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(lie Evergreen CONSTRUCTION �.�,erett <br />CITY OF PERMIT <br />everett <br />CITY VERET HALL 911201 . BUILDING • MECHANICAL • PLUMBI'NG <br />8746 <br />FV ERETT, WA BBZB1 COMBINATION <br />OWNER MAIL. AUDHL'V' ZII' PIIONL. <br />C. R. Springer 301 72nd St., Everett 98203 355-5589 m <br />'..I GAL CONTRACTOR <br />MAIL ADDRESS <br />PI,ONC <br />LICENSE NO <br />z <br />C <br />,IANICAL CONTRACTOR <br />MAIL ADDRESS <br />PHONE <br />LICENSE NO <br />Cu <br />m <br />'.111ING CONTRACTOR <br />MAIL ADDRESS <br />PHONE <br />LICENSE NO. <br />I'L HMIT <br />❑COMBINATION <br />[]BUILDING ❑PLUMBING ❑MECRANICAL <br />VALUATION OF WORK <br />$1200.00 <br />DESCRIBE WORK <br />Concrete pad and driveway <br />LOT — BLOCK <br />JOB ADDRESS <br />301 72nd St. <br />PLUMBING <br />HATER SERVICE SIZE, <br />',ITL YARD SETBACK <br />I LONE <br />. i I OF CONST. <br />'I IJF BLDO. <br />I IIIL ZONE <br />SPECIAL CONDITIONS, <br />❑NEW ❑AOOI TION ❑ALTERATION ❑REPAIR <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />'ERTY ISHOW BELOW OR A <br />Caroleda Grove <br />SLOG. SUPPLY <br />OYES ONO <br />nnu1.rI,I PHI1Nr PInM .I m.ior. <br />R.C. <br />ON <br />MECHANICAL <br />TYPE OF ENERGY <br />❑GAS <br />NO. TYPE OF ECUIPME <br />AIR CONM UNIIS IIP. LA. <br />-- REFRIGERAT ION UNITS HP, <br />BOILERS- H.P. EA. <br />FORCED AIR SYSTEMS—B.T <br />_ SPACE A WALL HEATERS - <br />UNIT IIEATERB-A.T.U. <br />FVAPORATIVE COOLERS <br />RANGEHOOD _ <br />AIR HANDLING UNI1 C.F.M. <br />_WATER HFATER _ <br />FAC. HU I L I I IR F PI ACT A CHIMNEY <br />OAS SYSI EM NO OI. OUTLETS_ <br />SUBTOTAL <br />-- - — PERMIT <br />TOTALFEE <br />ELEC, <br />THIS PERMIT BECOMES NULL AND VOID Ir WU-n Un .,Urvolrlvv <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRU6TION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIMF AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES DOVE RNRI, THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, TIIE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />FEE <br />BUILDING $1200.00 <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY SEC. 303 U11 <br />TOTAL <br />Fit VAL IDATEOI <br />CHECK FEE <br />I RECEIPT NO. <br />12i 00 1 <br />F!U — I I <br />DUR PERMIT <br />YOUR RECEIPT; <br />1 THANK YbU <br />is�x� <br />