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i�. <br /> k-WJC� <br /> �T �-':: <br />� <br /> �� --� <br /> I � � <br /> � CITY OF EVERETT <br /> CONSTRUCTION <br /> ��� zss-se,o PERMIT <br /> p�x <br /> II �'y y Permit Number: D37874 AUDRESS FILE copy <br /> SEPA Nurt�ber: <br /> Iesue Date: <br /> K n Job Addrees: 2928 MAPLE ST <br /> I� ' H 71 Owner Tenant Architect/Deeigner <br /> O� M� GROUP HEALTH <br />�i y H 521 WALL ST , <br /> � �� SEATTLE WA 98121 <br /> 448-2355 <br /> C cenr.ral Contractor Plumbing contractor Mechanical Contractor <br /> O N LEASE CRUTCHER LEWIS <br /> H �g 4330 - 148TH NE <br /> �� n REDMOND WA 98073 <br /> �+ 000000------ <br /> ,��y y 3 LEASECL118NB <br /> a e+� <br /> t� � Type of Perniit: Contact Pereon <br />` � y Heatinq Syetem: NONE MARK JOHNSON 622-1666 <br /> WSEC Code: <br /> II �y Deecription o. Work: DEMOLITION <br />;� tr:1 ProperDYeIr�iption/ LOT 66 BLOCK 695 OF PLAT OF THE EVERETT <br /> y �v' Proposed Uee of Building: .SINGLE FAHILY RESIDENCE <br /> _____________________________________________________________________________________. <br /> I ._..__ _ . ____'_'___________ '_____'______'______'_'________________________ '___ ____ <br />� PLUM9ING MECHANZCAL <br /> li Qty Type of Fixture Fee Qty Type of Equipme^t Fee <br /> Sub Totzl Sub Total <br /> SETBACK FOOTACE OCCUPANCYc Vacant Site7 TYPE OF CUNSTRUCTZON <br />�� Front 0.0 Load No. Dwelling unite: Allowable: <br /> Rear 0.0 Group Size of 61dg: Actual: <br /> � Sidel 0.0 t Storiee Size ot car: Uee Zone: <br /> Side2 0.0 Baeement7 Height Limit: Fire Sprinkler Req•d7 <br /> � Lot :iz Reason For Fire Sprinklers: , <br /> I ,�s <br /> Plane ApYrov�d By: Plan Check Aeceipt No: Fee: FEE <br /> �.r FEE TYFF.S CONSTRUCTION VALUATION <br /> Building <br /> Plumbing <br />��� Mechanical <br /> Sprinkler <br />�� �.� Other <br /> I City cf Everett Local St. BLdg. Surcharge 4.50 <br /> Salee Tax Code ie 3105 publi.c Worke <br /> AddiLional Plan Check Fee <br /> !� � TOTAL $4•50 <br /> a•.o, <br /> I <br />! Permite expire if wor)c not commenced within 180 days or ceaeee more than 1B0 daye. <br />` <br /> +.,,,� <br /> ��� � <br /> ` T� pn�riN� � <br /> --Cn=LS —.3 <br /> _ D 37874 <br />