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CITY OF EVERETT <br />�`�' �►;pi�STRUCTION � ''"� <br />PERMIT PERMITNO. 2HOgO <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION G BUILDING �MECHANICAL ❑ PLUMOING ❑ SIGN <br />OWN[R IdAILA��RE55 CITv ZIP PHONE <br />Puget Consumers Coop 9201 Roosevelt Way NE SEattle, WA 98105 547-1'l22 <br />TENANT MAILAD�RESS CRv 21P PHON`c <br />Puget Consumers Co-op <br />ARCMITELTORDESIGIJEF 1AAILAD�RE55 CITY ZIP PHONE <br />GENERFLCONTRdUOR MAILADDRESS f,ITY 21P PMONE LICENSEY <br />h1EGHl.NICALCONIRACTOR MAILAODRESS CIN .. PHONF. UCENSEx <br />R;[ P� t�lh� F H1-[� 9f1 R ii7i R rl ri WT QR(ll7 A(.11 7l17� ASVCPI-1�!],rjAllT <br />PLUM9MGCONTf1A�TOF MAILAOORE55 � ��T�� ZIP PHONE UCENSE� <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION X7 ALTEHATION <br />CONTRACT PRICE OF WORK: � 950. 00 <br />IRIBE W ORK AN� SOUARE FOOTAGE INVOLVED <br />Install gas piping only <br />❑ REPAIR ❑ DEMOLITION <br />CONTACT PERSON AND PHONE N0. IF 0 <br />❑ BUILDING RELOCATION <br />11i07/9� 1�59FM OOORN04�6 k'KI'I <br />PROPOSED USE OF BUILDING �I�00^c8090 <br />Oo-op store urru gG� aa <br />LEC+ALOESCRIPTIONOFPROPERTV�SMOWBELOWORAiiACHFOURCOPIES� ��C�,�, �G.S.OQ <br />LOT__ BLOCK _ OF <br />JOBA�DRESS <br />9121 Evergreen Way <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />W4TER CLOSET (TO�LETI <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS - RAINLEADERS <br />SINK ISEFiVICE - BAR, E7C.) <br />USE ZONE <br />TVPE OF fANSTPpCi109 FLlO'N� <br />SIZE OF dLDG. <br />OCCUPAII;:Y LOA� <br />REASON FOP SPPINHLERS <br />APPIIC�TION ACC. BY <br />SUBTOTAL <br />PEflMR <br />70THLFEE <br />OF <br />STORIES <br />❑ YES ❑ NO <br />MECHANICAL <br />FEE N0. iYPE OF E�UIPMENT <br />A�C -f✓NNDLG UNITS - H.P. <br />FORCEDAI9SVSTEMS-D.T.U. MEA. <br />UNITHEATERS-B.T.U. M <br />CLOTHES �RYERS <br />VENTILATION FAtJ <br />5 � <br />S �5 <br />SIOE EET�iCK <br />VACANT SITE <br />❑ YES ❑ ��O <br />occu�+•:n u0AF0'NELLING <br />cau� <br />BaSEMF.tlT <br />�] VE� ❑ NO <br />H�IOYT LIM!TAi ION <br />PLANSFPPRJVFDBY I CITY OF EVERETT <br />LUCALSALES <br />TAX CODE IS <br />3105 <br />WATER HEATEH <br />WOODSTOVE <br />�dETAL FIREBLACE 8 CHI�dNEV <br />FIREPLhCGIN5ER7 <br />HEAT PUh1P <br />GAS PIPIIJG _ <br />E%HAUSTFAN <br />SUBTO7AL 5 <br />PEFiMIT S <br />TOTALFEE 5 <br />;HECKNUIdBER FEE HECEIPTNO. <br />FEES �UVpLUATION�E FE <br />BUILDING <br />PLUMBING <br />IdECHAMICAL <br />OTHER <br />STA7E DUILDING SURCHARGE <br />STATE ENERGY SURCHAFiGE <br />PUBLIC WORKS <br />$ <br />TOTAL � <br />WHEN PROPERLYVALIDATED <br />IS YOUR PERMIT <br />PERMITS EXPIFiE !F WORK IS NOT COMMENCED WITHIN Z g Q J v <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. HnuHtSS 'rit_t <br />