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t��'�" C �NSTRUCTION <br />CITY OF <br />everett PERMIT PERMITf�O. 24629 <br />259-8810 <br />g&1 DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILADDRESS CITV ZiP PHONE <br />Gordon Bjorg X88�7flNX PO Box 4145 Bellevue 98009 <br />TENANT MRILAODRESS CITY 21P PHONE <br />ARCMITEGTORDESIGNER MAILADORE55 CITY ZIP PHONE <br />GENERRLLONTRACTUR MRILADORESS pTY ZIP PMONE UCENSE• <br />Bill U'Brien & Sons 5037 - 33rd Avc W Everett 98203 't5�-4254 <br />MECMANICFLCONiRACTOP MRILAD�RESS CITY 21P %10NE UCENSE• <br />PIUMBINGGONTRpCTOR MNLADORE55 CITY 21P <br />CLASS OF WORN <br />❑ NEW ❑ ADDITION ❑ ALTEHATION ❑ REPAIR <br />CONTRACT PRICE OF WORK: $ <br />Demolish Sinale familv residence <br />PNONE LICENSEn <br />❑ BUILDING HELOCATION <br />LONTACT PERSON ANO PHONE NO. IF OTHER THAN ADOVE <br />PROPOSED USE OF BUILOING • <br />LEGAL DESCRIPTION OF PROPERTV (SNOW BELOW OR ATTACM FOUR COPIES� <br />lOT- BLOCK _ OF <br />JOBAODRE55 <br />954 N. Park Dr. <br />PLUMBING <br />No. rrve oF <br />WATER CLOSET (Ti <br />BATHTUB <br />USE20NE <br />SHOWER <br />KITCHEN SINK 6 DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />URINAL <br />DRINKING FOUN7AIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADEFS <br />SINK ISERVICE — BAR. ETC.1 <br />SUB TOTAL f <br />PERMIT f <br />TOTALFEE f <br />1R SETBNLK SIDE SETOACN <br />fAqEA VACANTSITE <br />n ves n No <br />iYR ^f LUNS7PUf,(IONAILCM1YABLE Ittl'E Of CONSiRUC1lON AG7UAL <br />S2EOFBLOG. <br />OCCUPqNLVi0A0 <br />REPSON FOR SPRINNLEI <br />APPLICATION ACC. BV <br />OF STORIES <br />❑ YES ❑ NO <br />IE SPRINKLEFS REOD MEIGNT LIIV�TATION <br />VES ❑ NO <br />FIRE DEPT. TRAINING DEMO. <br />CfTY OF EVERETT <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />MECHANICAL <br />A/C — A/HNOLG UNITS — H.P. <br />FnRCED AIR SVSTEMS — B.T.U. <br />UNIT HEATERS — B.T.U. <br />CLOTHESDFYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />PLAN CHECK NUMBER <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />T <br />BUILDING S <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILDING SURCHARGE <br />ST�TEENERGVSURCHARGE <br />PUBLIC WORKS <br />M EA. <br />M <br />FEE <br />S <br />RECEIPT NO. <br />FEE <br />THIS IS YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENf�ED WITHIN ADDRESS FILE Z 4�� J <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />