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Me Evergreen <br />F <br />�ONSTRUCTIOP' <br />everett <br />PERMIT <br />PERMIT NO. <br />130`' <br />CITY HALL 25&8745 <br />EVERETT, WA 98201 [] <br />COMBINATION i® BUILDING? Ci MECHANICAL <br />PLUMBING <br />OWNER <br />MAIL ADORE55 cITY <br />92nd Everett WA 98204 <br />353-1927; <br />PHONE <br />LAWRENCE SMITH <br />415 - <br />21P <br />PHONE <br />ARCHITECT OR ESIONER <br />MAIL ADORERS GITv <br />CITY <br />21P <br />^HONE LICENSE � <br />GENERAL CONTRACT OR <br />MAIL ADORERS <br />Same <br />CIS <br />IIp <br />PHONE LICENSE, <br />MECHANICAL CONTRACTOR <br />MAIL ADORERS <br />CITT <br />LIP <br />PNONE LICENSE E <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />❑ EJW ❑ ADDITION ❑ ALTERATION LXREPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />E 1500. <br />BE WUHI` <br />Repair foundation, replace building <br />Garage <br />EOAL DESCRIPTION OF PROPERTY (SHOW BELT <br />LOT_ BLOCK _-OF <br />Sec 18 Two 28 Roe 05 <br />IOU ADDRF55 <br />415 - 92nd <br />PLUMBING <br />NO. TYPE OF FIXTURE OR <br />WATER CLOSETITOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER _ <br />KITCHEN SINK S DISP. <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR GRAIN <br />VACUUM BREAKERS _ <br />ROOF DRAINS — RAINLEADE <br />RINK LSEnVICE_ BAR. ETC.) <br />SUB TE <br />YES NO <br />LOAD <br />1 E'.RRUNMtNI Ai <br />2. BUILDING PUNS <br />4. FIRE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF. <br />LAWS AND ORDINANCES <br />GOVERNING THIL TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER ED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES OTIPRESUME TOGIVE AUTHORITY TOVIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />ciGNATDAE F CONTRACTOR OR aUTHpRR4D AGENT DATE <br />AIR COI <br />REFRIO <br />BOILER <br />GAB FII <br />FORCEI <br />WALL 1 <br />UNIT Mi <br />EVAPOI <br />CLOTH <br />VENTIL <br />RANGE <br />AIR HA <br />STOVE <br />METAL <br />FIREPL <br />HEATI <br />TYPE OF EGUIPMEN7 <br />D. UNITS - H.P. EA. <br />RATION UNITS - M.P. EA. <br />- H.P. EA. <br />M A.C. UNITS - TONNAGE EA. <br />AIR BY87EMS -B.T.U. M EA. <br />:ATERS - B.T.U. M <br />1TER6 -B.T.U. _ M <br />LTIVE COOLERS <br />i DRYERS <br />VDLING UNIT - C.F.M. <br />- WOOD <br />FIREPLACE 8 OPER <br />RCEINSERT— <br />UMPNUMBER NO. <br />... VALUATION I'fCE <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />s 1 25 <br />25 <br />PERMIT VALIDAUMN <br />WHEN PROPERLY VALIDATED IIN THIS <br />jPtCtj THIS %S gC?Id P@PNIT_ <br />a II J U J <br />01 <br />r< r i FT, - <br />I <br />ADDRESS FILE <br />-�..n cal <br />