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the Euergreen "�` ,� � ST R U CT I O N �,� /�� - <br />CITY OF <br />everett PERMIT PERMITNU. 23593 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ 119ECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNEfl MAILADDRE55 CITV ZIP PHONE <br />R&L Enterprises 9725 3rd Ave. NE Seattle 98115 526-7679 <br />TENANT MAILAOORESS CIT ZIP PMONE <br />ARCM1IECTOROESIGNER MAILADORESS CITV ZIP PMONE <br />GENERAICONiRRCTOR MAILA�DPESS CITY u Z�P PMONE LILENSE/ <br />�9a�hington Wrecking Cu. 130C1 EmpireWay S. Seattle ?6170 772-6556 WASHIt4C135J2 <br />MECHANICFLCONTRACTOR MARA�pFlLS3 CITY :1P PHONE LICENSEn <br />PLUMBINGCONTRACTOR MMLAOCAE55 CITV IP PHONE LICENSEx <br />CLASS OF WORN <br />❑ NEW ❑ ADDITION ❑ ALTEHAI'ION ❑ REPAIR �3 DE�.IOLiTiON ❑ BUILDING RELOCATION _ <br />� I CONTACT PERSOtI AND FMONE NO. IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: � <br />DESCRIBE WOPK ANO SOUARE FOOTAi <br />Demolish House <br />PROPGSED USE OF 6111L01NG <br />LEGAL OESCflIPTION OF PROPERiY �SHOW DELO\Y OR ATTACH FOUR COPIES) <br />LOT — P' OCK — OF <br />See Attached /,�,�f- � �¢ Q f/�l�� <br />JOo ADORESS <br />724 SE Everett Mall Way <br />PLUMBING <br />NO. T'fPE OF FI%TURE OR ITEM <br />WATER C: JSEf (TOILET) <br />BATHTUB <br />LAVATORV (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISF <br />� DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOfl DRAIN <br />BACKFLOW PREVE�ITERS <br />ROOF DRAINS - Rf�INLEADERS <br />SINK ISERVICE - BAR. ETC.) <br />Nff <br />SUBTOTAL <br />PEPMIT <br />IOTAREA <br />7YPE OF C�NSTPUCTION ACNAL <br />SI2EOF�LOG �O.OFSTORIES <br />OCCl1PANCYLOAO Fl(lESPRMNLER5PE0'0 <br />❑ YES ❑ NO <br />REASONFORSPFINKLERS <br />,-,PPLICATION ACC. BY PLANc pppqOVElI BY <br />S.H. <br />MECHANICAL <br />FEE NO. TYPE OF EQUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />FORCED AIR SYSTEMS — B.T.U. M <br />UNITHEATERS—B.T.U. M <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WA7ER HEA7ER <br />WOO�STOVE <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />HEATPUMP <br />GAS PIPING <br />EXHAUSTFAN <br />5 <br />S _ <br />S <br />SI�E SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />SUBTOTAL 5 <br />PEflM1T S <br />TO L. � <br />FEE flECEIPT NO. <br />q�027433 <br />...__... ___ FEES <br />❑ YES ❑ NO <br />acxour'�'` �aFOWEILin;Uxlis BUILDING <br />PLUMBING <br />BASEMENT <br />❑ VES ❑ NO MECHANICAL <br />MEIGHT�IMITATION OTHER <br />STATE BUILD W G SURCHARGI <br />STATEENERGVSUHCHARGE <br />CITY OF EVERETT pUBLIC WORKS <br />LOCALSALES <br />TAX CODE IS TOTAL <br />3105 ..,, . �., .,.,,,.,�� � ., „ <br />PERMITS EXPIRE IF WOI�K IS NOT COMMENl:ED WITHIN pDDRESS FILE <br />180 DAYS OR CEASES FOTi MORE THAN 180 DAYS. <br />..�rR� <br />'Itl . ' <br />.� elll <br />� <br />�'11`I' "� <br />;111 '. <br />23��3 <br />4 <br />