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the Evergreen <br />cirv oF <br />everett <br />259-8810 <br />❑ DEMOLITION <br />OWNEn <br />R C Coleman <br />TEN.INT <br />�` CC'�ISTRUCTIOM '�� Qp <br />ra"r, <br />PERMIT PERIIiiITNO. 23UU� <br />X$ COMB�NATION %$ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />MAILADDRE55 CIT! 21P PHONc <br />15130 - 141st Ave SE Snohomish 98290 481-3055 <br />MAILAODP.E55 CITV 21P FHONE <br />ARCHITECT UA OESIGNER MAIL ADDliE55 GITY ZIP PMONE <br />L Bagley Spectrum Drafting F514 Foster Slough Rd Snohomish 98290 334-2697 <br />GENEF/LC�NT(1ACTOR IAAILApDRE55 CITV ZIP PHONE LICENSE� <br />RCCOLCI152N1 <br />AIECNANiCALCONTRACTOR MAILA�DRE55 GiT' ZIP PHONE ULENSEM <br />PWMBINGCONTRACTOR MAILADDRE55 CITY 21P PHONE LICENSE• <br />CLASS O� WORK <br />X� NEW ❑ ADDITION ❑ ALTERATION ❑ HEPAIR ❑ DEMOLI710N ❑ BUlU]ING RELOCATION <br />CONTACT PERSON AND PHONE NO. IF Oi ntH � nnn nuwe <br />CONTRACT PRICE OF WORK: $ <br />DESCRI9E WCflK ANp SOUAPE FOOTAGE INVOLVED <br />New <br />raoPosco usE oF eui�ui�+� <br />puplex —�9f#3/8^0-0•"��,-:f-Bf3�AN3649-�: <br />LEGf � �ESC9IPTION OF PPOPEHTY �SM01V BELO W OR ATTACH FOUR COPiES) � � <br />�or 1 eiocK—oF (SEE ATTAQiED) k0�23�@.�` <br />ELQG 5612.50 <br />doe noor+ess <br />501 A& B Madison St. <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />�I WATER CLOSET (TOILET) <br />Z BATHTUB <br />4 LAVATORY�WASHOASIN) <br />Z SHOWER <br />KITCHEN SINK 8 DISP. <br />Z DISHWASHER <br />LAUNDflYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTE <br />ROOF ORAIN: — RAINI <br />SINK (F�qVICE — BAR, <br />20' <br />USEZONE <br />R-2 <br />iYiE OF WNSifIULiION ALL <br />V—N <br />SIZE OF OLOG <br />2036sf+576sf <br />OCCUVANCYLOAD <br />n/a <br />R[ASON FOP SPRINKL <br />APPLICATION ACC. E <br />mm <br />SUB TOTAL <br />PERMIT <br />TOTASFEE <br />REARSETBnCK <br />20' <br />LOT AREA <br />8140sf <br />7VVE OF CONSiHOCTION AGiUAI <br />V—N <br />NOAP STOR�ES <br />qe 2 <br />FiRE SPPINNLERS REO'D <br />Ip VES �}Qd0 <br />i�CH si2o.00 <br />B SRCH 36.50 <br />MECHANICAL qp( <br />FEE NO. TYPE OF E�l(�� <br />e�.O OO NC—A/HNDLGUNITS—H�( <br />I.O OO fORCEDAIRSVSTEMS—�.$E� <br />iO QO UNITHEATEAS—B.T.U. �{{ <br />CLOTHES DRYERS <br />ZO OO VENTILATION FAN _ <br />ZO OO RANGEHOOD <br />WATER HEATEF <br />1VOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMF <br />GAS PIPING <br />E%HAUSTFAN <br />� <br />S <br />S <br />SIDE SETBACK <br />5' & 10' <br />VACANTSRE <br />'�iCYES ❑ NO <br />°cnou"r�� NooFDYhIL�NcI <br />R-3 2 <br />BASEMENT <br />❑ VES j(�10 <br />I MEIGHTLIMITATION <br />�a� <br />PLANSAPPROVEDBV I CITY OF EVEr�ETT <br />� LOCALSALES <br />TAX CODE IS <br />3105 <br />4N CHECK NUMBER <br />90/23889 <br />FEES <br />M EA. <br />M � <br />SUBTOTAI S 12� <br />PEflM1T S <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER adal plyn Ck <br />STATE BUILDING SURCHARGI <br />STATE ENERGV SUfiCHARGE <br />PUBLIC WORYu <br />TOTAL <br />ALFEE 5 LZO OO <br />FEE RECEIPTNO. <br />392.28 30197 <br />am�oiee cooe FEE <br />V A <br />5 93,186.00 612 50 <br />100 00 <br />120 �� <br />WFiEN PROPERLY VALIDA <br />I 864.62 xiYiBSt: <br />THIS IS YOUR PERMiT <br />PERMITS EXPIRE IF WORK !S NOT COMMENCEG WI7HIN �"� , r^� <br />AD'JRESS 19LE :':. �� � s� � <br />180 QAYS OR CEASES FOR MORE THAN 180 DAYS. <br />