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��� <br />Q 11 <br />��� <br />�E � � <br />w <br />ios <br />H d <br />1"� � <br />G�-11• <br />Z>M <br />t" y <br />H <br />W <br />H <br />�� <br />O� <br />�neF.Y,,��,.,.., r �NS7RUCTION <br />C�Tv Ot <br />everett PERMIT PERM�r�o. 2342�3 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION Q BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OwNER u�R nl�nn[X CRv Im i�uaNi <br />Collcye Plaza P.O. Box 5727 Bellevue 98006 643-1011 <br />�EV�Nt ^ fs M/al AppHE55 CItY lIP PnONI <br />7a�en6--6pace 1001 N NlftlJlBqjf� Boradway NA-q� Everett 98201 _ <br />nncNREctnnnEsi,MEn MALL�nnnEss btr I�P r��F <br />CENER�I CONtR�CTO� AUIL �OIl�C55 CIiY .'iP 1'��ONE LiLENSf ♦ <br />Lloyd Powell CO. 737 Market St. Kirkland 90083 828-4444 LIAYDP.\161J7 <br />MFOI�NIUtCONi1111]0�1 M�qAppRF55 CIiY ZIP R�ONC L'CENSf� <br />riuunn+c <br />ci ess or wonn <br />❑ NEW ❑ ADDITION <br />CONTRACT PRICE OF WORN�. $ <br />u�i� <br />❑ ALTERATION <br />OESCf11BE WOPM �ND SOU�RE lpOi�GE iNVOLVE C <br />Inspection for vacant tenant space. <br />❑ REPAIR <br />CUNTeC* <br />cnr zin <br />t] DEMOLITION <br />iif,EN�E � <br />U BUILUINO RELOCATION <br />NO If OiH1111nPrv nryVvt <br />�morosco usc or ounni�+c <br />Retail shoppina center - <br />LFa�I oESCn�PrioN ov PROPEnrv �SNOw eELOW oM �T1�O� �oun Co��Fsi <br />i�,���iu> >i�s:�n �nonno��o� :��� <br />ior_ o�ocn — or � <br />1t000�:4.i0 <br />� i.L.DG 4: ��.CO <br />E SF'CH e��4.`,;�1 <br />.UB�OfME55 �u��`.i¢`4 ... . _ <br />f innt N_ PYoadw9V <br />PLUMlIN6 <br />NO. TYPE OF FIXTUR <br />W�TER CLOSET (TOILET� <br />BATHTUB <br />UV�TORY � WASH B�SIN� <br />'_, SNOWER <br />'' NITCMEN SINK 8 �ISP <br />� DISHW�SMER <br />LAUNDRVTRAV <br />' 1 CLOTHESWASHEP <br />URIN�� <br />'�I DRINKINf3FOUNTAIN <br />'�' FLOOR DP�IN <br />B�CNFLOW PREVENTERS <br />ROOF OR�INS – R�INLEA� <br />'�' SINK �SERVICE – B�R. ETC <br />1 _ <br />/ <br />�' iPONTSETB�':N <br />1 <br />� USELONE <br />'�I nn a c�m�mK:n <br />1�1 <br />SKE Oi BLO6 <br />UCCUV�NCYlO <br />NEASON f OP SP' <br />�PVUL�TION I <br />s.s. <br />susror�� s <br />PERMIT f <br />TOTAL FEE 3 <br />�R cfB�C• 51 <br />�OT �PEA <br />IYR p [OMSINLCIpN ACIUi <br />NO af SiOR1E5 <br />fIRE SVPMNlER511E0O <br />7 YES ❑ NU <br />FTqACM <br />V�6�NT 511f <br />❑ YES ❑ NO <br />�W n� <br />VES ❑ NO <br />NE�GN1 IIMIT/�90N <br />Mu+snnrnovEour � CITYOFEVEHETT <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />MECHANICAL <br />FEE <br />A�C �- A�HNOLG IINITti – li <br />fONCEO RIR SYSTEMS -- B <br />UNIi MEr1TER5 -- 0 T U <br />CLOTNES�RYERS <br />VENTIUT.ON iAN <br />R�NGEMOOD <br />WRTERNEATER <br />WOOD STOVE <br />METAL FIREPLACE 6 CHIM� <br />FIREPUCE INSEPT <br />NEAT PUMP <br />GAS �IPING <br />E%MRUST�AN <br />auewr�i�" .�� � <br />� -: ��� � <br />TOTA" `�1 <br />NUMBEP .E"' ' EIPTNO <br />t, h-i=(J: 4 7.7 . SL� <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTIiER <br />STA1E CiUILDING SURCHARGE <br />ENERGVSURCNARGE <br />PUDL'C WORKS <br />$ <br />�PERMITS EXPIRE IF WORK IS NOT COMMEN�ED WITHIN ADUPESS FiLE G�1 4 G 3 <br />1B0 DAYS OR CEASES FOR MORE TMAN 180 DAYS. <br />�0 <br />50 <br />