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the Evergreen CONSTRUCTION <br />CITY OF PERMIT <br />everett <br />CITY HALL 2508740 <br />I: VERETT, WA 08201 COMBINATION - BUILDING - MECHANICAL - PLUMBING <br />�.1w1111 <br />"Ill. Ailulu:— <br />nr <br />PIwN1. <br />"'Re l r- WAUlM <br />353-31436 <br />ARC141TECT OR DESIGN Ell <br />MAIL ADDRESS <br />PHONE <br />LICENSE No <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />PHONE <br />LICENSE NO. <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />PHONE <br />LICENSE NO. <br />SELF <br />PERMIT CLASS OF WORK <br />[] COMBIN ATIO N <br />❑BUILDING []PLUMBING (MECHANICAL <br />]NEW DADDIi ION [I ALTERATION []REPAIR <br />VALUATION OF WORK <br />❑DEMOLI!nI ❑FENCE ❑SIGN ❑SWIMMING POOI. <br />20 Md FU'TIACE <br />PROPOSED USE <br />LEGAL DEECRIPTION OF PROPERTY (SHOW BELOW OR ATTACII <br />FOUR COPIES) <br />LOT —. BLOCK _OF <br />JOB ADDRESS <br />1802 73rd Ste <br />PLUMBING <br />R SERVICE SIZE SLOG. SUPPLY <br />tiPPCIAL CONDITIONS. <br />I )CATION ACCf P110 BY <br />SETS <br />OYES ONO <br />ES []NO <br />• C- <br />BY <br />everell <br />,,e <br />MECHANICAL <br />I.I•( nl 'v' Iv.. ��� <br />�.�. ❑ELE C. <br />No. TYPE OF EOUIPMENT <br />AI II CONU, UNI Iri ILP I A S <br />r Iil l 11 l(If IIATION UNIT. I A— <br />RnR 1 FA: ILP, EA. <br />Iu1iCl U AIR SYSTEMS R. i.U. ME A. <br />SI'AC FWWALL HEATERS -A.T.U. <br />CLOTHES Dn YE PIS I <br />VENTILATION FAN �— <br />HANC.E HOOD_ __ I <br />-Ain HAND) ING UNIT— _ C.F.M. <br />I <br />WATER III ATER-- <br />FAr RUR.1 FIRE PI. ACr A CHIMNEY 1 <br />tIA:: !iISiT M NO 0I'r1U rLETS_ <br />SUR TOTAL E .I' 1 OU <br />PERMIT <br />TOTAL FEE E 1 <br />MIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC- <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREnY CERTIF Y THAT I HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF I AWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, TI/E GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHEn STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />On THE PERFORMANCE OF CONSTRUCTION. <br />xea>�`��� ` �29 77 <br />S i URE OF CONTRACTOF/OR AUTO. AGE T DATE <br />PLAN CHFCK NUMBER PLAN CHECK FEE <br />FEE IRECEIPT NO. <br />FEES I VALUATION I FEE <br />BUILDING <br />S <br />PLUMBING <br />MECHANICAL <br />— R <br />--Y' <br />OTHER <br />I <br />PENALTY <br />SEC. 0001n1 <br />I <br />TOTAL <br />7100 <br />PERMIT VALIDATION <br />WIIF. N PSOPERL Y VALIDATED IINaI yf IIYACrIg EEItl7Y �IPf. RMIT4 <br />a 1, qY rti <br />YOUR RE:CEIPff., <br />THANK YOU " <br />I I F <br />79071 <br />