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„��.:.��noF . (i,��JNSl�HU4I �lUN . ., __ >' <br /> everett PERMIT PERMITNO. _ 26398 <br /> 259 -8810 <br /> L� DEMOLITtON ❑ COMBINATION ❑ BUILDING fE�#AECHANICAL O PLUMBING ❑ SIGH <br /> ONNE11 M4ILAODRE55 CITV ZIP RIONE <br /> Jolm E Ilughes DDS P.S. 3430 ColUy Ave Everett WA 98201 259-0125 <br /> TENANi MAILAODFESS CITY ZIP R10NE <br /> ARCNIlECiOlIDESIGNER MAILADqiESS CITY ZIP PMONE <br /> Falken Porshaw 1510 12th St �verett WA 98201 252-9471 <br /> OENERALCONTRACiOR MAIL�DORESS CITY LP R10NE UCENSE• <br /> Oireer <br /> MECNANICALCONiRAGTOB Ml11LADOBESS CITY 21P M10NE LICENSE� <br /> PlUMOINOCONiR�CiON MML�OORE55 CITY ilP 1'HONE LICENSE� <br /> C1A55 Oi N'OFK <br /> ❑ NEW ❑ADDITION ❑ALTEHATION ❑HEPAIN O DEMOLITION ❑ BUILDIN6 RELOCATION <br /> CONTACT f'EfI50N ANO PNONE NOJF OTNEB TH4N�BOVE <br /> CONTf1ACT PRICE OF WORK:S • JOIItt Hughes 259-0125 <br /> OlSC1'dBE WORR AeD SOU�RE FOOTRGE INVOLVED <br /> llemolish sia frame etructureax74x38Hflxa� <br /> FROPOSEp USE OF BUILDIN6 <br /> LEO7�LOESCRIPTIONOFP110i'ERTT�SHOWBELOWOPATTACHFOUIIfAPIES� � � <br /> ioi'18'e9dcK���-or Plat of F.vervtt Diviaion A �___ <br /> c <br /> B SRCH f4.50 <br /> SEWER t2.50 . <br /> '�c �'��a�Ch�c:c*:a 3428'� Colby Ave g ${�{ t4.50 <br /> PLUMB�N6 MECHANICAI � <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EO T FEE <br /> WATEH CLOSET(TOIIET) A/C—A/HNDLG UNITS—HP. <br /> BATHTUB FORCEDAIRSVSTEMS—B.T.U. MEA. <br /> LAVATORV(WASMBASIN) UNITHEATERS—B.T.U. M <br /> SHOWEH CLOTHESORYERS <br /> KITCMEN SINK 8�ISP. VENTILATION FAN <br /> DISHWASHER RANGEHOOD <br /> LAUNDNV TIiRY WATER IIEATEH <br /> CLOTHES WASHER WO00 STOVE <br /> URINAL METAL FIREPLACE 6 CHIMNEY <br /> ORINKINO FOUNTAIK FIREPIACE INSERT � <br /> FLOOR ORAIN HEAT PUMP <br /> BACKFLOW PfiEVENTERS GAS PIPING <br /> R06F DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK!SERVICE—BAR,ETC.) <br /> SUBTOTAL f BUBTOTAL t <br /> PEPMIT 1 PENMIT f <br /> TOTALFEE S TOTALFEE f <br /> vnONrSETB�cK BEpR5E70ncH SIDESE7BRCK PLANCHECKNUMDER FEE RECEIPTNO. <br /> US[ZONE LOTMEA VACANTSRE �Ey, SUILDINUCOOE �E <br /> ❑VES ❑NO <br /> 1Yf40fLOH5IPULIqNAIIONABLE IYI'EOFfANSIPUGIAN�CNAL ��' N0.0(ONSIIINGUNIiS BUILDING S ��— '� <br /> PLUMBING <br /> 51ZEOFBL00 NO.OFSTORIES BnSEMENT <br /> ❑YES ❑NO MECHANICAL <br /> OCCUFANCYI.ORD FIPESPRINNIERSREO'U HEIGNT�IMITAiION OTHER � <br /> O YES ❑NO <br /> IiEn50NFOR5PRINNLE115 STATEBUILDINGSURCHARGE 4 50 <br /> STATEENER6VSURCHARGE <br /> �PPLICRTIONACC.OY PLAN9APPROVEOOV CITY OF EVERETT <br /> LOCAL SALES �'U�LIC WORKS <br /> M.P[. TAX CODE IS TOTAL 4 50 <br /> 3105 �yHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> v <br /> PERMITS EXFIRE IF WORK IS NOT COMMENCED WIl'HIN qDDR[55 FILE 2 6 3 9 8 <br /> 180 DAYS OR CEASES FOR MGRE THAh! 160 DAYS. <br /> .��....�. -n. :•�. ,.. <br />