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theEvergreen '�'^ �,.�, N S�T F� U�Tf O N-- � <br />CITY OF <br />everett PERMIT PERMITNO. ����� <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUI�_DING ❑ MECHANICAL U PLUMBING ❑ SIGN <br />OWNEF IdNLADORE55 CITv ZIP PHONE <br />Barb ideeks 7005 Yew Everett 98201 347 2547 <br />TENANT MAILA��AESS CRV Z�P PNONE <br />ARCHITECTOROESIGNER MAILAOOPE55 CITY ZIP PHONE ' f <br />GEN[RALCONTRACTOR �•IAI�qpDRES9 CITV ZIP PMONE LICF.NSE• <br />�Wi1PT <br />M[CHhNIC4LLONTR4CTOF MAILAD��EiS CITY ZIP PMONE �ICENSE• <br />PLUMaINGCUNTRACTOR MAILAODRE55 QiY ZIP VHONE LiCENSE� <br />Cl! 55 C� W OFY. <br />❑ NEW ❑ ADDITION C}{ALTEqA710N <br />CONTRACT PRICE OF WORK: S <br />�ESCRiBE WORN AND SOUNRE FOOTAGE INVOLVEO <br />Repair & enlarge deck & plumbing & repl.ace <br />❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />W NTACT PERSON AND PMONE ND. IF OTHEP TNAN AB04E <br />IIarb Weeks 347 2547 or 353 7770 (wcrk) <br />PROPOSED USE OF BUILOIN� <br />[ � � <br />LEGRL �ESCHIPTION OF PROPERTY (SMOW OELOV! OR ATTPCH PO�P COPIES� <br />LOT— BLOCN — OP ' <br />JOO P[JOFES$ <br />PLUMBING <br />!10. TYPE � <br />WATEFCLOSET <br />BATHTUB <br />lAb'ATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNORVTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKIN3 FOUNTAIN <br />FLOOR ORAIN <br />DACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADE <br />SINN ISERVICE — BAH, ETCJ <br />20' <br />lISE ZON[ <br />R-1 <br />1V�E OF CCNSIHOC710N ALLOWA <br />V-N <br />S¢[OFpLDG <br />187.5 sf <br />OCCUPANGYLONO <br />N/A <br />RLtSON FOR $PR�NKLEfi3 <br />qcfi,iCATION ACC BV <br />ITEM <br />SUB TOTAL <br />PENMIT <br />TOTALFEE <br />REARSETpACH <br />20' _ <br />LOTFREA <br />7YGE OF CONStFtIC11�N ACtU/ <br />V-N <br />NO� OF STORIES <br />N/A <br />FIRE SPRINKLEAS REOD <br />❑ vES O}ND <br />APPROVED fiY <br />JH <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPI <br />NC — AMN�LG UNITS — H P. <br />FOflCED AIR SYSTEMS — B T.U. <br />UNIT HEATERS — BS.U. <br />CLOTHESPRVERS 1�/I <br />VENiILATION FAN <br />RaNGEHOOD {{O� <br />WATER HEATER eL' <br />WOOD STOVE �I. <br />METAL FIliEP_ACE 8 CHIMIJ�, <br />FIREPLACE WSERT e <br />HEAi' PUMP �,�{ <br />GAS PIPING <br />E%HAUSTFAN <br />M EA <br />M <br />FEE <br />S SUBTOTAL S <br />S PENMIT S <br />f TOTALFEE 5 <br />Si0E5ETBnCR PLANCHECKNUMBER FEE RECEIPTNO. <br />5' � 90/25341 27'95� 38870 <br />naid 9.75) <br />vncnrvr sire FEES <br />❑ YES � NO <br />���;r� NOOFOWELUNGUN:is BUILDWG _ <br />M-1 eXlst].Ilg pLI1MBING <br />BASEMENT <br />❑ VES C NO MECHANICAL <br />HEiG�rtuhuTniiOm O7HER <br />Additional P <br />STATE �UILDING SURCHARGE <br />STATEENERGYSURCHARGE <br />CITY OF EVERETT pUBLIC WORKS <br />LOCAL SALES <br />TAX CODE IS TOTAL <br />3105 WHEN PROPERLY V! <br />S 1.875 <br />DATED THIS IS <br />4 00 <br />5 00 <br />PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMtdFNCED WITHIN qllDHtS:; f'�! i �!, . <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />50 <br />