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`�c�`��" C��+NSTRUCTION � - <br />everett PERMIT PERMI7N0. 24373 <br />259-8810 <br />❑ DEMOLITION BS COMBINATION $7 BUILDING ❑ MECHANICAL ❑ pLUMBING O SIGN <br />���R MAILAODRESS CITY Zlp PMONE <br />Gordon Bjorg PO Box 4145 Bellevue 98009 459-3256 <br />IENANT MRILApDRE55 CITY ZIP PHONE <br />ARGHITECTORDESIGNER AIRILPODR[55 CITY ZIP PNONE <br />Architectural Planning Consultants PO Box C92000 Belleuue 98009 451-8696 <br />GENERRLCONTRACTOR MAILADDRESS CITY ZIP PMONE �ICENSE• <br />Pacif.ic I�s. Prop. Inc. PO B�x 9145 Bellewe 98009 455-2245 PACIFRP132QC <br />MEGNqNICALCUNTPACTOR MqILFDDRESS CITY 21P PMONE LICENSE� <br />PWMBINGCONTRACTOR MRILADDRE55 CITV pIP PHONE UCENSE• <br />CUS? QF WORK <br />}� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTRACT PRICE OF WORK: $ <br />� <br />PROPOSED USE OF BUILDING <br />SFR <br />LEGRL DESCHIPTION OF PROPERTY �SM01V �ELOW OR ATTACM FOUF COPIES) <br />LOT� BLOCR_ OF <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />¢ WATER CLOSE7 (TOILET) <br />Z BATHTUB <br />5 LAVA70RY�WASHBASIN) <br />Z SHOWER <br />1 KITCHEN SINK 6 DISP. <br />LAUNDRVTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING F�`��'NTAIN <br />FLOOR �RAI': <br />BACKFLOW PHEVENTERS <br />ROOF DRAINS — RAINLEA <br />SIIIK ISEHVICE — BAR, ET <br />FRONT SE <br />USE 220NE <br />5996sf & 1 <br />OCCUPANCYLOAD <br />n/a <br />SPFINKIERS <br />ACC. <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />FEAR SRBACK <br />lOT AREA OI <br />NO OFSTOPIE.'� <br />2 <br />FIRE SPOin;;,LERS RE00 <br />� ves �:iWo <br />f <br />S <br />FEE <br />)E SETpqCK <br />5' <br />CANT SITE <br />VES O NO <br />?."'•'.',�r hV OiDI <br />S ❑ NO <br />MEIGHT LIMITATION <br />28' <br />���Hoveoe. I CITY OF EVERETT <br />� LOCALSALES <br />TAX CODE IS <br />3105 <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 160 DAYS. <br />GONTAGT PERSON A4D PIiONE NO. IF OTHER THAN 480VE <br />MECHANICAL <br />A/C — A/HNDLG UNITS — <br />FORCED AIR SVSTEMS — �i <br />UNIT HEATERS — B.T.U. <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATEH <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIN <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPIhG <br />EXHAUSTFAN <br />PLAN CHECK NUMPER <br />90/24373'. <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />CTHER Pldll check <br />STATE BUILDING SUFCHP <br />/ <br />� <br />SUBTOTAL <br />PEflMIT <br />TOTALFEE <br />FE�,%S .13 <br />(Pd 722. <br />STATEENERGYSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />ADDRFSS FILF <br />S 257,955 <br />S <br />f 80 00 <br />RECEIPT NO, <br />33299 <br />FEE <br />1,192 50 <br />�� � <br />52 33 <br />4 50 <br />TED THIS IS YOUR <br />C, 1� `l l v <br />