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- � �� ^ �JNSTRUC�ION �� <br />everett PERMIT PERINITNO. _ 23� 2O <br />259-8810 <br />❑ DEMOLITION 9 COMBINATION ❑ BUILDING ❑ MECHANICAL ❑�LUMBIH6 <br />OVMER � �� <br />MML ADDRESS p�ry Z�p �� <br />Mark Hoidal 423 75th St. N12 Everett 98203 355-3822 <br />TEN�NT M�IL ADDqE55 CITY ZIP PHpNE <br />ARCHItEGT OR DESIGNER M�IL ADqiE55 CITY 21V ry�pryE <br />Impression Design 2229 Jackson Everett 98203 355-3200 <br />6ENE8ALCONTRACTOR MMLADDRE55 CITY ZIP 1'IqNE ���qgE� <br />Owner <br />MECNANIC�LCONTR�CTOq M�ILADORE55 CITY 21P pHONE <br />UGENSE� <br />PLUMBINGCONTRACTON MAILADDPE55 CITY ZIP {'HpNE ��p[q�� <br />C1A55 OF WV RK <br />L2NE1Y ❑ ADDITION ❑ AL7lRATION ❑ REPAIH <br />� CONTRACT PRICE �� WORN: S <br />. DESCRIBE WORK MIO SOUAqE FO0TA0E l <br />i New Construction <br />I <br />PPOPOSED USE OF BUILDINO <br />` Sinqle family residence <br />� <br />� lE6AL OESCRIPTION OF PROPEpTY �SHOW BELOW OR ATTACH FOUR COPIES� <br />� �or? BLOCN_OF Lgr�er Ridge <br />� <br />� 7121 <br />PLUMlIN6 <br />i — <br />�I <br />TYPE OF <br />CLOSET(T( <br />5l/OWER <br />KITCHEN SINK 8 DI <br />OISMWASHER <br />UUNDRYTRAY <br />CLO7HE3 WASHER <br />URINAL <br />ORINKINO FOUNTA <br />FLOOR DMIN <br />� ROOF DMINS - <br />, SINKI�RVICE- <br />fA0NT5ETBACK <br />� Z� <br />USELONE <br />R-1 <br />�� TYPEOfCdlSIPUCiqN�llqVA&E <br />V-N <br />2� <br />EA <br />16,581 <br />:ONSTRUCfqNACNFI <br />V-N <br />SIZEOFBLDG. NO.OFSTORIES <br />2907+539 GAR 1 <br />OCCUPANCV IORD fIRE SPRINKLERS RE0'D <br />N/A ❑ ves � No <br />REASON FON SPRINK�ERS <br />S.H. <br />❑ DEMOLITION p SUILDINCi RELOCA710N <br />I ANp PHONE N0. �F OTHER THAN �BOVE <br />MECHANICAL <br />NO. TYPE OF E <br />NC - AMNOLG UNITS - <br />FORCED AIR SYSTEMS - <br />UNIT HEATEqS - B.T.U. <br />CLOTHES DRYERS <br />3 VENTILATION FAN <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPUCE <br />FIREPUCE INSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />!UlTOTAL � <br />PERMR : <br />TOTALfEE � <br />9ACK PLAN CHECK NUMBER FEE RECEIPT NO. <br />6 89/23120 415.6 16192 <br />SITE <br />❑ No FEES suwaNacooc FEE <br />' xo.oFowiwxcuxrts BU�LDING $___ ___ __ <br />R-3 I 1 <br />8�15EMENT <br />h YES ❑ NO <br />HE161/T LIMITATION <br />28' <br />„'"�..""`"" I CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS <br />J•H• 3105 <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />PLUMBING <br />MECHANICAL <br />OTHER P1d71 Ck <br />STATE BUILDING SURCHARGE <br />STA7EENERGYSURCHARGE <br />PUBLIC WOqKS <br />TOTAL <br />WHEN PROPERLY VA <br />ADDRESS FILE <br />23120 <br />� <br />