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����'�'�" C -7N�TRUC'�'ION <br /> CiTY OF pn <br /> everett �ERMIT PERMITNO. �� lJ �lt� <br /> 259 -8810 <br /> ❑ DEMOLITION O COMBINAT�ON ❑ BUILDING �MECHANICAL Z` ❑ PLUMBIN oNE ❑ SIGN <br /> AIAIL AODRESS CITY <br /> OWr1Efi <br /> Merit Investments 500 John St Suite 202 Seattle, WA 98109 448-52 O PHONE <br /> A1AIL AODRE55 CITY <br /> TEN�NT <br /> Binqo Parlor 9121 E1 Capitan Way Everett, t9A 355-1 0 Z� PMONE <br /> ARCHITEGT OR DESIGNER <br /> A1RII.4DUBE5S CITY <br /> GENERA�CONTAACTOR AIAIL A�DBE55 <br /> CITY IIP VMONE LICENSE• <br /> MECMNNICAL CONTRACtOR �dAIL A�DRE55 <br /> CIiY 21P PMONE LiCENSE� <br /> PLUMBING CONTRACTOR MAII A�DRE55 <br /> C�TY JP �'HONE LICENSE� <br /> Anderson-kagx�3Magruder 9241 Greenwood A�•e N Seattle, WA 98103 784-4600 ANDERM2930H <br /> CUSSOF WONK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION � REP OINTACT PERSON❑ANDE OONENOro orHenTMnH u�BU1LDING RELOCPTIO <br /> CONTHACT PRICE OF WORK S <br /> DESCRIBE WORN AND SOUFRE FOOTAGE INVOLVED <br /> VROPOSED USE OF BUIIDiNG <br /> Replace 40' of gas line — <br /> LEOAL DESCRIPTION OF PNOPERTY ISNOW BELOW Of1 ATTACH FOUR COPIES) <br /> lOT— BLOf,N�OF <br /> JOBAUORESS <br /> 9121 E1 Capitan Way <br /> PLUMBING MECHANICAL <br /> — FEE NO. TYPE OF E�UIPMENT FEE <br /> NO. TYPE OF FII(TURE OR ITEM <br /> qiC—A/HNDLG UNITS—HP. <br /> WATER CLOSET 1701LE7) <br /> FORCED AIR SYSTEMS—B.T.U. M EA. _ <br /> BATMTUB M <br /> UNIT HEATEPS—B.T.U. <br /> LAVATORVIWASH BASIN� CLOTNES ORVERS <br /> SHOWER <br /> . VENTILATION FAN <br /> NITCHEN SINK 8 OISP. RANGE HOOD <br /> DISHWASHER ._ <br /> WATER HEATER -- <br /> LAUN�RYTRAY WOUDSTOVE --- <br /> CLOTHES WASHER <br /> METAL FiF1EF�ACE 8 CHIMNEV .r.—.— <br /> URINAL � FIREPLACEINSEtiT .�—�-- <br /> DRINKING FOUNTAIN HEAT PUMP <br /> FLOOR�RAIN 3 �� <br /> 1 GAS PIPING <br /> BACKFLOW PREVENTERS E%HAUST FAN <br /> POOF DRAINS—AA�NLEADEF75 <br /> SINK(SERVICE—BAR.ETC.� <br /> SUBTQi�L S 3 0� <br /> SUB TOTAL S PERMIT f 15 00 <br /> PEqMIT S 18 00 <br /> TOTALFEE _ <br /> TOTALFEE S <br /> FRON�SETBnCN nEARSETBACK SIDESET6ACN PLANCY.ECKNUMPeR Q,�Q�]���I IO��S�P°C�JB���4'7 �D'�'��� <br /> USEZONE LOTAREA VPCANTSITE FEES � �E FEE <br /> ❑ves u No � "` <br /> ��u�� xoa�oxf�uN�uens BUILUING (,S41ECI: �i1`.� 00 <br /> ivROfCONSiPUC110NRlLOW4�tE 7V�EOFCONS7PUC110NaC1Uat �,���. <br /> PLUM�ING <br /> NO OF STORIES BASEMENT l8 OO <br /> 5¢EOFaioc MECHANICAL — <br /> ❑VES ❑ NO <br /> OCCUPANCYLOAO FlRESPRiNNlER5RE0'D HEIGHTLIMITATION OTHER <br /> ❑VES ❑ NO <br /> STATE BUILDING SURCH�RGE <br /> REASONFOqSP!uNRLERS <br /> STATEENERGVSURCHARGE <br /> qppLICATIONACC BY PLANSAPPfiOVEDOY CITY OF EVERETT pUBLIC WORKS <br /> LOCAL SALES — le o0 <br /> TAX CODE IS TOTAL <br /> M.M. 3105 <br /> WHEN PROFERLY VALIDATED THIS IS YOUR PER <br /> I i � � � r; <br /> PERMITS EXPIRE IF WORK IS NOT COM�dENCEG 'PJITHIN ���pf?�:cS ; �I.'r. -- <br /> 180 DAYS OR CEASES FOR MORF THk� 1P,0 DAYS. <br />