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"� �� '�~ F'`flNSTRUCTl01� � � <br />everett PERMIT PERMITNO. 24691 <br />259-8810 <br />❑ DEMOLITION �COMBINATION ❑ BUILOING ❑ MECHANICAL ❑ PLUMBINO ❑ SIGN <br />ONNER M�IL �DCRE55 CITv ZIP PHONE <br />IaRock Homea Inc. 16606 Slst Ave. SE Bothell 98012 483-9030 <br />TEN�NT M�ILPOD11E55 fiT� 2iP PMONE <br />♦PCHREGT OR DESiONER ��LL �D011E55 <br />Chuck Lee 731 2nd St. #B Mukilteo <br />6ENER�L CONTR�CTOR M�IL AOO�ESS <br />�Z� <br />CiTY 21P R10NE <br />9d275 745-6569 �Q�(Z2H2�4 <br />CITY 2iP 1'HONEl�, LICENSE � <br />�;IlQ.la�l`l <br />MECN�NIC�LCONiR�:TOR MM�A�ORE55 Ci�V 21P PMONE UCENSE• <br />Horiwn Heating 3601 121st St. SW Ly;u�wcxx? 90837 745-3930 FIORIZt�'137W <br />PLUAIBINOCONTR�CTOH M�Il�D�11ES5 CIIY 21P PHONE LICENSE� <br />Puget Sound Pltanbim3 2024 Casino Rd. Everett 793-9537 PCTG6'PSP14102 <br />CU55 OF WORK <br />I�NEW ❑ ADOITION <br />CONTRACT PRICE OF WORK: S <br />❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ OUILDIN� RELOCATION <br />CONt�GT PERSON �NO PMONE NO li OTHER THAN �BO1'[ <br />................_........_____.._. __.___._.".__ <br />NeW C017BtSl]C�OtI � <br />s�wE� -- sao.00 <br />-�'IB . <br />VROPOSEO USE OF BUILDiNO <br />Sirgle fami.ly residence 1171-5 5650.00 <br />LEML DE9CRIPfION OF PROPERTY �SHOW BEIOW OR �TT�CH iOUR COPIE51 N�BBB�ISiS <br />WpTER f60.� <br />�m 90e�ocK—or Ridge��Voci'l�etYace MBBB�ti <br />ELUG 5460.39 <br />li <br />r�cH sso.00 <br />H-9REI <br />�oo�ooness E014 Srool�idae BlVd. DRVWV 520.D0 <br />PLUMlINO <br />�� <br />USE20NE <br />R-1 <br />rnf a casim <br />V-N <br />Si2E OF BL00 <br />1950 <br />OCW P�NCY IOAD <br />N/A <br />IflAINS - RAiNLEADERS <br />ERVICE - BA R. E7C J <br />W�TOT�L i <br />PEIIMIT i <br />TOTALFEE i <br />20 REARSETBACN ^O SI <br />� <br />IOTARE57^S V, <br />� � <br />�LIPN�BI[ iY14dL01151N1LLqMRC1UA� � <br />V-N <br />NO Of STQRiES � <br />1 <br />11EASON fOR SPR�NNLERS <br />iE SPRIHNLEyRS� RE00 <br />YES ❑NO <br />MECMANICAI <br />TYPE OF FOUIPMENT <br />NC - NMNOLO UNITS - H P. <br />FORCED AIR SVSTEMS - B'i L M EA. <br />UNITHLATERS-B.T.U. M <br />CIOTMeS�RYEflS <br />VENTILATION FAN <br />RANGEMOOD <br />WAiEF HEATEH <br />WOOD STOVE <br />METAL FIREPLACE 6 CHIMNEV <br />FIREPUCE INSERT <br />HEAT PUMP <br />GAS PIPINO <br />E%MAUSTFAN <br />BUlTOT�L <br />PERMIT <br />� 90/29691 357.1 <br />c�r+T siTe — sunowo cooE <br />VES ❑ NO �ES <br />�3 �a ao�w�cu��rs BUILDING q95.50-35.1 S 67, 881.90 <br />PLUMBING <br />IS ❑ NO <br />NEIO�{[ LIMITATION <br />[d <br />oY ICITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />PERMITS E7(PIRE IF WORK IS NOT COMMENCED WITHIN <br />180 DAVS OR CEASES FOR MORE THAN 1B0 DAYS. <br />MECMANICAL <br />OTHER <br />STATE BUILDIHG SURCHFPG <br />STATEENERGVSURCMARGE <br />PUEUC WORKS <br />T07AL <br />WHEN PROPERLY Y <br />ADDRESS FILE <br />RECEIPi NO. <br />38652 <br />460 <br />70 <br />90 <br />4 <br />20 00 <br />644 89 <br />24691 <br />