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I <br /> thr Fvergreen <br /> ��TYOF C��NSTRIJCTiON <br /> eve�ett �AT �' n `� <br /> P��INeI 1 PERMIT NO. _ L � `� �� � <br /> 259 -881Q <br /> ❑ DEMOLITION �COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> O\VNEfI MAILALDRESS CITY ZIP PMONE <br /> James G. Jacobs 158 N 137th Seattle 98133 364-5952 <br /> TENANT N�AILAD�RESS CITV ZIP PHONE <br /> � <br /> ARCHRECTOiiOESiGNER MAILAD�PESS CITY ZIP PHONE <br /> Crane Design 10803 Kent Kanqley Rd. Kent 98081 ' <br /> GENERAILONTRFCTOR MqILA00RE55 CITY ZIP PNONE LICENSEu '� <br /> Gopher Construction same as owner GOP[IECC119JA '' <br /> hIFCHPN:CALCONTRAr,1pq MNLADDPFSS CITY LP PHONE LICENSEu I <br /> �'LUfdBINGCONiRACTOF h1AILADDRESS CITY ZIP PMONE LICENSEv II <br /> CL�SS Of WORK ! <br /> �NEIV O ADDITION ❑ ALTERATION ❑ flEPAIR ❑ DEMOLITtON ❑ BUILDING RELOCATION � <br /> CONTACT PERSON ANO PHONE NO IF OTHER tHAN AOOVE � <br /> CC.":TRACT PRICE OF\'JORK:$ � <br /> OESCNBE\90RH AtJb SOUARE i00TAGE iHVGLVED <br /> New Construction �I <br /> _ I <br /> i <br /> PNOPOSEO USE OF BUILOING I <br /> Single family residence ' <br /> LEG�L DESCRIPTION OF PROPERTY�SMOW DELGW OR ATTACH FOl1R GOPIES� j <br /> 8$ Forest Park Add � � I <br /> ��T- BLOCK- OF J . <br /> _ � 1 <br /> JOBn00RE55 �� <br /> 28 46th St. SW <br /> PLUMEING MECHANICAL _ i <br /> NO. TVPE OF FIXTUFE OR 17EM FEE NO. TYPE OF EOUIPMENT FEE I <br /> $ WATER CLGSEf(TOIIET) ].S O aC-A,'HNDLG UNITS-H.P. I <br /> Q BATNTUB ].O OO 1 FORCED AIR SVSTEh1S-B T.U. M EA. � <br /> .} IAVATORY;WASH9A51N) zp Q� UNITHEATERS-B.T.U. 1d I <br /> z SHOWER 1G (�O CLOTHES DRVERS i <br /> ], 'f.ITCH2N SINK 8 DISP. S OO VFNTILATION FAN '' <br /> ], DISHWASHER S OO RANGE HOOD �� <br /> 1 LAUN�RYTRAV S OO WATEFrIEATER �'i <br /> 1 CLOTNES WAEHER 5 Q(�_ K'000 STOVE _ i <br /> UFINAL METAL FlREPLACE 8 CHIMNEV <br /> �RINKING FOUNTAIN FIREPLACEINSERT Q�_ i <br /> 1 FLOOR DRAIN S OO HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING � <br /> ROOF DRAINS-RAINLEADERS E%HAUST FAN i <br /> SINK(SERVICE-BAR,ETC.) <br /> o�i��ia� i�:-;:e! 000a�,?7c:� {,:; ; , <br /> SUB TOTAL 5 'J5 � SUB TOTAL j $ I <br /> PERMIT S PEflMIPU'�.�'��E�S�; 5 <br /> TOTAL FEE 5 TOTqU_F;F.E S j%'f f � ' � <br /> �RONTSETBACN PEARSET9ACH SIpESETBACK PLANCHECKNUMBER FE�;�j ;,-�„�EIP-iNl. ' <br /> 20 20 10 & 6 g9;22694 �`=��'04.40��`•�Q3185 � <br /> USEZONE LOTAREA VFCANTSITE '� �'"� � - I <br /> R-1 9000 FEES "euao�pccooE � •� FEE I <br /> YES ❑ NO ,. „ . <br /> �YPEOFCONSIPOC710NALlOWA�IE ttPEOFCONSifUC�IaNn:70AL °uO^"4O` 1100FOWELLINGUNIIS BUILDING � �y� i� n� ., 5 I <br /> GuOUV v <br /> V-N V-N R-3 1 p�UMBING �1000�7'01 75 00 i <br /> SIZEOFOIOG NO.OFSTOPoES EASEMENT �' y � I <br /> 2239+828 ("iAR 2 ❑ YES C�NO MECHANiCAL il']j-;i �E!1;.�Q �Z �0 <br /> OCCUPANLYLOAD FIqESPRINKLERSREOD HEIGMTLIMITAiION �fa�C�dG1�� ' <br /> OTHEH <br /> N/A ❑ ves th No 28 I <br /> REASONFOtiSPRINKLEqS STATE BUILDING SUFCHARGE ���OOOI�uG� L 4 SO I <br /> S7ATEENERGVSURCHARGE �L�C .00 <br /> APPLICATIONACQFIY PLANSAPPROVE��Y CITY OF EVERETT "- ` '- - <br /> LOCAL SALES PUOLIC WORKS Q� <br /> TAX CODE IS TOTAL � <br /> s.x. J.ta. 3105 — <br /> — WHEN PROPERLY VAUDATED THIS IS YOUR PERMIT �� <br /> Credit $77.35 on �g�dz �m� Uuilding permits fee For overpayment of plan check fee. �i <br /> � <br /> PERMITS EXPIRE IP WORK IS NOT COMMENCED WITHIN `% ` � '� ��� � � <br /> ADDRESS HL[ [ /: !_'� :_' -: i <br /> 18U DAYS OR rEASES FOR MORE THAN 18U DAYS. ' <br />