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6 <br />x�r� <br />Cytl y <br />/D '.V w <br />C.' H <br />ayw <br />y � h�i <br />K n <br />H;u <br />O xC <br />�9 Hi'� <br />tA H <br />Hx <br />t�1 O <br />0y�[y <br />H �C+�7 O <br />G] �. C] <br />9 H� <br />r z <br />HH <br />g`� <br />H <br />C'] qJ f� <br />��� <br />x H cn <br />H O V� <br />rn��r����xT��„ `' C_� N ST R U�T a O I� <br />CITY OF C <br />everett PERMIY PERMITNO._�GJ�� <br />259-8810 <br />❑ DEMOLITION �COMBINATION Q;{BUILDING ❑ MECHANICAL ❑ PWMBING ❑ SIGN <br />ONNER <br />M1IAILAp�RE55 C�TY :.ii� CHONE <br />Clark Cooke 1'/522 - 76th Ave W Edmonds, S0A 9802J 778-0643 _. <br />TENANT <br />MAILAODPE55 CITY ci PMO"- <br />�_ <br />RUIL P�DRE55 CRY ZIP PIIONE <br />qPCMI�CCT 011 �ESIf•NER <br />G[NERAL� <br />Boa <br />► <br />AIAIL ADDf1C :5 <br />MAIL <br />CITY IIP <br />96020 778- <br />CiTY 21P <br />r��or+E ucEHs[• <br />{`HONE <br />P�pA1pINQLONiP4CiOR AINL�[1�RE55 CIiY 2��' V110NE UCENSE• <br />CLP55 OP WORK <br />FLNEW ❑ A�DITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLIT'ON ❑ BUILG.NG HELOCA ION <br />CONTAGT PEPSON AN� CNON[ NJ 6 o�rm <br />CONTRACT PRICE OF WORK: S <br />OESCFIpE1YORKAND50UAn[fOOTnG[INVOLVEb <br />Wnstruct new home <br />rnoPoseo use or ouaoirvu <br />Sinqle familv residence — <br />LEGAL D[SCRiPiiON Of PpOV'ERTY �SNOW �ELO1Y 0� ATTACM FOUf1 COPIE51 <br />S 144 0£ Lot � Reolat of�a �'na�on '-''- '-""- '- '^` � ^F �''�'^^`��r§• <br />ior — oiocrc — or <br />line Adjustment No. 12-89, being a portion of Lots A 6 B of S.P. together with an easement <br />for inaress eqress 6 utilities over tmder C�a -srosa th�` °�' of T t�"f Ao "da ,, T.inn <br />adjustment No. 12-89. <br />�oenounesn <br />1908 W. Ftukilteo Slvd. <br />PLUMBING <br />OF FI%TURE OR <br />SINK d DISP. <br />LAUNURV <br />ORINNINCa FOUNTAIN <br />FLO7A ORAIN <br />BACNFLOW PREVENTERS <br />ROOF ORAINS — RAINLEADERS <br />SINK WERwCE — BAR. ETC ) <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />fllONi5ET0ACN �E4RSETpACN <br />25' 25' - <br />USEZONE tOiaREA <br />R-S 12� SOOsf <br />ivrt or mxvauaou nuo.caeie nn or covsieucuoa r�cwa� <br />V-N V-N <br />sizeornioc garage �+oorsroeies <br />3851sf + 654sf/ 2 <br />�LCUPANCYLOP� FlR[SPriINNlER5NE00 <br />� /a ❑ YES j�NO <br />pY <br />FEE <br />� <br />f <br />f <br />SiDE SETB/Crc <br />I�.ScCiiAY11CAL <br />TYPE OF EOUIPMEN7 <br />A'C- AiH�JDLGUNIT$—HP. <br />FORCED AIR SYSTEMS — U TL. b� EA <br />UNIT HEATERS — B.i U M <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEMOOD <br />WATERHEATER <br />N'OOD STpVE <br />METAL FIFEPLACE b CHIR7NEY <br />FIREPLACEINSERT <br />HEAT PUMP _ <br />GAS PIPING <br />E%HAUSTFAN _ <br />! J 91/26538 <br />VES ❑ NO <br />��•�<. xoovnanw�ei <br />P.-3 1 <br />SE�d[N* <br />YES �O <br />HEIGNT UM1IRATIQN <br />�A� <br />�PPROVEDUV I CITY OF EVERETT <br />� LOCALSALES <br />TAX CODE IS <br />3105 <br />PEFIMITS EXPIRE IF WORK IS NOT COMMENrFD WITHIN <br />180 'JAYS OR CEASES FOR MORE THAN 1B0 DAYS. <br />FEE <br />SUBTOTAL f I <br />PENMIT S <br />TOTAL FEE 5 <br />FEE 620.43* RECEIPTNO <br />(�d 524.88) 45726 <br />BUILDING 5 ll <br />PLUA101NG <br />MECHANICAL <br />OTHER *Addl Plan ck fee <br />STATE �UIIDING SURCHnRGE <br />STATEENERGYSURCHARGE <br />PUOLIC WORKS <br />TOTAL <br />��7 <br />�R��L`��������1 <br />ADIIHFSS RLC <br />75 <br />95 I 55 <br />IS YOUR <br />?653� �' <br />