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fheEoCrgree�f 'y`` �-�NSTRUCTION ����. `�`� <br /> everett PERMIT PERMITNO. 231 SJ <br /> 259 -8810 <br /> ❑ DEMOLITION �COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAILAD�RESS GITY 21P Pk10NE <br /> Select Homes P.O. Box 708 Mukilteo 98275 827-8196 <br /> TENRNT IAAILAD�RESS CITY ZIP PHONE <br /> ApCHITECTOR�E5IGNER MAILAO�RE55 CIT� Z�p PMpNE <br /> GENERALCONTRACTOR MFILADORESS CITY ZIP PHON[ LICENSEM <br /> Owner �SH SELECHI110KN <br /> IAECHANIC/LCONTRACTOR MAILA�OfiESS CITY ZIP PHONE LICENSEu <br /> PLUMBINGCONTRACTOR MAILA�DRESS CITY 21P PHONE LICENSEt <br /> CLF55 OF WORK <br /> C�NEW O ADDITION ❑ ALTEHATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> CONTACT PERSON AND PHONE NO.IF OTHER TMFN A60VE <br /> CONTRACT PRICE OF WORK:$ <br /> DESCRIBE WORK AND SOUARE FOOTAGE INVO�VED <br /> New Construction � <br /> PROPOSEO USE OF BUILOING <br /> Single family residence <br /> LEGAL UESCRIPTION OF PROPERTV�SMOW 9ELOW OR FTTACH�OUR COPIES� <br /> �oT 1 a�or,K—oF Glenhaven Heights Div 1 <br /> JO�ADORESS <br /> 49th Pl. SW <br /> PLUMBING MECHANICAI <br /> � NO. TYPE OF FIXTURE Ofl ITEM FEE NO. TVPE OF E P <br /> 2 WATER CLOSET(TOILET) IO OO aC—A/HNDLG UNITS—H.P. <br /> 1 BATHTUB S OO ], FORCED AIR SYSTEMS—B. <br /> 2 LAVATORV(WASH BASIN) LO OO UNIT HEATERS—�.T.U. M <br /> 1 SHOWER S OO 1 CLOTHES DRYERS <br /> 1 KITCHEN SINK 8 DISP. S OO 3 VENTILATION FAN <br /> � ], DISHWASHER S OO 1 RANGEHOOD <br /> LAUNDRV TRAV 1 WATER HEATER <br /> CLOTHESWASHER S 00 WOODS70VE <br /> . URINAL 1 METAL FIREPLACE&CHIM 1'�� BO OO <br /> DRINKING FOUNTAIN FIREPLACEINSERT <br /> FLOOR DRAIN HEAT PUMP ��' <br /> BACKFLOW PREVEN7ERS 1 GAS PIPING <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SEBVICE—BAR.ETQ) � <br /> 60 00 <br /> suerorn� s 45 00 SUBTOTAL s 90 00 <br /> PEHMIT S PEHMIT S <br /> TOTALFEE S 45 0 TOTALFEE S <br /> FRONT SETBnCK aEAR SETBALK SiDE SEiBnCK PLAN CHECK NUMDER FEE RECEIPT NO. <br /> 89/23189 342.55 <br /> USEZONE LOTAREA VACANTSITE FEES BUILOINGCOOE FEE <br /> YES ❑ NO <br /> iVPEOFCON57NOCilONAILOWABIE ttPEOfCONSiPOCiIONaC7WL °�'our�� NOaFON'ELLINGIIN173 BWLDING509.00-11.70 570 ,�1�.�� 497 � <br /> — — — PLUMBING 45 0 <br /> 9REOFBLOG. NO.OFSTOFIES O�SEMENT <br /> ❑ VES NO MECHANICAL 9O O <br /> OCGUPANCYLOAD FIRESPRINKLERSREO'D NEIGHTLiMITATION OTHER <br /> ❑ YES Q NO <br /> REASONFORSPPINKLERS STATEB�ILDINGSURCHARGE q � <br /> STATEENERGYSURCHARGE I <br /> APPLICATIONHCC.BV PLANSAPPROVEDBY CITY OF EVERETT �� <br /> LOCAL SALES PUBLIC WORKS <br /> TAX CODE IS TOTAL 656 0 i <br /> �.x. B•E• 3105 <br /> WHEN PROPERLY \�ALIDATED THIS IS YOUR PERMIT <br /> Credit $11.70 on building permit fee for overpayment of plan check fee. <br /> i <br /> � <br /> I <br /> � <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN AODRESS Flf E G � � � •3 <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />