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IJ,rfti:rr�mrrn `� C�NSTRU�TIOf� �t� �� <br />r.ni or <br />everett PER�AIT PERMITNO. 22�0� <br />259-£810 <br />❑ DEMOL�TION C33 COMBINATIQN ❑ BUILDING ❑ MECHANI(:AL ❑ PLUMBING <br />n��q MAI�AODF�SS CITY ZIP �RONE <br />Quirino Chilelli 152G 49th St. W. Evezett 98203 355-9•?12 <br />TENRNT MA4qODRE55 CiTY ZIP VNONE <br />ARCIIITECTORpESGNLR MAILPO�HES$ CRV ZIP fH01lE <br />Design Consult�r.ts 7?1 2nd St. Idukilteo 98275 745-6569 <br />GENEl1/•L CONiRACTOR �•���L AODR[55 C,t` ZIP PIIpNE <br />owner <br />MECIIANICALf,ONTRPGTOR h1AILADDFE55 C'Y IIP PHONE <br />muuniunfnNTRCCTl1R AIAIL/�p�PE55 CITV Z�V PHONE <br />CUSS OF WORN <br />Q NEW ❑ A�DITION ❑ ALTERATION <br />CONTRACT PRICG OF WORK S <br />�ESCPIUE WOAN RNp SOIIARE FOOTAG[ INVOLV[D <br />New Construction <br />O SIGN <br />IICENSE • <br />LICENSE• <br />LILF.NSE • <br />❑ REPAIR O DEMOIITION ❑ BUILDING RELOCATION <br />CONiA: i{�p50N RND PHONE NO IF OTHER TMAN ADOVE <br />Single fia family residence I <br />LEGAL DESCNIPTION OF PROPEPTY �SHOW �EIOW OR ATTPCH FOUR COPiES) <br />Plat of Darlington Replat of lot "X" <br />lOT �.Q_ BIOCK � OF <br />J09�DDRE55 v <br />4824 liarkwr Lane <br />PLUMBING <br />NO. TYPE OF FIIiTURE OH <br />BATYTUB <br />LAVATORVIWASH BA' <br />SHOWER <br />KITCMEN SINK 8 DISP. <br />OISHWASHER . <br />LAUNDRYTRAV <br />CLOTMES WASHER <br />DRINKING FOUNT <br />FLOOR ORAIN <br />BACKFLOW PREVI <br />POOF DRAINS — I <br />SINK (SERVICE — <br />90 <br />USE20NE <br />R-S <br />iVR M LONSir�Uf,iION ALIOWAI <br />V-N <br />512E Of BIOG <br />3707 +855 ( <br />OCCUPANCYLOFO <br />➢iRR1� N/A <br />PE�SONFOR SPRiNKLERS <br />APPLICATION ACC BY <br />s.�t. <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />REFNS[TBACK <br />25 <br />lOT AREA <br />FEE <br />S 70 00 <br />S <br />f % �� <br />SiDESETpnCR <br />7�t <br />VAC4NTSrtE <br />�YES ❑ NO <br />MECHANICAL <br />NO. TYPE OF E�UIPMENT <br />A/C — NHNDLG UNITS — N.P. <br />1 FORCED AIR SVSTfMS — B T.U. M FA. <br />UNIT HEATERS — BS.U. M <br />1 CLOTHESDRYERS <br />1 VENTILATION FAN <br />], RANGEHO00 <br />1 WATEfi HEATER <br />WOODSTOVE _ <br />1 METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING � ��� � <br />E%HAUSTFAN , <br />SUB <br />PLAN CHECK NUMBER F <br />89/22207 nn�,�H05 <br />fYfEOFCON9FUtf10NACi0>I �°p'"'Y°Y NOOGONSIUNGUtiitS BUILDING <br />YH V-N R-3 1 — <br />PLUh101NG <br />NO OFStOPIES OlSEMENi <br />Z C��ES ❑NO MECHANICAL <br />iiR[SF'PWNlER5PE00 MEIGMTLiM1UTATiON OTMEH <br />❑ YES �NO z8 � <br />STATE BUILDING SURCHARGI <br />STATEENERGYSURCHARGE <br />ANSAFPPOVEOOY CITY OF EVERETT <br />LOCAL SALES PU�LIC WORKS <br />TAX CODE IS rorn� <br />J.tV. 3105 ,.,.��., <br />������� � „ <br />FEE I <br />T NO. <br />54 <br />YOUR <br />870 50 <br />70 00 <br />63 00 <br />164 77 <br />3 50 <br />15 �� <br />20 �� <br />1206 77 <br />I PERMITS EXPIRE IF WORK IS NOT COMMEN(:ED WITHIN % L 2� 7 <br />ADDRESS FILE <br />i <br />180 DnYS OR CEASES FOR MORE T AN 180 DAYS. <br />