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U�e Eoergreen �^_�������'O� <br /> CITY OF � <br /> verett PERMIT PERM�TNo. _ 2668 � <br /> 259 -8810 <br /> �}�EMOLITION ❑ COMBINATION O BUILDIh: ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> CVMEF MAILADDRE55 CITY Z�P PMONE <br /> Temple Beth OR 3215 Lombard Everett WA 9�2Q1 259-6650 <br /> TENANT MFILAODFE55 CItY ZIP PHONE <br /> nRCHITECTOROESIGNER MAIIAD�RE55 dTY ZIP PMONE <br /> GENEPALCONTR4CTOF MAILADOPESS CITY ZIP PHONE IICE!SEM <br /> Owner <br /> MECMANIGALLONTRACTOR MAILAODFE55 CITY 21P PHONE UCENSEA <br /> PWMBINGCONTRACTOF MAIIADORESS CITY ZIP PHONE LIGENSEM <br /> CLASS O.'WORK <br /> ❑ NEW ❑ ADDITION ❑ A:TEAA710N � REPAIR I�}47EMOLITbN ❑ BUILDING RELOCATION <br /> CONTACT PEFSJi�qND PMONE NO.IF OTHER TMhN N90VE <br /> CONTRACT PRICE uF WORK:S Paul Ve.c.Ler 259-6650 <br /> DESCRIBE WORK AND SOJrtRE FOOTAGE INVOLVED <br /> Demolish approx. 50X�44SF of existin t� eniple be�fore puttinq on addition <br /> PROPOSEO USE OF BUILDING <br /> Temple <br /> LEGAL DESCRIPTION OF FOOPERTY(SHOW BELOW OR ATTACM FOUR COPIES) <br /> �or7&6 e�ocK �G3 oF Plat of Everett �ind Co. �� ...,,���. �,�,nnucooc �rre-R <br /> / <br /> uuuii"oo"� <br /> B SRCiI �4.5� <br /> ;R <br /> JOBACDflE55 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEA.� FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—NHNDLG UNITS—H.P. <br /> BATHTUB FORCEDAIRSYSTEMS—B.T.U. MEA. <br /> LAVATOqV�WASHBASIN� UNITHEATERS—B.T.U. M <br /> SHOWER CLOTFIES ORYERS <br /> KITCHEN SINK 8 DISP. VF_NTILATION FAN <br /> UIS�iWASHER RANGE HOOD <br /> LAUNDRV TRAV W'ATEri HEATER <br /> CLOTHES WASHER N100D STOVE <br /> URINAL METAL FIREpLACe d CHIMNEV <br /> 7RINKING FOUNTAIN FIREPLACEINSERT _ <br /> FLOOR DRAIN HEAT PUMP _ <br /> BACNFLOW PREVENTERS GAS PIPING <br /> flOOF DRAINS—FiAINLEADERS E%HAUST FAN � _ <br /> SINK(SERVICE—BAR,ETC.) <br /> SUBTOTAL S SUBTOTAL S <br /> PERMIT S P�HMIT 5 <br /> TOTALFEE S TOTALFEE f <br /> FRONTSETBaCK REAnSETBaCK SiDESEiBACN PLANCHECY,NUMBER FEE RECEIPTNO. <br /> USEZONE LOTAREr1 VACAN�S�TE FEES BU�L�INGCOOE FEE <br /> ❑VES ❑ NO <br /> IVPEOFLONSiFUCiICNALl01VABlf lYPEOF�ONS7AUTI0NACNAI ��W'�uK` NOAPDVh41NGt1NII5 BUILDING S <br /> PLUMBIN3 <br /> SIZEOFBLOG. NO.OFSTORIES BASEMENT <br /> ❑YES ❑ NQ MECHANICAL <br /> OCCUPANCYLOAO FIFESPRiNKLERSREO-0 HEIGNTLIMITATION OTHER <br /> ❑YES ❑ NO <br /> REFSON FOP SPFINNLERS STATE BUILDINu SURCHARGE 4 SO <br /> STATE ENERGY SURCH.�RGE <br /> APPLICATIONACC.BV �16AFPROVEDBY CITY OF EVERETT <br /> ,�y��° LUCAL SALES PU3LIC WOFKS <br /> �'�'� TA;: GODE IS TOTAL 4 so I <br /> 31 D5 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> l � I <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN qpDRLSS FIl C G (J �J �J � <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />