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`hQE°��` - �L NS�RUCTION <br /> CITY OF <br /> everett PERMIT PERMITNO. 266� 3 <br /> 259 - 8810 <br /> ❑ DEMOLITION ❑ COMBMATION 7(%}BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MRILr1DDRE55 QTV 21P PHONE <br /> Temple Beth OR 3215 Lombard Everett, WA 98201 259-6650 <br /> TENANT M4ILADDRE55 CITV 21P PHONE <br /> ARCNITECTORO[SIGNEN MNILADDRE55 CITV ZIP PMONE <br /> GENERALCONTRACTOR MAllA0DRE55 LITY ZIP PMONE LICENSEa <br /> Owner <br /> MELNANICAL CONTRACTOR MAIL AODRE55 CITV ZIP PMONE LICENSE• <br /> PLUTABINGGONTFACTOR MAILA�ORESS CITY 21P PHONE UCENSE• <br /> CLAS$OF WORK <br /> ❑ NEW �}(�DDITION ❑ ALTERATION ❑ REPAIR f,�DEMOLITION ❑ BUIL[�ING RELOCATION <br /> CONTACT PERSON ANp PMONE NO.IF OTHEF THAN ABOVE <br /> COtJTRACT PRICE OF WORK:� Paul Vexler or Mike Cross 259-6650 <br /> DESCRIBE WORN AND SOUAPE FOOTACE INVOLVED <br /> ACICI1t10R <br /> PROPOSEO USE OF BUILDING <br /> Temple <br /> LEGAlOESCFIPTION OF PROPERTY�SMOW OEIOW OR ATTACH FOUR COPIES) <br /> 'G D5/OB/91 �:41AM �OORk6B76 k'k::K:k <br /> �or�= �LOCK�ICJOF p>>'* Of FpeYett Tand C'o. <br /> N0002668: <br /> � ., <br /> FLN CH 512.68 <br /> JOB ADORE55 � <br /> 3215 Lombard H00049682 <br /> .� �� . <br /> PLUMBING MECHANICAL , <br /> h10. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E9UIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HNDLQ UNITS—HP. <br /> BATri i UB FORCED AIR 3Y::TEMS—8 T.U. M EA. <br /> LAV.ITORV(WASH BASIN) UNIT HEATERS-�B.T.U. M <br /> SHOWER CLOTHES DRVERS <br /> KITCHEN SINK 8 DISP. VENTILATION FAN <br /> DISHWASHEP RANGEHOOD <br /> LAUNDRV TRAV �'�'�l ER HEATER <br /> CLO'fHES WASHEfl H'OOD STOVE <br /> UFINAL METAL FIREPLPCE 8 CHIMNEY _ <br /> DRINKING FOUNI'AIN FIREPLACE INSERT <br /> FLOOR DNAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING _ <br /> FOOF ORAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> SUB TOTAL S SJBTOTAL S <br /> PERMIT f �EPMIT f <br /> TOTAL FEE S TOTAL FEE f <br /> FRONTgETenCR REARSETBncR SIDESETonCK PLANCHECKNUMBER � FEE 189,15* RECEIPTNO. � <br /> 5' S' S' _ 91/26683 �pd 176.47) 49526 <br /> USEZONE LOTAPEA V/CANTSITE FEES BU�LDINGCOOE <br /> �_� p vES }�' NO FEE <br /> rvPEOfCONSiRJCiIONFtIUYTBLE iYPEOFLONSIFUL710NAC7UAl ��0�"�10� NOOf01'dLLINGUNi7S BUILDING S <br /> V-N V-N A-3 -- PLUMBIY� <br /> SIZEOF9LOG NO.OiSTORIES 9ASEMENT <br /> 4035sf ❑ VES ❑ NO MECHAN;CAL <br /> OCGUPANCYL04D FlRESPFiNKLEFSREOD HEtGMTLIMITFT10N oTHEr� *Addl plan C�C ee <br /> 12 68 <br /> 178 ❑ VES ❑NO gp� . <br /> r.EASONFORSPPiI�NLERS STAT�BUILDINGSURCHANGI 9 SO <br /> STATEENERG�SURCHARGE <br /> APPLICATIONACC BY PLANSAPPROVEGBV CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS __ _ <br /> BE & SM TAX CODE IS TOTAL 308 18 � <br /> 3105 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN FlCi�;16f�S rlt� L � � '� � � <br /> 180 DAYS OR CFASES FOR MORE THr1N 180 DAYS. <br />