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theF,vc�rgrrcOF ^ C� \NSTRUCTION r� �� <br />everett P�RMIT PERMITNO. _ 22134 <br />259-8810 <br />❑ DEMOLITION 2�J COMBINATION ❑ BUILLING U MECHANICAL fJ PLUMBING ❑ SIGN <br />OWNER MAIIADDRE55 CITY 21P PHONE <br />Mark McKenzie 16212 Hothell-Everett Hwy P'131 Mill Creek, WA 98012 743-1061 <br />TENRNT MAI�AOORESS CITY ZIP PMONE <br />ARCHITECTORDESIGNER � MAILADDRESS CITV ZIP PMONE <br />Jannis Vann 104 Bell Pkwy St A Woodstock, GA 30188 404-928-0456 <br />uENERALCONTRRGTOR MFILA�DFESS CITY 21P PHONE LICENSEn <br />McKenzie Custom Homes 16212 Bothell-Everett Hwy F131 Mill Creek, WA 98012 743-1061 <br />MECMlNICRLCONTPACTOf1 MAI.AD�PE55 CITY ZIP PHONE LICENSEw <br />MCKENCH121QQ <br />PIUMBINGCONTRACTOR MAILAOORE55 CITV ZIP P110NE LICENSEr <br />CLASS OF WORN <br />fl NEW ❑ ADDITION ❑ ALTEHATION ❑ HEPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />I CONTACT PERSON AN� PHONE NO. IF OTHER TMAN ABOVE <br />CONTRACT PRICE OF WORK: $ <br />��IIBE WORK AN� SOUARE FOOTAGE INVOLVED <br />Single faa family residence <br />PROFOSED USE OF BUILDING <br />Sinqle familv re�idence <br />LEGAI DESCRIPTION OF PROPERTY �SNO\V �ELOW OR ATTACM FOUR WPIES� <br />�or 1� BL(ICK-OF Edqemoor Heiqhts <br />JOC A�DRESS <br />PLUMBING <br />NO. TYPE <br />3 WATEFCLOSET <br />Z BATHTUB <br />1 <br />1 <br />1 <br />KITCHEN SINK 8 DISP. <br />�ISHWASMER <br />LAUNDRVTRAV <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />ROOF DRAINS — AAINLEADE <br />SINK ISERVICE — BAR, ETC.1 <br />FRONTSETBACN <br />Z5� <br />USE 20t1E <br />R-S <br />NEASOR OR SPRIFKLERS <br />FEE <br />MECHANICAL <br />VO. TYPE OF EQUIPMENT <br />A/C — A/HNOLG UNITS — H.P. <br />1 FORCEDAIf:SVSTEMS—B.T.U. M <br />UNITHEATEHS—B.T.U. M <br />], CLOTHESDRYERS <br />2 VENTILATION FAN <br />], RANGEHOOD <br />], WATERHEATER <br />WOODS70VE <br />1 METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTO7AL S 70 00 SUeTOTAL S <br />PERMIT f — — PERMIT S <br />TOTAIFEE f iO OO TOTALFEE S <br />aN SETBnLK SiDE SETBACK PLAN CHECK NUMBER FEE RECEIPT NO. <br />.vnunlwlf 7 �j� �n �7�� . .� <br />�� <br />LOT nREA <br />fVPE OF L�NSiRULfIONAGLW <br />V-N <br />N0. OF STORIES <br />2 <br />FIRE SPRINNLERS REO'0 <br />❑ VES � NO <br />OV IPLANSAPPROVEDUY <br />J.W. <br />VACANT SRE a a � 3� <br />FEES euao�lR9coo <br />YES ❑ NO <br />��qa�+rmOrowEuixcuNns BUILDING ko44'�^}i4s <br />R-3 1 � <br />PLUMBING <br />BASEA' NT HECH � <br />❑ YES � NO MECHANICAL <br />MEIGMTLIMITATION OTHEFI Plan Check <br />28� . S <br />STATE BUILDING SURCHARGE E SRCH � <br />FiVd7— <br />STATEENERGYSURCHARGE ;. � <br />CITY OF EVERETT pUBLIC WORKS SEWEF. <br />LOCALSALES <br />TAX CODE IS TOTAL ;�� <br />3105 ....._.. _......_ ................�.. ... <br />CHEC1; 41�4�.68 <br />FEE <br />681 SG <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED 1M19THIN ADDNESS PILE 2�� � 1=t <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />67 50 <br />�%1 18 <br />3 50 <br />15 00 <br />20 00 <br />928 68 <br />