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'hc�"'g'�`r" ^ ' INSTRQJCTION "� � <br />CITY OF Cj <br />everett PERMIT PERMITNO. 2�OJ9 <br />259-8810 <br />❑ DEMOLITION C�1 COMBINATION ❑ B�'1LDING ❑ MECHANICAL ❑ PLUMBING O SIGN <br />OWNER �IAILAD�RE55 dTY ZIP PMONE � <br />Paicfic Narbor Const, inc. 10325 Davies Rd. Lake Stevens 98258 334-6235 <br />TENANT MAILADORESS CIiY ZIP PH@;E <br />ARCNITECTOROESIGNEN MAILAOORE55 CITY 21P PHONE <br />Charles C. Lee 3rd St. Mukilteo 745-6569 <br />GENER�lCOATRAGTOR MAILADORE55 CITY 21P oMONE LICENSL� <br />Owner PACIFHC113DM <br />MECHANICAICONTNACTOR MAILADpRESS CITV ZIP GMONE LICENSE� <br />PIUMBINGGONTRACTOR MAILAOORE55 CITY ZIP PMONE LICENSE• <br />CLFSS OF WORK <br />❑ ADDITION ❑ ALTEHATION ❑ REPAIR ❑ DEMOf ITION O BUILDING RELOCATION <br />CONTRACT PRICE OF WORK: $ � <br />OESCRIBE WORN AND SOUARE FOOTAGE INVOL: EO <br />New Construction <br />PROPOSEO USE OF BUILDING <br />Sinale familv residence <br />LECAI �ESCNIPTION OF PROPENTV (SNOW BELOW OR ATTACH iOUR GOPIES) <br />�or 1e niocrc — oF - Triada Granada <br />�oenooRess <br />5003 tlichols Pl. <br />PLUMBING <br />FRONiSE <br />USEZONE <br />R-S <br />fYf4 OF CONS <br />V-N <br />ITEM <br />WATER CLOSET (TOILI <br />BATHTUB <br />LAVATORVIWASNBA', <br />SMOWER <br />KITCHEN SINK 8 DISP. <br />CLOTHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK ISERVICE — BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />TBACK REARSETBICK <br />20 Bluff Line <br />lOT AREA <br />IFUCIqNALLLVABIE IYROFtONSfPUC710NACNAL <br />size ov o�oc <br />2692 <br />OCCUPANCYLOAD <br />N/A <br />REASON FOR SPRINKI[RS <br />NOAF STORIES <br />2 <br />FIRE SPRINKLEPS REO'0 <br />7 ves l� no <br />ACC BY IFLANSAPPFiOVEDBV <br />S.Ii. I s.w. <br />FEE <br />COHTACT PERSON AND PMONE NO. IF OTMER THPN ABOVE <br />MECHANICA4 <br />A/C —!vr �VDLG UNITS — H.�. <br />1 '�`ORCEU.4IRSYSTEMS—B.T.U. <br />f�'lIT HE..TERS — BS.U. <br />1 G_GTHES�RYERS <br />3 �'CNTILATION FAN <br />1 RANGEHOOD <br />1 WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEATPUMP <br />j GAS PIPING <br />E%HAUSTFAN <br />S 75 00 <br />f <br />S 75 'i0 <br />SiDE SEI��GK PLAN CIIECK NUME <br />89/22059 <br />VM1CANT SITE <br />�J vES ❑ No FEES <br />�`"'^'^�• Nooro�5ttur+cUNnS BUILDING <br />R 3 1 <br />PLUMBING <br />VES [S NO <br />HEiGHT LII.IITATION <br />28 <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />M EA. <br />M <br />SUB TOTAL f � <br />PERMIT S <br />TOTALFEE S <br />�e • 't <br />,,,,:,,,,,��j�„ 18 20842 <br />MECHANICAL <br />OTHER plan Ck <br />STATE BUILDING SURCHARG <br />STATEENERGVSURCHARGE <br />PUBUC WORKS <br />TOTAL <br />WHEN PROPERLY V <br />E SRCN 8..50 <br />J <br />{' ^ • <br />H00006313 <br />n Z <br />SEWER 43 .00 <br />CHECr; 5122 .19 <br />.IDATED THIS IS Yf <br />131 5 <br />42 <br />15 <br />PERMITS EXPIRE IF WQRK IS NOT CONIMENCED WITHiN ` � <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. ADDRESS FILE � 1�� � <br />