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'h`F�"��" �' -�CONSTRUCTIOt� '�� <br />CITY OF <br />everett PERMIT PERMITNO. _ G5111z� <br />259-8810 <br />E1 DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILA�DRESS CILY ZIP PMONE <br />Gary 7:egg 1501 Rainier Ave. Everett 98201 252-5G49 <br />TENANT MAI� AUORE55 CITY ZIP PMONE <br />APCMRCCTOPOEo�.NER ��niLAO�RESS CITv 21P P110NE <br />GENERALCONTRACTOR AIRILAOORE55 CIIY ZIP PHONE LICENSE� <br />AIECHnNICnL CONTRAGTOR MAIL ADDRE55 CITY LP PHONE LICENSE � <br />PLUM9INGCONTPACTON AIAILAD�RESS CITV 21P PMONE LICENSE• <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />I CONTACT PERSON ANO YHUrvt rvU. ir �� ntn ��.rv no�.c <br />CONTRACT PRICE OF WORK: S <br />IBE WOFK ANO SOURRE FOOT <br />Demolish garage <br />PROPOSED USE OF OUILDING <br />LEGAI �ESC��PT�ON OF PROPERTY �SMO1Y BELOW OR ATfACN FOUR COPIES) <br />LpT - BLOCN -- OF <br />See Attached <br />JOB ADDRESS <br />1501 Rainier Ave. <br />PLUMBING <br />NO. TYPE OF FIXTUHE OI <br />WA7ER CLOSEf (TOILET) <br />BATHTUB <br />LAVATORY�WASHDASIN) <br />SHOWER <br />NITCMEN SINK 6 �ISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLON PREVENTERS <br />ROOF CRAINS — RAINLEADERS <br />SINK (SERVICE — BAP, ETC.) <br />FPONTSETBRCK <br />USE20NE <br />fVPE OF GUNSIPUC71f N ALIU� <br />SIZE OF BLOG <br />OCCUPRNCYLOAp <br />REASON FOR Si'RINNLEf <br />APPIICATION ACO BY <br />SUBTOTAI. S <br />PERMIT S <br />TOTALFEE 5 <br />>R SETBPCK Si <br />LOT FREA <br />NO OF STOPiES <br />nqE SGRINNLERS PEO'D <br />❑ YES ❑ NO <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — NHNDLG UNITS — H.P. <br />FORCEDAIRSYSTEMS—B.T.LL �d <br />UNITHEATEflS—B.T.U. , / [ ' <br />CI.OTHESDHVERS J <br />VENTILATIONFAN unnn?�,1 <br />Ff.NGE NOOD �; �(.'{'.N <br />WdTEPHEATER 'j�j (1��^4? <br />N]ODSTOVE F;I Q(i <br />METTL PIREPLACE 8 CHIM Y J ,{.� <br />FIREPLACE INSERT F: SRC�a <br />MCATPUMP ��i 1 <br />GAS PIPING rµ�ru <br />EXHAI'ST FAN <br />SEiBnCK <br />CANT SItE <br />VES ❑ NO <br />YES ❑ NO <br />MEIGNT LIM1IIT�TION <br />°P I CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />SUBTOTAL <br />PERMIT <br />CNECKNUMBEF <br />FEES <br />BUILDING S <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATE ENERGY Sl1RCHARGE <br />PUBLIC WORKS <br />TOTAL <br />WHEN PROPERLY VALI <br />FEE <br />� <br />f <br />S <br />RECEIPT NO. <br />IS <br />PERMITS F.XPIRE IF WORK IS NOT COMMENCED WITHIN q[ �qESS i ILE 2 510 C <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />4 <br />� <br />tT <br />