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theEvC� OF �`` C�NSTRUCTION -��- ���� <br />everett PERMIT PERMITNO. _ �22;�� <br />259-8810 <br />❑ DEMOLITION ❑ COMBINAT'ION �BUILDING ❑ MECHANICAL O PLUMBING � SIGN <br />01VNEH MAIL ADORE55 QTY 21P PMONF <br />Clarence S Melton 4803 Wilminqton Everett 98203 252-5208 <br />TENRNT AUIL/OORE55 CITY ZIP PM9NE <br />nRCnR[Cl'CN9ESIGNEN MRiLADORE55 Qtv ZiP �MONE <br />GENERALCONTRACTOB MAI�AODRESS LITY Z�P PHONE LiC[NSG• <br />Owner <br />MECMANICAICONTNPCTOP AIPILADDBE55 JITY ZIP PHONE LICENSE� <br />oi i iuwwr. [ro�mnC.TOR MnR AODRESS CiTV ��P PHONE t iCENSE+ <br />I;LAi50F WORK <br />❑ NEW �] ACDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITIOY ❑ BU!LDING REL6ChTION <br />CONTACT PEPSON ANO PIIONE NO ��� OTNER THA� A90VE <br />CONTRACT PHICE OF WORK' S(OOO OG <br />DESCRIBE WORK PNL SOUARE i00TAGE iNVOLVEO <br />Enclose existinq patio <br />PRePOSEo usE oF oUaom�+ <br />Office and sitr.;•-.� a"ea SFR ---. <br />LEGRL DESCRIPTIOM OF PPOPERTY �SNOW BELOW OR ATT4C11 LOUR COPIES� <br />l0T 8.�10 BLOGN 18 oF Central Park Add <br />JC 3 FODRE53 <br />PIUMBING <br />WATER CLOSE <br />BATHTUB <br />LAVATORY�W/ <br />SMOWEfi <br />KITCNEN SIN1� <br />DISMWASMER <br />URINAL <br />DRINNING FOUN' <br />FLOOR DRAIN <br />GACKFLOW PRE� <br />ROOF DRAINS - <br />SINK (SERVICE - <br />FRONT $ETBRf;N <br />20 <br />USEZONE <br />R-1 <br />iYPE OF CONSiflbGilON A0.0WABLE <br />V-N <br />5�2E OF OLDO <br />253 <br />OCCUP�'NCYLOFO <br />N/A <br />RUSON fOR SVRINNL[RS <br />S.H. <br />F!XTURE OR ITEM <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />NEARSET9ACK <br />zo <br />LOTAREA <br />a%28 <br />IYfl OF CONSiNUCpGYALiOAI <br />V-N <br />NO �� STORiES <br />1 <br />fIRE SPRINNLERS PCO'0 <br />❑ VES E4 NO <br />PLANS <br />J.W. <br />� <br />i <br />MECHANICAL <br />FEE NO. TVGE OF E�UIPI <br />A/C — A/HNOLG UNITS — HP. <br />FORCEU AIR 5�'SiEMS — B T.U. <br />UNIT HEATERd — B.T U. <br />CLOTMES DFYERS <br />VENTILATION FAN <br />RANGEHCOD <br />WATER MEATER <br />WOODSTOVE <br />ME��L fIREPLACE 6 CNIMNEV <br />FIREPI.ACE INSERi <br />HEAT PUMP <br />GAS PII�ING <br />E%FIAUST PAN <br />M EA. <br />M <br />PERMIT � <br />ioi ^^3. <br />SiDESETBACK PLANCHECKNUMBER E��IG <br />6 a9/zzz3o E �s <br />VnCR4T SiTE FEES <br />p YES PS NO <br />�;r�;,�-� rroovo�v�uixcuwrs BUILDING <br />R-3 1 p�UMBING <br />Ol.SEMENT <br />❑ YES ❑ NO MECHANICAL <br />HEIGNTLIMITATION OTHER <br />STATE �UILDING SURCHARG <br />STATEENEFGVSURCHARGE <br />CITY OF EVERETT pUBLIC WOHKS <br />LOCALSALES <br />TAX CODE IS TOTAL <br />3105 <br />WHEN PROPERLY VA.LIDATED <br />f <br />f <br />NO. <br />i <br />84 i0 <br />PERMIT <br />PERMITS El(PIRE I� WORK IS NOT COMMENCED WITHIN ADORESS FILE ��(, �'.J <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />I <br />