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r- <br /> 'h�E°��» - f"7NSTRU��10�1 � <br /> .,ITY OF 2 316 7 <br /> e�erett PERMIT PERMIT NO. <br /> 259 -8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING Q MECIIANICAL ❑ PLUMBING ❑ SIGN <br /> 4AILADORES$ CITY 21P CHONE <br /> 014NEA <br /> Prime I.�and Co. P.O. Box 1230 Everett 98206 c�rr 252-5123 ZP �„oNE <br /> TENANT MAIL ADCRE55 <br /> Prudentinl Insurance <br /> ARCMITEGT OR DESIGNEN <br /> MAILADDRE55 CITY ZIV PF:ONE <br /> GENERRLCONTAAGTOH MAiLADDRE55 CITY 21P PHCNE LIGENSE• <br /> MECMANICPLCONiR�CTOR NARADORE55 CITY 21P PMONE LILEkSE� <br /> G65 Heatin Co. Inc. 500 E. Main St. Monroe cTM 96?72 7941P7306 GSHEA�cE147JD LICENSE� <br /> PW 1ABING CONTPACTOR MNIL RD�RESS <br /> C1A550F WORN <br /> ❑ NEW ❑ ADDITION ❑ALTERATION ❑ REPAIR O DEMOLITTON ❑BUILDING RELOCA 1 N <br /> CONTqQ PERSON AND PMONE NO IF OTMER TMAN ABOVE <br /> CON7RACT PRICE OF WORK:S <br /> DESGR:BE WORK AND FQUFRE FOOTAGE INVOLVEO <br /> Relocate returns and su lies <br /> PROPOSED USE OF BUILOING <br /> Office <br /> LEGRL OESCRIPTiON OFPROPERTY�SHOW BELOW OR ATTI.CH WJ•^.^_^omm <br /> LOT- BIOCK�OF <br /> JO�ADDRESS <br /> ��� <br /> PLUMBING MECHANICAL _ <br /> NO. 7YPE OF FIXTURE OR 17EM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSEi(TOILET) A/C—A/HNGLG UNITS—MP. . <br /> FORCED AIR SVSTEMS—B T.U. M EA.F _ <br /> EATHTUD <br /> �4�;+TORY(WASH BASIN) <br /> UNIT HEAT[RS—8 T.U. M _ <br /> CLOTHESDRYERS <br /> SHOWER <br /> KITCMEN SINK 8 DISP. VENTILATION FAN _� <br /> RANGEH000 <br /> DISMWASHER <br /> WATER HEATE(1 <br /> LAUNDRYTRAV - <br /> CLOTMES WASHER WOOD STJVE <br /> METAL f REPLACE 8 CHIMNEV <br /> URINAL <br /> FIREPLA:EINSERT <br /> ORINNINGFOUNTAIN o; N8397 ���'�'-���� <br /> I�EAT PUMP <br /> FLOOR DRAIN <br /> BACKFLOW PREVENTERS GAS PIPINfi <br /> E%I/AUSTFAN N ��IE� ' <br /> ROOFORAINS—�AINLEADERS 6 S <br /> SINK(uERVICE—BFR.ETC.) <br /> M�G���1L�� <br /> f��I�H ��" <br /> SUB TOiAL f SUB z 6 � <br /> PERMIT f PERMIT f <br /> TOTAL FEE f T0TI1L FEE S <br /> fRONTSETBACK R[ARSEiBNCK SIDCSETB4Ch PLANCHECKNUMBER FEE <br /> qCC.EIPT NO. <br /> USE20NE LOTAPEA VACNNTSITE FEES BVILOINOCODE pEE _ <br /> ❑Y'c$ ❑ ��O $ <br /> tVPLOiCq.'iPIIGiIONRLL!M'GBLE 1Y140LCON5iPUCiIONpLiVAt ��^';` �a�kRIUNGUNnS BUILDING _ <br /> PLUMBING <br /> SIZE O�BLDG NO OF STORtES BASEMENT <br /> ❑YES G��O MECHANICAL S <br /> OCCUPRNCYLOAD fIRESPRMKLER5RE0'0 MEIGHTLIMITAiiON OTHEF <br /> ❑VES ❑ NO <br /> STATE DUILDING SURCHARGE <br /> REASON iOR SFRINNLEFS <br /> S7A7EENERGYSURCHARGE <br /> APPLICATIONACC BY P'_ANSAPPROVEDBV CITY OF EVERETT <br /> LOCAL SALES PUOLIC WORKS <br /> TAX CODE IS rorn�. 21 50 <br /> SH J•w• 3105 <br /> WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EICPIRE IF '.L'ORK IS NOT COMMENCED WITHIN ��,�,,,� , ' ^ <br /> 180 OC.YS OR CcASES FQR MORE THAN 180 DAYS. <br />