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'���`'�`�" �'' �NSTRUCTION �`� � <br />CITY OF <br />everett PERMIT PERM�T No. _ 2325 � <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER AIAIL AJDRESS CITY ZIP PNONE <br />Randy Clark HXX�XXSdtXX63i9HH�YXXXXXHit P.O. Box 708 Mukilteo 98275 827-8196 <br />TENANT MAIL/OORE55 CITV ZIF PnONE <br />OR DESIGNER Ma1L A�ORESS CITY ZIP PIIOM1E <br />GENER�I CONTNACTOA A1/•IL ApDRE55 C�TY ZiP PMONE L�CENSE • <br />3elect Homes Inc. Same as above SELECHI110KN <br />MECMANIGALCONTRRGTOR MAILNDDBESS CRV ZIP PMONE LICENSE� <br />PlW.1BINGCONTRAGTOR MAILADORE55 CITY 21P VHONE UCENSE• <br />CL/.550F WORB <br />❑ NEW fj� AUDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTRACT PRICE OF WORK: S <br />DE'GRIBE WOiVN ANO SOl1APE FOOTAGE INVOLVED <br />Add second story _ <br />PROi'OSED USE OF B W IUING <br />Sinale family residence <br />LEG/.1. UESCIIIPTION OF PROPERTY �SIIOW O[LOW OR ATTALII FOUR COPIES� <br />lOT 65 OLOGK-OF <br />Harbor View Add <br />JODADDAESS <br />PLUMBING <br />NO. TYPE OF <br />SHOWER <br />KITCHEN SINK 8 <br />TRAY <br />URINAL <br />DRINNING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF ORAINS — AAINLEADE <br />SINK (SERVICE — BAR. ETC.) <br />USEZONE <br />R-1 <br />tY14 0[CONSiNOCiION 0.L1D1Y4! <br />V-td <br />SIZE OF BL�G <br />890 add <br />Of,CUP/.NCYlO�D <br />N/A <br />REASON F09 SPRMKLERS <br />APPLICATION ACC OY <br />M.M. <br />OR ITEM <br />SUB TOTIIL S <br />PERMIT f <br />TOTALFEE 3 <br />REAA SET9ACK 5 <br />20 <br />LOTAPEA `/ <br />C <br />1V14 Of CONRNULiICM1 ALiIIAI <br />V-N <br />NO Of STORIES E <br />2 <br />iIPE SPflINKlEPS ACOD <br />I� YES � NO <br />FEE <br />CONTACT PERSON ANO PMONE rvu. ir u� nen i n..n..o.... <br />MECHANICAL <br />�p, TYPE OF E�UIPI <br />A/C — A/HNDLG UNITS — MP. <br />FONCED AIR SYSTEMS — B.T.U. <br />UNIT HEATERS — � T U. <br />1 CLOTHESORYERS <br />Z VENTILAiION FAN <br />1 RANGEHOOD <br />1 WATER MEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIM Y <br />FlREPLACEINSERT � <br />---�rc <br />NEAT PUMP <br />GAS PIPING <br />E%NAUSTFAN � <br />SUBTOTAL <br />PERMIT <br />SETonCK PLAN CHECK NUMBER FEE <br />6 & 10 �B 89/23254 <br />CANi SITE <br />YES ��� <br />�nov� � NO OFOWELIIN4l <br />2-3 1 <br />�FEMENT <br />YES ❑ NO <br />HEIGMT LIMITATION <br />APPROVEO�Y I CITY OF EVERETT <br />LOCAL SALES <br />J.H. TAX CODE IS <br />3105 <br />eUILDING <br />PLUMBING <br />MECHA' IICAL <br />OTHCR <br />STATE OUILDING SURCHARGE <br />STATEENERG�SURCHARG[ <br />PUBLIC WO(iK5 <br />WHEN <br />Y <br />M <br />M <br />163.80 <br />THIS <br />FEE <br />S 15 <br />f <br />f <br />RECEIPT NO. <br />2659% <br />FEE <br />50 <br />5� �� <br />15 <br />50 00 <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDFESS FlL[ (. � i� ��� <br />180 DAYS OR CEASES FOR MORE 7HAN 180 DAYS. <br />