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� <br />� <br />CITY OF EVERETT <br />CONSTRUCTION <br />2ss-saio PERMIT <br />Permit Number: B41709 � <br />SEPA Number: _/ <br />Ieaue Date: V� <br />Job Addreee: �L2�MUKI TEO BLVD <br />Owner 3 �{ � � <br />RIDDERBUSCH CATHY <br />5002 ALKI DA <br />6VERETT WA 87293 <br />353-0827 <br />Tenant <br />� <br />ADDRESS FtLE copy <br />Archicect/Deaigner <br />Cenerel Contractor Plumbing Contractor Mechanical Contractoz <br />CARL LARSEN CONSTRUCTION <br />4801 76TH SW <br />NUKILTEO WA 98275 <br />000--------- <br />CARLLCI160NH <br />Type of Permit: BUILDING Contect Pereon <br />Heating System: NONE SHARON LARSEN 355-4745 <br />WSfiC Code: <br />Deecription of Work: ROOF,GUTTERS, REPAIR SHEETROCK, NEW WINDOWS (NO STRUCTURAL) <br />Legal Deecription/ LOT 17 BLOCK 004 OF SHORE ACRES ID /5717-004-017-0006 <br />Progerty ID: <br />Cone£ruction Lender: <br />Propoeed Uee of Huilding: SINGLE FAMILY RESIDENCE <br />�smv:aaac�ss�aseaevavasaavaacvxaceceeceanaaa:maasascavc:nzaaaasassaaa¢assa�aas�vsa��s <br />PLUMBING MECHANICAL <br />Qty Type of Fixture Fee Qty Type of Equipment Fee <br />Sub Total Sub Total <br />ii66iLE6S6OLEC�C�LLLEOCL�J6�C��C�����CC��12C���8C�CLCCCC�L'�C�ClQCii6IIiYtEis6�ififiiifli <br />' SfiTBACK FOOTAGE OCCUPANCY Vacant Site? TYPE OF CONSTRUCTION <br />Front 0.0 Load No. Dwellinq unita: Allowable: <br />Rear 0.0 Group Size of Bldg: Actuel: <br />Sidel 0.0 / Storiea Size of Gar: Uee 3one: <br />Side2 0.0 Baeement7 Height Limit: Fire Sprinkler Req'd7 <br />Lot Sz Reaeon For Fire Sprinklere: <br />Fire Alarm Req'dT Reaeon For FLre Alarm: <br />Plane Approved By: <br />City of Everett Local <br />Sales Tax Code is 3105 <br />Plan Check Receipt No: <br />Fee: <br />FB6 <br />FEE TYPES CONSTRUCTION VALUATION <br />euildinq 5500 81.00 <br />Plumbing <br />Mepchanical <br />otherkler <br />St. Bldq. Surcharge 4.50 <br />Public Worke <br />Additional Plan Check Fee <br />TOTAL 585.50 <br />Permite expire if work not commenced within 180 days o: ceaaee more than 180 deys. <br />I ` c;; <br />:. n � <br />L �' � <br />.1 • <br />Cl <br />��] <br />M lA <br />�'O l� W <br />iJ� } . <br />�c�.�u <br />B 41709 <br />