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"��'���oF '� f�NSTRUCTIU�V � '�' <br />e�erett PERMIT PERM�TNo. _ 24086 <br />259-8810 <br />❑ DEMOLI7ION �COMBINATION ❑ BUILDING ❑ MECHANICAL O PLUMBING ❑ SIGN <br />ONMER MRII ADOPE55 QTY 21P PMONE <br />Robert Graves 5122 Dover St. Everett, WA 98203 355-5758 <br />TENANT MAILApDRE55 dTY ZIP PHONE <br />APCHRECT Ofl DESIGNER MAIL ADORESS CITV ZIP PHONE <br />Impression design 2229 Jackson Everett 98203 355-3200 <br />GENERALCONiRAGTOR MRILADDRESS CITY 21P PMONE UCENSE� <br />Owner <br />MECMnN!CALCONTRACTOR MAILAODPE55 CITY ZIP PHONE LKENSE� <br />PLUMBINGCONTRACTOR MAILAD�RESS CITV ZIP PNONE LICENeE� <br />CLASS OF WOqK <br />� NEW <br />❑ ADDITION <br />CONTRACT PRICE OF WORK: S <br />O[SCRIBE WORN AN'J SOUFRE FOOTAGE INVOLVEO <br />New constr.uction <br />❑ ALTERATION <br />❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTAGT PERSON ANI] YMONE NU. IP Ol MtN I HFN PtlW [ <br />PROPOSEO USE OF BUILDING <br />Single family re�idence <br />LEGR� OESCRIPTION OF PROPERTV �SMOW UEIt W OR ATTACM FOUR GOPIES� � <br />15 Edgemoor Heights � <br />LOT _ BLOGK — OF <br />ELDG� 5699.00 <br />JOBPDDHF55 <br />5122 Dover St. <br />PLUEIBING <br />N0. TYPE OF FIXTURE C�H ITEM <br />j WATER CLOSE7ITOILET) <br />2 BATHTUB <br />3 LAVATORVIWASH BASINI <br />KITCHEN SINK d DISP. <br />DISHWASHER <br />CLOTHES WASF{ER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOH DRAIN <br />BACKPLOW PREVEN7ERS <br />ROOF DRAINS — RAINLEAOERS <br />SINK (SERVICE — BAR, ETC.) <br />25� <br />USEZONE <br />R-S <br />52745�sf 664 <br />OCCUPANCYlOAO <br />N/A <br />REASON <br />SUB TOTAL <br />PEHMIT <br />REARSETBACN <br />25' <br />LOT AREA <br />36,100 sf <br />7VFE OF LONSiFUC710N ACIDAL <br />No. or s*oniEs <br />r 2 <br />FlRE SPRINN.�L([RS fiEC'0 <br />❑ YES lJ NO <br />FEE <br />S <br />S <br />��6�� <br />VgACANT SITE <br />J VES ❑ NO <br />°°{�:"uo°"�"�`' NO Oi 014FLLING OWiS <br />i(— 3 1 <br />OASEMENT�( <br />] VES U NO <br />NEIGMT IIM1VTATION <br />28' <br />MECH $80.00 <br />�� <br />�1��1 ���. Q� <br />MECHANICAL "- <br />NO. TYPE OF E�t�l <br />A/C — A/NNDLG UNITS — FI <br />1 FORCED AIR SYSTEMS — B. . <br />UNIT HEATERS — B.T.U�# <br />1 CLOTHESDRYERS <br />83 VENTILATION FAN <br />1 ttANGE HOOD <br />]. WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />PLAN CNECK NUMOER <br />0/24086 <br />FEES <br />BUILDI � 4.5 <br />�'i�redit S <br />PLUMBING <br />MECHANICAL <br />OTHEfi <br />SUBTOTAL <br />PERMIT <br />TO7ALFEE <br />FEE 529.43* <br />A xBBY <br />STATE BUILDING SURCHARGE <br />STATEENERGYSURCHARGE <br />APPLIGATIOIJACC pY PLANSAPYNWtUtlr CITY OF EVERETT <br />LOCAL SALES PUBLIC WORKS <br />JH TAX CODE IS TOTAL <br />3105 WHEN PROPERLY VI <br />*Overpayment of $45.50 on Plan Check applied to Building Permit fee. <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE <br />180 DAYS OR CEASES FOR MOflE THAN 180 DAYS. <br />5 129,335 <br />FEE <br />S <br />S <br />S <br />RECEIPT NO. <br />30212 <br />FEE <br />699 00 <br />65 O03� <br />80 JO II <br />4 50 <br />20 �� <br />i <br />858 50 I <br />> YOUR PERMIT I <br />240�6 <br />