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`h�F"`"�`.�" ``'` �ONSTRUCTI ON � rr <br />CITY OF 1 <br />everett PERMIT P�RMIT NO. _ 2� I �l � <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �7 MECHANICAL O PLUMBING ❑ SIGN <br />OWNEH MAILADDPE55 QTV ZIV �'MONE <br />Rolando Morales 820 N Broadwav Everett 98201 <br />TENANt MAR AODR[55 GTY ZIP PHOHE <br />�i Self Service Laundr <br />ARC11iT[LT OR pE51GNER MAIL ADDNESS CITV IIP PMONE <br />GENERAL COrv1NAc�un <br />MECMnMLALCUNTRAGTON <br />Everqreen Stat� <br />PWMBING CONTPNLTOA <br />CUSS OF WOAN <br />n wcw Il ADDITION <br />M41L ADDRESS <br />AIAIL ADDRE55 <br />Metal 34 <br />MAIL PODPESS <br />❑ ALTERATION <br />CITY <br />CITY <br />tes Everett 98201 <br />CITV <br />❑ REPAIR ❑ DEMOLITION <br />CONTf7ACT PRICE OF WORK� $ I <br />OESGRIBE WOAN AND SOUOREfOOTGGEINVOLVFO <br />HVAC / Gas aoqliance ventina - <br />PtiOPOSEO USE OF BUILOING <br />Self Service����*`�r� <br />LCGAL OESCRIPTION UF PPOPERTY (SHOW BELOW OR ATTRCH fOUR COPIES� <br />LOT�— OIOLN� OF <br />JOB RDDRESS <br />820 N. Broadway <br />PLUMBING <br />NO. TYPE OF FIXTUH <br />WATER CLOSET (TOIIET) <br />BATHTUB <br />SINK 8 DISP. <br />LAUNDRYTRP.Y <br />CLOiHES WASNER <br />URINAL <br />DRINKING FOUNTAIN <br />FIOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF �RAINS - P.AI NLEADERS <br />SINK ISERVICE -- BAR. ETC J <br />FRONTSETORCH <br />USE ZONE <br />lYR Of CONSiNUCiION P <br />sizE oF o�oc <br />OCGUPRNCYLOAD <br />REASON FOR SPRINI <br />APPLICATION AGC <br />S.H <br />ITEM <br />SUBTOTAL S <br />PERMIT S <br />REAP SETof.CM <br />LOT AREA <br />ttPL OitONSiRpG110N ACiUI <br />NO OFSTORIES <br />FIRE SPRINKL[RS REO U <br />❑ YES ❑ NO <br />ZIP PHON'c LICENSE� <br />21P PNONE L�C[NSE� <br />252-3114 EVERGSK7121 <br />ZIP �HONE LICENSER <br />❑ BUILDING RELOCATION <br />CONTRCi PERSON AND PI/ONE NO IF O1nEN innn nnove <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPI <br />1 A/C - A/NNDLG UNITS - � <br />FORCED AIR SVSTEMS - B T.U. <br />UNIT MEATERS - O.7.0 <br />Zn CLOTHESDRVERS <br />VENTILATION FAN <br />HANGEHOOD <br />WATER NEA1E(i � <br />WOODSTOVE <br />METAL FIREPIACE 8 CHIM <br />FlREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />H%HAUSTFAN <br />SiOE SETPACN <br />VAGI.NTSrtE <br />❑ YES ❑ NO <br />�P^.'±�`' NOOFONIIIING <br />VES �7 NO <br />HEIGMT LIMITATION <br />'PROVEDOY I CITY OF EVERETT <br />J.ta. LOCAL SALES <br />TAX CODE IS <br />3105 <br />P�A'J CHECK NUMBEfi <br />SUBTOTAL <br />GEPMIT <br />TOTALFEE <br />FEE <br />FEES ' <br />DUILDING S <br />PLUMBING <br />MECHANIC�L <br />OTHER <br />STATE DUILDING SURCHARGE <br />STA7E ENEf7GV SURCHARGE <br />PUBUC WORKS <br />FEE <br />RECEIPT NO. <br />�UR <br />� <br />PERMITS EXPIRE IF WORK IS NOT COMMENCFD WITHIN qUDHESS IiLE �`l � �`� !' <br />180 DAYS OR CEASES FOR MORE THnN 180 DAYS. �� <br />