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y4l- <br />T <br />p E It = <br />b H N <br />H Z I -I <br />4MW AFAC <br />c <br />I <br />c <br />� s <br />The EUCTBreen <br />CITY OF <br />everett <br />259-8745 <br />M DEMOLITION <br />�, suxs+q <br />CONSTRUCTION 1 � <br />PERMIT PERMIT NQ: _ 182�5 <br />❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />P PIIGNE <br />OWNER Daniel <br />Daniel Collins 706 94th St. BE Everett <br />""' <br />98208ry 355-7336 <br />PHONE <br />MAIL AODRE59 <br />MCHITECT OR DESIGNER <br />CITY ZIP p1gNC ULENSC• <br />MAILADDRESS <br />GENERAL CONTRACTOR <br />Owner <br />CITY 21P PHONE LICEN%• <br />MECHANICAL CONTRACTOR MAR ADDRESS <br />CITY 21P PHONE LICENSE. <br />PLUMBING CONTRACTOR MAIL ADDPE55 <br />CLASSOFWORK DEMOLITION ❑ BUILDING RELOCATION <br />❑ ALTERATION ❑ REPAIR �j <br />❑ NEW ❑ ADDITION <br />VAWATIDN OF WDRIN <br />f <br />DESCRIBE WORK <br />Dismantle 1008 sq ft building <br />HEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />❑OTHER <br />CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />PROPOSED u9EoiaulLu— <br />I HEREBY <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />StOAa <br />LEGAL DESCRIPTION OF PflOPERTY )SHOW BELOW OR ATTACH iOUR COPIE51 <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />THIS TYPE OF WORK WILL BE COMPLIED WITH <br />8 Beverly Park <br />GOVERNING <br />SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />LOT 1 BLOCK —� OF <br />WHETHER <br />PRESUME TO GIVEAUTHORIO <br />Lot 1 less WLY 78 £t and N 1/2 of lot 2 <br />VIO APERMITE ORSCANTO <br />CEL THE PROVISIONS OF ANYNOT <br />HER <br />LAW REGULATING CONSTRUCTION OR <br />STATE OR LOCAL <br />THE PERFORMANCE OF CONSTRUCTION. <br />less WLY 78 ft thof Block 8 <br />DATE <br />ED AGENT OR OWNER DATE <br />SIGURE �IF ACTOfl. A ORRWN <br />�/ <br />7OBADDAES9 <br />V fwLL( S� 14—kF <br />7606 Beverly Blvd. <br />/1 <br />MECHANICAL <br />PLUMBING <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NC - A/HNOLG UNITS - H.P. <br />WATER CLOSET (TOILET) <br />REFRIGERATION UNITS - H.P. EA <br />BATHTUB <br />BOILERS -B.T.UM.P. <br />LAVATORY (WASH BASIN) <br />GAS FIRED A.C. UNITS -B.T.U. <br />SHOWER <br />FORCED AIR SYSTEMS -B.T.U. M EA. <br />KITCHEN SINK f DISP. <br />WALL HEATEflS-B.T.U. M <br />DISHWASHER <br />ATB.T.U. M <br />LAUNDRYTRAY <br />EVAPORATIVECOOLERS <br />— <br />CLOTHES WASHER <br />CLOTHESORYERS <br />- <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />WATER HEATER <br />- <br />�( <br />BACNROW PREVENTERS <br />WOOD STOVE <br />! <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE S CHIMNEY <br />' <br />SINK(SERVICE - BAR. ETC) <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />-� <br />• <br />SUBTOTAL <br />f <br />PERMIT <br />- <br />PERMIT <br />f <br />TOTALFEE <br />TOTAL FEE <br />f <br />SIDE SETBACK <br />PLAN <br />CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />FRONT <br />SETBACK <br />REAR SETBACK <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE _ <br />0 YES <br />$ <br />*• PE Of CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />05�14�87 •�rli") <br />�— <br />PLUMBING <br />SIZE OFBIDG <br />NO OF STORIES <br />MAX OCC. LOAD <br />MECHANICAL <br />II ^ <br />- <br />p <br />INVESTIGATION FEE <br />L'9W3G4(p)11.1 <br />- <br />- FIRE SPRINKLERS REQUIRED YES NO <br />STATE BUILDING SURCHARGE <br />SLI ; <br />1 <br />50 <br />STATE ENERGY SURCHARGE <br />CA:;rI <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR FCR ISSWNCE BY <br />DRIVEWAY PERMIT <br />TOTAL <br />1 <br />50 <br />S.H. <br />L.C. <br />PERMIT VALIDATION <br />(IN THIS SPACE) THIS IS YOUR PERMIT <br />WHEN PROPERLY VALIDATED <br />Ln <br />0 <br />N <br />co <br />V— <br />AOFE`, r L <br />