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� CITV OF EYERETT <br />CONSTRUCTION <br />259-88f0 PERMIT <br />Permit Number: H40874 <br />SEPA Number: <br />iseue Date: <br />Job Addreee: 2430 STATE <br />Owner <br />FORBES PATRICK O <br />6911 191ST Sfi <br />SNOHOlSISH WA 98290 <br />666-3190 <br />ceneral contractor <br />OWNER <br />� <br />ADDRESS FILE copy <br />Tenant <br />Plumbing Contractor <br />Architect/Deeiqnar <br />Mechanical Contractor <br />Type of Permit: BUILDING Contact Pereon <br />Heating Syetem: NONE <br />WSEC Code: N <br />Deecription of Work: REPLACE 12' SECTION OF FOUNDATION <br />Legnl Deecription/ <br />Property ID: <br />ConeEruction Lender: <br />Propoeed Uee of Building: SINGLE FAMILY RESIDENCE <br />iCLtEESiil��i6EClEL�EIISCZCCLECIICpp�CpiIICCC�CC3C�C��= �== =CO=CCEi'SCi6CC�66i64i <br />PLUMBING MECHANICAL <br />Qty Typa of Fixture Fee Qiy Type of Equipment Fee <br />Sub Total Sub Total <br />vssssss:s�asszs��ssv�sc¢=saaacvacesasaaaavavvc=acacsaacv--veeesvs��assvsasscaaaa:zevs <br />SSTBACK FOOTAGE OCCUPANCY Vncant Site7 N TYPE OF CONSTRUCTION <br />Front 20.0 Losd No. Dwelling unite: 1 Allowsble: V-N <br />Rasr 20.0 Croup R-3 Size of Bldg: Actual: V-N <br />Sidel 5.0 f Storiee 1 Size of Gar: Uee 2ona: R-2 <br />Side2 0.0 Baeement7 N Height Limit: 28 Fire Sprinkler Req'd? N <br />Lot Sz Reaeon For Fire Sprinklares <br />Fira Alarm Aeq'd: N Reseon For Fire Alarm: <br />Plans Approved Hy: JH <br />City of &verett Local <br />Sslee Tax Code ie 3105 <br />Plan Check Receipt No: 87009 Fee: 9.75 FBE <br />FEE TYPES CONSTRUCTION VALUATION <br />Building 500 15.00 <br />Plumbing <br />Mechanical <br />5prinkler <br />oEher <br />5t. eldg. Surcharge 4.50 <br />Public Worke <br />A�ditional Plen CheTOTALe 519.50 <br />Permite Qxpire if work not commenced within 180 daye or ceaoee more thnn 180 daye. <br />B 40874 <br />