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`�E ��"� `°`` G'''9NSTRUCTION ^ '�`` <br />everett PERMIT b�ERMITNO. _ G.J���� <br />259-8810 <br />� DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILADDHE55 GITY ZIP PHONE <br />Dr. Steven Linari 1209 Madrona EvereL-t WA 259-4780 <br />TENANT MAILAD�RE55 GITY 21P �NONE <br />ARCMITEGTOflDE51GNER MAILADDPE55 CITY ZIP PHONE <br />fiENERALCONTPPCIOR MnILA00Rf_SS CITY ZIP PMON[ IICENSEM <br />Dutch Hill Construction 79�0 137th ave SE Snohnm;=h wp qg qn SFp_���'� nnmrurClllnl <br />MECHANICALCOWTRAGTOR MAILAUDilE55 CITY 21P PMONE LIGENSE� <br />PLUMBING LON'IRqCTON MAIL ADDHE55 GITY ZIP PMONE IICENSE � <br />CU55 OF WOPN <br />❑ NEW CJ ADDITION <br />CONTRACf PRICE OF WORK: $ <br />v DESCRIBEWJPItAND50UAREi00TAGE <br />Demoli:ah garage <br />❑ ALTERATION <br />VROPOSE9 USE OF BUIL�ING <br />Garage <br />LEGAL DESCRIPTION OF PPOVEFTY (SHJW tlELOW OR ATiPCM FOUH COPIE51 <br />LOT -- BLUCK _ OF <br />East half of Lot 37-C1 of Maple Heights <br />J084DDRESS <br />1209 Madrona <br />PLUMBING <br />MO. TYPE Of <br />WATER CLOSET ITI <br />8 DISP. <br />LAUNDRY <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADE <br />SINK (SERVICE — BAR. ETC.) <br />USEZONE <br />tVf4 OF CONSiPUC110N ALLUV�i <br />size ov o�oc <br />OCCUPPNCYLO/0 <br />PEASON FOP SPRINNLEflS <br />APPLICATION AGC. OY <br />ii9,:l <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />REAPSETBACK <br />LOT AREA <br />1VPE OF CONSiPUCtION ALID� <br />NO. OF STORIES <br />FIRE SPRINKLERS REO'D <br />❑ YES ❑ NO <br />ANS APPROVEO �V <br />smeseruacK <br />❑ REPAIR �{1�DEMOLITION ❑ BUILDING HELOCATION <br />CONTAC" PER50Y ANO PHONE NO IF OiHEB THnN ABOVE <br />VACANT SITE <br />❑ YES ❑ NO <br />�*"'an�o � q0 oFOWELIixG <br />YES ❑ NO <br />NEIGMI IIMITATION <br />CITY OF EVERETT <br />LOCALSALES <br />TAX COCE IS <br />MECHANICAL <br />A/C — A/HNDLG UNITS — H.P. <br />FORCED AIR SVSTEMS — B.T.0 <br />UNIT HEATERS — B.T.U. <br />CLOTHESDRVEflS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL <br />PERMIT <br />CHECKNUMBER <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE 8 W LDING SUflCHARGI <br />STAI-EENERGVSUPCHARGE <br />PUBLIC WORKS <br />TOTAL <br />FEE <br />R <br />M EA. <br />M <br />FEE <br />S <br />S <br />S <br />RECEIPT NO. <br />f11 W�1M^'� lf�� <br />FEE <br />4150 <br />4 <br />PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN � `� J I 6 4 <br />A�C ,E55 FlLE <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />