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I <br /> UieEuergrecn e �NSTRUCTION � � '� � �, <br /> CITY OF <br /> eVerett PERMIT �eRnniT �o. _ �� �'� ��� �? � <br /> 259 - 8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN � <br /> OWNER 6iAiLA��RESS CRY ZIP pl10NE I <br /> ���y. * * 510 Rainier Ave S. Seattle 98144 323-5393 <br /> TENANT MAILADDRE55 CITY ZIP PfIJ'!E <br /> ARCHITECTORDESIGNER MARAD�fiE55 CITY ZiP i'HONE <br /> GRlERALCONTRALTOR MAILqODRE55 GITY 21P PnONE UCENSE� <br /> MECHANICALLONTRr1CTOP h1AILA0DPESS CITY Z1P PHONE LIGENSE� <br /> Tri State 13420 NE 16th Bellewe 96005 643-3830 TRISTI*245NZ <br /> PWM9INGCONTRACIOR MAILAODRE55 CITV ZIP VMONE LICENSEe <br /> CLA55 OF WORK <br /> OgNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O OEMOLITION ❑ BUILDING RELOCATION i <br /> [ONTACT PERSON ANO PHONE I.O IF OTHEF THAN ABOVE '� <br /> CONTRACT PRICE OF WORK: $ <br /> UESCfiIC1E YlORN AND SOUAPE FOOTFGE INVOLVED � <br /> Ventinq �I <br /> PROP05E01�5E OF BUII.pING <br /> AUt. i <br /> �EGAL�ESCRIPTION OF PpOPERTY�SHOW BELOW OF ATTACM FOUfi COP�ES� i <br /> LOT- BLOCK- OF <br /> 60 units at 612 s£ I� <br /> 40 units at 868 sf � <br /> JO�A�DRESS <br /> PLUMBING MECHANICAL OS/18/90 1�49F'M OOOANib�b �k'k:l::l: <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPME T FEE <br /> WATER CLOSET(TOILET) A/C—A'HNDLG UNITS—H. . '- i <br /> BATHTUB FORCED AIR SVSTEMS—B. . M E/C I <br /> LAVATORV(WASH BASIN) UNIT HEATERS—B.T.U. <br /> SHOWER CLOTHES DRVERS `�' <br /> KITCHEN SINH 8 DISP. VENTILATION FAN ` ` ` ° <br /> DISHWASHER RANGEMOOD , <br /> LAUNDRVTRAV WATERHEATER I <br /> CLOTHES WASHER WOOD STOVE ' <br /> URINAL METAL FIREPLACE 8 CHIMNEV <br /> DRINKING FOUNTAIN FIREPLACEINSERT <br /> FLOOfl DRAIN HEATPUMP <br /> BACKFLOW PREVENT'cR5 GAS P�PING <br /> ROOf�RAINS—flAINLEAJERS E%HAUSTFAN <br /> SINK(SER19CE--BAR.ETC.) <br /> SUB TOTAL 5 SUBTOTAL S � <br /> PERMIT 5 PERMIT S <br /> TOTAL FEE S TOTAL FEE S <br /> FnonT SET6ncK qEAR SEipACH SiDESETOnCK PLAN CHECH NUMBLR PEE RECEIPT NO. <br /> USEZONE LOTAREA VACANTSITE � <br /> ❑UILDINO CODE <br /> ❑vES ❑ No FEES „ T FE� � <br /> i1t{OFGONS1AUCilONALLOWABLE 7VF40FCONSLPUCiIOHACiUAL °���W�',�� NOOFON'ELLMGUNi15 BUILDING $ � <br /> � <br /> PLUMBWG <br /> S12EOF�LDG NOOFSTOPIES �ASEMENT I <br /> ❑YES ❑ NO MECHANICAL 301 OJ <br /> OCCtiPANCY�O�D FlNESPFINHLERSREOD HEIGHiLIMITAT10N OTHER <br /> ❑VES ❑ NO <br /> NEASON FOR SPflINKLERS STATE BUILDING SURCHARGE <br /> STATE EIJERGY SURCHARGE <br /> APPLICAT'CYACC BV PLANSAPPROVEDBV CITY OF EVERETT <br /> LOCAL SALES PUBUCVJi:RKS <br /> s.x. TAX CODE IS TOTAL 3015 00 <br /> _3105 WHEN PROPERLY VALInATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN AD�RESS FII.E 2 �6 � r, I <br /> �BO DAYS OR CEASES FOR MOFlE THAN 180 DAYS. � <br />