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"'�EpQ1��a � Cc`°'NSTRUCTION �-- '��` <br /> CITY OF <br /> everett PERMIT PERMITNO. _ 25692 <br /> 259 -8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING p MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNEfI MAILApDliE55 CITY ZIV pHONE <br /> Randy Clark PO Hox 708 hiukilteo, WA 98275 348-1320 <br /> TENANT MAILAD�RESS CiTY ZIP PMONE <br /> ARCMITECiOR0E51GNEF MAIL�DDRE55 CITY ZIP PMONE �� <br /> GENERALCONTRACtOR Id�IL�DDRESS CITY ZIP PHONE LICENSEu <br /> Select Homes Inc. (sam� address as owner) SELECHI*110KN I <br /> MECHANIC/LCONTBlCTOP MAILAODRESS CITV 2•'� PNONE �ICENSEu . <br /> PWMpINGCONTRACTOR MFIL�pDf1E55 CITV _�p PMONE LICENSE� <br /> CLASS OF WORK <br /> }� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITfON ❑ BUILDING RELOCATION � <br /> LONTACT PEHEON ANO PHONE NO IF OTMER iH4N ABOVE I <br /> CONTRACT PRICE OF WORK:$ � <br /> OESCRIBE WORK ANO SOUAf1E FOOTAGE INVOLVE� <br /> Construct storage building <br /> PROPOSEDl15E OF BUIIUING <br /> Storage i <br /> LEGAL OESCFIPTION OF PRpVERTY(SHq\V DE�OW Ofi ATTACH FOUR COPiES) <br /> LOT_ OLOCK__OF <br /> JOBFODRESS <br /> 1025 - 49t <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HNOLG UNITS—H.P. <br /> BATHTUB FORCED Alfl SYSTEMS—B.T.U. M EA. �� <br /> LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M � <br /> SHOWER CLOTHES DRVERS � <br /> KITCHEN SINK 8 DISP. I VENTILATION FAN i <br /> DISHWASHER RANGE HOOD ' <br /> LAUN�RVTRAV WATER HEATER <br /> � <br /> CLOTHES WASHER WOODSTOVE �� <br /> URINAL METAL FIREPLACE 8 CHIMNEV <br /> DRINNING FOUNTAIN FIREPLACE INSERT ' <br /> FLOOR DRAIN HEAT PUMP II <br /> BACKfLOW PqEVENTERS GAS PIPING <br /> ROOF DFAINS—RAINLEAOERS EXHAUST FAN ` � �' <br /> SINK(SERVICE—BAq,ETC.) <br /> SUBTOTAL S SUB � <br /> PEpMiT f PER S <br /> TOTALFEE 5 TOT f <br /> FRONTSETOr1CK FEARSETOACK SIOF.SET�ACK P�ANCHECKNUM9ER �4.35* EIPTNO. <br /> ' ' ' 90/25692 (pd 105.30) 41754 <br /> USE ZONE LOT AREA VACANT SITE , <br /> R-1 96055f ❑ YES f}�NO PEES eu�iou+rcooe fEE <br /> rve�aFcaNsitiucnoxnuownaie ttr�orconsiAucnounciva�. «<�:�.�,-. r�uoFov,rtwNcuNns euaoiNc499•00 les{ S , <br /> ��a„� <br /> V—N V—N M-1 -- PLUMBING <br /> SIZEOFOLOG NO OFSTORIES pASElAENT <br /> SI.�Sf 1 ❑YES }rj�tl0 MECHANICAL <br /> OCLUPr1NCVLOAD FIRESP{iINKLER5RE0'0 HEIGHTLIMR�TION OTHER <br /> n a ❑ VES }�}��� 15� <br /> aensoN Fon svaiNK�ens STA7E BUILDING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> APALICATIONACC.BY PLANSAPPROVED�Y CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS <br /> � TAX CODE IS <br /> TOTAL 62 55 <br /> 3 i05 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT j <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN qD�RESS FILE 2 5 6 9 G <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />