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�_ � <br />� CIT'! OF EVERETT <br />CANSTRU�TION <br />259-8810 P E R M IT <br />Permit Number: B50318 <br />SEPA Number: <br />Ieaue Date: 12/15/95 <br />Job Address: 4016 HOYT AVE <br />Owner <br />HENDRZCKS JOHN <br />1110 STH ST #5 <br />MARYSVILLE WA 96270 <br />640-2469 <br />Tenant <br />ADDRESS FILE copy <br />Architect/Deeigner <br />General Coatractor Plumbing Contractor Mechanical Contractc= <br />OWNER <br />Type of Permit: HUILDING Contact Pereon <br />Heating Syetem: NO[�E OWNER <br />WSEC Code: <br />Description of Work: REPA7R ROOF & INTERIOR DEMO <br />Legal Deecription/ LOT 25 HLOCK 12 CLIMA7C LAHD CO 15T ADDN /4113-012-025-0002 <br />Property ID: <br />Conetruction Lender: <br />Proposed Use of Building: SINGLE FAMILY RESIDENCE <br />_____=====PLUMBZNG___________________________________MECHANICAJ.====_____________-____ <br />qty Type of Fixture Fee qty Type of Equipment Fee <br />Sub Total Sub Total <br />SETBACK FOOTAGE OCCUPANCY Vacant Site? TYPE OF COI7STRUCTION <br />Front 0.0 Load No. Dwelling unite: Allowable: <br />Rear 0.0 Group Size of Bldg: Actual: <br />Sidel 0.0 / Stories Size of Car: Use Zone: <br />Side2 0.0 BaePment? Height Limit: Fire Sprinkler Req'd7 <br />Lot Sz Reaaon For Fire Sprinklers: <br />Remodel Sz: Fire Alarm Req�d? Reason For Fire Alarm: <br />----------------------------------------------------"------------------------------- <br />Plane Approved By: <br />City of Everect Local <br />Sales Tax Code ia 3105 <br />Plan Check Receipt No: <br />Fee: <br />FEE TYPES PERMIT VAL`JATION <br />Building 500 <br />Plumbing <br />Mechanical <br />sprinkler <br />Other <br />St. Bldg. Surcharge <br />Public Worke <br />Additional Plan Check Fee <br />TOTAL <br />FEE <br />18.00 <br />4.50 <br />522•50 <br />Yermite expire if woi�k not commenced within 180 days or ceases more than 180 dsye. <br />� <br />�f��'O \ <br />�'+ O O �-` <br />nzc�o cn <br />:: � U. \ <br />G7 O `� �0 <br />w cn <br />.� <br />m .- <br /><» �. <br />� <br />fJ -F � �j <br />O D <br />U O p � <br />O <br />� <br />O <br />a <br />S <br />c� <br />O <br />a <br />r <br />n <br />B 50318 <br />