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� � <br />Q�M <br />ayxv� <br />y xH <br />�H� <br />� H'i7 <br />fn M <br />x <br />��d <br />'�8 <br />�j] Y (�i <br />H <br />z� <br />� h� H <br />g �' <br />f] C V� <br />��� <br />x H v� <br />H O fn <br />"�E°��" - C'�NSTRUCTION �-- � <br />CITY OF Cc q <br />everett PERMIT PERMITNO. �J"� { <br />259-8810 <br />%XDEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OLVNER MAILFDOf1ESS LITV ZIP FHONE <br />Charles A. Pancerzewski PO Box 865 Mukilteo WA 98275 353-2048 <br />TENANT MAILRDDRESS LITY ZIP �'HON[ <br />� Z MmlP00PE55 CITY ZIP PHON= <br />� nPCHRECTORDESiGN[R <br />GENER�LCONTRACiOR MARAODR[55 CITY Zii� PIIONE LICENSE• <br />Diachias Construction (Herb Hulse) 1421 - 155th Ave NE Snohomish 334-7922 MACHIC-132KK <br />MECIVRNICALGONTR�CTOR MAILAO�RE55 GItY ZIP PMONE L�CENSE� <br />PLUMOINGCONTRRCTOR MAILAODRE55 GRY ZIP f'NONE ULENSE� <br />CLASS OG WORe <br />❑ NEW ❑ ADDITION ❑ A�TENATION ❑ NEPAIN XXjCOEMOLITION ❑ BUILDING RELOCATION <br />CONTRACT PRICE OF WORK: S <br />OESCRiBE WO�K nHD SOUAPE FOOTn <br />Demolish old qarag <br />at SFR <br />CONi�CT Pf.R$ON PRO PMONE NO li OTMhN TNAN nuovc <br />PROPOSED USE OF 9UIL�ING <br />LEGALOESCRIPTIONOFPqOPEflTY�5HOW0ELOWORRRACNFOURCOPIES� O9IZ7I�%O 9�U1R� ��a3H�� �K'K'k <br />� <br />�or— o�oc� — or q00pp5691 <br />e secN s4.so <br />CHECY, 54.50 <br />PLUMBING <br />NO. TYPE <br />WATEH CLOSEI <br />NITCHEN SINA 8 <br />CLOTMES WASHER _ <br />URINAL <br />DFINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTEPS <br />ROOF DRAINS - RAINLEADER. <br />SINK �SEHVICE - BPR ETC.) <br />i�PE Of CONSIAUGII04 R <br />S2E OI'BLOG <br />OCW CFNCY LOAD <br />�EASON FON SPqwY <br />APPLICATION ACC <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />q�C — NHNDLG UNITS — N.P. <br />PORCED AIR SVSTEMS — B.T.U. M EA. <br />UNIT MEATERS — B.TL. M <br />CLOTHESDRYF.RS <br />VENTILATION FAN <br />RANGEMOOD <br />WATERHEATER <br />WOOOSTOVE <br />METAL FIREPLACE fl CMIA7NEV <br />FIREPLACE INSEAT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL t <br />iEPM1T f <br />TOTALFEE f <br />REnR5ET8ACK SIOESETOPCrc <br />LOTAREP VACANTSItE <br />❑ YES ❑ NO <br />bffOf[OHSIPpGiIONRCLUhI OO�qo.�'�` �m�F�WELLINGUN <br />NO OfSiORRS BASEMENT <br />❑ YES ❑ NO <br />FlRESPflINNLENSREOD NEIGnTLI1.11TATION <br />❑ VES ❑ NO <br />nNsnvanoveoer CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />PERMITS EXPIRE IF WORK IS NOT COMMEN�ED WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />SUB <br />f <br />S <br />FEE <br />TOTAL FEE S <br />PLAN CHECK NUMBER FEE RECEIPT NO. <br />BUILDING S <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE OUILDING SURCh{qqGE <br />STATE ENEfIGY SURCHARGE <br />PU�LIC WORKS <br />TOTAL <br />WHEN PROPERLY VALI <br />ADDHF.SS FiL[ <br />IS YOUR <br />2569� <br />4 I 50 <br />5 <br />», � <br />