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CITY OF EVERETT <br /> �ONSTRUCTION � <br /> � PERMITi PERMITNO. �72 ( �� j <br /> 259-8G1 Q <br /> y n �� ❑ DEMOLITION L.i COMBINATION 0 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑SIGN � <br /> � 01YH[R MARAD^RE55 CITY ZIP PHONE <br /> � � y PllR CUSTOM I30,tES 12414 40th AVE SL EVLRETT 98208 388-5774 '� <br /> Qa H �EY.�!lT tAAiL�DGRE55 CRV ZIP PHONE I <br /> Cy � � <br /> y � H ARG;RECTORDESIGNER MAILAGORE55 CITY 2iP PMONE <br /> �C c� It-IPR�SSION DES�IGN <br /> y '� G[^:ERnLCONTFiACTOR MAILAODRESS CITY ��P ��fONE LICEIlSEe <br /> I <br /> o y H PDIi CUSTO?i HOP:�S SAI9H AS 0[dNGR PDRCUI{'��110Pf0 � <br /> fL'� MECMANICALCG�lTRACTOfi fdAllAppRE55 GITY ZIP PMONE LIC(iE4.=� I, <br /> C'J � � � � <br /> O H �� P��!��INGCONTRACTOR I.IAILAOOPE55 CITY ZIP PHONE UCE:lf1[e <br /> y 1 <br /> H �JO — <br /> CLA55 OF WORK <br /> y V � [,�NEW [] ADDITION ❑ ALTERATION ❑ REP:.iH ❑ DEMOUTION ❑ BUIL�ING RELOCATION <br /> H <br /> y CONTACT PERSON�NO PHONE NO.IF OtHER THAN��OV[ <br /> � �..� y COWTRACT PRICE OF WORK: S 128 454 _ <br /> � �ESCRIOc1VOFKAIi�SOURREFOGtAGEINVOLVEO <br /> o C [n CONSTRUC'i NLW HOUSE – 2736 SF LIVING / 576 SP GARAGE <br /> � � r. <br /> � <br /> zya <br /> •aOV1 �OPOSEDUS[OFBU'.LDING <br /> SInGLE FA2fILY Rfi5 <br /> I.F GaL DESCRiPt10N OF PROPERTV�GN01V BELOW OR ATTACH FOUfl LOPIES� <br /> - 1 oiocK_.oF. FOREST PARK ADDN, DIV A � u_, ,: ,. <br /> i]dl26i91 1:13PM OOOF+.�cc�5 t.. ., <br /> / <br /> itC00�7�79 <br /> ELDG 27:6.45 <br /> .�onnooaess — PLEG 375.00 <br /> 21 – 46th St. Sid + r <br /> PLUMBING <br /> MECHANICAL E SRCH �4.50 <br /> NO. TYPE OF f-IXTURE OR ITEM FEE NO. TYPE OF EOUI 7 JV ` FEE <br /> [ �^/ATERCLOSET�TOILET� A/C-NHN�LGUNITS-H.P ' <br /> 7 BATHTUB FORCEDAIRSYSTEMS-B.T.fI' . EA. <br /> 'a' � LAVATORY�Y:ASHBASIN) UfdTHEATERS-B.T.U. 1+1 ` ' _ <br /> 1 SHOWER CLOTHESDRYERS <br /> ' VENTILATION FAN �` 'n <br /> KITCHEN SINK 8 DISP <br /> DISHWASHER RANGEHOOD � �" ��'� _ <br /> ��1 LAUNDRV TRAV WAT�Fi HEATEfl <br /> 1 ' LLOTHES l'lASHER WOO�STOVE <br /> � <br /> UAINAL �dETAL FIREPLACE 8 CHIMNEY <br /> ORINKING FOUNTAIN FIPFPLACE INSERT <br /> � FLOOfl DRAI;J HEAT PUMP <br /> 1v1 BACKFLOVJ PREVENTERS GAS PIPING -- <br /> � ROOF DRAINS-RAINLEADERS E%HAUST FAN <br /> SINK�SERVICE-�AR.ETC.) <br /> �' . <br /> 1 <br /> � SUBTOTAL 5 SUBTOTAL 5 <br /> PEFMIT 5 PERMIT 5 <br /> / TOTAL FEE 5 TOTAL FEE 5 ��0� <br /> � FRorns[roncK nEnraSE'OncK SioEsemaCK PLANCHECKNUMBER FEE RECEIPTNO. <br /> �1 20' 20' S' 91/27279 486.20 %%8 53131 <br /> '_1 USELONE IOTAR@A VACANi51TE gp�LL'INf.000E FEE <br /> R-1 9>000 �es ❑No FEES VpW/iION <br /> ' ' naeaFce�:sraucno��nuovume -vveoFcor+stnuctiorvncruai «�yy,;=. xoo�owewvcur�irs But�DiNG S 128 454 * 73 45 <br /> � V-N V-N R-3 1 PLUMBING ] �(J <br /> �-�-- - SRFOFpLDG. NOAFSTORiES OASEI.'ENT <br /> 2736 + 576 Gar 2 �/ES ❑No MECHANICAL il �� <br /> OCCUPANGYLOAD PIIiESPBINKLER5RE0'D NEIG1RlIIdITATION OTHER <br /> NA ❑vEs �No z8� <br /> REASON FOR SPRiNKLEf15 $TATE BUILDING$URCHAflGE 5(� <br /> STATEENERGYSUPCHARGE <br /> APPLICAiIONAGC.EY ��ousnaraovroov CITY OF EVtRETT <br /> PUBLIC WORKS Z OO <br /> JH LOCALSALES <br />' TAX CODE IS TOTAL 94_ 95 <br /> 3105 <br /> WHEN PROFERLY VALIDATED THIS IS YOUR PERMIT <br /> " 4.55 overnaYment of plan cliecic ic�= credited <br /> on building fec <br />.�--_.,......�,..-�..._.,...-._--- ._� . . . .. .... __..___._ _. .A., <br /> PERMITS EXPIRE IF WORK 15 NOT COMMENCED WITHIN � <br /> 180 DAYS OR CEASES FOR A".ORE THAN 780 DAYS. _ _ __ <br /> -- – <br /> — —� � <br />