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(heEcergreen �^ �NSTRUCTION ��� `���� <br /> CiTY OF <br /> everett PERM11' PERMITiVO. Z I 9U 1 <br /> 259 -8810 <br /> p DEMOLITIJN O COMBINATION ❑ BUILDING �7 MECHANICAL �1 PLUMBING ❑ SIGN <br /> OYINER a .1 MAILAD�RE55 CITV 21P PHONE <br /> IN <br /> Juneau a3u '.-zuto 4630 200th SW Suite G Lvnnwood 98036 771-4867 <br /> TENANT MAILADDRESS LiTV ZIP PHONE <br /> nRCMITECTOROESIGNf.N MAILAD�RESS CITV ZI? PHONE <br /> GENERALCONTRACTOR MBILADORESS CITY ZI? PMONE LiCENSE♦ <br /> MECHqNICqLCONTfl4CTOR MAILA�DflESS CITY Z'P PHONE LILENSE� <br /> FWMliNGCONTRA6TOR MAILA�DPESS CITV ZiP PHONE LiCENSEe <br /> ::t.�tewide Mechnaical P.O. Box 5338 Lynnwood 98046 ,$"T�L�� Zy� F� <br /> aass ec;�onK <br /> _O NEW ❑ ADDITION ❑ ALTEqAT10N ❑ pEPAIR ❑ OEMOLITION ❑ BUILDING HELOCATiON <br /> CONi/CT PEFSON AND PMONE NO.IF OTHEB 1HAN ABOVE <br /> CONTRACT PRICE OF WORK:$ <br /> DESLRIBE IVORK AN�SGUARE fOOTAGE INVOWED <br /> _ PLumbing <br /> PRGPOSEJ USE OF p W L�ING <br /> Day Care <br /> LEGAL DESGBiPT10N OF PROPEPTY�SMOW 9ElOW OR ATTACH FOUR COPIES) - <br /> LO'__BLOCK_OF <br /> JO�ADORE55 <br /> 9709 Holl Dr <br /> PLL'MB!NG I;".ECHANICAL <br /> NO. TYPE OF FI%TURE OR IT�Id FEE NO. TYPE OF EOUIPMENT FEE <br /> j0 WATERCLOSET�TOILET� A/C—A/HNDLGUNITS—H.P. <br /> $ BATHTUB FORCED AIR SVSTEMS—B.T.U. h7 EA. <br /> ( LAVATORY(WASHBASIN) UNITHEATERS—BT.LL M <br /> SHOWER CLOTHESDRYERS <br /> ( KITCHEN SINH 8 OISP. VENTILATION FAN <br /> ], OISMWASHER � RANGEHOOD <br /> 1 IAUNDRYTRAV WATERHEATER <br /> _ CLO7HES WASHER WOOD STOVE <br /> _ URINAL METAL FIREPLACE 8 CHIMNEV <br /> 1 DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> FOOF DRAINS—RAINLEAOERS EXHAUST FAN <br /> SINK(SERVICE—6AR,ETC.) <br /> SUB TUTAL S SUB TOTAL S 6 S O <br /> PEflM1T S PF.pMIT S LS 00 <br /> TOTALFEE 5 TOTALFEE S ZZ SO <br /> FnoNrSEtBnCrc REnaSETaqCN SioESErBncK PLANCHECKNUIdBER FEE RECEIPTNO. <br /> usezor+e 4/17/89 11:3. RH OOOAH5:�33 C"k':'s::i <br /> LOTAREA VACR!lTSITE <br /> O YES ❑No FEES eu��oi cooe FEE <br /> 1vCE0F[ONSiHUCiIONAILOWqBLE ttPEOFCON57qUCilONAC7UAL °C�nau�� NOAFUWFLLINGOkIIS BUILDING � <br /> � <br /> PLUA!BING NECH $� ,� 125 00 <br /> Si2[OF9LDG NO.OFSTOqIES pASEMENT <br /> ❑YES ❑NO MECHANICAL �" 5 <br /> 21 50 <br /> CCCUPqNC'/LOAD FIqESFRINNlER5flE0'D HEIGHTLIMITATION <br /> ❑VES ❑NO OTHER <br /> ��r,�soN roR sanmK�ens STATE BUILDING SURCHARGE <br /> 4aPLICATIONACGBV PLANSAPPqOVEDBV STATEENERGVSURCHARGE <br /> CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS <br /> s.H. TAX CODE IS rora� <br /> 3105 196 50 <br /> WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORIC IS NOT COMMENrED WITHIN ^ <br /> 160 pAYS OR CEASES FOR MORE THAN 180 DAYS. ADDRESS FILE 21 � � <br /> �. �.; ; <br />