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xry <br />Ctia� <br />,€��x <br />C H <br />9 H C/� <br />H Z� <br />r� C1 <br />O x0 <br />�1 H'�J <br />H y t~'' <br />z <br />� H t7 <br />��g <br />� V n <br />� H� <br />h+ H <br />g� <br />H <br />� a v� <br />��� <br />z H p� <br />H O f/� <br />CITY OF EVERETT <br />JU�ISTF��I� i'IOfN - <br />�' PERi�19T� PERMITNO. 2H�79 <br />z ,s-e,?io <br />❑ DEMOLITION }[—i. COMBINATION KXBUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />O':lNER MAILA��RE55 Cliv ZiP PHO!lE <br />Blank I. Hlank (Lyle Blank) PO Box 2266 Everett, S9A 98203 252-3"i26 <br />T[N4NT IAAILAOpRE55 CITV ZIP PHOM1E <br />nRCNiTECTOR0E5iGNER l.tARADDHE55 CiiV GIP PUONE <br />Papidesign 12811 - 8th Ave W Everett, [9A 98204 <br />GEN'cRPLCONIRAGTOR IAAILApDRE55 CiTv ZIP PHONE LICENSEa <br />Owner HL7�NK2B110LL <br />M1!LCwANICALGONTP/.CTOR MAILAOpRE55 Gltt ZIP PHONE UCENS[v <br />PLUNBIN uiRACfOq lAAiIA�ORE55 CiN ZiP PHONE LICENSEv <br />C1A550F WORN <br />}� NEW ❑ A: )ITION ❑ ALTERATION L] REPAIR � DEMOLITION ❑ BUILDING RELOCATION <br />CONTRACT PrIICE OF WOf K: <br />oESCRiaE vJORR aND SounRt. Fc <br />Construct new � <br />- 1183sf <br />SON AND PMONE NO. IF OTMER TMAN ABOVE <br />IIlank 355-4725 <br />_�"_1/�_ _ I: ;?;'1i? ���C;:"_`'] .... . <br />;7d0'�2;.79 <br />.-._=c ,.,^.�? <br />PROPOSED US[ OF �UILOiNG <br />Duplex �'! `•G .90.00 <br />LEGAL DESCRIPTION OF PROPEfiTY �SH01'/ �ELOW J� ATTACH iOJR :OPIES� �"�—� `&-� <br />`'LhJ CH �1a9.5B <br />LOT 3 BLOCH_OF _ _ '. . _.�v <br />Complete legal description on file DRVW9 4=0A6 <br />S=I,�FS J� >'0.7^ <br />aooncof�ess <br />417 A 5 D tdadison <br />PLUMBING <br />NO. TVPE OF FIY.TU <br />�} WATERCI.OSET(TOILET) <br />2 BATHTUB <br />Q LAVATORY (WASH BASIN) <br />SHOWEF <br />Z KITGHEN SINK 8 DISP. <br />2 OISHWASHER <br />LAUNDRVTRAV <br />2 CLOTHES WASHER <br />UHINAL <br />_ ORINNING FOUNTAIN <br />PLOOR DRAIN <br />BACKPLOVlPREVENTERS <br />RCOF DflA1N5 - RAINLEA[ <br />SINK ISERVICE - BAP. E �( <br />20' <br />USE Z04[ <br />R-2 <br />iVPEO�LOf,SIPULIiO'iALLOW <br />V-N <br />Si2[ OF OLUG. <br />2454sf+500sf a� <br />occu��nr�cv �ono <br />n/a <br />R[ASON GOq SPqltlNlERS <br />��_-„ -_� _� <br />MECHANICAL <br />E OR ITEM FEE NO. TYPE OF EOUIPIAENT <br />20 —OO� 0.�C-A:'HNDLGUNITS-H.P. <br />1!t !1!1 1 FORCFnAIRSVSTFMS-(iTli b1 <br />SUBTOTAL S <br />PEf71AlT 5 <br />20' � S' <br />f,REn VA�ANi 5rtE <br />CONSiFlUCiiGr+Ac I uAL � ai ^. �•,; ��';0 CL <br />,a.� <br />IESPRINKL[qSREO'D HEI�HTLIlAIiATION <br />vcs 7[Rr�o 28' <br />'""°"`°°" CITY OF EVERcTT <br />LOCAL SF.LES <br />�; TAX CODE IS <br />3105 <br />p1/ ui � L� <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />UNIT HEATERS - E3.T U. 1.7 <br />CLOTHES' VERS <br />RANGEHOOG <br />WATER HEATER <br />METAL FIREPLACE 8 CHIh1NEV <br />GAS PIPING <br />SUBTOTAL 5 <br />PERMIT 5 <br />FEE <br />PLANCHECNNUtACER FF.E 461.18* RECEIPTNO. <br />91/28179 (pd 301.60) 5�7F�39 <br />OUILOING COUE <br />FEES VpIUATION FEE <br />6UILDING 5 ��_ <br />PLU!.1BING � ,i� <br />�dECHqNICAL <br />OTHER *Addl plan ck <br />STATE fiUI��ING SURCHARGE <br />STATE ENERGY Sl1RCHAR �F <br />PUDLIC WORKS <br />TOTAL <br />PROPERLY <br />e.�,,,s� � s:� , �� � <br />i2o � oi) <br />61 50 <br />� 1,095 � 56 <br />IS !S YOl!R P[RMIT <br />28179 <br />J <br />� <br />0 <br />