEL TIiE PROVISIONG OF <br /> l�NV OIHER STl1TE Vft LOCAL 1_PW REGI.'Sl�IINGCONSTRUCTION <br /> � Ofi THE ^=�3�=0RMA'JCE OF COIJtiTRUCTION. <br /> _ __ ' <br /> SUB TG7AL � i� <br /> PERMIT S � // ,� . � 8 '16 78 <br /> TOTAL FEE 1 /J � � <br /> WATER SERVICE SIZE BLOG. SUPPLV SIZE 3 GNn URE(1PU�i�IiRn[ � ��� <br /> Oft pR AUT1�1.AFLPII DATE <br /> SIDEVnROSET�HCK STREETSETISACY. REAflYARDSLTFV�CKPL/�PICH[CKNI�MRFR FLl�NC11ECNGE[ <br /> I`[[ REC[IPT NO. <br /> USE LONE LOT ARBA �� � VACl1NT SITL <br /> ❑rE5 CNo � PEES VALUATION FEE <br /> T� 'c OF CONST. OCCUPANCY GftOU�' NO.OF DWELLING <br /> UNIIS � <br /> _ '--_-__— _ � <br /> $it@ OF OLDG. NO. Of STORILS MAX.00C. IAAD UUILDING 5 I <br /> 2500.00 24 i 00 <br /> ---- - —t— <br /> PWM131NC: � <br /> FIfiE20NE HASEMENT Flfi[SPRINKLERS _ -._. � -- <br /> R[OUIR[D r� I <br /> �YES IJNO M@CHANICAL I <br /> — �_'__.— <br /> SPECIALCONDITIONS. ^— pTHER j <br /> -_" —' _ �_ <br /> —— — PENALTY � SCC JO�lal � <br /> _ _—"- . _ __..._-_-.----_I <br /> -— — TOTAL 24 1 p � <br /> � <br /> PERMIT VALIOATION <br /> - ._ — — W116NPROPLHIv `/nlil�nt( DIINI���S!:Pnf.E11111tiItivOURPLqn11T - <br /> — - ---- — – '�C�U R R�;��.F.� <br /> -- -- .. -- - -- ' ��K Y(5t1, <br /> /.��i�1 If.AII(i•1:.t:.11�ll II IfY 1'1/�1111:IIf1:Nt11 II". t�l'I'IiI1Vl 11 fl)11 1,'.:.Il�tll�.i IIY ' � . . _ . <br /> 1 <br /> ', ' <br /> � eb n � �bdi� �Q , . I <br /> , <br /> �;� F:�::� � � _ . , : <br /> _ ��_ __. <br /> � <br /> , r _ '_ � ' ' ___ — J <br />