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� <br /> CITY OF EVERETT <br /> - ' �ONSTRUCTIOl� <br /> PERnIIIT PERMITNO. 27�69 <br /> 259-8R70 <br /> y n u ❑ �EMOLITION ❑COMBINATION 7Q8 BUILDING ❑ MECHANICAL ❑ PLUMBI�lG ❑SICN <br /> W � ��� OWNEP '-AiLADCBE55 .ITV ZiP PHONE <br /> �� a y Ellen H. Allen 2312-1/2 Lombard Ave Evei�A'�.t, WA 98201 252-7338 <br /> �a "u H . � TENANT M1IAILADORE55 CITY ZIP PHONE <br /> t" yy _ <br /> y � H ARCHITECTORDESIGNE9 Id/II.IODPE55 CITV 21P PHONE <br /> FG C� <br /> O CG O GENEFnLCONTRAGTOR MAIIADOFE55 CITV ZIP PMONE �ICENSE� <br /> � � H Dave Ho�oatt 12430 Admiralty Ave Everett, WA 98204 353-1021 DAVEHGC101btR <br /> ti� O �-1 1.1ECHANL^ALCCNTRACTOF IdA�LPpORESS QTY LiP PMONE LICENSEr <br /> Fj <br /> C'] C <br /> H G �Wl.!pINGCGNTPACTOR t+NILA��RE55 GiY ZIP PHONE LICENSE� <br /> OH <br /> � � g <br /> �� � CLASSOF'NORK <br /> y � ❑ NEW ❑ ADDITION ❑ AITERATION � REPAIR ❑ DEMOLITION � BUILDING RELOCATION <br /> H <br /> j�..�y CONTACi PERSON AND PHONE N0.IF OTMER iHAtl n30V[ <br /> ` H y CONTRACT PaICE 0F WORK: S 1�781.20 <br /> G V1 �ESCRIBEVIORKFNDSOUAREFOOTAGEINVOLVED <br /> nC � Re-roof I <br /> � �' � I <br /> H O � PROPWEDUSEOFDUILDING �'��O^�(�l O�"A� (�1�1`q4Q`�j� 't�����k�i� I <br /> � -� Single family residence / ��� <br /> LEGAL OESCRIPtION OF PROPERTY�SNOW BELOW OR RTiACM FOUR COPiES) �����78v(� <br /> LOT_�LOCK_OF c� n` a�"�-^�' I <br /> c: :5'C4 a4.5C? <br /> _ rA�"�' "�•`.5[t �I <br /> aoonoo�ess I <br /> 231.'.-1/2 Lomlxlyd Ave, j <br /> PLUMBING MECHANICAL � <br /> i <br /> NO. TYPE OF FIXTURE OR ITEM FLc NO. TYPE OF E�UIPMENT FEE ' <br /> WATER CLOSET�TOILET) NC-AMNOLG UNITS-H.P. <br /> . BATHTUB FORCEDAIRSVSTEMS-B.T.U. MEF. <br /> '�1 LAVATOHY�WASHBASIN) UNITHEATERS-B.T.U. _ M <br /> SHOWER CIOTHESDRYERS <br /> � ' KITCHEN SINK&DISP. _ VENTILATION FAN <br /> � 01SHVJASHER RANGE HOOD <br /> f 1 LFUNf1RVTRAV _ WATERHEATER . <br /> CLOTHES WASHER WOOD STCVE <br /> 1 ' URINFL METAL FIREPLAC[8 CHIMNEY <br /> � <br /> DRINKING FOUNTAIN FIREPLA�E INSEflT _ <br /> '�1 FLOOR ORAIN _ MEAT PUMP i <br /> � BACKFLOW PREVENTERS GAS PIPING <br /> B� _ ROOFDRFINS-RAINLEA�ERS E%HnUSTFAN i <br /> SINK(SERVICE-BAR,ETC.� <br /> �' SUB TqTAL ^a SUB TOTAL 5 I� <br /> � <br /> PEF1.11T 5 PEHMIT 5 <br /> i� TOTALFEE 5 TOTALFEE 5 <br /> �� F�or+iSEroqck FEnnsEionck 5ioE5ErBnGK PLANCHECKNUMBER FEE RECEIPTNO. <br /> � <br /> USEZUNE LOTAFEA VACANTSiIE FEES euaowccooe FEE I <br /> s� _ <br /> VALUATION I <br /> ❑YES ❑�!C <br /> _� iVPE0FC0':SiRU.➢01l,.L01Y4�LE lYPEOFGONSTPUCiIONACTUAL aa��:np qOC'd;:':1��;1U'[S f7UIL�ING S ].�]81.ZO �IZ OO <br /> � c ow <br /> � PLPMBING I <br /> � - 5CEOP�LpG. NOAFSTORIES OASE6�[Ili <br /> ❑vEs ❑�aa �dECHANICAL I <br /> OGCUPANCYLOID Flq[SPFMK�EflSRW'0 HEiGMilR.uiniiON OTHER <br /> ❑YES ❑NO <br /> a=aSON FOR SPFir+rc�Ens STATE Bl11LDING SURCHARGE 4 SO <br /> SL;TEENERGVSURCHARGE <br /> naauc�-,iouncc.ev PIANS/GPROVED�V CITY OF EVERETT I <br /> LOCAL SALES �UBUC WORKS <br /> TAX CODE IS TOTAL 45 50 � <br /> 3105 <br /> WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> � <br /> I <br /> I <br /> PERMITS EXPiRE IF WORK IS NOT COMMENCED WITHIN 2 7 i3 6 9 <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. �1C1Dr'ii�;5 Fi!:: <br />