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`�� C'�NS�RUCTlC�N � - �7 <br />everett PERMiT PERMiTNO. � f��O <br />259-8745 <br />�y DEMOLITION ❑ COMBINATf6N ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING � SIGN <br />OWNEP MAIIAODRE55 QTY ZIP �ONE <br />unir�d Pacific Salvage P.O. Box 2222 Everett, WA 98203 258-2888 <br />noruocr�tnPh[Vf.NFP MFILPOOR[55 GITY Z:% PHONE <br />GENER�L CONIR�CTON MRIL ADDRE55 LITY ZIP �IONE IICENSE • <br />Same <br />MECNFNIC/LGONiRPf,TOR MAILRGDRESS CITY 21P PMONE LICENSE� <br />RUMBING GONTRACTOP MAII ADORE55 CITV ZIP P�iOnE UCENSE � <br />;LnSS OF WORN <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR <br />/RWNTION OF WORN <br />S <br />JESCRiOE WORK <br />Demolition - debris to be hauled to Bryant <br />HEnr souncE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTUVE <br />home <br />' " ` 659 <br />ior _ o�ocK — <br />1 6 2 <br />JOO�O�AE'. <br />260% Vl1 <br />PLUMBING <br />Dev #1. S. 30 ft of Lots <br />TYPE OF FI%7URE <br />WATER CLOSET (TOILET� <br />BATNTUB <br />I.AVATORV (�'ASN OASIN) <br />SMOWEP <br />KITCHEN SINK R DISP. <br />DISHN'ASl1ER <br />LAUNDRYTRAY <br />CLOTHES WASNER <br />�IRINAL <br />DRINKING FOUNTAIN <br />FLOOH DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADE <br />SINk (SERVICE — BAq. EiC � <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />iRONT$E181CN R[AN SETOPCN <br />USE20NE IOTAREA <br />TYPEOFLONST OCCUP�NCYGR <br />512E OG BLDG NO OF STOPIES <br />FIRE SPRINHLEPS REOUIRED ❑ YES ❑ I <br />�PPLICNTIONACC �Y TIAN;CHECNEI <br />M.M. I <br />❑ OEMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATION <br />I HEREDY CEfiTIFY T"' C I HAVE READ AND EXAMINED THIS <br />APPLICATION AN6 ��� DW THE SAME TO BE TRUE AND <br />CORRECT. AlL PR� � �310NS OF I.AWS AND ORDINANCES <br />GOVERNING THIS i�. �E OF WORK WILL BE CONPLIED WITH <br />WHETHER SPECIFIEJ IIEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO <br />VIOLATE OR CANCEL T E PROVISIONS OF ANY OTHER <br />STATE OR L(�y'j�L` LA REGULATIN�ONSTRUCTION OR <br />THE PERFO��KNCf"� CONSYRUCTJO <br />......,.�..ws Tn9�Kn AGftliFi'll� NER DAiE <br />FEE NO. TYPE JF EOUIPMENT <br />A�C — AMNDIG UNITS — H P. <br />flEfRIGERATIONUNITS—N7 EA. <br />BOILEHS — B T U-N P. <br />GAS FIRED A C. UNITS — BS U. <br />FORCED AIR SYSTEMS — � TL. M EA <br />\YALL1/'cAIEflS—�TU M <br />UNITMEATERS—�TU M <br />EVAPORATII�[ CDOLERS <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGEHOO� <br />\YAT[R MEATER <br />WOO� STOYE <br />METAL FlPEPLACE 8 CMIMNEV <br />FlREPLACEINSERT <br />HEATPUM? <br />GAS PIPING <br />EXMAU�TFAN <br />f <br />SIDE SETBnCK <br />VACANT SITE <br />❑ Y[5 ❑ NO <br />UP NO OF DWELUNG UNrtS <br />MA% OCC IORo <br />O <br />py APCRfO�i�55U�NC[t3Y <br />L.C. <br />,' <br />SUBTOTRL <br />PERMIT <br />TJTRLFEE <br />FEE <br />FEES VALUATION FEE <br />BUILDING S -O- <br />PLUM�ING � 1 i ^I <br />MECHANICAL � <br />IIG <br />INVESTIGATION PEE i-S . � 4��) �� _ <br />SirTE BUILDING SURCNARGE RO:�O�GO47 <br />J^N .�l 1 L � J <br />STATEENERGVSURCHARGE CHECf: 94.00 <br />DRNEWAV PERMIT <br />TOTAL <br />PERMIT VALI�ATION <br />WHEN PROPEIILY VALIDATED pN THIS SPACF.) TNIS IS YOUR PERMIT <br />1 <br />1150 <br />