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"�E°�� o �` C'�NSTRUCTION �"' '�`� <br />everet� PERMIT PERMITNO. � 609 <br />259-8810 <br />❑ DEMO� ITION C3COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLU ING <br />OWNER MqILAD�RESS CIiY ZIP PMONE <br />Deanna Franklin 516 Alverson Blvd. Everett 98201 252-G449 <br />TENANT MAi� ADDqESS GTY ZIP PHONE <br />pRCHITECTORDE5IGNER MRILAOUNESS dTY 21P PMONE <br />Designs Northwest 1208 State Fd. 532 Camano island 98292 62 3991 <br />GENERALCONTaACTOR MAILADDRESS CITY P PHONE <br />Claus VanVeen 696 E11 St. Camano Is 98292 6:9-3190 VAN'/� J236BK <br />MECNNNiCAL CONTpACTI�R MPIL pUDRE55 CITY 21P PHONE <br />VLUMBINGCONTRACTOR h1AI�ADORC55 CITV 21P PMOVE <br />CL�SS OF WORK <br />� NEW ❑ ADDITION ❑ ALTERATION <br />CONTRACT PRICE OF'NORK: S <br />UESCRIPEWORKANDSOUPqEi00TAGEINVOLVE� <br />New Construct:ion <br />PROPOSEO USE OF BUM1OING <br />SFR <br />IW BELOW OR ATTACH Fl <br />See Attached <br />LOT _ BLOCN -- 01 <br />i55 <br />3613 Earl Ave. <br />PLUMBING <br />NO. TYPE OF FIICTURE OR ITEM <br />3 WATER CLOSET �TOILET) <br />Z BA7HTUB <br />�i LAVATORY (WASH BASIN) <br />2 SHOWER <br />$1 N�TCHEN SINK d OISP. <br />1 DISHWASHER <br />LAUNDRYTRAY <br />1 CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTERS <br />HOOF DRAINS — RAINLF.4DERS <br />SINK 1SERVICE — BAR. ETC.) <br />FRONT SETBPCK <br />20 <br />USEZONE <br />R-1 <br />IYPE OF LONSiNULiION AILQWAE <br />l�—N <br />S12E Oi OIDG <br />2735+780 gar <br />OCCUPANCYLOAO <br />N/A <br />REASONFORSPRINKlERS <br />APPUCAI iON ACC. DY <br />M.Id. . <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />REARSETBAC <br />20 <br />LOT AREA <br />620 <br />IYPE OF NSiNUCi10 <br />❑ REPAIR ❑ <br />❑ SIGN ! <br />uccnat• <br />LICENSE• <br />❑ BUILDING RELOCATION <br />HO. IF OTHER TIIAN AI30VE <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — A�HNOLG UNITS — H.P. <br />O O 1 FORCED AIR SYSTEMS — B.T.U. M <br />20 UNITHEATERS—B.T.U. M <br />lO O CLOTHES DRYERS <br />}a � VENTILATION FAN <br />S O RANGEHOOD <br />WATER HEATER <br />5 WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUST FAN <br />S � SUBTOTAL <br />s PERMIT <br />s TO FFIA.. . .E�,�� <br />tlf�}¢ <br />SioESETOACK PLANCHECKNUMBER FEE � <br />6 89/22609 ti00�7o�Q�5 <br />VACANT SITE DING CO <br />� ves ❑ NO FEES EL <br />«n,.�.vc. BUILDING h _�G <br />����� NOOFON4LlMGUN175 <br />R-3 1 ' <br />S <br />f <br />i. <br />RECEIPT NO. <br />23099 <br />SO FEE <br />,n <br />PLUMBING FLI'I L'H �4�4, (S <br />I�JfSTORIES �ASEMENT � SRC <br />� Z P� YES ❑ NO MECHANICAL <br />IESPPINNLE(15RE0'D MEIGNTLIMITATION OTHER DF.UW�i <br />YES C� NO 28 � <br />STATE BUILDING SURCHARGE F EG <br />STATEENERGYSURCHARGE FLh� CH V-4� �S <br />vraoveoor CITY OF EVERETT pUBLIC WORKS PLFI CH `n47,78 <br />LOCALSALES <br />TAX CODE IS TOTAL WATER ^4E•50 <br />J•W• 3105 <br />WHEN PROPERLY VAtUDA1I�YI�THIS IS YOUR <br />SE4;ER b?O.QO <br />1171-5 n81:.00 <br />CNECk S�4b2.28 <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN qDDRESS FILE <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />