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x C'�1 <br />�ay <br />,ozz <br />C'. H <br />t9" � (/� <br />y xH <br />� H� <br />o x. o <br />�sJ N �J <br />tn ri <br />y r <br />� o �i <br />H C7 <br />H/��� <br />y� V Cq] <br />> H [�1 <br />r z <br />HH <br />g�' <br />H <br />c❑� G V� <br />t�l � M <br />Z H cn <br />HOV� <br />CITY OF EVERETT <br />�ONSTRUCTlOf� <br />P��MIT PERMITNO. 281�7 <br />259-88i0 <br />?i8 DEMOLITION ❑ COMBINATION ❑ BUILOING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILADDBES$ GITY 21P PHONE <br />Providence Hospital 916 Pacific Ave Everett, WA 98201 258-7853 <br />IFt�nNT !.!AI�AD�AE55 CiTY 21P PMONE <br />Widowed information & Consultation Services 3212 Nassau <br />T��Cu1LCTOROES�GN[R h1AILA�URE55 GITY ZIP P��ONE <br />Gi1�LRaLWNTPACTOR 1daILA0��F55 GITv 2iP PMONE LICE115E• <br />Dennis Alskog 7006 Wade Rd Arlington WA 982�3 659-1041 DEh1NiAD214NQ __ <br />A�[CrmNiGRLCONTRALTOR I.IAILA�DRE55 CiTY ZP P CNE LIGENSE <br />PWt•.�MGWNiRACTOR MAiLADDRESS CIiY ZiP PMONE LICENSE� <br />:LASS OF \YORK <br />CI NEW ❑ ADDITION <br />CONTFACT PRICE OF WORH: S <br />D[SCRIBE \VORN AND 501!APE FOOTAGE <br />Demolish & Haul : <br />❑ ALTERATION <br />10,640.00 <br />house - 1600sf <br />❑ REPAIR h1H DEMOLITION ❑ BUILDING RELOCATION <br />�CG4TALTPERSGNAN�PHO�lENO iFOTHERTHANApOYE <br />J. L. Lorenzen 258-7853 <br />� <br />PaOFO5E0 USE Oi DViL01NG <br />_,.,.'�' _:.�7."u l:`I[?;:�: - .. <br />i[GA� DESCHiPTION OF PPOPERiV ISHGY! OEIOW OR ATtaCH FOUR GOPi[5� � <br />io* 5-1 o�ocK.�ZioF �verett Div. H. D-00 (4375-773-005-0006) n000�Bi97 <br />5 SkCN k4.�0 <br />l:000?85^9 <br />sEu_� :�.se <br />; _n��r .,��.�,�, <br />�ooncoaces <br />3212 Nassau St. <br />PLUMBING <br />�0. TVPEOFFI%TUF <br />WATER CLOSET;TOILET� <br />BATNTUB <br />LAVATORV �WASH BAS�HI <br />SMOWER <br />NITCNEN SINK A DISP <br />�ISHWASHE� <br />LAUNDRYTRAV <br />CLOTMES WASHER <br />UHINAL <br />URINNING FOUNIAIN <br />FLOOP OPAIN <br />BPCRFIOW PREVENiEf75 <br />Ii00F DRAINS - RAINLEAO <br />SINK ISERVICE - BAR, ETG <br />vnon�seronc� <br />usezoue <br />TYPE OF CON9PUCi'.OA> <br />'�..'E OF OLDS <br />OCf,IIPANGV LOAD <br />i+l: a50N FCR SPRINrcI <br />,.:=��i �cnnarv:,cc. ov <br />MECHANICAL <br />E OR ITEM FEE NO. TYPE OF EOU�PMENT <br />AC - A H4DLG UNITS - H.P <br />FOflCEDAIRSVSTEMS-B.TU MEA. <br />UI�ITHEATERS-D.T.U. �A <br />CLOTHESORVERS <br />VENTILATIO�I FAN <br />RANGEHOOD <br />1YATER NEATER <br />SUB TOTt.L 5 <br />PERt.11T 5 <br />TOTqLF[E 5 <br />nrn�� st mack so[sctonc <br />LOIAf[� VACAHI9IE <br />❑ ves C <br />lYPE0GG1�N5iRURiONRCtUA� ���s�'0;�� N'� <br />RO OFSI0RIB5 045EM[NT <br />❑ r[5 � <br />i'iRLSPF:NNLER5PL00 HC.iGMT <br />❑Y[5 ❑NO <br />'LANSAPPROV[Df,V <br />Demo apprvd <br />by 6SP, Ping <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />METAL FIREr'LACE S <br />HREPLACE WSERT <br />NEAT PUMP <br />GAS PIPING <br />� rHAl15T fAN <br />CHECK <br />aui�oiwc <br />PLUMOING <br />h1ECHANICAL <br />OTNER <br />SiATE f3UILDING SURCHARGE <br />STAIEENERGVSURCIIARGE <br />PUl3lIC WORKS <br />TOTAL <br />WHEN PROPERLY � <br />OTALFEE <br />FE[ <br />3 <br />NO. <br />FEE <br />THIS IS YOUR <br />TO POSTING � � v <br />JFY�] <br />9 I 50 <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHW � S 19 7 <br />_ pi'(,�,:EtiS FI! E <br />180 DAYS OR CEASES FOR MOR[ THAN 1 SO DAYS. <br />