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[heEuergreen � ��.����������� ; . <br />CITY OF <br />everett PERIuIIT PERMIT N0. _ �?��� `� <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION %kBUILDING ❑ MECHANICAL ❑ PL�IMBING ❑ SIGN <br />OWNER MAILA0�f1E55 CRY ZIP P/'ONE <br />Select Homes, Inc. PO Box 708 Mukilteo, 47A 98275 827-8196 <br />TENANT 1.1NtL:.DDRE55 CITY 21P 'HONE <br />n/a <br />ARCHITECiOBDESIGNEli MAILFDOFESS CRY LP PHONE <br />GENERALCONTRI.CTOR MAILAppRE55 CITY ZIP PHONE LICENSEr <br />owner <br />MECHANICILCONTRACTOR MAILA�ORESS CITY 21P PhON[ UCENS[a <br />ClA55OF WORN <br />}{I� NEW ❑ ADDITION <br />CONTRACT PRICE OF WORK: S <br />DESCRIOE YJGdH ANO SOUARE FOOTh <br />Alew Sinale Familv <br />MAIL ADDRESS <br />� ALTERATION <br />79,904.00 <br />�EINVOLVED <br />Re�•idence <br />PROPOSED USE OF �UI�OING <br />SFR <br />LEGAL �ESCRIPTiON OF VROPERTY (SMOW BELOW OR ATT�CN FOUfl COPIES) <br />LOT—��OLOCK�OF Q�Pr1Y]RVPTt �it'C <br />JB AODliE55 <br />4909 - 9th Ave W <br />PLUMBING <br />NO ?t'PE O!= FIXTURE Q <br />l'�ATEfl CL03ET (TOILET) <br />JATHfUB <br />LAVATORY �VlASH BASIN� _ <br />SHOWER <br />KITCHEN SINK 8 DI�P. <br />1 DISHWASHER <br />LAl1NDRY TRAY <br />i CLOTHES WASHEa <br />JRINAL <br />DRINKI�JG FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAI�ILEADERS <br />SiNK (SERVICE — BAR, ETCJ <br />� SUBTOTAL <br />PERMIT <br />TOTALFEE <br />FRONTSET�ACN REFRSEi84CK <br />20' 20' to of sl <br />USEtONE LOt AREA <br />iY� NS AUC110Y ALLO➢IdB:E iYl4 OFCONSiI1J�ilON hCNTI <br />axwx v-r� <br />sizeoro�oc ruo::Fsroaies <br />?,330 sq ft 2 <br />OCCUP l6YLOAD F" 'PRINNLERSREO'D <br />❑ Y�5 ❑ NO <br />fOR SPRINNLLR3 <br />CITY ZIP PHONE LICENSEa <br />❑ REPAIR ❑ DEMOLITION ❑ BUILOING RELOCATION <br />CONTACT PERSON AND PHONE NO IF OTHER TH>N ABCVE <br />Randy G.ark 348-1320 or Greg Stirn 25 <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPlAENT <br />LS OO A/C—AMNOlGUN1T5—H.P. <br />FORCED AIR SVSTEMS — B.T.U. M EA. <br />UNITHEP.TFFS—BT.U. M <br />CIOTHES DRYERS <br />�_ VEN7ILATION FAN <br />�Alr'GE HOOD <br />R•ATER HEATER <br />WOODSTOVE <br />METAL FIREP:ACE 8 CHIMNE� <br />FIREPLACEINSERT + � �� <br />HEAT PUMP <br />GAS PIPING � <br />EXHF.UST FAN n� nr n <br />S tiU VV SUB �� <br />S PERM l.^.� S <br />5 TOT S <br />SioE SETBACK PLAN CHECK NU1. JER ��O')765� <br />� 6' 90/23847 �c,E�7.18 g:i . <br />YqCANT SITE <br />FEES poi co <br />❑ VES ❑ NO y� • <br />°Cinoo6"� ��oa�owKW;euNiis BUILDING 1'/J�04$ <br />R-3 1 p�UM81NG <br />pnSEMENT <br />❑ YES }CXNO MECHANICAI <br />HEiGHTL�M�TAT10N OTHER <br />�.,$' <br />STATE BUILDING SURCf iARGE <br />STi�TE ENERGV SURCHARGE <br />CITY OF EVF.RETT p�BL'C \NORKS <br />LOCALSALES <br />TAX COJE IS 70TAL <br />_ 3105 WHEN PROPERLY Vp.LIDA7ED'fHIS IS <br />PERNITS EXPIRE IF WORK IS NO7 COMMENrED WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 190 DAYS. <br />r��CRESS FILE <br />.�.�� <br />FEE <br />7ECEIPT NO. <br />0�30170 <br />S49 <br />20 <br />724 <br />PERMII <br />238�-�; <br />s� <br />