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l•J l•l � <br />�% � ".1.' <br />C, H <br />�Hcn <br />H�� <br />K n <br />H �1 <br />�V7H <br />[sf O � <br />OH <br />H�g <br />�i] Y (�] <br />�y� <br />t�/� y <br />gd� <br />��� <br />HOfy/� <br />",`.`:�`.`.�.T'".,' ^ONS�RUC7'ION <br />QTY Of nC <br />everett PERMIT PERMITNO. �4J`]O <br />259-8810 <br />7 DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL �] PLUMBING ❑ SIGN <br />o�vr�eq aini�noun[ss arv ziv v�+or�[ <br />Everett School District 2302 Everett Ave. Bverett, t9A 98201 339-4350 <br />iCNANT MFIt,A�DRC55 QTY i�i' PIIONE <br />Same as above <br />nn[Nit[cr on o[smHen <br />uni�aooness cirv zir aHor+[ <br />Same <br />GCNER.ACOMt1ACTOR Mni�RODP[55 QiV ZiP PIIONE IICENtiL• <br />Same <br />I,IECII�NIG�LCONTRACLOR AIFILADDRE55 CITY SIP PHONE L�C[NS[• <br />Same <br />PWAIpINGCONTIIALTOR MMLAO�RC55 CITY ZIP CHONE LICENSE� <br />Holmstads 3211 Broadway Everett,WA 98201 259-9131 HOLP1SP132LK <br />CLn550F N'O�N <br />n.��w n enniTinu �l nL7ERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILOING RELOCATION <br />CONTACT PERSON ANp P110NE NO IF OTM[�� innrv auwc <br />CONTRACT PRICE OF WORN: S <br />K'OHKnNO50UnqEFOOTnG[ <br />FROPOSED USE OF pUILDING I <br />Day Care/Class Rooms I <br />LEGnL OESCIiiPiION Of PROPERiY (SM01Y pELOW OR ATTACN fOUA COPiES� <br />lOT � �IOCN - Of I <br />�oonoonEss <br />1110 Poplar (liawthorne Blem) <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />1 \VATERCLOSET�TOILET� <br />1 BATHTUB <br />]. LAVATORYIWASH BASIN) <br />SHOWER <br />1 NITC!1EN SINK 8 DISP. <br />], �ISHWASHEP <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAI <br />_ OPINKING FOUNTAIN <br />FLOOR DRFIN <br />DACKPLOW PREVENIEPS <br />ROOF DRAWS — PAINLEADEFS <br />SINK �SERVICE — �AR. ETCJ <br />SUBTOTAL S <br />PERMIT S <br />TOTALFEE S <br />vanursFtnar.a eEnqseroncrc , <br />USEZOrvE <br />irie ov camsixucuox ni im+:i <br />SiZE OF OLDG <br />OCCUPANCYLOnD <br />nensor� ron svnrtm�rn:: <br />LUTAREA <br />nrz or cor�siaucnmi <cm: <br />NO OF STORiES <br />FlPE SPqINNLERS RE00 <br />❑ YES ❑ NO <br />FEE <br />� 11 <br />scTnncn <br />vncnn*:arc <br />] YES ❑ NO <br />,.���„� xaorn. <br />VES ❑ NO <br />HCIGMi UI.IITATION <br />�ar I�=iar.snrmaov�onr I CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />PERMITS [XPIRE IF WORK IS NOT COMMENf:cD WITHIN <br />180 DAYS OR CEASES FOFi MORE THAN 180 DAYS. <br />MECHANICAL <br />N0. TVPE OF EQL1U <br />A, C— A�HNDLG UNIiS — H P. <br />FORCED Alfi SVSTEM$ — 0 �� <br />UNITHEATERS—OTU F� <br />CIOTHES DRYERS Cf <br />VENTILATION FAN <br />RANGEHOOD <br />WATERHEATER <br />METAL FIREPLACE d CHIMNEY <br />FIREPLACE MSERT <br />MEAT PUh1P <br />GAS PIPING <br />EXNAUSTFAN <br />SUOTOTAL <br />PERMIT <br />M <br />S <br />I TOTAL FEE S � <br />PLAN CHECk NUMf3[P FEE RECEIPT NO. <br />�UILDIN3 S <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE DUILDING SURCHARGE <br />STATE ENEfiGV SURCHARGE <br />rueuc wor�Ks <br />TOTAL <br />WHE�J PROPERLY VALIDATED <br />nurress �i�� <br />35 <br />YOUR PERMIT <br />,-f���j`��, <br />G <br />