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""'F�CI'c <br />C INSTRUCTION <br />OF <br />21868 <br />everett <br />PERMIT PERMIT NO. . <br />1-59-8810 <br />❑ M.ECHANICAL_ZIP ❑ PLUMBIPHONE NG <br />O SIGN <br />6u DEMOLITION L7 COMBINATION 11 BUILDING <br />MAI1 ADDRUY, COY <br />CANER <br />Handy lnves'c. P.O. <br />Box 7575 Everett 98201 252-3409 <br />PHONE <br />MAIL ADDRESS CITY ZIP <br />TENANT <br />MAIL ADDRESS CITY ZIP PHONE <br />ARCHIT ECT OR DESIGNER <br />CITY LI• PHONE <br />LICENSE• <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />2716 Lynnwood 98036 i 778Z3106 CMARTT� E6N0 <br />Martin Trucking <br />P.O. Box <br />LICENSE• <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />CITY ZIP PHONC <br />LICENSE• <br />PLUMBIN3 CONTRACTOR <br />MAIL ADDRESS <br />CLAS$D WORK <br />Cl ALTERATION ❑REPAIR fFI DEMOLITION O BUILDING RELOCATION <br />NEW ❑ADDITION <br />CONTACT PERSON AND PHONE NO I OTHER L11AN ABOVE <br />T OrvrF OF WORK' s <br />_ <br />DESCRIBE WORK AND 50WRE FOOTAGC IM'OW CD <br />Demolish SFR <br />PROPOSED USED' BUILDING <br />SFR <br />LEGAL CIFSCRIPTION OE PPOPERTY ISHO W BELOw OR ATTACH FOUR COPIESI <br />i0'-3 769 Plat of Everett <br />L BLOCK OF <br />JOP ADDRESS <br />3:05 Ruck=r <br />MECHANICAL <br />PLUMBING <br />TYPE OF EQUIPMENT FEE <br />NO. TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />A .- A/HNDLG UNITS - H.P. <br />WATER CLOSET (TOILET) <br />FORCED AIR SYSTEMS - B TU M EA <br />BATHTUB - <br />UNIT HEATERS -- B T.0 M — <br />LAVATORY (WASH BASIN) <br />CLOTHES DRYERS — <br />SHOWER <br />VENTILATION FAN <br />KITCHEN SINK A DISP <br />RANGE HOOD <br />DISHWASHER <br />--- <br />WATER HEATER <br />LAUNDRY TRAY <br />I <br />WOOD STOVE <br />CLOTHES WASHER <br />METAL FIREPLACE d CHIMNEY <br />_ <br />URINAL <br />FIREPLACE INSERT $1•.k <br />DRINKING FOUNTAIN <br />HEAT PUMP <br />FLOOR DRAIN <br />GAS PIFI'dn II0002212 <br />SACKFLOW PREVENT ERS <br />-- <br />EXHAUST FAN BE LIEF'pp <br />ROOF DRAINS - RAINLEADERS <br />SINK (SERVICE -BAR ETC, <br />o <br />uoaD2 <br />sue — <br />SUB TOTAL <br />- PERMIT <br />f <br />TOT <br />TOTAL FEE <br />f <br />vs FWEIPT NO <br />PLAN CHECK NUMBER 'G'FISfI 41 :LILT <br />FRONT SETBACK REARSETDACK <br />SIDESETBACK <br />USE ZONE LOT AREA <br />VACANT SITE <br />BUILDING CODE FEE <br />FEES TION <br />❑ YES ❑ NO <br />S <br />ttff O<CDNSTPIIL11fIN ALLVNABI[ ttFE Of CONSTPUCTgN ACTUAL <br />MI a DWELLING U, 15 <br />BUILDING <br />PLUMBING - <br />SIZE OF 6lD NO OF STORIES <br />BASEMENT <br />MECHANICAL - <br />— <br />❑ YES ❑ NO <br />OCCLIPANLYLOAp FIRE SPRINKLERS REO'D <br />HEIGHT LIMITATION <br />OTHER ---- <br />❑ YES O NO <br />3 50 <br />STATE BUILDING SURCHARGE <br />REA`,ON FOR SPRINKLERS <br />STATE ENERGY SURCHARGE <br />AFPLICATIONACC BY <br />PLANSAPPROVED By <br />CITY OF EVERETT <br />PUBLIC WORKS_ --- <br />LOCAL SALES <br />— — --- 3 0 <br />TAX CODE IS <br />TOTAL <br />S.H. <br />I <br />THIS IS YOUR PERMIT <br />3105 <br />PROPERLY VALIDATED <br />PERMITS EXPIRE IF \VORK IS NOT COMMENI;EO WITHIN ADDRESS FILE 21868 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />