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— CITY OF EVERETT <br />^ ��ONSTRUCTION � ^ <br />PERMIT PERMITNO. 2736% <br />259-8810 <br />❑ DEMOLITiQN ❑ COMBINATION ❑ BUILOING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />�WNER MAILADDRE55 ��ry <br />21P PMONE <br />Donald Cobane SB15A Glenwood Everett 98203 355-9271 <br />TENANT AUILAOORESS CIN 21P PHONE <br />ARCMITECTORDESIGNER MAILADDRESS CITV 21P PMONE <br />GENERRICONTRFCTOR MAILADDRESS CRV ZIP PNONE LICENSE� <br />Owner <br />MECHANICALCONTRACTOR MAILADDRESS CITY ZIP PMONE LICENSE� <br />PLUMBINGCONTRACTOR MAILADDRES$ CITV IIP PMONE UCENSEI <br />CUSS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION <br />CONTRACT PRICE OF WORK: $ 139 � 276 <br />New SFR 2744 SF + 874 SF Garage <br />❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO. IF OTNER TMRN ABOVE <br />Don Cobanc 342-5972 or 355-9271 <br />PROPOSED USE OF BUILDING - <br />SFR <br />LEGAL DESCRIP9pN OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES� <br />�or 1 e�•xK_oF Edgemoor Hts Sect. 35, 29N Rn 95�Inohomish Co WA Vo11115 P 215 16 <br />4910 Dover St <br />PLUMBING <br />NO. TVPE OF FlIfTURE OR ITEM <br />4 WATER C�OSEf (TOILEn <br />2 BATHN3 <br />3 LAVAT09Y(WASHBASW) <br />1 SHOWEa <br />1 KITCHEN SINK 8 DISP. <br />]. DISHWASHER <br />LAUNDRYTRAY <br />1 CLOTHES WASHER <br />URINAL <br />OP.INKING FOUNTAIN <br />1 FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS - RAINLEACERS <br />1 SINK(SERVICE-BAR,ETC.) <br />1 utilit sink in ara e <br />SUB TOTAL S <br />PERMR S <br />25' <br />USE ZONE <br />R-S <br />2744 SF/874 SF <br />OCCJPANCYLOAD <br />REASON FOR SPRINNLEflS <br />7.5' 7.5' <br />9EA VACANTSITE <br />22 � 000 SF w,,,.,, n <br />REO'D <br />YES $iN0 <br />MEIGIIT LIMITATION <br />�o� <br />>rr�o�eoar I CITY OF EVERETf <br />� LOCAL SALES <br />TAX CODE IS <br />3105 <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />A/C -A/F,ND� G UNITS - H.P. <br />1 FORCEDAIRSVSTEMS-B.T.U. MEA. <br />UNITHEATERS-B.T.U. M <br />VENTILATION FAN <br />RANGEHOOD <br />METAL FIREPLACE 8 CHIMNEY <br />GAS PIPING <br />,N CHECK NUMBER <br />91/27367 <br />BUILDING <br />PLUMBING <br />MECNANICAL <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATEENERGV SURCHARGE <br />PUBUC WORKS <br />FEE <br />over 2000 SF 8 <br />SUBTOTAL 5 g <br />PERMfT S <br />TOTALFEE S B <br />FEE506.6$ RECEIPTNO. <br />D 508.95 53182 <br />au��oin nocooe FEE <br />5 139 276 * 777 <br />80 <br />8a <br />4 <br />TOTAL I � 961 r/3 <br />WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br />Credit of $2.27 given on plan check fee baeed <br />lower valuation. <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN 2 7 3 6 7 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAVS. ADOP.ESS FII E <br />