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`��'�" r'�NSTRUCTION -� <br />CITY OF II <br />everett PERMlT PERMITNO. 2`�327 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION @ BUI! DING ❑ MECHANICAI. ❑ PLUMBING ❑ SIGN <br />OWNER MAILRDDPESS CITV ZIP PHONE <br />Cynthia Whitney 562 Moe Rd. Camano Isl. 3II7-9787 _ <br />TENPNT MAILADDflES$ CITY 21P PMONE <br />AFCMRECtONOESIGNER MAILAppRESS CITY 21P PHONE <br />Tom Edwards 5606�5 Evergreen Way Everett 98203 355-9677 <br />GENERALCONTRACTOR MNILAD�PE55 CITV ZIP VHONE LICENSE� <br />Owner <br />MECHPN:LALCON7RAGiOR MAILAODflESS CiTY 21P PHONE LICENSE� <br />PLUMBINGCONTRACTOR MAILPDDPG55 CITY ZiV PMONE UCENSE• <br />CLASS OF WOHK <br />p NEW O ADDITION <br />rnretoeCT tlGll:F f1F W(1RK' � <br />DESCNIBE WORK AND SOUARE FOOTAGE INVOW E� <br />USE OF Bl11LDING <br />❑ ALTERATION ❑ REPAiIi ❑ DEMOLITION ❑ BUILOING RE! OCATION <br />CONiACT PERSON ANO PMONC NO. IF OTMER TMAN ApOVE <br />Same <br />LEGAL OESCRIPTION OF PFOPERTY (SHOW BELOW OF ATTAGH FOUH COGIES� <br />LOT � 6LOLK _— Of <br />Un latted: NW�a Sect. 18, T 28, R.S, 182805-2-003-0006 SNO. Cty Records. <br />JOB AD�RE55 <br />PLUMBING <br />NO. TYPE OF FIXTURE OH <br />SHQWER <br />KITCHEN SINK 8 <br />LAUNORYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DFAIN <br />BACKFLOW PREVENTE <br />ROOF DRAINS — RAINI <br />SINK (SERVICE — BAR. <br />FPONTSETBACK <br />USE ZONE <br />R-1 <br />TYPE OF CONSIHIICTII <br />SUBTOTAL S <br />PERMIT S <br />TOTALFEE f <br />flEARSETBRCN S <br />2� 2� <br />lOT AREA '/ <br />11,990 � <br />V=N <br />484 <br />OCCUPANCYLOAD <br />N/A <br />REASON FON SPRiNKLERS <br />IYPE OF LONSIflULIION ALiOAI <br />V=N <br />N0. OF STORIES <br />1 <br />FIRE SPRINNLERS REO'D <br />❑ VES C1�N0 <br />SITE <br />[� NO <br />� rw oF m <br />� <br />BASEMENT <br />p VES C�N^ <br />HEIGHT I.IMITATION <br />15 <br />APPROVEDOY I CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />J•H• 3105 <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN <br />180 DAYS Ok CEASES FOR MORE THAN 180 DAYS. <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />A/C—A/HNDLGUNITS—B9i��� z <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />U�71T HEATERS — B.T.U. <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 <br />FIREPLACEINSEflT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />PLAN CHECKNUMBER <br />BUI�DING <br />PLUA181NG <br />MECF!ANICAL <br />OTHER <br />SUBTOTAL S <br />PEPMIT f <br />TOTALFEE f <br />FEE RECEIPTNO. <br />64.35 33273 <br />BUILD�NGCODE FEE <br />g 7260.00 99 <br />STATE BUILDING SURCHARGE <br />STATEENERGYSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />WHEN PROPERLY VI <br />T(� �n�T��!� ��2���� <br />ADDRESS FILE <br />4 I 50 <br />1u3�50 <br />2432i <br />