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!„�.F, , .�,; CONS�'RUCTIOIV <br />"' ° "` PERMIT <br />everett <br />�"t "njL°'�+:":" • BUILDING • MECHANICAL • PLUM3ING <br />rvev+r.r, wa oa�o� COP1161NATION <br />uc�h�ea <br />mnu_ nor.rr[ss t�r ����n^�.- <br />Richard D. Ross 2921 21st 98201 <br />---- <br />-------- �---r�i�on}_----�i_icens!. r�o. <br />.'�f:C111lECiOqDESIGNCIi —��----� h1AILADI�R[SS <br />G6tdLRAL CONTFACTOH � � MAiL AUDf1ESS � PHON6 LIGENSE NO. <br />John Head 19314 7th Avenue W. Lynnwood 745-5252 HE AD J3620A <br />h16CHANIC/1l. CONTRACTOR MAIL ADDRES$ PHONE LICLN56 NO. <br />�COMBINATION <br />[�:6UILDING ❑PLUMpING ❑MEC�iAMCAL <br />JAWATION OF WOPK <br />5 1SUU.CU _ _ _ _ ____-- <br />DESCRII3E WORK <br />reside residence <br />PiiOPOSED USE <br />sir,gle family resider.ce <br />LEG/�L DF'SCFlIPT::Jfv OF PROPERT'/ ISHOW (3 <br />FUUR COPIES! <br />�o�l.l-E18' a�7�,�K �1_ oF—Rea$y_I+ <br />JOB A��RESS <br />2921 21st Street <br />PLUMBING <br />IT <br />IL ADDFiESS N�� <br />F <br />� <br />❑New �nooi-i��rv ❑n��cr�niioN �rNniii <br />[-Jor_r.�oic;�� ❑�f.r�c� ❑':inn.� ❑:�vm:+n�in�r,ruoi. <br />nr rnci+ <br />everett <br />� <br />m <br />� <br />MECHANICAL <br />TVPE OF ENER�•� <br />❑nns ❑e�Ec. _ <br />NO. TVPE OF E�UIPMENT FEE __ <br />-. �AIRCOND UNITS-_��.P En - -- $ I - <br />—r-- <br />REFRIGERATIODJ UNII H P. F�1. <br />� 601LER5 Ii.P. EA. __ � <br />.__.- .___ ."T_ <br />� FORCED A�R SVSTEMS-9.T.U. MEl�. y__ <br />_ --_— I <br />. ..... �_ __—_- T- <br />! 3PACE & WALL ��EMER$ - A.T.V. <br />� UNIT HEAiER$ [3.LU. � <br />T-- <br />�� I VAPOR4INE CODLERS <br />. ICLOTH@3 OfivERS ,.T— <br />� vcNtii.ntioN Fnni i <br />� �-�vnNce �+000 � <br />— T_ <br />r�iliHANOUNGUNIT- C.F.M. <br />. ____-_-___.._ __ � <br />�i _ _.._.. __ _--'_' <br />; IVATER f1EATEN �--- <br />� �AC. FiUI�T FIPEPLACF & CHIMNEY I <br />� �lAS SVS�EhY-NO OP OUTLCTS___ --�- <br />SVII TOTnL� 5 I <br />PFiiMiT $ �-- <br />. .. . _ .... __ _ ' __"__-.__ . <br />�— <br />- TOML �=EE 5 I <br />T111^ �'FRMR� It[CUME i NULL AN[J VO�U IF WORK Ofl COIJSTRUC <br />110N AUIHONI2ED IS NOT COMIdLNCLD WITHIN 720 DAVS, Ofi �F <br />CON.`.TRVCTION Ofl Wn�aY. I5.`,US�ENUED OR AIi�1NOONED FOR A <br />PERIOD OP 120 DAVS /�T nNV TIh1E AFTER WOPK IS COMMENGED. <br />I I�IEfi[ISY CERTIFV THAT 1 1�1/�VE READ l�ND EXl�MWED THIS nN <br />PUC/�TION I1ND KNOW TLIE til�M@ TO 13E TftUE AND CORRECT. A�L <br />PROVISIONti OF I.AWS I�ND ORUINANCES GOVERNING THIS TVPE <br />OF WORK WILL C[ COf.1"U!'U W��'�� YJHETHLR SPECIFIE� HEFEIN <br />Ofi NOT, l'l1E GRANTI" G UI° A PERM�T OOES NOT PFESUM1IE TD <br />GIVG AUTHOftIIY TO VIUL/�Ih UR UINGCL THL PROVISIDMJ Of <br />l�NV OTHER STATL OR �UCAL �/��' N6GULnTING CONSiHUCTION <br />OH TIIE PLfifO(IMANCE OF COP:5�1`UC fION. <br />PEflM17 S '� .. % •.-., � 9�12/78 <br />� TOTAL FEE 5 —_' X ._- � �� '_ ,.., ._'_.r __..-. . _ <br />+IGN/`.IUH[DFCONiryl�CTpRi.Nl�UfII.AGENT OATE <br />b1TER SERVICE SIZE �LDG. SUPPLV 517_E_ , <br />PLI�N CHECK FEFE <br />IIDE VAR�SGTOI�CK STREETSETAACI: (iLAR VAfinSCTRACY. P�ANCHFCK PIUMI'.E.`i �EGEipT NO. <br />f"[L <br />15C ZUNE� 1.01 ARF.A VACl�NT 511 E --" _ _-_ ___ __ _ ___ - - <br />❑vEs ❑N� FEES VALUATION FEE <br />_.__—_-- -- �— <br />fYPE OF CONST. OCCVPANCY GROU" UNIT.S DWf.LLING I — <br />_ .. _— ___ - 1 <br />31ZE OF 6LDG. NO.OF STOf11F:5 MA%.00C. LOAD ItU�LCING 5 1300.00 _ 13 I OO <br />___- __.t__-_ <br />- -_— � <br />PWMIlING I <br />FIREZONE I1A;FMFNi � FIRESPRINKLERS __— -- I—� <br />REC]UIREO MCCHANICAL � <br />❑VES ❑N(i 1- <br />I <br />':PCGl�L COPDIlIONS. �OtHEfi _' _ � <br />— ___--_'—__- _'___—_ _'___ _ — — —r_— <br />-- .. --- sec. ae� �:�i � <br />. __-__ ___— ._— _--_—.—. <br />__ rrNnuv _--L._ .— <br />__ <br />._..__. - _"__�__'-- I <br />_._.__ -- TOTAI. 13 � 00 <br />. . _-_ -- PERMI7,V�ALIDATION ionirnuYaYiti�rnc�� UHF��+��rcR�P"�E%ra�t � <br />,�„ i„�,..:�,�����K��„�.. <br />eb <br />� <br />