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9 H CA <br />1-3 <br />1.4 0 <br />H 7D <br />AU0 <br />7 H 'O <br />xCA H <br />t*1 HO 0 <br />0H <br />H�8 <br />ON 0 <br />9H� <br />t H H <br />gCA <br />H <br />ci❑CCFrrn <br />yEn <br />HOER <br />C:3" <br />C:. <br />Q _ <br />ri j . <br />the CITY OF <br />IYO � <br />ONSTRUCTION ..�. <br />evereitt <br />PERMIT PERMIT NO.. <br />24000 <br />259-8810 <br />B] DEMOLITION D COMBINATION Cl BUILDING ❑ MECHANICAL ❑ PLUMBING <br />❑ SIGN <br />OWNER <br />Inn AC11H[I'; CITY ZIP <br />PHONE <br />CPC Ltd. 2140 N <br />Northgate Way Seattle, WA 98133 361-6156 <br />TENANT <br />e e <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY ZIP <br />PIKWE <br />NERAL CONTRACTOR <br />MAIL ADDRESS CITY CPCLT166CN <br />PHONE <br />LICENSEE <br />ame <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />LICENSE• <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />LICENSEE <br />CUSS OF WORK <br />❑ NEW ❑ ADDITION <br />❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />LONTACT PERSON AND PHONE NO IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK' <br />DESCRIBE WORK AND SOUAAE FOOTAGE INVOLVED <br />Demolish single family <br />residence <br />PROPOSED USE OF BUILDING <br />Single family residence <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW On ATTACH FOUR COPIESI <br />LOT- BLOCK - OF <br />o. <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />AIC — ANHNDLG UNITS — H .' <br />_ <br />BATHTUB <br />FORCED AIR SYSTCMS — B T U M EA <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS — B T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK S DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />W00' RVE <br />URINAL <br />METAL FIREPLACE B CHIMNEY <br />_ <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />_ <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS — RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE — BAR. ETC I <br />SUB TDTAL f <br />SUBTOTAL { <br />PERMIT { <br />PERMIT { <br />TOTALFEE { <br />TOTALFEE i <br />FRONT SETBACK <br />REAR SETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USE ZONE <br />LOT AREA VACANT <br />❑ <br />SITE <br />YES ❑ NO <br />FEES <br />BBIwwG CODE <br />VALUATION <br />FEE <br />BUILDING <br />$ <br />IYR EF CONSTBU;IgN MlONABL[ <br />OFF a TOMIRIXIMW ACTUAL <br />BF INKLIZuM1 is <br />_ <br />PLUMBING <br />SIZE OF BLDG <br />NO OF STORIES BASEMENT <br />❑ YES O NO <br />MECHANICAL <br />OCCUPANCY LOAD F I BE SPRINKLFRS REDO HEIDNT LIMITATION <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />OTHER <br />IF <br />STATE BUILDING SURCHARGE <br />RINML31T1 ,My�p p�p <br />Ey <br />4 <br />0 <br />STATE ENERGY SURCHARGE <br />N00023988 <br />APPLICATION ACC BY <br />PLANS APPROVED BY <br />_ <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLlcwon(s <br />B SRCH f <br />50 <br />TOTAL <br />SEWER f <br />50 4 <br />50 <br />WHEN FIR']PFRLY VAUK <br />MEMHIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENTED WITHIN ADDRESS FILE <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />FND I $4.50 <br />N00027527 <br />SEWER $2.50 <br />CHECK $18.50 <br />%l <br />