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--.----� <br /> (heEoergreen . , � <br /> CITYOF � �NS����TION � <br /> ��ere�� ��RIYII�r PERMIT NO. _ G � � '� �� I li <br /> 2�9 - 8810 I <br /> [�DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN � <br /> i <br /> OIYNER MAILAD�RES$ GITY ZIP pHONE I <br /> David Schrueder P.O. Box 991 Port A�geles 98362 <br /> TENANT ���ILADORE55 CITV ZIP PHONE �I I <br /> 1RCNITECTORpE51GNER MAIIADORE55 CITV ZIP PHONE I <br /> G[NER�LCONTRACiCR 1.1A11A0�RE5S CITV IIP pHONE LICENSEw I <br /> Everett Const. & Exc. 14220 S. Lk Crabapple Marysville 98270 EVEIt�CE124WA i <br /> M1fECHANICALCONTR4CT00 MAILAC�PESS GTV ZIP PHONE LIGENSE• I <br /> PLUMBINGCONTRACTOR �dAILA0DRE55 pTV ZIP PHOtIE LICENSFn i I�I <br /> — I <br /> CLA55 OF 140R'. I I <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR �] OEMOLITION ❑ BUILDING RELOCATION 'i <br /> CONTAGT PERSON AND?HOYE NS IF OTHER THFIJ ApOVE I II <br /> CONTRACT PRICE OF WORK S I <br /> OESCRIBF,IYORKFNDSOU�AEFOOTAGLINVOLVED i �I <br /> Demolition i <br /> PROPOSEDVSEOFBUILOING � � <br /> srx 220o sf i <br /> �EGAL OESCRIPTION OF PFOPERTY�SH01'I pELOW OF ATTACH FOUH COPIES� I I, <br /> wT— e�ocK Z?� oF Church and LnMoures Add Lots 17, 18, and 's of 19 I <br /> J0�A�DRESS �I <br /> �4�4 12th t. I <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A�C—A/HNDLG UNITS—HP. <br /> BATHTUB FORCED AIR SVSTEMS—B.T.U. M EA. <br /> LAVATORV(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> SHOWEFi CLOTHES�RVE�..; <br /> KITCHEN SINK 8�ISP. VENTIL�TION FAN <br /> OISHWASHER RANGE HO00 <br /> LAUNDRYTRAV WATEF HEATER <br /> CLOTHES WASHEfi WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNE'/ � <br /> DRINKINGFOUNTAIN FIREPLACEINSERT '� <br /> FLOOR DRAIN HEAT PUMP I <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF ORAINS—RAINLEADERS E%HAUST FAN <br /> SINK(SERVICE—BAR,ETCJ � <br /> sue rorn� s su��rdialfL'9 ' :."�s'; L'0^„`:'7':''t '• :- - <br /> PEHMIT S PEFMIT S <br /> TOTALFEE 5 TOTA4.�F.�7��S S <br /> FfiONT SETBACK REFfl SETOFGK SI�E SETfiACr; PLAN CHECK NUMBEfi EEEi�U. ._,BE�EIPT NO. <br /> i�'�_._._1 i, <br /> USEZONE LOTAREA VAf,qMSiT[ �"� ��n <br /> ;]VES ❑ NO <br /> PEES .;-�e yaoi pocooe � "nn FEE <br /> IYIfOFCa'�Sifl1lGilOHAlLOYlApIE 7YPEGGCONSIPpC110NAGiUAL ��^:�;;�� NOOFpWEIIINGUN175 BUILDING S <br /> PLUMBING <br /> SIZE OF�LDG NOAF STORIES �ASEIALNT <br /> ❑YES p NO MECHANICAL <br /> GCCUP�NCVLO�O FIRESPF.INKLEP5REOD H[IGHTLII.IITATION OTHE(i <br /> ❑ YES C NO <br /> r+ensoN von saaiNk�e�vs STATE OUILDING SURCHARG[ 4 SO <br /> STATE ENERGY Sl1RCHARGE <br /> nnrucnnor�ncc ur PLANSP.PPROVG��Y CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORNS <br /> TAX CODE IS TOTAL 4 50 <br /> S.H. 3105 <br /> WHEN PROPERLY VALIDATED THIS IS YOUR PERMI7 <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHW p,pppr55 flL[ ' ' i ' <br /> 180 DAYS OR CFASFS FOR MORE THAA! 1E30 DAYS. - ' ` <br />