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I ' the Evergreen <br />CITY OF <br />everei t <br />59 8810 <br />5e y <br />� 9 H <br />,axx <br />a H <br />C H Fn <br />II< Ci <br />K C: <br />H ;U <br />Q+7 H 'rJ <br />N H <br />y tH <br />x0tv <br />C7 O CT? <br />Hl7 <br />Q H <br />H HMO <br />O <br />> H3 M <br />r z <br />HH <br />dN <br />Q <br />e3i t7 CA cn <br />z H Cn <br />y Q to <br />-" C -)NSTRUCTION <br />PERMIT <br />PERMIT NO. 22591 <br />BUILDING <br />❑ MECHANICAL <br />❑ PLUMBING <br />❑ SIGN <br />❑ DEMOLITION ❑ <br />COMBINATION <br />MAIL ADDRESS <br />CITY <br />ZIP <br />ONE <br />OWNER <br />Robin Bernhoft <br />1030 N. Park Dr. Everett <br />PHONE <br />Fun <br />MAR ADDRESS <br />CITY <br />ZIP <br />TENANT <br />Ay; <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONL <br />Clyde Haglund <br />3090 Kromer Ave. Everett <br />982QI ---- <br />PHONE <br />LICENSE- <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />Owner <br />CITY <br />ZIP <br />PHONE <br />LICENSE - <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE• <br />PLUMOING CONTRACTOR <br />MAIL ADDRESS <br />CLASS OF WORN <br />ET NEW Q ADDITION ❑ ALTERATION ❑ REPAIR ❑DEMOLITION [I BUILDING RELOCATION <br />AND PHONE NU It <br />CONTRACT PRICE OF WORK: $ <br />PROPOSED USE OF BUILDING <br />SFR <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COMES) <br />LOT 44 BLOCK —or Harbor View Add. <br />OY/U6/8'iIU-1611M <br />JOB ADDRESS <br />1030 N. P 000022597 <br />nuwwrwl <br />PLUMBING <br />, <br />FEE <br />NO. <br />TYPE OF EO NT <br />FEE <br />TYPE OF FIXTURE OR ITEM <br />AtC— &HNDLG UNITS— nq <br />ER CLOSET CTOILETI <br />FORCED AIR SYSTEMS — B M EA. <br />TUU <br />UNIT HEATERS — B T.U. M <br />TORY (WASH BASINI <br />_ <br />CLOTHES DRYERS � r <br />WER <br />VENTILATION FAN <br />_ <br />HEN SINK A DISP. <br />6 <br />1 <br />RANGE HOOD <br />WASHER <br />NDRY TRAY <br />IROOF <br />WOOD STOVE <br />THES WASHER <br />METAL FIREPLACE A CHIMNEY <br />ALFIREPLACE <br />INSERT <br />KING FOUNTAIN <br />HEAT PUMP <br />OR DRAINKFLOW <br />PREVENTERS <br />GAS PIPING <br />IST FAN <br />F DRAINS—RAINLEADERS3 <br />K (SERVICE — BAR. ETC I <br />SUBTOTAL $ <br />SUBTOTAL f <br />PERMIT S <br />PERMIT f <br />TOTALFEE $ <br />TOTALFEE f <br />FRONT SETBACK <br />REAR SETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />6 <br />89/22597 <br />298.68 <br />23085 <br />2p <br />20 <br />USE ZONE <br />LOT AREA VACANT <br />SITE <br />FEES <br />BUILDING CODE <br />VALUATION <br />FEE <br />R-1 <br />❑ YES R NO <br />$62 3BQ.D <br />TYPE OF CONSTRUCTION ALLOWABLE <br />IYFEOFCONSIFUCTIONACTUAl <br />WDF DAWING UNITS <br />V-N <br />V-N <br />R-3 <br />1 <br />SIZE Of BLDG NO OF STORIES BASEMENT <br />2OCCUPANCYLOAD <br />879 2 0 YES ❑ NO <br />AL <br />FIRE SPRINKLERS REO'0 HEIGHT LIMITATION <br />lan CkN/A <br />SURCHARGEREASON <br />DC <br />❑ ves R NO 28LDING <br />FOR SPRINKLERS <br />RGY SURCHARGEAPPLICATION <br />ACC. BY <br />PLANS APPROVED BY <br />CITY OF EVERETTLOCAL <br />SALES <br />RKSN.N. <br />558 <br />7 <br />B.E. <br />TAX CODE IS <br />3105 <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE 22597 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />