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:ONSTRUCTIDN <br /> 25��o PERMIT PERMiiTNO. 2$O7O <br /> ❑ DEMOLITION ❑COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAILADDRE55 CITv ZIP � PMONE <br /> ART SKOTDAL PO BOX 5267 EVERETT 98206 259-4354 <br /> TENANT MRILADDRE55 CITV ZIP PMONE <br /> �ALMRELTORDESIGNER MFILAOORE55 pTY 21P pryONE <br /> DYKEMAN ARCH 1602 HEWITT A\'E 11401 EVERETT 98201 259-3161 <br /> GENERALCONTRqCiOR MAILA�ORESS LITV ZIP PHONE �ICENSE� <br /> OWNER <br /> MECHANICALCONTRACiOR MA!LADORESS LITY ilP PHONE �ICENSEN <br /> PLUM0INGCONiRq�TOR MAILAODRE55 CITV ZIP PHONE LICENSE� <br /> GUSS OF WORK <br /> ❑ NEW ❑ ADDITION ❑ALTEHATION ❑ REPAIR ❑ DEMOLITION ❑BUILDING RELOCATION <br /> CONTACT PERSON AND PHONE NO.IF OTHE9 TMAN ABOVE <br /> CONTRACT PRICE OF WORK: S <br /> � DESCRIBEWORNANDSOUAREFOOTRGEINVOLVED <br /> FOUNDATION AND STRUCTURAL FRAME ONLY ��_� _ f� <br /> PROPOSEDUSEOFBUIIDING � —�� �� <br /> LIVING & OFFICE RETAIL <br /> LEGRL�F.SCRIPTICN OF PROPEPTY(SHOW BELOW OR ARqCH FOUR COPIES) <br /> LOi_BLOCK_OF <br /> JOBADDRE55 <br /> 2910 CULBY AVE <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EDUIPMENT FEE <br /> WATER CLOSET ITOILEn A/C-hHN�LG UNITS-N.P. <br /> BATHTUB fORCE�AIRSYS7EMS-B.T.U. MEA. <br /> lA\'ATORV�WASHBASIN) UNITHEATEPS-B.i.U. M <br /> SMGWF.fi CLOTHES ORVEFS <br /> K'TCHf:N SINK 8 DISP. VENTILATION FAN <br /> �ISHKASNER RANGEHOO� <br /> LAUNDRV TRAV WATER HEATER <br /> CLOTHES WASHEq WOO�STOVE <br /> UNINAL METAL FIREPLACE 8 CHIMNEV <br /> _ DRINKII4G FOUN7AIN FIREPLACE INSERT <br /> FLOO(7 DFAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF OPAINS-RAINLEADERS E%HAUST FAN <br /> SINH;SERVICE-BAR.ETC.) <br /> SUB TOTAL 5 SUB TOTAL S <br /> PEHMI7 S PERMIT 5 <br /> TOTALFEE 5 TOTALFEE S <br /> FRONrSetBnCK qenaseroncrc SiDESEToncN PLANCHECKNUMBER FEE RECEIPTNO. <br /> 0 0 0 <br /> USE20NE LOiAREA VACANTSITE <br /> B_3 FEES BU�qO�qTQpOE FEE <br /> ❑VES ❑Nb <br /> ttPEOFfANSTRULTIONALLOWAOtE TYPEOFCONSiRUCT10NFC7VAL acw+vcv NOAFVNELLINGUNIiS BUILDING $ <br /> cnav <br /> I I 131 B2/R 3 PLUM131NG <br /> SIZEOFOL�G. NO.OFSTORIES BASEMENT <br /> 14 668 SF 5 ❑vEs �¢�p MECHANICAL <br /> OCLUPANCVLOAD pRESPRINKLER5RE0D HEIGHiLIM!TqTION <br /> OTHER <br /> YES ❑NO � <br /> aEnSONFORsar,irvKLERs ORDINANCE SIATEBUILDINGSURCMAFGE <br /> FOUNDATION 6 STRUCTURAL FRAME PERMIT NLY STATEENERGYSURCHARGE <br /> APPLICNTIONACC.OV PLANSAPPROVEDBY CITY OF EVERETT <br /> �M LOCAL SALES PUBLIC WORNS <br /> TAX CODE IS 70TA� TO BE C LLECTED AT IME OF FINA PERPfI1 <br /> 3105 <br /> WHEN PROPERLY VALIDATED THIS IS YOUR FERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WI'i HIN <br /> 180 DAYS OR CEASES FOR MORE TH.4N 180 DA'!S. l+�[)pESS P1t E 2 8 O 7 O <br />