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thrfiirrA'�'�'�•n �ONS�RUCTION �` �- <br />Cli i lJf <br />everett PERMIT PERMITNO. Z3O97 <br />259-8810 <br />�j DEMOLITION ❑ COMBINATION ❑ BU�LDING ❑ MECHANICAL O FLUMBING ❑ SIGN <br />ro�rvrn n�nn annia[�s cnv iir ; 4onE <br />Randy Clark P.O. Hox 708 Mukilteo, WA 98275 827-8196 <br />1lN4Ni AINI AODRC55 GTY ZIP 1`IIONE <br />"•CIIOECTOIiDE51GNER MAp �D�pf55 CITY 21P FI:ONE <br />QENEML CONi0PC1 Oq <br />SYi[itdf%XNOfDII[!fX SBMtldtK <br />niEu�nr�iC�� cn�+ranaoq <br />PIUA��iNG CC4TRACTOR <br />CUS$ O� 1YORR <br />❑ NEW O AGDITION <br />CONTRACT Pf710E OF WORK: S <br />DESCRIBE\VORN ANDSOUAAEPOOTAGEINVOLVED <br />Demolish sfr <br />M�IlA�Ol1[55 CIIY 21V PMONE LICEM.E� <br />K Select Iiomes s�r.F�WT � � nxta <br />umi nonnEss citr zin rnC•.e �iceNSE. <br />MAIL 4DDIi[55 CIiV 21P t'HONE ' ICENSE � <br />❑ ALTERATION ❑ REPAIR � DEMOLITION ❑ BUILDING RELOCATION <br />PAOPOSED US[ O� BWLDMG <br />LEWI DESCRIPTION OF Pq01'ERiY �SHOIV pElO1V OR ARACM FOUP COPIE51 <br />ior Z i—Z�iocK 821 �� Evexett Di'� A <br />�on noeAess <br />PLUMBING <br />NO. TYPE OF FI%TUNE OR ITEM <br />WATER CLOSET (TOILE?� <br />BATNTUB <br />IAVATORV�WASHBASIN) <br />SHOWER <br />KITCHEN SINK d OISP. <br />OISHWnSMER <br />UUN�RY TRAV <br />CIOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BAGKFLOW PREVENTFRS <br />ROOF DRAINS — RAINlEAOERS <br />SINK (SEPVICE — BAR, ETC) <br />FRONTSETDACN <br />SUBTOTAL <br />PERMIT <br />TOTl1l FEE <br />NERR SETBFCN <br />lOT AREN <br />1YfFplLON9PLCiNtHA1IPNFNLE In�O( <br />UF STORIES <br />S <br />CONi�CT PEIt50N AKO PNONC NO IF OTHER THAN ROOVE <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />NC — NHNDLG UNITS — H.P. <br />FOfiCED AIR SYSTEMS — fl7.U. M EA. <br />UIJIT HEnTERS — BS.U. M <br />CLOTHES DRVERS <br />VENiILATION'AN <br />RANGEHOOD <br />WATER H=ATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSEFT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />PLAN CIIECK NUM�ER <br />FEE <br />�(}l)V�f.Y4 { <br />b! . <br />EA — - EIPT NO <br />N000°7:45 <br />VACANTC.ItE � � � <br />❑ ves ❑ NO FEES <br />ncruni «�;�,�" r+oornxnukcurv�rs BUI'_DING 16�i TER <br />�L) <br />PLl1M�ING � <br />OASEMENT <br />❑ ves ❑ r,o MECHANICAL FLEG <br />OCCUPANGVLOAD ��RIiSPPINKLERvRWD HEIGFTLIMITATION OTHER � <br />�O VES ❑ NO ^ � � <br />nensor+vo�+s�nrt+KtEas STATE �UILDING SURCHAFGE B SF:CH <br />h: W � <br />STATEENERGYSURCHARGE � �., <br />APPLIC�T�ONACC [1V PLANSAPPfiOVED�V C�TY OF EVERETT <br />LOCAL SAL�S rueucwc>nres BLOG <br />S.If TAX CODE IS TOTAL LLL <br />3105 �"' ' <br />— WHE�J PROPERLY VAIIpATE <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN A�OtiESS �ILE <br />180 DAYS OR CEASES FOR MORE THAN ',80 DAYS. <br />00 <br />� <br />00 <br />� <br />� <br />50 4 <br />L�U — <br />SU <br />�— 4 <br />Gn <br />,�YOUR PERMIT <br />�'�jli�� i <br />