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'�'r�""'�e`"' L " C�"NSTRUCTION " ' <br /> �!TY Ok <br /> everett PERMIT PERMITNO. 2� 953 � <br /> 259 -8810 . <br /> ;_; DEMOLITtON $I COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PWMBING ❑ 51GN � <br /> 1WNER MRILP�L1RE55 CIiV ZIV PIIONE <br /> Adventure Const. 22928 57th Ave. SE Woodinville 486-7395 <br /> 'fNdN� MAIi pD�HEaS CITY LIP PHONE <br /> ��� APCXITECT ON�FSIGNER MFII AOORE55 CITY � ZIp PNpNE _ � <br /> � N Rowett Enterorises _ Everett 353-0531 _ <br /> ��� GENEflP�CJNTPA�TOP MAIL AM1FlE55 LITY LN VHONE LICENSFI <br /> H � Owner <br /> y' MECNANICALCOKiRACTpq MRI�AD�RE55 QTV ZIP VHONE LILENSEM <br /> Fa � <br /> O�O� PWMBINGCONiRhCiJP MAILNDURE55 CIiV � ZIP PHONE LICENSEn <br /> I� <br /> ��"� <br /> � CL/.SSOFWORN <br /> O O� L3�NEW G AODITION ❑ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION i <br /> y CONTACT PEPSON AN�PHONF NO IF OTHEP THAN ABOVE <br /> ��g CONTRACTPRICEOFWORK�.$ 69r$12.00 ��, <br /> G� OC� �ESCRIBEWOFKANUSOUAFEFOOTAGEINVOWEO <br /> �y� _ � natruct sin le fa il residence �I <br /> MH <br /> g�H PROPOSECtISEOFBUiL01NG <br /> n�� <br /> Si�rgle familv residence <br /> LEGAL DESCPIPTIONOF PPOGERTY�SIIOW BELOW OFl�TfACN FOl)R JOPIES) <br /> y�� �or� e�ocK—ov Black Forest Lane <br /> JOBnDORE$$ <br /> 4930 Black Forest Lane <br /> PWMBING MECHANICAL <br /> NO. TYPE OF FI%TUNE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> $ WATERCLOSEf(TOILET) LS OO A/C—A/HNDLGUNITS—H.P. <br /> Z BATHTUB LO OO 1 FORCED AIR SVSTEMS—B.T.U. M EA. B $ OO <br /> B LAVATORY�WASH BASIN) LS OO UNIT HEFTERS—8 T.U. M <br /> 2 SHOWER LO OO S C�OTHESOPVERS G SO <br /> � ], KITCHEN SINK 8 DISP. S OO Z VFNTILATION FAN 9 OO <br /> 1 DISHWASHER S OO 1 RANGEHOOD Fi SO <br /> ��' LAUNORYTRAV 1 WATERHEATEq E SO <br /> � i ' 1 QOTHES WASMER , S OO WOOD STOVE <br /> 1 � UF!NAL 1 METALFlREPLACEBCHIMNEY 3O OO <br /> .. �� ORINKMG FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> � �� BACKFLOW PREVENTERS GAS PIPING <br /> . ROOF pRAINS—Rrl W�EADERS EXHAUST FAN <br /> ' �NK(SERVICE—BAR,ETQ) <br /> I � <br /> SUBTOTAL f � 65 00 SUBTOTAL f 67 50 <br /> '�_ PERMIT f PERMIT f <br /> _�_, TOTA�FEE � f �GS OO TOTALFEE f C� SO <br /> � FRONTSETBaCK REnR5E10nCK SIDESETBACK PLANCHECKNUMBER FEE RECEIPTNO. <br /> 20 30' esmt 20'esmt & 6' g9/21952 Basic <br /> USEZONE LOiANEa VnGANT$ITE <br /> � • '� BUILDING COUE <br /> L R-1 14,774 �'j yEs ❑ r�o FEES � PEE <br /> . rva�orcorvsrxur,noNnuowaRie na�ovcorvsrRucnarvncruai -�°^r xoo�oweurvcuxirs eUiLDiNG �64,512.00 482 00 <br /> V—N V—N ���R-3 1 <br /> PLUM8ING 65 00 <br /> , � SiZE OF 9LOG N�OF STORiES BnSFMFNT <br /> { i LY]YES ❑NO MECHANICAL E� SO <br /> � o.^,cuvnNcv�oao riaesvairvx�EasaEa�o HEicrir�iMi*nrin�v OTHER <br /> �-- N/A <br /> ❑VES C�NO <br /> eenSOHFORSPawx�.EaS STATEBUILDINGSURCHARGE 3 SU <br /> STHTEENEPGVSUFCHARGE 1$ Q� <br /> nacucnnoNncc ev a�nr�snacaoveoev CITY OF EVERETT <br /> LOCALSALES PueucwoaKs 20 00 <br /> S.H. g E TAX CCDE IS 707AL 653 00 <br /> _ 3105 _ yyHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS FXPIRE IF WORK IS NOT COMMENrED WITHIN ADDRESS FlLE � <br /> ta0 UnVS OP CEASES FOR MORE THAN 180 DAVS. � " <br />