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f <br /> (hrEt•i•rA'�'�'�'n � ��7NSTRUCTION - <br /> CITY OF <br /> eVeY'ett PERMIT PERnniTNo. L `fU � � <br /> 259 -8810 <br /> � n H ❑ DEMOLITION O COMBINATION ❑ BUILDING ❑ MECHANICAL SACPLUMBING ❑ SIGN <br /> [1 �, <br /> t OWNER AIAILAOORE55 CIiY '.IP PMONE <br /> � H Everett School District #2 4730 Colby Ave Everett 98203 339-4350 <br /> G H TENANT A�AILAD�RE55 CITY 21P VNONE <br /> .�., y�C! N 6fadison Elementary School <br /> yC � PnLMiIECTOPOESiGNEl1 I.IntLADDRE55 Crtv LP PNONE <br /> z <br /> !i O <br /> GENERALCONTPNCTOR MAILRODPE55 CIiY 21P PHONE I�CENSE� <br /> �H � <br /> yy(3'�� <br /> MECMPNICAIGONiRACTOR MAIIPD�RE55 CITY ZIP PMONE 4CENSE� <br /> � x <br /> O H d i'LUMBWGCONTR4LTOR RINL�DORESS UTV ZiP PMONE LICENSE� <br /> x1 � l7 Owner <br /> M O <br /> �y (� CLASSOFWOFN <br /> z H�" ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITtON ❑ BUILDING RELOCATION <br /> � y � CONTACT PERSON AND PMON[NO IF OTNEP TMAN AUOVE <br /> �..� y CONTRACT PRICE OF 1VORK�S <br /> �y� �ESCRIpEWORNnND50UABEfOOTqG@INVOLVEO <br /> (�]C C~n 2 connections H - portable bldg. <br /> � t� � <br /> H f/J c�nn�n. �„�ou nnnnu'ta'�;�;.�;.�: <br /> y O fA rnovoseo we or om�oiHc � <br /> Classroom <br /> IEGALDESCRIPTIONOFPROPENTY�5H01Y0E101'/ORATtACHFOURCOPIES) PLEG^ ^^ S�O.00 <br /> �or— oiocrc—oF if888�''8'B <br /> FLEG S�D.QO <br /> EI IEEI' ft B BB <br /> �ou nooness <br /> 616 Pecks Dr. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET� A:C—NHNOLG UNITS—M P. _ <br /> BATMTUB FORCED AIR SYSTEh1S—�T U. M EA. <br /> '�1 LAVAiOflV�WASM�PSIN) UNITNEATERS—BTU. �d <br /> SHOWER CLOTHESDRYERS <br /> ' ' KITCHEN SINK d DISP. �'[NTIlAT10N FAN _ <br /> DISHWASMER F��NGE HOOD <br /> '�' IAUNOflYTRAY �'lATERHEATER <br /> CIOTHES WASHER w00�STOVE <br /> ' ' URINAL METAL FIREPLACE 8 CMIMNEY <br /> � <br /> ORINKING FOUNTAIN FIREPLACE INSERT <br /> '�' FLOOflORAIN HEATPUMP <br /> 1 ' BACKFLO\Y PREVENTERS GAS PIPING <br /> _ ROOFDRAINS—RAMLEADERS EXHAUSTFAN <br /> $INK(SERVICE—BAR,ETCJ <br /> '=, connections 10 00 <br /> I�' SUB TOTAL 5 LO OO SUB TOTAL 5 <br /> PERMIT S �.O OO PEPMIT f <br /> �1TOTALFEE f 2O OG TOTaLFEE S <br /> ' fRONTSETBnCK REAOSETOACK Si�ESETpnCrc PLANCHECNNUId9ER FEE AECEIPTNO. <br /> 1 USE ZONE LOi APER VRCANT SITE FEES BU�LOING COOE FEE <br /> ❑YES ❑NO <br /> ' tt1EoiCaN9PuciqNaLL011notF 1Ylfof[ORSiFULO�HnCIWL ('„W{;�' NOOfo'AELLinGUYlis BUILDING $ <br /> PLUMBING ZO OO <br /> - 5¢EOFBL�G NOOFSTORIES BASEMENT <br /> ❑YE$ ❑NO MECHANICAL <br /> OCLUPPNLYIOAp FlPESPflINNLER5PE0D MEIGHtLIMITAIION OTHER � <br /> ❑VES ❑ NO <br /> nEAsorv Fon sanirvK�enS STATE DUILDING Sl1RCHARGE <br /> STATEENERGYSURCHARGE <br /> qPPLIGATIGNACG BY PLANSAPPROVEOflY CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS <br /> TAX CODE IS TOTAL zo 00 <br /> 3105 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN pDDRESS fILE ��, �� l� L � <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />