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�,� E����,",����,� CONSTRUCilOiV <br />"'.� °` F`ERMIT <br />everett <br />cirv Hn�� �a;is�as <br />eve�t�i.v�n e�szo, COMBINATION • BUlLDING • �JIECHANICP.L • PLUM3ING <br />�w�rvEa ranii_ nuo�tst°. ui� . i�i�nr:E <br />Ivar Peterson 2522 19th 252-0791 <br />GFNLRAI. CONTRACTOF MAIL ADDRESS PHONE LICENiE D10. <br />AI <br />VWM�ING <br />❑ COMOINATION <br />� �UILDING � PLUM6ING � MECHANiCAL <br />VALUATION OF WURK <br />5 i,aai.00 <br />erect 20'�c24' carport <br />NU. <br />OF WORK <br />��EW ❑PDDITION ❑ALTLRATIpN ❑REPAIR <br />❑oemtoi_is�� ❑r=ervice ❑sieN ❑swir�+nnwr. rooi. <br />single family <br />LEGAL DESCRIPTION OF PROPEI{TY (SHOW H[LONJ OR ATTnCII <br />FOUR COPI[51 <br />�oT-_��=1S�i.ocK�_nc- _Ready_Land. Company�.st <br />J09 ADDRLSS <br />2522 19th Street <br />PLUMBING <br />i <br />H,1R SINKS <br />MECHANICAL <br />TYPE OF CNERGV <br />❑GAS ❑ELEC. <br />NO. � _ TVPE OF EDUIPMENT <br />�-, _ AIR COND. UNITS- H.P. EA. 5 <br />REfRIGERATION UNITS k1.P. EA. <br />IBOILERS-fI.F.EA. <br />. j FORCED Alfl S�STEMS-�.T.U. MEA. <br />everetl <br />I <br />' SPAGE & WALL HEATEFS - B.T.U. -T <br />L. <br />'�UNIT H[ATERS-(3.T.0 I <br />. �EVAPO(il�TNECGGLEFS ��— <br />�', C�OTHES Df1Y6R5 1 <br />; VENTILl�TiqN Fi1N __ T <br />_ I__"—'_""__- <br />Hf�NGL HOOO I <br />_ __" �_ "_-- � <br />NR IIANDI.iNf LNIT C.F.M. _ <br />— '_ - I <br />WATE , HEATEft —�- <br />fAC. �'UILT FIRCPLACE & CMIMNEV � <br />GI�S. S�STEM- NO OP OUTLETS —T- <br />_ . _._ _ _.-_'_.____ � <br />suu Torn� s i <br />__ .._.__._. _ -------__-- <br />PERMIT 5 <br />� IOTnL FEE 5 I <br />THI^ Pf'RA?IT It[Cc,b1'. i NULL I1ND VOID IF WOHK OP CONSTRI�C <br />iION /�UTHOHIZED �> WOT COMM[NCBD WIIH�N 7?0 UAYS, OR IP <br />CONSTHUCTION OR bARK IS SUSPENDED OFi l��ANDONEU FOIi 4 <br />PERIUD OF 120 DAV i AT ANV TIME AFTFR WOfiK ISCOMMENCED. <br />I H[RL6V CEHTIFY THAT I IIAVE REAU AND E%AM11W@O i111S �P <br />PUCAtIUN ANO KNOW THC i/1MG TO f1E TRUL AND CORRECT. �1L1. <br />PHOVISIONS OF LAWti �1NO OHL>IN.�NC[S GOVFI;NING THIti TVPL <br />OF WONK WILL 6L COMPLIE[> WITH WH[THEfl SP[CIFIED H[RHh <br />Oq NOi, THf GfiANTING O�' A P[(iMIT UOES NOT PRESUME TO <br />GNG AUTI�IOfi1TV TO VIOLML OR Cl�PlCEL THE PROVISIONS OF <br />ANY Ol11ER STATE OR LOCAL L/1W REGUI.ATIN(i CONSTfiUCTION <br />OH'I'HEiPLRFOfih1ANCE OF CONSTRUCTION. <br />TF.RSERVICESIZE BLDG.SUPPLYSIZE siGNnrVaeOrc�iNT�ncrDnonnuTn.nc[Ni Unte ' <br />�EVARDSLTpACK STflEETSC.'ff3ACK fl[/aFYARD^ET[3/�CKPLANCIIFCKNUM(i[H PLANCIIECKFE[ <br />fE[ RECEI�'T NO. <br />EZONE LOTAREA VACAWTSIiE 78/354 10•�� 31�1Z <br />❑�E� �h� FEES VALUATION FEE <br />Y@5 ❑NO <br />SPECIAL CONOITIONS: <br />�.i..:.11(lilA�I.IVIIIIIIY I'1f�11'illll(.K�IIIIV AI'1'll(1\'lllllllll': <br />Hl4hi K.C.eb <br />f1U11.DING 5 f <br />____-- 1.,991.00 20� <br />PI_UMfiING � <br />I _ <br />"_"— — _ <br />MLGIIl�NICAL I <br />� '_ <br />OTIIFP � <br />_-. _ � <br />PENALiV SEC.30:i1:J � I <br />_. _ ._"__ ._... __— __'"_. - _-�_ —. . <br />TOTAL ?O I OO <br />PERMIT VALIDATION <br />:NIILFI PRfll'I Ill Y V/�I I(lAIl.0 IIN t11155P1�CE1 THIS IS VCUH PEI1�111 <br />� <br />i <br />0 <br />YOU R RECEIR� <br />, THAt�IE Y�:JU. <br />4 � ,� <br />' ' 30�i'��$ .,� <br />; . :.� <br />> _ _ ..�, . _ _ - - � -- <br />