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.-. <br />�he��,� ^ONSTRUCTION ^ � <br />everett PERMIT PERMITNO. _ `,�� ��� <br />259 - 8810 ❑ SIGN <br />❑ DEMOLITION �9 COMBINATION ❑ BUILDING ❑ MECHANICAL Z� ❑ PWMBINoNE <br />Leona M. Moore <br />�j[7i�Iii OLIREI <br />ICT OA DESIGNEP <br />_CONTRR <br />pwner <br />MAIL ADDRESS <br />1029 79th Ave. SE <br />MAIL ADDPESS <br />MAIL ADDPESS <br />AO�RESS <br />GIiY <br />Everett 98205 334-9338 <br />cirv zia PMONE <br />GITY ZIP PHONE <br />GITY � <br />QTY <br />Cliv <br />LICENSE ♦ <br />i if.ENSE � <br />G�ASS OF WOFK <br />i[t wEW ❑ ADDITION ❑ ALTERATIOW ❑ NEFA�R ❑ DEMOLITtON _ f^' •' ❑ BUILDING RELOCATIO <br />GONTACT FENSurv nrvo m��•. •�� <br />CONTRACT PRICE OF WOPK: $ <br />DESCRIBE WOAK AND SOUPRE FOOT�• <br />New Construction <br />PpOPO5E0 USE OF BUILOING <br />Single family residence <br />IEGAL OESCPIPTION OF VROPEPTV ISHOW BELOW OR ATTACM FOUF COPIES) <br />LOT—� BLOCK � OF <br />The no the t ' � <br />the southeasterl 25' of 1 t <br />7823 Grant Dr. <br />PLUMBIN6 <br />NO. riPE OF FI; <br />o WATER CLOSET ITOIL <br />KITCHEN SINK 8 DISP. <br />DISMVIASMER <br />UUNORVTRAY <br />CLOTHES WASHEfi <br />URINAL <br />DRINKINa FOUNTAIN <br />FLOOR DMIN <br />ROOF <br />SINK i <br />USE 20NE <br />R—� <br />7yp[pF �pN$IPUCiION� <br />V-N <br />512E OF BLOG. <br />1.024 <br />OCGUPANCYLOAp <br />N/A <br />pY <br />M. M. <br />— BAR, <br />SUSTOTAL <br />PENMIT <br />TOTALFEE <br />9EARSETOACK <br />�n <br />LOT AREA <br />i n_—�-^— <br />iVtt OF LONSiPOCiION AC7UA <br />R}i8 V-N <br />NO OF STOPIES <br />1 <br />fIRE SPRINNLERS FEO'D <br />❑ YES � NO <br />J.w. <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPI <br />A/C — A/HNDLG UNITS — H.P. <br />FORCED AIR SYSI EMS — B.T.U. <br />UNIT HEATERS — B T.U. <br />1 CLOTHES DRVERS <br />VENTILATION FAN <br />1 RANGEHOOD <br />1 WFTER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIM <br />FIREPLACE�NSERT <br />NEAT PUMP <br />GAS PIPING B� <br />EXHAUSTFAN PI <br />SI�ESETB/CK Y�nrv�.n��.��•������^ <br />89/22104 <br />VACRNT SRE FEES <br />YES ❑ NO <br />�A�^<� NOOFOWELLINGUNIIS BUILDING <br />cna,m <br />R-3 1 p�UMBING <br />OASEMENT <br />❑ VES 81N0 MECHANICAL <br />MEIGNTUMITATION OTHER plan CIC <br />STATE BUILDING SURCHARGI <br />STATE ENERGV SUfiCHARGE <br />CITY OF EVERETT pUBLIC WORKS <br />LOCAL SALES <br />TAX CODE IS TOTAL <br />M <br />�� qbS (�EIPTNO. <br />b0�72(� 20883 <br />acooc �E <br />G . <br />5 4. 40 <br />CHECf; ��60 .OF q <br />2 <br />IS YOUR PERMIT <br />PERMITS EXPIRE IF WORK iS NOT COMMENCED WITHIN ADDR[SS Fl�E Z L, I'! f <br />180 DAYS OR CEASES FOR MORE 1'HAN 180 DAYS. <br />