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_�, <br />� <br />� IheFoergrecn �"�-. � -. <br /> ��TYaF ('��NSTRUCTION -� <br /> � everett PERMIT PERMITNO. _ �5n �� , <br /> 259 - 8810 <br /> O DEMOLITION O COMBINATION ❑ BUILOING � MECHANICAL � PLUMBING ❑ SIGN <br /> y OWNER MRILAD�PE55 C�tY ZIP PNONE <br /> � �� �fl88flxxx�4khxitx�xSB Jim Smith 10830 19th Ave SE �verett 745-2300 <br /> y TENFNT MAILAOORE55 C�TY ZIP FIIONE <br /> Linn Hagstrom (dental lab) 10830 19th Ave SE Everett 745-2300 <br /> .�jH� w ARLNITECTOROESIGNER MPILAODRESS CITY ZIP PIIONE <br /> � �� Don Councell 2812 Colby Ave Everett, WA 98201 252-1111 <br /> � (7 GENERRL CONTBALTOR MAIL ApOAE55 CRY ZIP PMONE LICENSE/ <br /> ��o ld�akk Custom Builders 6695 NE 202 Seattle, WA 98155 485-5737 CUSTOB240�8 <br /> H � MELHnNiLALGONiRACTOR b'AILAODPE55 CrtY 21P PIIONE LILENSE� <br /> y y� North Park Heating 19204 Ballenger Way NE Seattle, WA 98155 NORTHPH348LF <br /> x PLOMBINGCONTRFCiOP MAqA0DRE55 CITY ZIP PHONE LICENSE� <br /> �qy ty Riverside Plumbing 6135 NE Bothell Way Seattle, WA 98155 RI�IERC158NA <br /> oH <br /> � c�nss or wonn <br /> �y•� ❑ NEW O ADOITION [XALTERATION ❑ pEPAIH ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> z H� CONTAGT PEPSON ANO YNON[NO.IF OTMEN THAN ABOVE <br /> � y COMTRACTPRICEOFWORK:S 3,500, plumbing, $700 heat¢ing <br /> �ESCRiBEWONNANOSOUANEFOOTAGE1NVOLVED <br /> �y y Plu�bing and mechanical for tenant improvement <br /> �y H <br />� � Wy�Gt <br /> y �v POOPOSED USE OF BN�pING <br /> y �y dental lab <br />� � LEGALOESCBIPiiONOFFROPERTY�5HOW8ELOWONnnACNF0URC0�'iES� <br /> LOT� OIOCK�OF <br />� JCBAODRE55 <br />' 10830 19th Ave SE <br /> PLUMBIN�: MECHANICAL <br /> NU. TYPE OF FIXTURE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILET) S OO A/C—A/HNOLGUNITS—H.P. <br /> BATHTUB FORCED AIH SVSTEMS—B.T.U. M EA. <br /> LAVATORY�WASHBASIN� S OO UNITHEATEFS—BT.U. M <br /> '�' SHOWER CLOTHES ORYEPS <br /> KITCMEN SINK d DISP. L ENTILATIGV FAN <br /> ' ' DISHWASHER 1 RANGEHOOD <br /> � <br /> LAUNDflVTRAY WATERHEATER <br /> ��' CLOTHES WASHER W007 STOVE /O 1 ip z 'k';'[:�; <br />� URINAL METAL fIREPLACE 6 CMIMNEV <br />� 1 ' DRINKING FOUNTAIN FIREPLACE INSERT O <br /> � <br /> FLOOR DRAIN HEAT PUMP f"j <br /> 1 BACKFI,OW PREVENTEflS GAS PIPING (i <br /> � ROOF ORAINS—RAINLEADERS EXHAl15T FAN <br /> SINK(SERVICE—BAR,ETC.� Z O O O <br /> 1 suerorn� s 30 00 SUBTOTAL s 30 00 <br /> ' PEflMiT S � — PEPMIT 5 ],S OO <br />. TOTALFEE S 3O OO TOTALFEE 5 �]S OO <br /> ' FRONTSETBACK qEnRSEiBACK Si0[SELonCK PLANCHECNNUM�ER FEE RECEIPTNO. <br /> II �I USEZONE LOTPPEA VACANi51TE <br /> FEES um�ov+ccooe FEE <br /> _' ❑YES ❑NO <br /> ttPFOFLONSlflULP�NAll04¢ABIE 1YPEOfCON51NULilONARUaI 'K�"a,��';°' NOOfpNiIIINGUNCS B�ILDING S <br />' ' PLUMBING 3 OO <br /> $IZEOF�IOG NOOFSTORIES BASEMENt <br />' �.-�- ❑YES ❑NO <br /> MECHANICAL Q OO <br />. OCCUPANCYIOAp Flp[SP(VINNLERSREO'0 ME�GMTlIM111TAT10N OTHER <br /> ❑YES ❑ NO <br /> nensoNronSrPir+K�ms ` STATEBUILOINGSURCHARGE <br /> STATEENFRGYSURCHARGE <br /> APPLICATIONACC.BY P�nr,snaNnoveoor . CITYOFEVERETT <br /> LOCAL SALES PUBLIC WORHS <br /> M.M. TAX CODE IS TOTAL 75 00 <br />' 3105 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIM AUUHESS FiLE 2 5 O J C: <br /> 180 DAYS OR CEASES FOR MOHE THAN 180 DAYS. <br />