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`��E°�" �°'` �NSTRUCTION "� '``� <br /> CITY OF �7 <br /> everett PERMIT PERMIT NO. � � I O� � <br /> 259 -8810 <br /> I� DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNEfi M/IL AD�RE55 <br /> CITV ZIP PHON[ <br /> Lyle E B1ank PO Box 2266 Everett WA 98203 252-3326 or 355-9726 <br /> CITY ZIP PNON� <br /> TENANT MAIL ROORESS I <br /> I CITY ZIP PMONE �'�, <br /> ARCMITCCT OR pE51GNER M/IL ADORE55 <br /> PHONE LICENSE• ��. <br /> GENERAI CONTPI CTOR MAIL A�DRESS cirv B��p 110LLP <br /> Lyle Blank Same pNONE LICENSE• <br /> •NECHANICRLCONTPACTOR <br /> MAILADDRE55 CITY Z�P <br /> PWM��NG CONTRACTOR MAIL AOORESS <br /> CITY Zlf' PMONE IICENSE• <br /> CLASS OF WORN <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR � UEMOLITtON O BUILDING RELOCATI N <br /> CONTACT PERSON AND PMONE NO IF OTHER TMRH AWVE <br /> Cph7RACT PRICEOF WORK�$ LY10 E Bld71k 252-332� <br /> DESCRIOE��ORN AND SOUARE FOOTAGE INVOLVED <br /> Gemolish garage, part of conditions of Short R3c� �'�division #12-91. <br /> PROPOSED USE OF OUIIDING <br /> LEGAL�ESCIiIPT10N OF PROPERTY�SMO W OELOW OR�Ti ACN FOUR COPIES� <br /> � 4 1 Beverly Home Tracts , Div 1 <br /> LOT— OLOCK--OF <br /> JOOPO�RE55 � <br /> 7624 Rainier Dr <br /> PLUMBING MECHANICAL <br /> � TYPE OF EOUIPINENT FEE <br /> Np, TYPE OF FI%TURE OR ITEM FEE NO. <br /> 0.�C—A'HNDLG UNITS—H P. <br /> WATER CLOSET(TOIIET) <br /> FORCEO AIR SYSTEM$—6.T U M EA. <br /> BATHTUB M <br /> UNiT HEATERS—BSL. <br /> LAVATORVIWASNBASIN) C�pTHES DRVERS � <br /> SHOWER <br /> VENTILATION FAN <br /> KITCHEN SINK 8 OISP. RANGE HJOD <br /> DISHWASHEF <br /> WATER HEATLR <br /> LAUNDRY Tf7AY WOOD STOVE <br /> CLOTF.ES W/+SHER <br /> AIETAL FIREPLACE&CHIMNEY <br /> URINAL .. <br /> FIREPLACEIN�ERT �T:, <br /> DRINKING FOUNTAIN . � � " " <br /> HEAT PUh1P <br /> FLOOR DRAIN GAS PIPMG <br /> BACKFLOW P�5VENTERS E%HAUSTFAN � <br /> flOOF ORAINS— RAWLEA�ERS � <br /> SINK(SERVICE—BAR.ETG) � �� <br /> SUOTOTAL S <br /> SUBTOTAL 3 S <br /> PERMIT <br /> PENMIT s S <br /> TOTALFEE <br /> TOTAL FEE S RECEIPT NO. <br /> FPONTSETp�CK FEPRSETBACH SIpESEipACN PLANCNECKNUMBER FEE <br /> USE20NE LOTAREA VPCRNTSITE FEES OU�LDINGCODE FEE <br /> ❑VES ❑ NO 5 —O— <br /> lYl'EOFCONSiHOL70NA11015'>fllE ttl'EOFGONSIPUCiIONACNAI °f�^�::�,P ��OFONEIIINGUtdiS BL11lUING <br /> PLUM6ING <br /> 512EOFBlDG NOOFSTOf11E5 �ASEMENT <br /> ❑VES ❑ NO MECHANICAL <br /> QCC��pp��C���pp FIRESPRINNIERSREO'0 HEIGHTLiMITAT10N �THFR <br /> ❑ YES ❑ NO �- �G <br /> STATE BUILDING SURCHARGE _ <br /> HEASON FOR SPIiINNlEFS <br /> STATEENERGVSURCHARGE <br /> AAPLICATIONACC l3Y r�nr+snaa�oveour CfrY OF EVERETT pU�LICWORKS <br /> LOCAL SALES J� � <br /> TAX CODE IS TOTAL `� ' <br /> 3105 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> � <br /> PERMITS EXPIRE IF WORK IS NOT COMM�NCED WITHIN ADDRESS FILE > / '� 1 F,' � <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />