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(heE�ergreen "� C'`�NSTRUCTION •� `"`' <br />CITY OF � <br />everett PERMIT PERMITNO. 2272� <br />259-8810 <br />❑ DEMOLITION %] COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OKNEF MAIIApDfiE55 CITY ZIP PHONE <br />William J. Mclain 20114 83rd Ave [9 Echnonds, 64A 98020 776-5428 <br />TENRNT MAILApORESS CITY ZIP PHON[ <br />MAILAOORESS CITY 21P PHONE <br />GENEFALCONTNACTOR MMLADDRESti CITY ZIP PMONE I.ICENS[� <br />Owner <br />MECNANICFLCONTNFCiOp RIqqAOURESS CITY ZIP PMONE LICENSE• <br />PLUM8ING CONTRACTOH <br />GLASS OP WORK <br />❑ NEW 8}CADDITION <br />CONTRACT PRICE OF WORK: S <br />DESCRIBE WOPN RND SOl1ARE FOOiAi <br />AC�CLLtlOII <br />MAIL AOURE55 <br />❑ ALTERATION <br />CITY ZIP PHONE LICENSE� <br />❑ REPAIH ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO. IF OTMER TNAN AOOVE <br />Single family rnsidenoe <br />PROPUSEO USE OF �WL�ING <br />Single family residenoe <br />LEGFL OESCRIPTION OF PROPERTV �SMOW BELOW OR ATTACM FOUR COPIES� <br />LOT-BLOCN-OF �t 3 and N'g of I[�t 4� Blocic 569, Iaicker's 3rd Plat <br />JOPAODRE55 <br />2505 Rainier Ave <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />.L WATER CIOSET fTOILETI <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASMER <br />GLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />BACKFLOw PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK ISERVICE — BAR, ETC.1 <br />FRONTSGTBACH <br />20� <br />USE20NE <br />R-3 <br />SIZE OF OLOG <br />380 ad� <br />f1EA50N FOR SPRINKlEiiS <br />?�.'i.T.•'.•�rlryl� <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />REARSETBACK <br />20� <br />LOT AAEA <br />4500 sf <br />V-N <br />NO. OF STORIES <br />1 <br />FIRE SPPINNLERS R[O'� <br />❑ vES XO NO <br />PLANSAPPPOVEDBY <br />J.i^T. <br />S <br />S <br />S <br />MECHANICAL <br />OF <br />FORCED AIR SVSTEMS — B.T.U. <br />UNIT HEATERS — B.T.U. <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />EXHAUSTFAN <br />CANT SITE <br />vES [�S NO FEES <br />10Y NOOFON4llINGONiiS BUILDING <br />�� 1 <br />PLUMBING <br />SEMENT�g� <br />YES 11rv0 MECHANICAL <br />HEIGHTLIMITATION OTNER P1VI �e�+� <br />ST�TE BUILDING SURCHP <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />PERMITS EXPIRE IF WORK IS NOT COMMENf:ED WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />SUBTOTAL <br />PENMIT <br />STATEENERGVSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />WHEN PROPERLY V <br />ADDRESS FILE <br />e��c <br />FEE <br />M EA <br />M <br />S <br />S <br />S <br />105.30 REc��i�/'9 <br />iNc cooe FEE <br />+��$��r FhS OOOPN77j1%1 b. F: `. <br />in � ZJ 0� <br />�17 .�� <br />PI b� r 4'-_ 5 <br />E SRCH s�.50 n <br />��� 9 .. <br />196 <br />.IDATED THIS IS YOUR PERMIT <br />iJ J r- ^�I � <br />l� L� I / � <br />