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CITY OF EVF!iETT <br /> -�Q�NSTRUCTIO�V <br /> PERMI� PERMITNO. �HZHO <br /> 259-8810 <br /> [�DE�AOLITION ❑COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING . ❑ SIGN <br /> O'dN[R IdAiIADDRESS Qiv ZIP PIIOhE <br /> 1 <br /> Jud Coluccio 43ll S 188th Seattle 98148 — <br /> TEN4llt RIAILRDDRE55 C�TY Z�P PIIONE <br /> rfichael Cox POS 1271 Everett 98206 353-8385 <br /> y n N ARCHiTEGTOfiDCSIGNER MFILADDFE55 ��n' 21P PMONE <br /> C1 F" 'L <br /> bl <br /> 10 C7 SENERALCONiPALTOR M,.ILAOORESS CITV ].�P PHONE LIC[NS[� <br /> C M <br /> � H N _Tenant <br /> rl = IAECnANICALLONTRRCiOR IAAILAGDRE55 CITY Z�P PMONE lwENSEn <br /> y � f+ <br /> K <br /> O C O PLUM�MGLJNTRAGTOR MAILApDRESS GITY ZIP PHONE LICENS[• <br /> `1 M �q <br /> N M <br /> 6 p C1A550F WORN <br /> � y ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR � DEMOLITION ❑ BUILDING RELOCATION __ <br /> WNTACT PERSON AHO PHONE I10.iF OTMER iNAN PpOVE <br /> L1 � [] CC 1CT PPICE Of WORK J <br /> H — <br /> � y C .ipEWOFHANO50UAREFOOTAGEINVOLVED <br /> l� M Demo old ara e - 240sf <br /> Ry M _�_�nti, . J�J:". UjllC<}_'.,� <br /> O N <br /> Q C <br /> �S V7 ro PpOPOSEDUSEOFOUiLORIG 4(��OD^8i60 <br /> y O y GHYaIIC' ` �--- <br /> IEGALDESCRIPT10NOFPROPERiY�5MOW0EL01Y0RATfALMFOURCOPIES� .f-.;�J� ^` <br /> LOT_BLOCK�OF <br /> Lot 16 & 17 and north 5 feet of 18 Pinehurct Div A <br /> �w aooaess <br /> 6307 Commercial /�vL <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> YlATER CLOSET(TOILET) NC-0.TINDLG UNITS-H.P. <br /> �ATNTU� FGRCEDAIRSVSTEMS-6.T.U. MEA. <br /> i��� UNITHEATERS-OT.U. M _ <br /> LAVATORV�WASH BASIN) <br /> ' SHOWER CLOIHES DRVERS <br /> � NITCHEN SINK 6 DISP. "'T��.ATION FAN <br /> 1 ' DISHWASHEfi ._'.•.u[HOOD <br /> '�� LAUNDRV TRAY WATER NEATEH <br /> , __' CLOTNEY l7ASHER WOOD STOVE <br /> ' URINAL METAL FIREPLnCE d CHIMNEY <br /> DRINKING FOUNTPIN FIREPLACE INSERT <br /> � FLOOR DRAIN MCAT PUMP <br /> I _ DACKFLOW PREVENTEFS GAS PIPING _ <br /> � EXHAUSTFAN <br /> ROOF ORAINS-RAINLEAOEhS <br /> SINK�SERVICE-BAR,ETC.) <br /> � <br /> ��, _1 1 SUBTOTAL 5 SUBTOTAL 5 <br /> PERfAIT 5 PERMIT S <br /> � ' <br /> TOTALFEE S TOTALFEE 5 <br /> �,�' , FfiONT5ET0ACK �Enr+SEioACN SioESErBncK PLANCHECKNUM�ER I�EE RECEIPTN . <br /> i <br /> � USEZONE LOTRREA �ACANTSITE PEES avwi�AileN�E FEE <br /> I <br /> ❑VE$ ❑NO <br /> '-1=� lYPEOFLONSiPUCiIONAIIOWAB.E TYPEOFCONSiRUCT10NACTUA� ����� ��pYEIIIYGUNi15 BUILDING S <br /> PLUM�ING <br /> 511EOFBLDG NO.OFSiORIES DAS[MENT <br /> ❑vES ❑Na MECHANICAL <br /> OCCUPANCVLOAD FlPESPRINKLERSREO'D NEIGMTLIMI7Fii0N pTHER <br /> ❑YES ❑NO <br /> nEnsoN FOR 5cnwe�eFs STATE BUILOING SURCHARGE � <br /> STATEENERGVSURCHARGE <br /> APPLICR710NACC OY r��vsnrraoveoav CITY OF EVERETf <br /> LOCAL SALES PU�LIC WORKS <br /> TAX �ODE IS TOTAL 4 50 <br /> 3105 yyHEN PROPERLY VALIDATED TFIIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN 2 818 0 <br /> ------ -- ---,._,. _,... ..,..,�r.,....e...,.,..� AUiJRFEiS Fll[ <br />