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the Eue�green <br />CITY OF <br />everett <br />259-8810 <br />C �NSTRUCTION ~ <br />PERMIT <br />PERMIT NO. 25425 <br />❑ DEMCLITION ffi COMBINATfON ❑ BUILDING O MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILpDDRESS CITY ZI� PMONE <br />Phil Johsson 3927 99th SE Everett WA 42808 337-1731 <br />TENRNT MAILqDOfiESS GITV ZIP PMONE <br />AqCHITECI M�ESIGNER MAILqDORESS CITV ZIP PMONE <br />Impre�"'sSion Design 2229 Jackson Everett jdA 98204 355-3200 <br />GENERA.CONTRACTOR MAILADpPESS GITY ZIP PHONE LICENSEX <br />Harstad Const 2820 86th St SE Everett 90208 337-4654 HARSTCI144DJ <br />MECHANICRLCONTRACTON MAILAODPESS CITY ZIF �HONE �IGENSEM <br />CONTPACTOR <br />CLA55 OF WORK <br />� NEW O AODITION <br />ADURE55 <br />❑ ALTERATION <br />CITY ZIP PMONE LICENSEx <br />❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO. IF OTHER THAN ABOVE <br />CONTRACTPRICEOFWORK:$ 6����� Gary tlarstad 337-4654 <br />DESCflIBE WORN PND SOVARE FOOTAGE INVO�VED <br />New duplex 2160 sf 04/12/91 1:36PM OOOqqb461 �� <br />/ <br />ff00025425 <br />PRO�OSED USE OF B111�DING e, M �nl.en <br />Duplex "N � W <br />PLEG Se�fpn.p�vpf <br />LEGALDESCPIPTIONOFPRpPERTY�SHOWBELOWORATTACHFOURCOPIES) �CH S1tU.�/y <br />ior 4 e�ocK 4 oF Beverly Hills Div 4 g�H �� <br />DRVldY 320.00 <br />N00007195 <br />bIpTQ? 5750.OQ <br />JOB nODRE55 <br />s�zi nsa <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />G WATER CLOSEf (TOILET) <br />Z BATHTUB <br />(y LAVATORY(WqSHBASIN) <br />SHOWER <br />2 KITCHEN SINK & DISP. <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROCF ORAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUBTOTAL f <br />PERMIT t <br />PRONTSETBACH <br />2�� <br />USEZONE <br />R-2 <br />trrz oF caNsrnucrn <br />V-N <br />2160 + 48U gar <br />occuanNcv�ono <br />N/A <br />PEASON FOq SPRINF:LERS <br />r�i <br />REPqSETBACK <br />�or nn O' <br />18,300 <br />iYFE OF CONSiHUCiION ALiUaL <br />V-N <br />N0. OF STOFIES <br />FIRE SPRINKLeRS FEO-D <br />❑ YES � NO <br />s� sso. o0 <br />MECHANICAL 1171-5 f949.00 <br />FEE NO. TVPE OF EOI� <br />A/C — A/HNDLG UNITS — H.P. <br />FORCED AIR SYSTEMS — B.T.0 <br />UNIT HEATERS — B.T.U. <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATERHEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIP.EPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />5' <br />VHCANt SITE <br />� VES ❑ NO <br />�-a,•� � uo o� owEuinc <br />R-3 2 <br />BASEM[NT <br />❑ YES � NO <br />HEIGHT LiMITATiON <br />2$� <br />iAPPFOVEDOV I CITY OF EVERETT <br />LOCAL SALES <br />JH TAX CODE IS <br />3105 <br />PERMITS EXPIRE IF WOpK IS NOT COMMENCED WITHIN <br />18Q DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />sue <br />PLAN CHECK NUMBER <br />1/24524 �g �$IG� <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILDING SURCHARG <br />S7ATEENERGYSURCHARGE <br />PUBLIC WORKS <br />EA. <br />M <br />403.97 <br />FEE <br />s <br />s <br />s <br />RECEIPT NO. <br />32809 <br />FEE <br />T07AL I I 848I00 <br />WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br />NuuC� <br />✓ <br />ADDR[SS FIL[ <br />25425 <br />