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theF.ue�rgrcOF _�`� C�NSTRVC'I'ION � '�� <br />evereti; PERMIT PERMITNO. � ��� � � <br />259-8810 <br />❑ DEMOLITION � COMBINATION ❑ BUILDIiV:. ❑ MECHANICAL ❑ PIUMBI�:.; ❑ SIGN <br />OWNER AIAILAO�FE55 CITY ZIP PNONE <br />Robert Withers 21611 45th Ave. SE Sothell 98021 981-9594 <br />TENANT MAILADDPESS CITV Z�P PNONE <br />Of1OESIGNEfi MAlLA0DRE5� CITY ZIP FMONE <br />GENERALCONTPACTOR MAILAOORESS CITY ZIP PHONE ��CENSE• <br />Owner ROBERW112R2 <br />AIECHANICAL LONTRACTOR MAII ADDRESS � dTY ZIP PHONE IICENSE • <br />PLUMBING CONTRACTOR MML RO�RE55 CITY ZIP PHONE LICENSE • <br />CLASS OF WORN <br />[jCNEW ❑ ADDITION ❑ ALTEHATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO. IF OTNEB THAN ADOVE <br />CONTRACT PRICE OF WORK: S <br />DESCRIBE WOFlN AND SOUARE FOOTq <br />New Construction <br />PPOPOSEO USE OF BW LDING <br />Single %�(YY%�t Family Residence <br />LEGnL DESCRIPTION OF �riOPERTY (SHOW DELOW OR /TTACH FOUR COPIES� A <br />LOT_�.�LOCN-OF `��� � \� ��L�� (O �'p �O� �� ��bC/c 7 f�/c�Ai� <br />Seo-$$CaeHe& yNiP/r �{✓ 11r�r�r L�j✓ �- �/e/ 1/ �.� f��c7�1'y /�s�E C/ _ <br />doenooAess <br />12 <br />PLUMBING <br />NO. <br />Z WATEF <br />TYPE OF FIX'fURE OH ITEM <br />BATHTUB <br />LAVATORV <br />1 KITCHEN SINK d DI <br />], OISHWASHER <br />LAU?�ORY TRAV <br />1 CIOTHES'NASHER <br />�RINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF ORAINS — RAINLEADERS <br />SINK �SERVICE — BAR, ETC.) <br />fRONTSETBACR <br />20 <br />USE20NE <br />R-1 <br />iY1{ 0� CONSiflOC110Y ALLON'0. <br />V-N <br />SiZE OF B�OG <br />1122 + 561� <br />OCCUPANCYLOAO <br />N/A <br />REASONFORSPRINKLERS <br />SUBTOTAL <br />PEPMIT <br />TOTALFEE <br />REFfl SET6ACK <br />20 <br />LOT AREA <br />8��0 <br />IYiE OF COYSiflUCiION AGN� <br />V-N <br />NO OF STORIE$ <br />; 1 <br />FIRE Sf'f11NNLERS REO D <br />❑ VES $7 NO <br />OY IPLANS <br />S.H. I J.W. <br />+ke <br />�v aOG.DD F-� <br />, <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPI <br />lO A/C—A/HNOLGUNITS—H.P. <br />ZO O FORCEDAIRSYSTEMS—B.T.U. <br />IO OO UNIT HEATERS— B.T.U. <br />1 CLOTHES DRVERS <br />S OO 2 �ENTILATION FAN _ <br />S OO RANGE HOOD <br />WATER HEATER <br />5 WOODSTOVE <br />METAL FIREPLACE 8 CHIM <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN {((� <br />t y sue <br />S PER <br />S TOT <br />SiDE SEToncK PLAN CHECK NUMBER <br />6 89/22174 <br />VACANT SITE FEES <br />IXVES ❑ NO <br />K��a,�� xo oFnv,swr+suurts BUILDING <br />R-3 1 pLUMBING <br />O�SEMENT <br />❑ YES Y7 NO MECHANICAL <br />HEIGHTLIMITATiON OTHER <br />28- <br />STATE BUILDING SURCHARGE <br />STATEENERGYSURCHARGE <br />CITY OF EVERETT pUBLIC WORKS <br />LOCAL SALES <br />TAX CODE IS TOTAL <br />3105 .....�., .,..,..,�.., � �,,, <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />FEE <br />M EA. <br />M <br />f <br />N1T771-5 �''j s <br />i � t <br />FEE PECEIP7 NO. <br />Hasic <br />BUILOINGCODE FEE <br />S 48,807.00 408 00 <br />45 00 <br />28 50 <br />3 50 <br />15 �� <br />zo 00 <br />520 00 <br />LIDATED THIS IS YOUR PERMIT <br />