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the Euergreen ^ <br /> everett ��N��R UCTI OIV -- <br /> 259 - 8745 PERNII�' PERMITN(�.^ �O7SJ <br /> � DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNEF MNiL AOpRE55 CITv <br /> JO H� Hodencam Z�P PHONE <br /> P 3220 I,ombard Everett, WA 98201 252-4912 <br /> ARCHITEGT OR OESiGNEq MFIL AUORE55 CITV <br /> Z��' PHONE <br /> GENERAL CONTPAGTOq MAIL FDDRESS CITY <br /> Z�P PHONE LICENSE� <br /> Owner <br /> MECMqNIC/L CONTRACTOR MAIL ApDRE55 CITY <br /> 21P PMONE �ICENSEM <br /> PLUMPINGCONTRACTOR MAILAppRE55 CITY ZIP PHONE �ICENSE• <br /> CLASS OF WORN <br /> ❑ NEW ❑ pDDITION ❑ AITEfiATION ❑ REPAIR � DEMOLITION ❑ BUILDING RELOCATION <br /> VALUATION OF'NORK <br /> b —Q— <br /> CESCRIBE vIORR <br /> Demolish 35' x 35' shed <br /> MEATSOUNCE <br /> C ELECTRICITY O GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSE�USE OF BUILOING <br /> -- I FiEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> �EGRLOESCRIPTIONOFPROPERTY�SMOWpELOWp{iATTAC11i0Ui1COPlES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCK � OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED �iEREIN OR NOT. THE GRANTING OF A <br /> N 1/2 of I,ot 22 and Lot 23, Block 36$ 764 PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> Everett La.nd Co. lst Addition STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> �aonooeess - THE PERFOR ANCE OF CONSTRUCTION. <br /> SiG RE OF TRACTOR,AUTNOR4E0 AGENT,Oq OWNEti OATE <br /> 3220 Lombard <br /> � � �� 9/2/88 <br /> PLUMBING ME HANICAL <br /> NO. TVPE OF FIXTURE OH ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET� A/C—A/HNDLG UNITS—NP. <br /> BATHTUB REFRIGEPATION UNITS—HP.EA. <br /> _ LAVATORV�WAdMOASIN) BOILERS—B.TLIH.P. <br /> SHOWER GAS FIRED A�C.UNITS—O.T.U. <br /> KITCHEN SINK 8 OISP. fORCC-D AIR SYSTEMS—BS.U. M EA. <br /> DISHWASHER Wq�LHEATERS—BS.U. M <br /> LAUNDRVTRAV UNITHEATERS-9.T.U. M <br /> CLOTHFS WASHER EVAPORATWECOOLERS <br /> URINAL CLOTHESURYERS <br /> ORINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAI�' RANGE HOOD <br /> BACKF�OW PREVENTEFS WATER HEATER � <br /> ROOF Dfi41NS—RAINLEADEflS WOOD STOVE <br /> SINK(SERVICE—BAR,ETG) ME7AL PIREPIACE 8 CHIMNEY <br /> FIqEPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUB TOTAL S SUBTOTAL <br /> PERMIT S PEHMIT <br /> TOTAL FEE S <br /> TOTAL FEE <br /> FIVONTSETBACK q6���.3ETpACK SiDESETBACK P�qNCHECKNUMBER fEE <br /> RECEIPT NO. <br /> USE20NE �pTAqE� <br /> VACANTSRE <br /> ❑res ❑No FEES VALUATION FEE <br /> TYPEOFCONST. OCCUPANCYGROUP NO.OFOWtLLINGUNITS BUILDING S —O— <br /> ��� <br /> PLUMBING <br /> SI2E OF p(,pG NO OF STORIES h1AX OCC LOAD <br /> MECHANICAL O9IO2IBB Z:4 FH OOOR :. . .k. <br /> INVES7IGATION FEE ���� <br /> FIRE SPPINKLERS REOUIRED ❑VES ❑NO <br /> STATE BUILDING SURCHARGE B SRCH $ •SO 3 50 <br /> +PLICATIONACCpV PLr1N5CHECNE09Y STATEENEfiGVSURCHARGE <br /> APPR FOq ISSURNCE pY <br /> DRIVEWAV PERMIT <br /> MM <br /> TOTAL 3 50 <br /> PEPMIT VALIDATION <br /> WHEN PROPFRLY VALI�ATED�IN THIS SPACE)THIS IS VOUR PERMIT <br /> �..�� <br /> � <br /> �` <br /> Q <br /> N <br /> _ ..' C�:., i ! � <br />